DNP-815A Topic 4 DQ 2 Based on your response to Topic 4 DQ 1, provide a decision tree of how you came to the decision of ethical theory application

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Topic 4 DQ 2

Jul 28-Aug 1, 2022

Based on your response to Topic 4 DQ 1, provide a decision tree of how you came to the decision of ethical theory application. Table 1: “Checkpoints for Ethical Decision Making,” in the article “Resolving Ethical Dilemmas: Applying the Institute for Global Ethics’ Ethical Fitness’ Model to Occupational and Environmental Health Practice Issues,” provides a model for guidance.

REPLY TO DISCUSSION

Emilia Wogu

Aug 3, 2022, 3:10 AM

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Nurses have a responsibility as advocates for patients’ rights; as a consequence, nurses confront ethical quandaries daily (Johnstone ,2021). As the healthcare system becomes more complex and demands for high-quality nursing care increase, nurses struggle to solve multi-faceted ethical challenges. Early nurse theorists positioned the principles and practice of nursing as having their origins in ‘universal human needs. Ethical issue addressed was on justice and the principle of non-maleficence among mental health patients in seclusion. Justice was one of the fundamental rights of mankind, patients with the mental disability still had their inherent rights to be treated equally, their integrity and dignity should also be respected.

Ethical decision-making is a vital aspect to working within the mental health professions. There are benefits in the use of an EDM model to work through ethical dilemmas in mental health professions (Johnson, et al 2022). Ethical decision-making (EDM) models are designed to guide professionals in a systematic and standardized manner to provide a framework for helping someone determine an acceptable and defensible outcome when confronted with an ethical dilemma. According to Johnson 2021, the decisions in ethical dilemmas can be resolved by (a) evaluate whether training on the use of EDM models improves decision quality, (b) compare the acceptability of EDM models as rated by participants, and (c) demonstrate that EDM model use, training practices, or similar decision-making strategies, are associated with feelings of preparedness or improved decision-making.

The use of ethical decision-making models has its setbacks s, such as social influences, culture, ethical mindset, and biases in decision-making, but understanding these limitations also allows practitioners to consider supplementing existing models with steps that take into account checks for biases. The principle of deriving nursing care from human needs was thought to provide a guide not only for promoting health, but for preventing disease and illness. The nursing profession has had a longstanding commitment to social justice as a core professional value and ideal, obligating nurses to address the social conditions that undermine people’s health (Lee, et al 2020).

References

Johnstone M. J. (2011). Nursing and justice as a basic human need. Nursing philosophy : an international journal for healthcare professionals, 12(1), 34–44. https://doi.org/10.1111/j.1466-769X.2010.00459.x

Johsons, M.K., Weeks, S.N., Peacock, G.g., Rodriquez, M.M. (2022). Ethical decision-making models: a taxonomy of models and review of issues, Ethics & Behavior, 32:3, 195-209, DOI: 10.1080/10508422.2021.1913593

Lee, W., Choi, S., Kim, S., & Min, A. (2020). A Case-Centered Approach to Nursing Ethics Education: A Qualitative Study. International journal of environmental research and public health, 17(21), 7748. https://doi.org/10.3

Usama Saleh

Aug 2, 2022, 3:58 PM

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Replies to Emilia Wogu

CAT-Please respond

We are halfway through the class, what is the most important thing you have learned so far?

Diana Goulart

replied toUsama Saleh

Aug 3, 2022, 6:25 AM

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Replies to Usama Saleh

The most important thing I learned in this course is how to think deeper about our actions as nurses and nursing leaders. It has been enlightening to know that there is a theory to defend and explain the more complex thoughts of nursing. One of my favorite parts of nursing and teaching nursing is understanding the whys behind each action. If we understand the whys, we better understand our actions and their impact. The theories we have learned throughout this course help to provide the whys necessary to understand to be stronger nurses and leaders, both of which promote and benefit client safety and care, which is our primary concern as nurses.

Tracy Sobiesienski

replied toUsama Saleh

Aug 3, 2022, 2:45 PM

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Replies to Usama Saleh

Honestly, the one thing I have learned is not to give up. I am still struggling to figure out what my project will be, and I have had a couple of moments where I just wanted to walk away. But I didn’t, and I haven’t, and I’m glad. But this has been a challenging course, and the uncertainty of my project has been overwhelming. But I will figure it out.

Patience Matthews

replied toTracy Sobiesienski

Aug 3, 2022, 3:55 PM

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Replies to Tracy Sobiesienski

Hello Tracy we are not giving up. Everything that is perfect does not come very easily. We shall succeed!

Tracy Sobiesienski

replied toPatience Matthews

Aug 3, 2022, 4:35 PM

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Replies to Patience Matthews

We are NOT giving up! 😊

Lydia Williams

replied toUsama Saleh

Aug 3, 2022, 10:17 PM

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Replies to Usama Saleh

To be truthfull I don’t feel like I am learning much but I know I am learning if this statement make any sense. I have learn the difference between theory and evidence base. Nursing theory-guided practice helps improve the quality of nursing care because it allows nurses to articulate what they do for patients and why it;s done in practice, on the other hand, refers to the actual work that is performed by nurses. The relationship between nursing theory and nursing practice can be described as working in two ways. First, theory is often based on observations that are taken from practice. Second, decisions made in practice are often determined by drawing on nursing practice.

Reference

Younas, A., & Quennell, S. (2019). Usefulness of nursing theory-guided practice: an integrative review. Scandinavian journal of caring sciences, 33(3), 540–555. https://doi.org/10.1111/scs.12670

Ruby Minda Dangan

Aug 2, 2022, 12:00 AM

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Replies to Emilia Wogu

Nine Checkpoints for Ethical Decision Making

Determine the moral issue.- the moral issue discussed in the previous discussion about is the moral outage or frustration directed towards others who refused to be vaccinated with the Covid vaccine, which can probably limit their capacity for empathy affecting patient care.

Determine the actor- Nurses providing patient care

Get the facts.- The right to refuse a vaccine may be considered an exercise of individual liberty or resistance against mandates of the government.

Determine if the moral issue is right versus wrong- Attitude towards possible disparate levels of care to unvaccinated patients may be guided to the nursing-related policies and codes, such as the statement outlined in the American Nurses Association (ANA) Social Policy Statement wherein obligation of the nursing profession is not only to optimize, promote and protect the health, to alleviate suffering, to prevent illness and injury but also to advocate for individuals, communities and patient population (Milken & Uveges, 2022).

Test for right versus right by assigning one of the four dilemma paradigms. The dilemma paradigm of justice vs. mercy indicates fairness, equality, understanding, and compassion. As nurses, we are expected to use theory and evidence-based knowledge to carry out nursing interventions with the goal of promoting quality outcomes (Milken & Uveges, 2022).

Apply resolution principles: Rules-based, known as duty or obligation, dictates the behavior without consequences, whereas care-based principles guide the nurse to determine the most compassionate course. Delivery of care, as outlined in the ANA Social Policy Statement relies on nurses who are guided by an established professional code of ethics that defines what beneficial or good care looks like (Milken & Uveges, 2022). The first provision of the ANA Code of Ethics calls on nurses to practice with respect and compassion to all individuals, whether vaccinated or not.

Identify if a trilemma or third option exists- Provisions call on the nurses to take the lead on issues of public health and to collaborate with other healthcare clinicians by adapting the nature of social determinants.

Make the decision- Nursing codes of ethics and other related policy statements will serve as a helpful reminder of our professional obligations.

Reflect on the decision- Consider productive and proactive ways to address vaccine refusal.

References

DNP-815A Topic 4 DQ 2 Based on your response to Topic 4 DQ 1, provide a decision tree of how you came to the decision of ethical theory application

Edgar, P. H. (2002). Resolving Ethical Dilemas: Applying the Institute for Global Ethics’ Ethical FitnessTM Model to Occupational and Environmental Health Practice Issues. AAOHN Journal, 50(1), 40–47. https://doi.org/10.1177/216507990205000110

Milliken, A., & Uveges, M. K. (2022). Nurses’ Ethical Obligations Toward Unvaccinated Individuals. AACN Advanced Critical Care, 33(2), 220–226.

https://doi-org.lopes.idm.oclc.org/10.4037/aacnacc2022491

Grading Rubric Guidelines

Performance Category	10	9	8	4	0
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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
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Check Out Also: 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