DNP-815A Topic 4 DQ 1 Describe a recent or current ethical issue you have faced in nursing practice or which has attained national attention

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: DNP-815A Topic 4 DQ 1 Describe a recent or current ethical issue you have faced in nursing practice or which has attained national attention

Topic 4 DQ 1

Jul 28-30, 2022

Describe a recent or current ethical issue you have faced in nursing practice or which has attained national attention. Discuss the application of ethical theories or principles to the issue. Provide examples or use your DNP Project if you have any potential ethical issues /concerns and describe how you will address this? Provide literature support.

REPLY TO DISCUSSION

Elizabeth Vidales

Jul 30, 2022, 7:22 PM

Unread

An ethical issue paced in nursing practice is inadequate resources and staffing. This ethical issue has affected health care providers across the board. The problem was already presented before COVID; however, the pandemic made this problem more evident. The lack of appropriate staffing ratios places patients at risk of not receiving the care they need. Yang et al. (2021) studied 35 studies and found evidence of how patients were negatively impacted. Lower nursing staff have a higher association between death and falls (Yang et al., 2021). Patients with a surgical procedure were found more likely to die secondary to the nursing care received versus the procedure and or comorbidities (Yang et al., 2021).

Nurses in these scenarios are forced to make extremely difficult decisions. During the pandemic, frontline workers not only had to take care of these complicated cases but also placed personal health and safety at risk. Health care workers were expected to care for patients despite the limited personal protective equipment. This event caused a physical, emotional, and mental health burden to patients and those involved in providing services. The American Nurses Association acted and urged the administration to take immediate action to short- and long-term solutions in 2021 (ANA’s proposed policy solutions to address the nurse staffing shortage crisis, 2021).

Ethical theories applicable to these issues are beneficence. Health care professionals had to place aside personal worries and risks to care for the communities. Nurses did not think about potential lawsuits from working in these compromising situations. At that time, providing care was an obligation due to the evident shortage. Opting to provide services was in the patient’s best interests.

Staffing and limited resources can cause potential ethical issues in future direct practice improvement. The primary care clinic is in a rural area of Arizona. As a clinician is obligated to improve and protect the patient’s wellbeing when practicing beneficence, this is a theory the project is based on (Bester, 2020). Despite limitations, the idea is to improve patient clinical outcomes with the project. To not burden staff, the project is expected to not interfere with current workflows. The learner hopes to create a simple non-tedious process, answer questions, and address concerns on the project.

References:

ANA’s proposed policy solutions to address the nurse staffing shortage crisis. (2021). South Carolina Nurse, 28(4), 10–11.

Bester, J. C. (2020). Beneficence, Interests, and Wellbeing in Medicine: What It Means to Provide Benefit to Patients. The American Journal of Bioethics : AJOB, 20(3), 53–62. https://doi.org/10.1080/15265161.2020.1714793

Yang, B. K., Carter, M. W., & Nelson, H. W. (2021). Trends in COVID-19 cases, deaths, and staffing shortages in US nursing homes by rural and urban status. Geriatric Nursing, 42(6), 1356–1361. https://doi-org.lopes.idm.oclc.org/10.1016/j.gerinurse.2021.08.016

Lydia Williams

Jul 30, 2022, 6:05 PM

Unread

They need to be present all day, month, and even the year. It is nevertheless nurse practitioners are performing the most hectic jobs in the world and they are exposed to more ethical dilemmas as compared to other professionals in their workplace. According to studies conducted on ethical dilemmas in nursing, it is observed the most frequently occurring ethical issues are related to rights, staffing, advanced care planning, and making the right

decisions (Morrell et al., 2019 ). The inexperienced nurses are further exacerbating the situation due to a lack of knowledge and training. This creates the most challenging situation for the experienced nurses to deal with issues with healthcare needs in healthcare facilities. Following is the example of the most common ethical issue faced by the manager nurses in their job location. To deal with the medical complexities of chronic patients the practitioners or nurses need to collect medical information not only from patients but also from their family members. But in

most cases, the family members and even the patients are reluctant to share their medical information and create a dilemma for nurses in terms of disseminating accurate information and protecting their emotions. They undergo apprehension while deciding the dissemination of information without going against the beliefs of the patients and their family members.

According to the ANA code of ethics, the significant factor in the nurse-patient relationship is

telling a truth. In such a situation the nurse practitioners may undergo distress when they are incapable of translating their moral ethics into moral activities. The practical application of AACN nursing theory at this point can help the nurse managers to avoid moral disturbance by asking, affirming, assessing, and acting following the moral values while collecting and disseminating information from the patients. The development of an ethical care environment

will further help the nurse managers to avoid moral distress and collecting the maximum possible

information from the patients (Morrell et al., 2019 ). It is because of the fact the dissemination of accurate information will help to avoid the dissatisfaction of the patients. Thus, nurse capability of dealing with ethical dilemmas in the workplace using their experience and training can help them to take benefit of establishing professional limitations with their patients.

References

Bruchem-Visser, Z., Dijk, G., Beaufort,I. and Mattace-Raso,F. (2020). Ethical frameworks for complex medical decision making in older patients: A narrative review. Archives of Gerontology and Geriatrics, 104-160, https://doi.org/10.1016/j.archger.2020.104160.

Morrell, J., Konda, S.and Grant-Kels, M. . (2019 ). Response to a letter to the editor regarding "The ethical issue of cherry-picking patients. J Am Acad Dermatol, e127.

Usama Saleh

Jul 30, 2022, 3:23 PM

Unread

Ethical Principles and Theories in Nursing

Students,

ANA has a publication of Ethical Principles and Theories that are used in nursing. You can find the definitions, examples, and resources of the major ethical principles: Autonomy, Beneficence, Nonmaleficence, Fidelity, Justice, and Paternalism. As well, ethical theories include Ethical Relativism, Feminist Theory, Deontology, and Utilitarianism.

The ANA publication can be found by clicking the below link.

http://www.nursingworld.org/MainMenuCategories/EthicsStandards/Resources/Ethics-Definitions.pdf

Usama Saleh

Jul 30, 2022, 3:22 PM

Unread

Ethical Principles or Codes

Students,

Ethical principles or codes are formal expressions of ethical knowledge that reflect the philosophic ideals on which ethical decisions rest. Ethical knowledge does not describe or prescribe what a decision or action should be. Rather, it provides insight about which choices are possible and direction with regard to choices that are sound, good, responsible, and just!

Chinn, P. & Kramer, M. (2014). Integrated Theory and Knowledge Development in Nursing. (8th Ed). Saint Louis, MO-Elsevier Mosby

Usama Saleh

Jul 30, 2022, 3:22 PM

Unread

Replies to Elizabeth Vidales

Ethics in Nursing

Students,

Ethics in nursing is focused on matters of obligation: what ought to be done. The moral component of knowing in nursing goes beyond knowledge of the norms or clinical codes of conduct: it involves making moment-to-moment judgments about what ought to be done, what is good and right, and what is responsible. Ethical knowing guides and directs how nurses morally behave on their practices, what they select as being important, where their loyalties are placed, and what priorities demand advocacy!

Ethical knowing also involve clarifying conflicting values and exploring alternative interests, principles, and actions. There may be no satisfactory answer to an ethical dilemma or moral distress; rather, there may only be alternative, some of which are more satisfactory than others. Ethical knowing in nursing requires an experiential knowledge of social values and mores from which ethical reasoning arises as well as knowledge of the formal principles and codes within the discipline.

Chinn, P. & Kramer, M. (2014). Integrated Theory and Knowledge Development in Nursing. (8th Ed). Saint Louis, MO-Elsevier Mosby

Lydia Williams

replied toUsama Saleh

Jul 31, 2022, 8:24 PM

Unread

Replies to Usama Saleh

Inadequate resources and staffing

Although this may not be an ethical issue put on individual nurses, healthcare executives and nurse managers should understand the lack of resources and inadequate staffing regarding patient care. As healthcare costs continue to rise, nurse managers are at odds regarding budgeting constraints and patient needs. When medical facilities have scarce resources, patients are at risk of not receiving proper care leaving nurses to make difficult decisions.

Hard decisions may also need to be made when facilities are faced with inadequate staffing levels. When there is not enough staff for patients, nurses do not have the time to do everything needed for each patient. Patient needs can include recovery times or even addressing the patient’s emotional and physical needs. A nurses’ moral obligations to patients are compromised due to work restraints and stress overload. They are left with mental struggles trying to decipher where they should focus their priorities.

DNP-815A Topic 4 DQ 1 Describe a recent or current ethical issue you have faced in nursing practice or which has attained national attention

This study revealed a gap between nurses’ thoughts and practices through the ethical decision-making process. They failed to lead their thought to moral practice. It also implies that moral sensitivity could positively affect nurses’ ethical decision-making. To make nurses morally sensitive, exposing them to various clinical cases would be helpful. Additionally, ethics education and clinical ethics supporting services are valuable for improving nurses’ ethical decision-making. If nurses improved their ethical decision-making regarding end-of-life care, their patients could experience a better quality of death.

Reference

Abou Hashish E. A. (2017). Relationship between ethical work climate and nurses’ perception of organizational support, commitment, job satisfaction and turnover intent. Nursing ethics, 24(2), 151–166. https://doi.org/10.1177/0969733015594667

Grading Rubric Guidelines

Performance Category	10	9	8	4	0
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions Evaluates literature resources to develop a comprehensive analysis or synthesis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions. Evaluates information from source(s) to develop a coherent analysis or synthesis. Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis. Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion. Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) without any interpretation/evaluation. The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions. Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge – Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources; Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources. Applies concepts to personal experience in their professional setting and or relevant application to real life Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson. Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life Does not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post. Posts are superficial and do not reflect an understanding of the lesson content Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive Dialogue Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. *(5 points possible per graded thread)*	Exceeds minimum post requirements Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days. Replies to a post posed by faculty and to a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days Replies to a question posed by a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days. The main post is not made by the Wednesday deadline Does not reply to a question posed by a peer or faculty	Has only one post for the week Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the thread No connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APA Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition	2-3 errors in APA format. Written responses have 2-3 grammatical, spelling, and punctuation errors. Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format. Writing responses have 4-5 grammatical, spelling and punctuation errors. Writing style is somewhat focused.	6-7 errors in APA format. Writing responses have 6-7 grammatical, spelling and punctuation errors. Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format. Writing responses have 8-10 grammatical, spelling and punctuation errors. Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format. Written responses have more than 10 grammatical, spelling and punctuation errors. Writing style does not facilitate communication. The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
Total Participation Requirements *per discussion thread*	The student answers the threaded discussion question or topic on one day and posts a second response on another day.				The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement *per discussion thread*	The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.				The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

Check Out Also: DNP-815A Topic 3 DQ 2 Conduct a literature search in the Cumulative Index of Nursing and Allied Health Literature (CINAHL) using the terms middle range theory, mid-range theory, and nursing