Assigment .Apa seven . All instructions attached.

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APA_7_Professional_Paper_Template_June_20203.docx

TITLE OF YOUR PAPER 1

Title of Your Paper

Your Name

Gateway Technical College

Abstract

The abstract is a brief summary of your paper and generally around 250 words. Consult your course syllabus or your instructor for specific details.

Title of Your Paper

The main text of your paper begins here. Consult with your assignment details in regard to section headings and other requirements.

References

Enter your reference citations in alphabetical order by author or title. Include hanging indents where the first line is flush to the left margin and the second and additional lines are indented by a half-inch.

Topic_and_Outline_GLP1.docx

5

Advanced Practice Nursing & Clinical Governance, Topic 1:

GLP-1 Medication Prioritization and Scarcity

Mirlenys Diaz

Florida National University

Decision-Making

Dr. Nora Hernandez-Pupo

September 19, 2026

2

GLP-1 Medication Prioritization and Scarcity: Topic and Outline

I. Introduction

A. Background Information

Originally developed for use in type 2 diabetes, GLP-1 receptor agonists are now being used for weight loss and cardiovascular protection. Demand, particularly for off-label weight loss use, has been outstripping supply, creating an ongoing national shortage and requiring a decision as to who will be treated first (Whitley et al., 2023).

B. Statement of the Problem

In a scarcity scenario, GLP-1 access moves from a strictly clinical to an ethical and organizational decision. When prescriptions can't be filled, bedside nurses handle the distress of patients, while APNs decide who has met prioritization criteria and nurse leaders determine policies that guide this decision. If not structured, allocation may become inconsistent or be based on persistence and not clinical need (Emanuel et al., 2024).

C. Thesis Statement

Therefore, it is critical that nurses at all levels ( bedside, APN & Leadership) use structured, value-driven decision making frameworks to ensure that GLP-1 therapy is equitably and consistently administered based on the evidence.

II. Literature Review / Background

A. Overview of Existing Research

According to literature, GLP-1 shortages are unlikely to be soon remedied, and have already created access disparities; some clinically indicated patients may not be able to access the medication for off-label use (Whitley et al., 2023). Formal drug allocation frameworks have been suggested, specifically for this class of drugs, on the basis that ad hoc prescribing is an ethically insufficient way of prescribing during prolonged shortages (Emanuel et al., 2024). Literature on nursing confirms that as NPs are becoming more prevalent, they are the ones balancing demand and limiting access because of shortage (Rodriguez et al., 2026).

B. Key Theories and Decision-Making Models

1. Shared Ethical Framework for Scarce Resource Allocation: five core values (benefit, fairness, equal concern, reciprocity, instrumental value) and transparency and evidence-responsiveness (Emanuel & Persad, 2023).

1. Nursing Shared Governance Model: Shared decision-making power at a practice level shared between bedside nurses, leaders and APNs regarding practice level resource decisions (McKnight & Moore, 2022).

III. Main Body / Discussion

A. Section One – Topic Analysis and Context

1. Why GLP-1 demand has outpaced supply: off-label weight-loss use and expanding approved indications.

1. How the shortage is experienced differently at the bedside, prescribing, and leadership levels.

B. Section Two – Comparative Analysis

1. Both bedside patient advocacy when prescriptions cannot be filled and APN use of prioritization criteria.

1. Shared Ethical Framework (APN/policy level) vs. Shared Governance (frontline-to-leadership channel).

C. Section Three – Application and Implications

1. Shared Ethical Framework used for APN ranking of patients by need (Emanuel et al., 2024).

1. Some shared governance in which bedside nurses inform the allocation policy (McKnight & Moore, 2022)

1. Benefits: consistent and defensible decisions. Adverse effects: placed additional administrative burden; criteria may not be up to date with the current shortages.

IV. Conclusion

A. Summary of Key Points

The problem of GLP-1 deficiency is a nursing problem at all practice levels. There are complementary tools for addressing this, such as the Shared Ethical Framework and Nursing Shared Governance Model.

B. Implications and Next Steps

The final paper will introduce a third model of decision making, include a detailed analysis of all three models at bedside, leadership and APN levels, and a funding source for an evidence-based initiative for equitable access to GLP-1.

V. Preliminary References

2

References

Emanuel, E. J., Dellgren, J. L., McCoy, M. S., & Persad, G. (2024). Fair allocation of GLP-1 and dual GLP-1–GIP receptor agonists. New England Journal of Medicine, 390(20), 1839–1842. https://doi.org/10.1056/NEJMp2400978

Emanuel, E. J., & Persad, G. (2023). The shared ethical framework to allocate scarce medical resources: A lesson from COVID-19. The Lancet, 401(10391), 1892–1902. https://doi.org/10.1016/S0140-6736(23)00812-7

McKnight, H., & Moore, S. M. (2022). Nursing shared governance. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK549862/

Rodriguez, M. E., Lavell, J., & Foreman, R. M. (2026). GLP-1 receptor agonists: The good, the bad, and the ugly—A comprehensive guide for NPs. The Nurse Practitioner, 51(5), 22–30. https://doi.org/10.1097/01.NPR.0000000000000430

Whitley, H. P., Trujillo, J. M., & Neumiller, J. J. (2023). Special report: Potential strategies for addressing GLP-1 and dual GLP-1/GIP receptor agonist shortages. Clinical Diabetes, 41(3), 467–473. https://doi.org/10.2337/cd23-0023

APA7professional-annotated-compressed.pdf

https://apastyle.org

Hi, APA Styler!

Thank you for using the APA Style annotated sample professional paper for guidance when wri�ng your paper or assignment.

This sample paper PDF contains annota�ons that draw aten�on to key APA Style content and forma�ng such as the �tle page, headings, in-text cita�ons, references, and more. Relevant sec�ons of the seventh edi�on of the Publication Manual are also provided for your reference.

You can find this sample paper and many other resources in the seventh edi�ons of the Publication Manual and Concise Guide to APA Style.

Please use discount code STYLEPAPER15 for 15% off APA Style print products with free shipping in the United States.

Happy wri�ng!

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abstract, 2.9; section labels, 2.28

keywords, 2.10

professional title page, 2.3

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Sample Professional Paper (continued)

Level 2 heading in the introduction, 2.27, Table 2.3, Figure 2.4

narrative citation, 8.11; paraphrasing, 8.23

parenthetical citation of a work with one author, 8.17

parenthetical citation for works with the same author and same date, 8.19

parenthetical citation of multiple works, 8.12

Level 2 heading in the introduction, 2.27, Table 2.3, Figure 2.4

title, 2.4, Table 2.1

running head, 2.8

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Sample Professional Paper (continued)

parenthetical citation of multiple works, 8.12

Level 2 heading in the introduction, 2.27,

Table 2.3, Figure 2.4

narrative citation used to paraphrase methods from two studies, 8.23

long paraphrase, 8.24

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Sample Professional Paper (continued)

Level 2 heading, 2.27, Table 2.3, Figure 2.5

Level 1 heading after the introduction, 2.27, Table 2.3, Figure 2.5

Level 2 heading, 2.27, Table 2.3, Figure 2.5

italics used for anchors of a scale, 6.22

statistics presented in text, 6.43

Level 2 heading, 2.27, Table 2.3, Figure 2.5

en dash used in a numerical range, 6.6

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Sample Professional Paper (continued)

Level 1 heading, 2.27, Table 2.3, Figure 2.5

statistics presented in text, 6.43

Level 2 heading, 2.27, Table 2.3, Figure 2.5

table called out in text, 7.5; table numbers, 7.10

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Sample Professional Paper (continued)

footnote callout, 2.13

referring to a previous footnote, 2.13

footnote in page footer, 2.13

Level 2 heading, 2.27, Table 2.3, Figure 2.5

figure called out in text, 7.5; figure numbers, 7.24

Level 1 heading, 2.27, Table 2.3, Figure 2.5

parenthetical citation of multiple papers by the same author, 8.12

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Sample Professional Paper (continued)

percent symbol repeated in a range,

6.44

parenthetical citation of multiple works, 8.12

parenthetical citation of a work with two

authors, 8.17

Level 3 heading, 2.27, Table 2.3, Figure 2.5

Level 2 heading, 2.27, Table 2.3, Figure 2.5

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Sample Professional Paper (continued)

Level 3 heading, 2.27, Table 2.3, Figure 2.5

parenthetical citation of two works, 8.12

“see also” citation, 8.12

parenthetical citation of a work with one author, 8.17

Level 2 heading, 2.27, Table 2.3, Figure 2.5

quotation marks used to indicate an ironic

comment, 6.7

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Sample Professional Paper (continued)

journal article reference without a DOI, 10.1

journal article reference, 10.1

reference list, 2.12, Chapter 9; section labels, 2.28

letters used after the year for multiple works with the same author and year, 9.47

book reference, 10.2

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Sample Professional Paper (continued)

journal article reference with missing

issue number, 9.26

title ending with a question mark, 9.19

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Sample Professional Paper (continued)

table number, 7.10

figure number, 7.24

table title, 7.11

figure title, 7.25

table note, 7.14

figure note, 7.28

DecisionMakingProcessPaperDue.docx
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