NR 506 Week 3 Discussion:

NURS 8002 Discussion Ethics and the DNP-Prepared Nurse

Sample Answer for NURS 8002 Discussion Ethics and the DNP-Prepared Nurse Included After Question

You are likely already upholding ethics in nursing and healthcare delivery in your current nursing practice experience. As mentioned in the introduction for this week, a patient-focused approach that promotes the delivery of safe, quality, and cost-effective healthcare for promoting positive patient outcomes represents a fundamental alignment to ethical principles for the delivery of healthcare. In your journey toward becoming a DNP-prepared nurse, you will continue to uphold ethical principles in your nursing practice and will likely continue to serve as an advocate for adhering to these principles in all you do.

For this Discussion, reflect on the case studies/scenarios related to ethical challenges presented in this week’s Learning Resources. Think about how these ethical challenges may mirror your own experiences in nursing practice. Consider what other ethical challenges may arise in your own nursing practice or as you continue your program of study.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

TO PREPARE:

  • Review the case studies/scenarios related to ethical challenges presented in this week’s Learning Resources.
  • Reflect on ethical challenges related to the organization or at the point of care that you may have encountered in your nursing practice.
  • Consider what new ethical challenges you might face once you obtain your doctoral degree.

BY DAY 3 OF WEEK 10

Post an explanation of at least two significant ethical issues relevant to the DNP-prepared nurse. Then explain how these issues might compare to the types of issues you have encountered in your practice. Be specific and provide examples.

BY DAY 6 OF WEEK 10

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post or suggesting an alternative approach to the ethical issue described by your colleague.

A Sample Answer For the Assignment: NURS 8002 Discussion Ethics and the DNP-Prepared Nurse

Title: NURS 8002 Discussion Ethics and the DNP-Prepared Nurse

NURS 8002 Week 4 Discussion

Higher education attainment has been associated with enhanced competency and knowledge within the specific field pursued by an individual. For instance, attainment of a doctoral degree is considered the highest attainment in every field, and therefore doctoral degree holders are expected to demonstrate a high degree of competence (Dos Santos & Lo, 2018). A DNP-prepared nurse is no exception and is expected of higher levels of knowledge and competency in patient care as compared to nurses without the DNP.

This week’s discussion explores doctoral degrees and professional nursing practice. To accomplish the discussion, the role of a nurse with a practice doctorate and the associated expectations will be discussed. In addition, this discussion will explore how the consideration relates to my motivation to pursue a DNP and an experience with addressing practice change or gap in practice.

Role of a Nurse with a Practice Doctorate

DNP-prepared nurses have various advanced roles in the continuum of patient care. For instance, through the translation of quality improvement outcomes, and translation of evidence into clinical areas, and unique practice innovations, the DNP-prepared nurses create new knowledge (Trautman et al., 2018). The implication is that these nurses apply evidence-based research to systems and/or clinical settings for better health outcomes. They practice at the highest level of practice and formulate evidence-based strategies to optimize health and patient outcomes. In addition, DNP-prepared nurses also take executive and leadership positions in healthcare organizations to influence health policies, analyze cost-effective protocols, direct patient care, and coordinate quality improvement teams.

Expectations Associated With Obtaining DNP

DNP is the highest degree in nursing and is associated with various expectations. Those who have obtained the degree are expected to show high levels of skills in the care environment to effectively direct care and coordinate care teams. As opposed to PhDs holders who mainly focus on research, DNP is associated with improvement of patient care and population outcomes (Edwards et al., 2018). The implication is that these nurses with this degree have adequate skills for implementing evidence-based strategies to improve health outcomes for individual patients and the general population. Nurse practitioners who do not have a DNP offer specializations focusing on particular patient care aspects like a pediatric or family practitioner. This role differs from a DNP prepared nurse as they are expected to step up to more advanced roles that help shape the direction of healthcare organizations.

NURS 8002 Discussion Ethics and the DNP-Prepared Nurse
NURS 8002 Discussion Ethics and the DNP-Prepared Nurse

How The Considerations Relate to My Motivation to Pursue a DNP

Growing up, I have had a passion for seeing everyone lead a healthy life devoid of health complications. While doing my undergraduate degree, I realized that such goals cannot be achieved by solely focusing on what happens in the care environment but also what happens in the surroundings, such as policies and funding.

One of my motivations to pursue a DNP is to get to executive and leadership positions where I can participate in effectively influencing healthcare policies and decisions. As such, the role of the DNP-prepared nurse resonates and relates well with my motivation. Translating research evidence into clinical practice also helps in improving patient outcomes (Trautman et al., 2018), which is among my motivations for pursuing a DNP. Indeed, with a higher degree, I believe I will accomplish such a goal more efficiently.

Among the top organization needs is to be leaders in providing improved patient care and enhance the patient experience. Improving the quality outcome to enhance patient experience requires that the healthcare organization addresses the quality gaps (Trautman et al., 2018). As such, my role as a DNP-prepared nurse will help in various ways to such effect.

For instance, in assuming the leadership roles of leading and coordinating care teams, I will be able to effectively lead other nurses into a careful analysis of quality data, organizational standards, and government standards to identify gaps in practice. This will lead to a formulation of the most relevant and effective strategies to address such gaps and meet the goals. Besides, I will also be able to lead the organization into a literature search for evidence that can be translated into practice to address practice gaps or lead a practice change for patient quality improvement.

The experience I have Had With How our Organization addressed a Practice Change

Organizations usually strive to achieve the central aim of offering patient optimized and improved patient care. As such, organizations either undertake steps to implement a practice change or address a gap in practice (Yip et al., 2019). I have had experience with the implementation of practice change within an organization. In one of the healthcare organizations, I have worked. There was a year where the rates of catheter-associated urinary tract infections were growing month after month. A decision was then made to explore initiatives to deal with the threatening growing rates of infection.

One of the chosen strategies was using a protocol to evaluate patients and use the indwelling catheters only when it is a must and ensuring that the time of usage of the catheters by the patients be reduced to as minimum as possible. As such, nurses accomplished a comprehensive one-week training on the protocols. After the training, the catheter use rates reduced by 20% as nurses were able to avoid unnecessary catheterization. Coupled by minimizing the duration of catheter use, the rates of infection dropped by an impressive 47% by the second month due to the practice change.

NURS 8002 Discussion Ethics and the DNP-Prepared Nurse Conclusion

In conclusion, the doctoral degree prepares individuals for greater and more advanced professional roles. DNP-prepared nurses have a special role to play in the care environment, one of which is translating evidence into practice for improved patient outcomes. This week’s discussion has covered the roles of a DNP-prepared nurse, expectations associated with DNP, and an experience with a practice change implementation.

NURS 8002 Discussion Ethics and the DNP-Prepared Nurse References

Dos Santos, L. M., & Lo, H. F. (2018). The Development of Doctoral Degree Curriculum in England: Perspectives from Professional Doctoral Degree Graduates. International Journal of Education Policy and Leadership13(6), n6. https://doi.org/10.22230/ijepl.2018v13n6a781.

Edwards, N. E., Coddington, J., Erler, C., & Kirkpatrick, J. (2018). The Impact of the Role of Doctor of Nursing PracticeNurses on Healthcare and Leadership. Medical Research Archives6(4). https://doi.org/10.18103/mra.v6i4.1734

Trautman, D. E., Idzik, S., Hammersla, M., & Rosseter, R. (2018). Advancing scholarship through translational research: The role of PhD and DNP prepared nurses. Online Journal of Issues in Nursing23(2). DOI: 10.3912/OJIN.Vol23No02Man02.

Yip, W., Fu, H., Chen, A. T., Zhai, T., Jian, W., Xu, R., … & Chen, W. (2019). 10 years of healthcare reform in China: progress and gaps in universal health coverage. The Lancet394(10204), 1192-1204. https://doi.org/10.1016/S0140-6736(19)32136-1

A Sample Answer 2 For the Assignment: NURS 8002 Discussion Ethics and the DNP-Prepared Nurse

Title: NURS 8002 Discussion Ethics and the DNP-Prepared Nurse

Going through this week’s readings, I encountered some ethical cases and scenarios that caught my attention from the learning resources. In these readings, I have discovered that ethical conflicts can complicate the clinical practice and can result in bleach of communication and collaboration among patients, their families, the providers, and the clinicians which will result in disruptions, distress, and dissatisfaction with care that is being delivered.

As a result of the concerns, I have learnt that ethical conflicts can cause trust issues among stakeholders which can lead to compromised quality adherence and safety aspects of care. In the learning resource by Pavlish et al., (2020), I have learnt that the effectiveness of a team-based and proactive ethics protocols in routine management of care is by identifying the ethics-related concerns first, then additional supports, and goals of care to be able to improve the patient outcomes as well as quality and safety of care. I learnt from this article that ethics consultations resulted in an increased outcome of care, enhanced quality, and safeguarded safety aspects of care. I totally agree and understand that with this resource, encouraging healthcare teamwork and collaboration increased ethical consultations and routine communication on the goals of care resulting to improved ethical practice in addressing diverse patient needs and engagement with families and community members.

Another learning resource by Phelan (2020), I came up with the fundamental differences between traditional health care ethics and organizational ethics to be the scope. In traditional ethics, the focus was mainly on the individuals while organizational ethics today has attention on collectives. This means contextualizing the overlapping role of different professionals in healthcare could complicate delivery of care and decision-making practices. Being transparent and having some level of trust among professionals involved in care delivery could promote the level of ethical practice in an organization.

In the learning resources, I also learn from these two learning resources by Rejnö et al. (2020) and Torkaman et al. (2020) that the concept of dignity forms an important ethical consideration targeting the dignity of identity and human dignity. Fortunately, caring situations face scenarios that could require decision making on autonomy by patients with cognitive impairment and evaluating approaches that could impair the autonomy or disrespect of patient’s dignity. When it comes to patients with impaired autonomy, I established that ethical challenges or dilemmas are prevalent in the scenarios since the patient in question has impaired autonomy. I can use the human dignity aspect of ethics to lead me in developing patient-centered care and skills that will be effective when taking care of impaired patients.

In my experience as a registered nurse, I am aware of the ethical issues identified in these learning resources. I have some instances that I remembered that happened when I work with other professionals to derive an ethical decision from a dilemma situation. In some of those cases, I remember that one of my colleagues and I had to escalate an ethical dilemma to the Hospital Ethics Board to enhance decision making in life-threatening situations that a patient refuses treatment or the patient proxy in health-related decisions was not able to be reached. Such situations could be addressed effectively via an interdisciplinary collaborative team approach. I have also noted the value and significant of the ethical principles of patient autonomy, beneficence (do good), non-maleficence (do not harm), and social justice as fundamental principles for application of ethics-related decisions (Vermeesch et al., 2018). In my experience as a registered nurse, I have identified other areas of ethical concerns to include balancing the needs of the facility for profits and commitment to promote high standards of safety and quality of care. Another area of ethical dilemma I have identified is patient’s refusal of medications or treatment involving a life-threatening disease and conditions that have a proven intervention for treatment or management (Torkaman et al., 2020). In such decisions, I think that the stakeholders, family and other clinicians could provide an effective ground for addressing these ethical concerns.

References

Pavlish, C. L., Henriksen, J., Brown-Saltzman, K., Robinson, E. M., Warda, U. S., Farra, C., & Jakel, P. (2020). A team-based early action protocol to address ethical concerns in the intensive care unit. American Journal of Critical Care, 29(1), 49-61.

Phelan, P. S. (2020). Organizational Ethics for US Health Care Today. AMA Journal of Ethics, 22 (3), 183-186.

Rejnö, Å., Ternestedt, B. M., Nordenfelt, L., Silfverberg, G., & Godskesen, T. E. (2020). Dignity at stake: Caring for persons with impaired autonomy. Nursing ethics, 27(1), 104-115.

Torkaman, M., Heydari, N., & Torabizadeh, C. (2020). Nurses’ perspectives regarding the relationship between professional ethics and organizational commitment in healthcare organizations. Journal of Medical Ethics and History of Medicine, 13.

Vermeesch, A., Cox, P. H., Baca, S., & Simmons, D. (2018). Strategies for strengthening ethics education in a DNP program. Nursing education perspectives, 39(5), 309-311.

 

You are likely already upholding ethics in nursing and healthcare delivery in your current nursing practice experience. As mentioned in the introduction for this week, a patient-focused approach that promotes the delivery of safe, quality, and cost-effective healthcare for promoting positive patient outcomes represents a fundamental alignment to ethical principles for the delivery of healthcare. In your journey toward becoming a DNP-prepared nurse, you will continue to uphold ethical principles in your nursing practice and will likely continue to serve as an advocate for adhering to these principles in all you do.

Photo Credit: ibreakstock / Adobe Stock

For this Discussion, reflect on the case studies/scenarios related to ethical challenges presented in this week’s Learning Resources. Think about how these ethical challenges may mirror your own experiences in nursing practice. Consider what other ethical challenges may arise in your own nursing practice or as you continue your program of study.

To prepare:

  • Review the case studies/scenarios related to ethical challenges presented in this week’s Learning Resources.
  • Reflect on ethical challenges related to the organization or at the point of care that you may have encountered in your nursing practice.
  • Consider what new ethical challenges you might face once you obtain your doctoral degree.

By Day 3 of Week 10

Post an explanation of at least two significant ethical issues relevant to the DNP-prepared nurse. Then explain how these issues might compare to the types of issues you have encountered in your practice. Be specific and provide examples.

It is one of the values of the State Hospital System to protect the dignity and respect of our persons served. Mentally ill people are at a particularly high risk of having their dignity disrespected or violated (Rejnö et al., 2019). This is a crucial element in developing a therapeutic, working relationship with our persons served. All persons served should be treated equally regardless of demographics or illness (Rejnö et al., 2019).

Two ethical issues the DNP-prepared nurse can encounter in Psychiatric nursing could be: improper drug administration and improper or unreported restraints in caring for the mentally ill. Administering more than the ordered dose of medication is an ethical issue many nurses encounter. The desire to give 4 mg of Ativan IM, instead of 3 mg of Ativan IM is common when emergency medicated a very aggressive client. It’s the integrity of many nurses that this does not occur. Over dosing a patient violates their dignity as they do not deserve to be incapacitated.

Failure to properly justify or execute a personal or mechanical restraint of a client is a major ethical issue some nurses face. The use of restraint should be used as an absolute last resort. Applying  restraint as a show of force, or to cause pain, or embarrass is strictly prohibited and should be immediately reported.

Both of these situations are encountered in the psychiatric setting. It is important to understand the importance of dignity and the impact it has on the individual. It is easy for dignity to be disrespected but it is our job as caregiver to protect it for all of our persons served.

Rejnö, A., Ternestedt, B.-M. Nordenfelt, L., Silfverberg, G., & Godskesen, T. E. (2019). Dignity at stake: Caring for persons with impaired autonomy. Nursing Ethics, 27(1), 104-115. https://doi.org/10.1177/0969733019845128

By Day 5 of Week 10

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post or suggesting an alternative approach to the ethical issue described by your colleague.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 10 Discussion Rubric

 

Post by Day 3 of Week 10 and Respond by Day 5 of Week 10

To Participate in this Discussion:

Week 10 Discussion

 

What’s Coming Up in Week 11?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will consider the role of the DNP-prepared nurse as an advocate for promoting positive social change.

Next Week

To go to the next week:

Week 11

Module 5: Ethics and Issues for Social Change Advocacy

Ethics and the application of ethical principles is of supreme importance in nursing practice and healthcare delivery. So much of what nurses and healthcare professionals do daily stems directly from an ethical point of reference or frame. Providing patient care and ensuring patient safety while enhancing quality and diminishing costs are all well-intended and ethical practices that you likely already engage in your nursing practice. A strong ethical awareness and adherence to ethical guidelines is just one way you will positively impact your patients in your role.

What’s Happening This Module?

Module 5: Ethics and Issues for Social Change Advocacy is a 2-week module—Weeks 10–11 of the course—in which you examine the role of the DNP-prepared nurse in upholding and abiding by professional standards for the delivery of ethical nursing practice. You will also reflect on how the role of the DNP-prepared nurse is central to social change advocacy for the improvement of healthcare and nursing quality, the positive impact on patient outcomes, and positive impacts on the community as a whole.

In Week 10, you will review resources that highlight potential ethical issues in healthcare and nursing practice. You will engage with your colleagues in a Discussion that will focus on the significant ethical issues you reviewed that are relevant to the DNP-prepared nurse. In your Blog Assignment for Week 11, you will consider how you anticipate enacting a personal and professional commitment toward social change advocacy as a DNP-prepared nurse.

What do I have to do? When do I have to do it?
Review your Learning Resources Days 1–7, Weeks 10 and 11
Discussion: Ethics and the DNP-Prepared Nurse Post by Day 3 of Week 10 and respond to your colleagues by Day 6 of Week 10.
Blog: Positive Social Change and the DNP-Prepared Nurse Post by Day 3 of Week 11 and respond to your colleagues by Day 6 of Week 11.

Go to the Week’s Content

Week 10

Week 11

Week 10: The Doctorally Prepared Nurse: Ethics

What does it mean to uphold ethics in advanced nursing practice? What strategies and considerations are important for ensuring the ethical and safe delivery of healthcare as a DNP-prepared nurse?

This week, you will examine ethical issues relevant to the role of the DNP-prepared nurse. You will explore ethical issues you may likely encounter in nursing practice and reflect on potential strategies to mitigate ethical violations in practice.

Learning Objectives

Students will:

  • Analyze ethical issues related to the role of the DNP-prepared nurse
  • Analyze ethical issues encountered in professional nursing practice

Learning Resources

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: NURS 8002 Discussion Ethics and the DNP-Prepared Nurse

 

Required Readings (click to expand/reduce)

 

Pavlish, C. L., Henriksen, J., Brown-Saltzman, K., Robinson, E. M., Warda, U. S., Farra, C., Chen, B., & Jakel, P. (2020). A team-based early action protocol to address ethical concerns in the intensive care unit. American Journal of Critical Care, 29(1), 49–61. https://doi.org/10.4037/ajcc2020915

 

Phelan, P. S. (2020). Organizational ethics for US health care today. AMA Journal of Ethics, 22(3), 183–186. https://doi.org/10.1001/amajethics.2020.183

 

Rejno, A., Ternestedt, B.-M., Nordenfelt, L., Silfverberg, G., & Godskesen, T. E. (2020). Dignity at stake: Caring for persons with impaired autonomy. Nursing Ethics, 27(1), 104–115. https://doi.org/10.1177/0969733019845128

 

Torkaman, M., Heydari, N., & Torabizadeh, C. (2020). Nurses’ perspectives regarding the relationship between professional ethics and organizational commitment in healthcare organizations. Journal of Medical Ethics and History of Medicine, 13(17), 1–10. https://doi.org/10.18502/jmehm.v13i17.4658

 

Vermeesch, A., Cox, P. H., Baca, S., & Simmons, D. (2018). Strategies for strengthening ethics education in a DNP program. Nursing Education Perspectives, 39(5), 309–311. https://doi.org/10.1097/01.NEP.0000000000000383

A Sample Answer 3 For the Assignment: NURS 8002 Discussion Ethics and the DNP-Prepared Nurse

Title: NURS 8002 Discussion Ethics and the DNP-Prepared Nurse

In nursing, ethics are taught and expected to be maintained. They are formed off the principles of autonomy-the right to make choices, beneficence-to do good or prevent harm, justice-providing care equally, non-maleficence-to do no harm. I have also come across privacy-a right belonging to all people, dignity-worthy of respect and confidentiality-keeping patient information only in necessary places and people. Throughout a career in medicine, it is impossible to avoid experiencing a situation that one of these ethics will come into question.

As a doctorate prepared nurse (DNP), my intention is to continue in my role, at least in a part time aspect. In doing so, I have and will continue to run into circumstances in which the ethical value of autonomy is challenged. I provide psychiatric and mental health care to patients in nursing homes, assisted livings and in their homes. I typically experience the vignette shared by Rejno et al, in which the patient with dementia states she is fine being home alone and the daughter says she is not and they present opposing stories (2020), played out weekly.

One I experience frequently is families want to “medicate” their loved one to their liking. For example, Jane Doe is 96yo female with major depression, anxiety and mild dementia. One of her biggest problems is that she lives in an assisted living and feels unimportant to her family. When she lived on her own, she was able to join what she wanted, when she wanted.  Now, family has to come pick her up, which doesn’t always happen. Two of her daughters will tell her she is ungrateful for everything they have done for her when she will tell them she wants to come home, that they just put her there so they do not have to deal with her.

Maybe three weeks ago, she had a birthday party, afterwards she got upset and she was emotional having to go back to the assisted living and away from her family. She shared with me openly and remembered this happening. Her daughter called me to ask what I can give her to make her stop. I have explained multiple times that she is gets upset, she has a lifetime of less than the best coping skills when it comes to feeling wanted, needed or loved. I explain to her daughter that the patient tells me she feels as though her medications are in a good spot. That she doesn’t feel depressed, she feels she gets sad and frustrated because she doesn’t want to live in an assisted living. Jane goes out of her apartment, interacts with activities and multiple other residents, she is pleasant and smiling.

That Jane would likely benefit more from counseling than a medication change, in which she refuses. Most recently, Jane has had an increase in tearful episodes and anxiety per the daughter. Her daughter has called me twice this week asking for her to get Ativan and really doing anything she could to convince me to give it to her, versus waiting for result of UA-she is prone to them and this is her behavior when she gets one. She even called the medical NP to see if he “would give her something to knock her out”. She started antibiotics yesterday for her UTI. The family even has a recorder set up in Jane’s apartment. Often, I get the distinct impression that family is asking for medication increases due to their own poor coping and feelings of guilt.

In a similar respect, however reversed, I am often advocating for patients to get medications. Families will often not want their loved one to have medication because, for example, “it is understandable that she has depression”.  It often takes much education and support and time provide to family members to have them allow me to attempt anything. I often have to explain to them that it absolutely is understandable however due to multiple factors, dementia being one, they are not able to implement good coping skills and that depression is making them miserable therefor quality of life is impeded.

The ethics that are maintained in a facility have been shown to correlate with the values, or lack there-of, in an organization. When an organization does not uphold values, it becomes challenging for the staff as they will question their own work and it will decrease satisfaction. (Torkamen. 2020) I have seen this many times in some of the failcities that I round in. One aspect discussed by Rejno et al, (2020) is the right to dignity. I often see this become challenging to maintain with patients that reside on a memory care unit. I do believe this directly links to an organization neglecting to set forth routinely practiced ethics.  At times this is not necessarily faulted as the workforce is understaffed.  One of the facilities I round in pointed out they noticed a decrease in the care for dementia patients when their dementia training went online versus in person and hands on. This is one of the biggest gaps I see that needs help and why, at this time, my focus is here as far as my DNP project.

 

Rejno, A., Ternestedt, B.-M., Nordenfelt, L., Silfverberg, G., & Godskesen, T. E. (2020). Dignity at stake: Caring for persons with impaired autonomy. Nursing Ethics, 27(1), 104–115. https://doi.org/10.1177/0969733019845128

Torkaman, M., Heydari, N., & Torabizadeh, C. (2020). Nurses’ perspectives regarding the relationship between professional ethics and organizational commitment in healthcare organizations. Journal of Medical Ethics and History of Medicine, 13(17), 1–10. https://doi.org/10.18502/jmehm.v13i17.4658

A Sample Answer 4 For the Assignment: NURS 8002 Discussion Ethics and the DNP-Prepared Nurse

Title: NURS 8002 Discussion Ethics and the DNP-Prepared Nurse

According to Ulrich et al., in a recent study conducted over 422 questionnaires were used in the analysis to ask the most frequently occurring ethical issues nurses encountered.  Out of these issues a DNP-prepared nurse would be most affected by protecting patient rights, and patient autonomy (Ulrich, 2010).

The 1973 American Hospital Association patient bill of rights was the first bill of rights written specifically for patients.  One important patient right includes informed consent.  The following elements are required for documentation during the discussion, 1). The nature of the procedure, 2.) the risks and benefits of the procedure, 3.) reasonable alternatives, 4.) risk and benefits of alternatives, and 5.) Assessment of the patient’s understanding of elements.   which include the right to be informed of potential harm to the body and right to autonomy or self-decision making (Olejarczyk, 2021).

Patient Autonomy literally means self-rule and refers to living and making decisions according to one’s own reasons or motives.  A patient who can defend his or her judgments has the right to make decisions that do not coincide with what the clinician believes is beneficial to the patient.  A patient’s autonomy is violated when family members or members of a health care team pressure a patient or when they act on behalf without the patient’s permission (in a non-emergent situation) (Olejarczyk, 2021).

Then explain how these issues might compare to the types of issues you have encountered in your practice. Be specific and provide examples.

Protecting patient rights have been an issue in the past due to limited space in our clinic.  Patient information on computer screens and conversations regarding patient health information can be easily overheard.  To rectify this issue or department managers have asked for screen protectors, patient information to be covered whenever left on the desk, and taller cubicle space.

Informed consent has also been addressed in our clinic.  When patients agree to care management, there was no written consent or agreement.  Stakeholders then agreed to add an excerpt explaining care management, benefits to agreeing to the program, an opportunity to opt out, and a place on the website to go for additional questions and information.  Patient are now required to sign a consent before care management begin.

Resources:

Olejarczyk, J. P. (2021, August 13). Patient rights and ethics. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK538279/.

 

Ulrich, C. M., Taylor, C., Soeken, K., O’Donnell, P., Farrar, A., Danis, M., & Grady, C. (2010). Everyday ethics: Ethical issues and stress in nursing practice. Journal of Advanced Nursing66(11), 2510–2519. https://doi.org/10.1111/j.1365-2648.2010.05425.x

NURS 8002 Discussion Ethics and the DNP-Prepared Nurse Rubric Detail

 

Select Grid View or List View to change the rubric’s layout.

Name: NURS_8002_Week10_Discussion_Rubric

  Excellent

90%–100%

Good

80%–89%

Fair

70%–79%

Poor

0%–69%

Main Posting:

Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

40 (40%) – 44 (44%)

Thoroughly responds to the Discussion question(s).

Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

No less than 75% of post has exceptional depth and breadth.

Supported by at least three current credible sources.

35 (35%) – 39 (39%)

Responds to most of the Discussion question(s).

Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.

50% of the post has exceptional depth and breadth.

Supported by at least three credible references.

31 (31%) – 34 (34%)

Responds to some of the Discussion question(s).

One to two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Cited with fewer than two credible references.

0 (0%) – 30 (30%)

Does not respond to the Discussion question(s).

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible references.

Main Posting:

Writing

6 (6%) – 6 (6%)

Written clearly and concisely.

Contains no grammatical or spelling errors.

Adheres to current APA manual writing rules and style.

5 (5%) – 5 (5%)

Written concisely.

May contain one to two grammatical or spelling errors.

Adheres to current APA manual writing rules and style.

4 (4%) – 4 (4%)

Written somewhat concisely.

May contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

0 (0%) – 3 (3%)

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

Main Posting:

Timely and full participation

9 (9%) – 10 (10%)

Meets requirements for timely, full, and active participation.

Posts main Discussion by due date.

8 (8%) – 8 (8%)

Meets requirements for full participation.

Posts main Discussion by due date.

7 (7%) – 7 (7%)

Posts main Discussion by due date.

0 (0%) – 6 (6%)

Does not meet requirements for full participation.

Does not post main Discussion by due date.

First Response:

Post to colleague’s main post that is reflective and justified with credible sources.

9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings.

Responds to questions posed by faculty.

The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8 (8%) – 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting.

7 (7%) – 7 (7%)

Response is on topic and may have some depth.

0 (0%) – 6 (6%)

Response may not be on topic and lacks depth.

First Response:
Writing
6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues.

Response to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues.

Response to faculty questions are mostly answered, if posed.

Provides opinions and ideas that are supported by few credible sources.

Response is written in standard, edited English.

4 (4%) – 4 (4%)

Response posed in the Discussion may lack effective professional communication.

Response to faculty questions are somewhat answered, if posed.

Few or no credible sources are cited.

0 (0%) – 3 (3%)

Responses posted in the Discussion lack effective communication.

Response to faculty questions are missing.

No credible sources are cited.

First Response:
Timely and full participation
5 (5%) – 5 (5%)

Meets requirements for timely, full, and active participation.

Posts by due date.

4 (4%) – 4 (4%)

Meets requirements for full participation.

Posts by due date.

3 (3%) – 3 (3%)

Posts by due date.

0 (0%) – 2 (2%)

Does not meet requirements for full participation.

Does not post by due date.

Second Response:
Post to colleague’s main post that is reflective and justified with credible sources.
9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings.

Responds to questions posed by faculty.

The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8 (8%) – 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting.

7 (7%) – 7 (7%)

Response is on topic and may have some depth.

0 (0%) – 6 (6%)

Response may not be on topic and lacks depth.

Second Response:
Writing
6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues.

Response to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues.

Response to faculty questions are mostly answered, if posed.

Provides opinions and ideas that are supported by few credible sources.

Response is written in standard, edited English.

4 (4%) – 4 (4%)

Response posed in the Discussion may lack effective professional communication.

Response to faculty questions are somewhat answered, if posed.

Few or no credible sources are cited.

0 (0%) – 3 (3%)

Responses posted in the Discussion lack effective communication.

Response to faculty questions are missing.

No credible sources are cited.

Second Response:
Timely and full participation
5 (5%) – 5 (5%)

Meets requirements for timely, full, and active participation.

Posts by due date.

4 (4%) – 4 (4%)

Meets requirements for full participation.

Posts by due date.

3 (3%) – 3 (3%)

Posts by due date.

0 (0%) – 2 (2%)

Does not meet requirements for full participation.

Does not post by due date.

Total Points: 100