Critical analysis and evaluation of the role of the nurse in measuring and promoting quality care and prescribing medications

This is a 4000 word assignment and i need the following learning outcomes covered;

– Critically appraise the role of the nurse in measuring and promoting the quality ofcare 
– Evaluate the role of the nurse in prescribing medications 
– Critically reflect upon and appraise the personal and professional development inleading and managing clinical practice.
I have a case study which needs to be implied and reffered to 
– William Johnson 82 year old 
 During community nursing home visit to William, you notice 2 large bags of prescribed medications for the patient but they are unopened. This medication includes Aspirin, Simvastatin, Paracetamol and Amitriptyline amongst others. William has full mental capacity but tells you he does not take the medication as they ‘do not do anything’. How could this situation be dealt with safely, considering the role of the nurse in measuring and promoting quality care and the role of the nurse in prescrbing medication?
Contemporary evidence, guidlines, policy and theoritical cocnepts should be applied, and answers should include critical analysis of the following in relation to the case study above 
– The key issues with the scenario, in relation to how nurses measure and promotequality care
– Consideration of how quality care is pormoted and analysis of the impact upon the patient, nurse and wider team when quality care is not promoted
– The role of the nurse when prescribing medications including the knowledge and skills required 
– How ethics are considered in promoting quality care and within the role of nurse prescribing 
-Consider aspects of choice, advocacy, capacity and consent, safety, record keeping, collaborative practice, empowerment and cost effectiveness
– Critical reflection od your development towards leading and managing clinical practice. 
Also please consider turnitin through out and make sure the score is below 25 atleast.
Thank you 

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