DNP 815 Describe a recent or current ethical issue you have faced in nursing practice, or which has attained national attention

Grand Canyon University DNP 815 Describe a recent or current ethical issue you have faced in nursing practice, or which has attained national attention-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University DNP 815 Describe a recent or current ethical issue you have faced in nursing practice, or which has attained national attention assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for DNP 815 Describe a recent or current ethical issue you have faced in nursing practice, or which has attained national attention                           

Whether one passes or fails an academic assignment such as the Grand Canyon University DNP 815 Describe a recent or current ethical issue you have faced in nursing practice, or which has attained national attention depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for DNP 815 Describe a recent or current ethical issue you have faced in nursing practice, or which has attained national attention                         

The introduction for the Grand Canyon University DNP 815 Describe a recent or current ethical issue you have faced in nursing practice, or which has attained national attention is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for DNP 815 Describe a recent or current ethical issue you have faced in nursing practice, or which has attained national attention                         

After the introduction, move into the main part of the DNP 815 Describe a recent or current ethical issue you have faced in nursing practice, or which has attained national attention assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for DNP 815 Describe a recent or current ethical issue you have faced in nursing practice, or which has attained national attention                         

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for DNP 815 Describe a recent or current ethical issue you have faced in nursing practice, or which has attained national attention                           

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for DNP 815 Describe a recent or current ethical issue you have faced in nursing practice, or which has attained national attention

Re: Topic 4 DQ 1

Opioid misuse and addiction have become a national crisis in the United States of America. The writer works with elderly patients with crippling disease conditions such as Rheumatoid Arthritis, Osteoarthritis, degenerative joint disease, and generalized pain syndrome due to chronic health conditions (Tavernier, 2022). New pain management guidelines call for the use of multimodal analgesia to manage acute pain in hospitals and clinic settings. A clinical decision aid that emphasizes multimodal analgesia may improve healthcare professionals’ use of opioid-sparing strategy. Nurses and other health care professionals are at the forefront of medicine and can make a positive impact on the national opioid epidemic (Tavernier, 2022). Hospital leaders, Prescribers, and Pharmacists must address practices regarding the use of opioids for the management of acute pain by using clinical decision tools such as the Michigan Opioid Safety Score which would assist them to adopt new acute pain management guidelines (Tavernier, 2022).

A research study by Tavernier, (2022), provides nurses with evidence-based practice information on the opioid-sparing benefits of multimodal analgesia management strategies which is effective in pain management and reduces opioid requirements (Tavernier, 2022). Pain is common in those with a life-threatening illness and chronic pain syndrome. Yet well-known barriers of limited education, lack of time, and impaired access to expert and adequate treatment persist. The opioid abuse epidemic and the rising rate of deaths related to the misuse of opioids present new obstacles to chronic pain management and cancer pain relief (Tavernier, 2022).

The effort by the federal government to crack down on and reduce the impact of the opioid epidemic is important to the community. Due to the addicting nature of narcotic medications in the management of chronic health conditions, this is a difficult task for healthcare providers and patient’s caregivers (Vearrier, & Henderson, 2021). There are unintended consequences such as some patients truly need adequate pain management and are not getting it due to addiction, an overdose of the medication, and strict guidelines. When faced with an ethical dilemma, ethical principles serve as a guide to providing safe and effective pain control in chronic pain syndromes such as hospice and palliative care patients (Vearrier, & Henderson, 2021).

Discuss the application of ethical theories or principles to the issue.

This research was conducted in a single-center retrospective cohort study of ethics consultations from January 1, 1993, to December 31, 2017, at Massachusetts General Hospital. Research studies conducted by Vearrier, & Henderson, (2021), introduce the model of Utilitarian Principles as a framework for healthcare ethics crisis. During non-crisis times, Ethical principles provide four guiding rules in biomedical ethics which include (Bandini, et al., 2020).

–Autonomy: When it comes to Opioid Use Disorder, autonomy typically emerges as the decisive principle as nurses act according to their knowledge and judgment in providing nursing care within the full scope of practice as defined by existing professional, regulatory, and organizational rules (Vearrier, & Henderson, 2021).

–Nonmaleficence: Nurses providing care during the end of life for chronic pain management must not do-no-harm intentionally. Healthcare providers must provide a standard of care that avoids and minimizes risk as it relates to medical competencies. An example of intentional harm includes patients’ abandonment and negligence care (Vearrier, & Henderson, 2021).

Beneficence: Do unto others as you want others to do unto you. Beneficence requires action from the nurse to benefit others which includes being kind, compassionate, caring, and empathetic during providing care to the patient (Vearrier, & Henderson, 2021). Beneficence is an action guided by compassion and it includes helping patients during baths, providing medication in a timely manner, and feeding a patient that has dependent care needs (Vearrier, & Henderson, 2021).

Justice: This means that patients have a right to fair and impartial treatment. This means patients cannot be discriminated against or treatment cannot be denied based on insurance status, socioeconomic status, age ethnicity, or sexual orientation (Vearrier, & Henderson, 2021).

Reference

Bandini, J. I., Courtwright, A. M., Rubin, E., Erler, K. S., Zwirner, M., Cremens, M. C., McCoy, T. H., Robinson, E. M. (2020). Ethics Consultations Related to Opioid Use Disorder. 61(2):161-170. DOI: 10.1016/j.psym.2019.10.003

Tavernier, J. R. (2022). Original Research: Combating the Opioid Epidemic Through Nurse Use of Multimodal Analgesia: An Integrative Literature Review. AJN American Journal of Nursing, 122(5), 20-32. Retrieved from DOI: 10.1097/01.NAJ.0000829772.68328.d5

Vearrier, L., Henderson, C. M. (2021). Utilitarian Principlism as a Framework for Crisis Healthcare Ethics. HEC forum : an interdisciplinary journal on hospitals’ ethical and legal issues, 33 (1-2), 45-60. Retrieved from DOI: 10.1007/s10730-020-09431-7

Sample Answer 2 for DNP 815 Describe a recent or current ethical issue you have faced in nursing practice, or which has attained national attention

According to Jorgensen & Kollerup (2021, p 486) nursing documentation “is a written or electronically generated record that reflects the activities of nursing care and can range from nurse’s assessment of subjective and objective data, analysis of the situation, care planning, implementation and evaluation.” The ethical issues arises when there is a lack of awareness of ethical dilemmas in nursing documentation that may present or heighten harm and risk to patients. Documentation is crucial for pinpointing the nursing interventions done for the patient and hence highlighting progression of care, safety issues, and legal shielding for nurses. However, due to increased workload nurses struggle to document efficiently and effectively (Jorgensen & Kollerup, 2021) especially in this era of COVID 19. In addition, nurses may relay pertinent information about the patient at the bedside handoff but forgets or by choice did not enter same in the electronic health record or the details may not be passed on orally or documented. Jorgensen & Kollerup (2021) suggested that the choice of documenting specific data is dependent on the attitude, opinions and viewpoint of the nurse.

The ethical dilemma arises when the choice of stance taken by the nurse such as omission by nurse’s choice or patient’s request, partial or in complete documentation or inappropriately worded notes can have consequences to the patient and continuation of care.  Nursing documentation addresses needs of patients and if not appropriately address may result in neglect in providing care to patients. In addition, the lack of ethical awareness can lead to nurses set in their routine which can be harmful to the patient if not done according to orders. For example the nurse has the patient for her tour of duty for a few days and she has been providing care in a specific manner but there was a change or modification in the patient’s order but routinely providing care and lack of checking current changes can result in harm to patient which may not be captured in documentation.  Avoiding harm to patients by documenting accurately is essential. Also, patient expressing autonomy such as right to refuse or requesting clarification to make informed choices is sometimes not captured in the nurses’ documentation. In addition, fairness in documentation is essential in documenting patients’ right to refuse treatment or care (Varkey, 2021).

Documentation in the electronic health records of patients’ results and treatment is crucial in this scholar DNP project as failure to document would mean that the patient was not screened for Methicillin-Resistant Staphylococcus Aureus (MRSA) or the patient was tested but the result was not entered or followed up. This may be risky or harmful to the patient and others as treatment may be delayed and proper isolation technique would not be commenced on time. The infection control nurse and this scholar will be auditing the patients who are admitted records to ensure that the patients’ charts are updated with their documentation of screening that was done and date and time and the unit policy manual for admission will reflect the change. Overall documentation is an issue that nurse educators and nurse manager will constantly need to address so that the progression of care for the patient may be sequential and less harm will be meted out to the patient, due to delayed documentation or omissions.

References                 

Jorgensen, L., & Kollerup, M. G. (2021). Ethical dilemmas in nursing documentation. Nursing Ethics. https://doi-org.lopes.idm.oclc.org/10.1177/09697330211046654

Varkey, B. (2021). Principles of Clinical Ethics and Their Application to Practice. Medical Principles and Practice, 30(1), 17-28. https://lopes.idm.oclc.org/login?url=https://www.proquest.com/scholarly-journals/principles-clinical-ethics-their-application/docview/2501298059/se-2

DNP 815 Topic 4 DQ 2 Sample Answer

In my previous discussion, I discussed the ethical dilemma surrounding the decision to change the law regarding a women’s right to choose. The challenge of states having individual laws surrounding reproductive rights is providing full disclosure when providing counseling to those that are susceptible to hereditary disorders.  Many controversies surrounding prenatal diagnosis remains, especially when the diagnosis leads to a decision to terminate the pregnancy. Ethical issues are often viewed through a different lens unique to each person. However, the importance of following a structure when making ethical decisions is necessary.  Principles to remember are respecting autonomy through safeguarding a person’s right to control medical treatment free from coercion, beneficence, do no harm, and justice.  ensuring persons are treated equally and fair. (Nussbaum, et al., 2016). The nurse must be steadfast in her responsibility to provide unbiased care to patients. As healthcare professionals separate personal values to provide patients with the ability to practice autonomy when faced with issues such as technologies, in vitro fertilization, or prenatal sex determination by ultrasonography and abortion, to balance the sexes of the children in their family or avoid having children for social and economic reasons prevalent in their societies. (Nussbaum, et al., 2016). 

Vaugh suggests that moral theory is prescriptive and explanatory. He separated moral theories into those that focus on right action and those that focus on good or bad character. Criteria for determining what is right and good consist of three criteria: consistency with our considered moral judgments, consistency with the facts of the moral life, and resourcefulness in moral problem-solving. (Vaughn, 2010) (Butts & Rich, 2018). 

1. Determine the moral issue: the moral issue would be providing informed consent/full disclosure when providing counseling to couples undergoing genetic counseling.  
2. Determine the actor, in a scenario with prenatal counseling, the actor is the health care professional
3. Get the facts. Providing factual information to patients regarding options available to parents in the event of an abnormality, or termination of pregnancy is only one and should be discussed. Through counseling and providing information to the parents they should understand that in undertaking prenatal diagnosis, they are not under obligation to terminate a pregnancy in the event that an abnormality is detected.

 4. Determine if the moral issue is right versus wrong, personally it is not for the actor to assume right or wrong, the responsibility is providing informed consent and holistic counseling. Using justice versus mercy.  Allowing the patients autonomy in fairness, and equality in conflict with empathy, understanding, and compassion. 

5. Test for right versus right by assigning one of the four dilemma paradigms. The actor/nurse being faced with providing counseling when working with sensitive matters use of the professional standards test can be used. Answering the question, does the choice or action violate any part of the Professional Code of Ethics?  Nurses should be aware of state rules and regulations and the Code of Ethics. (Edgar & Wachs, 2004)

Table 1 Checkpoints for Ethical Decision Making (Edgar & Wachs, 2004). 

Butts, J. B., & Rich, K. L. (Eds.). (2018). Philosophies and theories for advanced nursing practice (3rd ed.). Jones & Bartlett. ISBN-13: 9781284112245 

Edgar, P. H., & Wachs, J. (2004). Resolving ethical dilemmas: Applying the Institute for Global Ethics’ Ethical Fitness Model to occupational and environmental health practice issues. AAOHN Journal, 50(1), 40-46. 

Nussbaum, R., McInnes, R. R., Willard, Huntington, F. (2016).Thompson & Thompson genetics in medicine, (8th ed.). ISBN: 978-1-4377-0696-3. https://bibliu.com/app/#/view/books/9780323392068/epub/OPS/xhtml/copyright.html#page_2