DNP 800 Ethics
Sample Answer for DNP 800 Ethics Included
DNP 800 Ethics
A Sample Answer For the Assignment: DNP 800 Ethics
Title: DNP 800 Ethics
Ethics is defined as social obligations that encompass preserving the greater good of society (Silva & Ludwick, 2006). Entry-level nurses are taught the foundational nursing ethics of to include nonmaleficence, beneficence, autonomy, and justice. Silva & Ludwick (2006) suggests there is a social contract nurses enter into with society which gives nurses permission to practice with the understanding of commitment to the greater good of society. Incorporating nursing ethics is essential for nurses to utilize when implementing change or care, especially at the Doctor of Practice (DNP) level. There are so many ethical situations DNP-prepared nurses will face that are centered around health disparities, social determinants of health, cultural competency, and social justice, just to name a few. Peirce & Smith (2008) urges as the scope of practice expands for advanced practice registered nurses (APRNs), so will ethical dilemmas.
DNP-prepared nurses will undoubtedly be placed in scenarios related to a patient making the decision to refuse treatment. DNP-prepared nurses understanding if a patient has adequate decision-making capacity, it is within his or her right to refuse care. Knowing, patients have the right to autonomy. DNP- prepared nurses will face the ethical dilemma of ensuring the greater good in society. Equally important, DNP-prepared nurses have the duty of increasing the knowledge of others. If DNP-prepared nurses educated his or her patient on all treatment options and the patient opt to not undergo treatment, the DNP nurse must come to terms that he or she has fulfilled their role to do no harm, as well as the commitment to the greater good of society. The scenario discussed above is all too familiar in my current everyday practice. As an APRN, I see patients on a daily who refused adjunct treatment to medication interventions. Specifically, my patient population with severe anxiety and depression. I encourage them to seek therapy in combination with medication management. I have a high percentage of patients who adamantly refuses therapy and opts only for medication interventions.
DNP-prepared nurses will, at some point, face the population of patients who are underinsured or not insured at all. How do DNP-prepared nurses ensure patients with healthcare disparities receive the essential services to promote the better good of society? DNP-prepared nurses must explore all community resources to help patients with health insurance disparities gain access to services needed. Currently, I know all too well the hardship patient with health insurance disparities face. As an APRN, I have patients tell me they can afford their medications. I always go the extra mile to explore indigent prescription programs, manufacture coupons, and prescription saving cards to help my patients get their medication. As a future DNP nurse, I will continue to explore all avenues to ensure the greater good of my patients and society.
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Courtney
References
Peirce, A. G., & Smith, J. A. (2008). The ethics curriculum for Doctor of Nursing Practice programs. Journal of Professional Nursing, 24(5), 270-274.
Silva, M., Ludwick R., (March 20, 2006). “Ethics: Is the Doctor of Nursing Practice Ethical?” OJIN: The Online Journal of Issues in Nursing. Vol. 11 No. 2
Thinking of another ethical situation we can probably all relate to, I remember when pharmaceutical companies would visit my workplace and bring elaborate lunches and all sorts of free gifts—movie tickets, golfing, etc., trying to get the office to carry their products. It worked, too, until legislation was enacted in Michigan that prevented it. I think that nurses being asked by family members to give them medications is something I think goes on quite frequently, however.
Speaking of medications, another ethical thought I have been concerned about is how other venues like radio and television can indirectly precipitate ethical situations that healthcare professionals must deal with. For example, the effects of television commercials regarding the latest medications out in the market proves very effective to the targeted population. I came across many patients that after watching the television ads insist on being given the medication. Dr. Joan Stanley (Laureate 2012) verbalized that healthcare versus cost should be considered, along with what are the available resources, allotted funds, and reasonableness of a patient request before coming to a decision. Medications on television ranging from the diabetes, heart, pain, and testosterone supplements are the main issues nurses encounter. Any detailed explanation regarding the risk vs benefit, cost, safety, etc., proves effective to convey the message better than the television ads. According to a study conducted by Prosser, Almond, & Walley (2003), patient request for a new drug and patient acceptability were cited as contributing to decisions to prescribe a new drug in approximately 20% of cases, and these requests are often the result of patients watching colorful, convincing ads on television.
Ethical? Should we be using the media to target patients? Why are the side-effects or precautions often stated in a hurried, monotone voice tone that is difficult to understand and serve almost as an afterthought to the ad? Thoughts?
Dr. Harvey
References
Hamric, A., Spross, J., & Hanson, C. (Eds.). (2005). Advanced practice nursing: An integrative approach (4th ed.). Saunders-Elsevier.
Prosser, H., Almond, S., & Walley, T. (2003). Influences on GP’s decision to prescribe new drugs: The importance of who says what. Family Practice, 20(1), 61–68.
Stanley, J., Stefan, S.,Beechinor, L. (2012). Ethical Issues Relevant to the DNP. Laureate Education video.