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NHS-FXP4000 Assessment 3: Applying Ethical Principles

NHS-FXP4000 Assessment 3: Applying Ethical Principles

Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a 3-5 page paper.

Introduction

Whether you are a nurse, a public health professional, a health care administrator, or in another role in the health care field, you must base your decisions on a set of ethical principles and values. Your decisions must be fair, equitable, and defensible. Each discipline has established a professional code of ethics to guide ethical behavior. In this assessment, you will practice working through an ethical dilemma as described in a case study. Your practice will help you develop a method for formulating ethical decisions.

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:

  1. Access the Ethical Case Studies media piece to review the case studies you will be using for this assessment.
    • Select the case most closely related to your area of interest and use it to complete the assessment.
      • Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.
    • Include the selected case study in your reference list, using proper APA style and format. Refer to the Evidence and APA section of the Writing Center for guidance.
  2. Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
    • Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
    • Identify who is involved or affected by the ethical problem or issue.
    • Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
      • Apply the three components outlined in the Ethical Decision-Making Model media.
    • Analyze the factors that contributed to the ethical problem or issue identified in the case study.
      • Describe the factors that contributed to the problem or issue and explain how they contributed.
  3. Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
    • In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references.
      • Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
      • Review the Think Critically About Source Quality resource.
        • Assess the credibility of the information source.
        • Assess the relevance of the information source.
  4. Discuss the effectiveness of the communication approaches present in a case study.
    • Describe how the health care professional in the case study communicated with others.
      NHS-FXP4000 Assessment 3 Applying Ethical Principles

      NHS-FXP4000 Assessment 3 Applying Ethical Principles

    • Assess instances where the professional communicated effectively or ineffectively.
    • Explain which communication approaches should be used and which ones should be avoided.
    • Describe the consequences of using effective and non-effective communication approaches.
  5. Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
    • Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
    • Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
    • Discuss the key lessons this case provides for health care professionals.
  6. Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
    • Describe the proposed solution.
    • Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
    • Discuss how likely it is the proposed solution will foster professional collaboration.
  7. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
    • Apply the principles of effective composition.
    • Determine the proper application of the rules of grammar and mechanics.
  8. Write using APA style for in-text citations, quotes, and references.
    • Determine the proper application of APA formatting requirements and scholarly writing standards.
    • Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

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Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Additional Requirements

Your assessment should also meet the following requirements:

  • Length: 3–5 typed, double-spaced pages, not including the title page and reference page.
  • Font and font size: Times New Roman, 12 point.
  • APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
  • Written communication: Use correct spelling, grammar, and punctuation.
  • References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.
  • APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
    • Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
  • Competency 3: Apply ethical principles and academic standards to the study of health care.
    • Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
    • Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
    • Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
  • Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.
    • Discuss the effectiveness of the communication approaches present in a case study.
    • Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
    • Write following APA style for in-text citations, quotes, and references.

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Applying Ethical Principles

Health care professionals often face ethical problems during their practice that require
them to use their moral values and principles when making decisions. The four fundamental
principles of health care ethicsautonomy, beneficence, nonmaleficence, and justiceact as
yardsticks for fair and ethical decisionmaking. These ethical principles are widely accepted in
the field of health care. Medical practitioners and health care administrators often use these
principles to make decisions when faced with complex situations involving patients.

Overview of the Case Study

Betsy is a dedicated pediatric nurse known for the care and concern she shows her
patients. Her neighbor and friend, Alice, lives with her husband and 4yearold daughter, Shirley.
Alice and her husband are followers of Christian Science, a belief that advocates spiritual healing
and discourages most types of medical intervention. One day, when visiting Alice and Shirley,
Betsy sees Shirley experience what seems like a seizure. The child suddenly becomes
unresponsive and has a brief staring spell, with her eyes rolling upward. The episode lasts for 20
seconds, during which she seems completely unaware of her surroundings. While Shirley is
having the seizure, Alice sits by her side and prays but takes no other action. Betsy is concerned
about the little girl’s condition and probes her friend for details. Alice tells Betsy that Shirley
used to have around 1520 such episodes a day until a few months ago; this has now reduced to
about 12. Alice attributes the improvement in Shirley’s health to her prayers and faith. However,
this does not help Betsy feel comfortable about Shirley’s condition. She is almost certain that
Shirley has epilepsy, which, if not treated on time, could have profound health implications. At
the very least, she thinks Alice should have Shirley’s symptoms accurately diagnosed.

Understanding the gravity of the situation, Betsy sets up a meeting with Shirley’s parents
and Dr. Campbell, director of the neurology department at her hospital. She treats this meeting as

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an intervention, and both she and Dr. Campbell express their concern for Shirley’s health. They
stress on the fact that the improvement in Shirley’s symptoms does not necessarily mean she will
be cured. They empathize with Alice and her husband’s reluctance on account of their religious
faith but reiterate the importance of getting Shirley’s symptoms diagnosed. To prove their point,
they present studies that describe how seizures can be indicative of illnesses such as epilepsy,
which could negatively affect her cognition and behavior. Shirley’s parents are grateful that
Betsy and Dr. Campbell are concerned about their daughter’s health but remain resolute about
going against their faith. They believe that prayer will cure her. Betsy is faced with an ethical
dilemma of whether she should respect the parents’ religious beliefs and not intervene in the
matter or perform her moral obligation as a health care professional.

Analysis of Ethical Issues in the Case Study

In the case study, the main factor that led to Betsy’s ethical dilemma is Shirley’s parents’
refusal of medical assistance for their daughter owing to their Christian Science beliefs. When
Betsy notices Shirley’s seizures, she thinks it is her duty to make sure Shirley receives medical
attention. As she respects the religious faith and belief of Shirley’s parents, she decides to
explain the risks that seizures could involve. She also includes Dr. Campbell in the conversation
so that he could provide an objective opinion to make them understand the need for medical
intervention. However, Shirley’s parents are certain that prayer will cure her seizures.
Considering that their attitude could result in serious health implication for Shirley, Betsy is
concerned about the little girl receiving appropriate medical attention (Baumrucker, et al., 2017).

Using the Ethical DecisionMaking Model to Analyze the Case Study

The three components of the ethical decisionmaking modelmoral awareness, moral
judgment, and ethical behaviorcan help analyze the ethical issue outlined in the case study.
Whereas moral awareness is knowledge of the exist

Applying Ethical Principles Scoring Guide

Criteria Non-performance Basic Proficient Distinguished
Summarize the facts of a case study using peer-reviewed journal articles as evidence to support analysis of the case. Does not summarize the facts of a case study using peer-reviewed journal articles as evidence to support analysis of the case. Identifies the facts of the case study using peer-reviewed journal articles as evidence to support analysis of the case. Summarizes the facts of a case study using peer-reviewed journal articles as evidence to support analysis of the case. Assesses the facts of the case study using peer-reviewed journal articles as evidence to support analysis of the case, including reasons why the chosen articles support the analysis.
Discuss the effectiveness of the communication approaches present in a case study. Does not discuss the effectiveness of the communication approaches present in a case study. Describes the communication approaches present in a case study. Discusses the effectiveness of the communication approaches present in a case study. Discusses the effectiveness of the communication approaches present in a case study, explaining which approaches should be used more and which should be avoided.
Discuss the effectiveness of the approach used by the professional in a case study as it relates to the three components of the ethical decision-making model. Does not discuss the effectiveness of the approach used by the professional in a case study as it relates to the three components of the ethical decision-making model. Describes the approach used by the professional in the case study as it relates to the ethical decision-making model. Discusses the effectiveness of the approach used by the professional in a case study as it relates to the three components of the ethical decision-making model. Discusses the effectiveness of the approach used by the professional in the case study as it relates to the ethical decision-making model, including consequences of using effective and noneffective approaches.
Apply ethical principles to a possible solution to the proposed problem or issue from a case study. Does not identify ethical principles related to the possible solution to the proposed problem or issue from the case study. Identifies ethical principles related to the possible solution to the proposed problem or issue from the case study. Applies ethical principles to a possible solution to the proposed problem or issue from a case study. Applies ethical principles to a possible solution to the proposed problem or issue from the case study, explaining why the proposed solution is based in ethical principles.
Produce text with minimal grammatical, usage, spelling, and mechanical errors. Produces text with significant grammatical, usage, spelling, and mechanical errors, making text difficult to follow. Produces text with some grammatical, usage, spelling, and mechanical errors, making text difficult to follow at times. Produces text with minimal grammatical, usage, spelling, and mechanical errors. Produces text free of grammatical, usage, spelling, and mechanical errors.
Integrate into text appropriate use of scholarly sources, evidence, and citation style. Does not integrate into text appropriate use of scholarly sources, evidence, and citation style. Integrates into text mostly appropriate use of scholarly sources, evidence, and citation style, but there are lapses in style use. Integrates into text appropriate use of scholarly sources, evidence, and citation style. Integrates into text appropriate use of scholarly sources, evidence, and citation style without errors and uses current reference sources.
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