NURS 8000 Week 5 Discussion Ethics

Walden University NURS 8000 Week 5 Discussion Ethics – Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NURS 8000 Week 5 Discussion Ethics 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 NURS 8000 Week 5 Discussion Ethics

Whether one passes or fails an academic assignment such as the Walden University NURS 8000 Week 5 Discussion Ethics 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 NURS 8000 Week 5 Discussion Ethics

The introduction for the Walden University NURS 8000 Week 5 Discussion Ethics 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 NURS 8000 Week 5 Discussion Ethics

After the introduction, move into the main part of the NURS 8000 Week 5 Discussion Ethics 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 NURS 8000 Week 5 Discussion Ethics

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 NURS 8000 Week 5 Discussion Ethics

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 NURS 8000 Week 5 Discussion Ethics

According to Silva & Ludwick (2006), ethics is defined as social obligations that encompass preserving the greater good of society. Entry-level nurses are taught the foundational nursing ethics to include nonmaleficence, beneficence, autonomy, and justice (Silva & Ludwick, 2006).  Even though ethical issues are bound to arise in almost every professional’s life, nurses such as a Ph.D.- or a DNP nurse usually encounter various ethical issues almost daily in their efforts to offer care and safety to the patient, largely thanks to the complex medical issue. The standards of practice and ethics require that nurse’s practice with justice, act with beneficence, and uphold all the ethical principles (LoBiondo-Wood & Haber, 2017). However, it is becoming increasingly challenging for the nurses to uphold all the standards and practice with ethics due to the pressures and complex moral choices nurses have to make. 

 One of the significant ethical issues is the informed consent ethical issue. As DNP or PhD-prepared nurse, one of the requirements is quickly translating knowledge into practice which may lead to having to obtain informed consent from children or individuals lacking the cognitive ability to provide such (Trautman et al., 2018). Therefore, the nurse is faced with the dilemma of determining when it is appropriate to obtain informed consent from others on their behalf.  The other issue is disclosing a patient’s medical condition entailing whether to tell the patient the truth regarding his/her condition even if it will impact negatively or deceiving the patient. There is an obligation to tell the patient the truth versus the principles of nonmaleficence. 

Even though the issues discussed may be slightly different from the issues already encountered in my practice, the common denominator is that they all revolve around the patient. For instance, one of the ethical issues already experienced in practice is informed consent while working with vulnerable groups such as children and patients exposed to undue influence. It is a challenge deciding on how informed consent should be obtained. In addition, while one of the issues identified relates to research work involvements by a DNP or Ph.D. prepared nurse, the ethical issues I have already experienced are practice related. However, the solution to all the ethical issues lies following the nursing ethical principles (Rainer et al., 2018) in spite of the cases occurring in different settings. 

In conclusion, ethical principles guide healthcare providers on how to address emerging ethical issues. Ethical issues are prone in the healthcare system and so nurses and other healthcare providers must be prepared to handle them in the right way possible without compromising the patients’ values and dignity. 

References 

LoBiondo-Wood, G., & Haber, J. (2017). Nursing research-e-book: methods and critical appraisal for evidence-based practice. Elsevier Health Sciences. 

Rainer, J., Schneider, J. K., & Lorenz, R. A. (2018). Ethical dilemmas in nursing: An integrative review. Journal of clinical nursing, 27(19-20), 3446-3461. Doi: 10.1111/jocn.14542 

Silva, M., Ludwick R., (March 20, 2006). ”Ethics: Is the Doctor of Nursing Practice Ethical?” 

OJIN: The Online Journal of Issues in Nursing. Vol. 11 No. 2 

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 Nursing, 23(2). Doi: 10.3912/OJIN.Vol23No02Man02 

Sample Answer 2 for NURS 8000 Week 5 Discussion Ethics

Great examples of ethical considerations. 

 I strongly agree, obtaining informed consent for children or other vulnerable patient populations generates consideration in ethics and patient advocacy. I also work with patients that are unable at times to identify their need for treatment or lack insight into their illness.  Working in partnership with other care team members and patient’s family members remains essential in caring for vulnerable patients. Understanding other health care professional’s perspective can increase ethical decision making as a team and assist patients and their family’s needs (Suhonen, et al. (2013).  Family collaboration presents an additional consideration in obtaining a documented Release of Information from the patient. 

 References 

Suhonen, R., Stolt, M., & Leino-Kilpi, H. (2013). Older people in long-term care settings as 

research informants: Ethical challenges. Nursing Ethics, 20(5), 551–567. https://doi.org/10.1177/0969733012463722 

Sample Answer 3 for NURS 8000 Week 5 Discussion Ethics

It is indeed interesting that we have coincidentally addressed the same ethical issues in our discussion posts including confidentiality and informed consent. It goes without saying that the ethical principle of confidentiality and informed consent are the two major issues likely to expose DNP and PhD nurses to situations of dilemma. Although you talked about strictly following nurse ethical principles to solve these ethical situations, there arises a situation where a nurse has to withhold one principle in order to advance another due to the difference in their foundation.  One major situation involves the principle of autonomy and beneficence (Schor, 2014). For example, while a nurse may deem it appropriate to offer some medication for the best interest of the patient, ANA guidelines give the patient the autonomy and the right to refuse the medication. The American Nurses Association’s Code for Nurses is grounded in the principle-based model of ethical decision making, which appeals to principles such as respect for persons and autonomy Zaccagnini, M. & Pechacek, J. M. (2021). I am glad that you have mentioned the possibility of engaging more complex ethical situations in our research work as DNP nurses. Otherwise, I really enjoyed reading your post which reflects good background research involved. 

References 

Schor, N. (2014). Comment: Autonomy vs beneficence. Neurology, 83(15), 1370. doi: https://doi.org/10.1212/WNL.0000000000000872 

Zaccagnini, M. & Pechacek, J. M. (2021). The doctor of nursing practice essentials: A new model for advanced practice nursing (4th ed.).  Jones & Bartlett. 

Sample Answer 4 for NURS 8000 Week 5 Discussion Ethics

An example of an ethical issue relevant to DNP is that of autonomy and informed consent. The concept of autonomy, or self-rule, originated as a political term to describe independent nation-states and was later expanded to include individual self-governance (Fisher, et al. 2020).  Although autonomy is important in all aspects of nursing care, Covid-19 has brought special consideration to involuntary or court ordered inpatient hospitalization.  (Gather, et al. 2020) identified ethical concern for increased risk of exposure to Covid-19 in the inpatient psychiatric setting such as inability to social distance, possible increase in smoking and depression. As I progress towards earning a DNP it remains essential to carefully examine risk verses benefit of involuntary psychiatric inpatient hospitalization while taking into consideration increased risk of exposure to Covid-19. This ethical issue compares directly to my current practice over the last year while navigating and promoting patient autonomy as we identify and assess risks during the Covid-19 pandemic. 

An ethical issue that I have encountered and will continue to encounter as a DNP is related to caring for individuals with Intellectual Disability Disorder (IDD). Identifying unique qualities while working with a vulnerable population cultivates ethical decision making and nursing involvement. The notion that autonomy is reduced when a person has an IDD fails to recognize that there are some decisions a person with IDD may participate in safely (Fisher, et al. 2020). Promoting autonomy for the patients with an IDD remains a key aspect of nursing care and ethical decision making.  A significant barrier in recognizing and honoring the autonomy of people with IDD is the difficulty assessing their understanding of complex medical information (Fisher, et al.)  As a DNP I hope to promote critical thinking, patient advocacy to promote best patient care for all vulnerable populations. 

References 

Fisher, K., Robichaux, C., Sauerland, J., & Stokes, F. (2020). A nurses’ ethical commitment to people with 

intellectual and developmental disabilities. Nursing Ethics, 27(4), 1066–1076. https://doi.org/10.1177/0969733019900310 

 Gather J., Juckel G., Henking T., Efkemann SA., Vollmann J., & Scholten M. (2020) Under which 

conditions are changes in the treatment of people under involuntary commitment justified during the COVID-19 pandemic? International Journal of Law and Psychiatry. 2020;73. https://doi:10.1016/j.ijlp.2020.101615

Sample Answer 5 for NURS 8000 Week 5 Discussion Ethics

The nurse leader’s primary duty is to ensure that the highest professional principles are upheld and addressed during the decision-making process (ANA, 2015). In today’s healthcare system, nurses are confronted with highly complicated ethical dilemmas. Maintaining our dedication to patients and families necessitates a great deal of spiritual courage and perseverance. It entails the ability to stand up for patients and other nurses, whether individually or collectively (ANA, 2015).  Ulrich et al. (2010) discovered that nurses face ethical dilemmas regularly when delivering health care. Protecting patient privileges, confidentiality, and informed consent to medication, staffing patterns, advanced care preparation, and surrogate decision-making became the most stressful and often faced problems (Ulrich et al., 2010).

Honesty vs. withholding information: To protect a patient’s feelings, family members may choose to hide medical records from ill patients. Patients, on the other hand, have the right to be informed of their medical problems. It may be challenging to decide how to disclose this knowledge, particularly if it contradicts the family’s beliefs. The American Nurses Association promotes honesty, or veracity, as a critical component of nurse-patient relationships.

Healthcare needs vs. resource allocation: Nurse administrators are constantly at odds with budgeting pressures and patient expectations as healthcare costs rise. Patients are at risk of not receiving the services they need, and a vast majority of hospital centers have little funding. These services provide everything from medical supplies to medical personnel. According to research, nurse leaders should include their employees in budgeting to better appreciate the expectations and demands (ANA, 2015).

Advanced care planning: Conflicts can arise when family members are left to make challenging treatment and end-of-life choices at a time when they are in distress and vulnerable (Chitty & Black 2011).

All nurses, particularly those in leadership roles, must stress the importance of the rights of all patients. I have encountered staffing patterns that limited patient access to nursing care, prolonging the dying process with inappropriate measures, working with unethical colleagues in my nursing profession. In comparison, I have always acted in the best interests of the patients (beneficence). Nurses and other medical staff look to nurse managers for appropriate and ethical decisions. Nurse leaders often discuss ethical problems with nursing colleagues and administrative colleagues and with the patient’s physician and other professionals or different parties involved in the problematic issue. As a DNP-prepared nurse, I will face a stream of decisions daily and preserve ethical fortitude to protect the welfare and well-being of patients and employees. Ethical issues are a common occurrence in nursing practice. Conflict with patients, their families, healthcare providers, and institutions cause many ethical issues in nursing. (Chitty & Black 2011).\

References

American Nurse Association (2015). Ethics and Human Rights. Retrieved online

https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/

Chitty, K. K. & Black, B. P., (2011) Professional nursing: Concepts & Challenges. 6th edition, Saunders Elsevier

Dow., M. (2018). Legal & Ethical Issues that Health Care Professionals Face.

Retrieved from  https://work.chron.com/legal-ethical-issues-health-care-professionals-face-5648.html

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 nursing, 66(11), 2510–2519. https://doi.org/10.1111/j.1365-2648.2010.05425.x

Sample Answer 6 for NURS 8000 Week 5 Discussion Ethics

Ethics is defined as social obligations that encompass preserving the greater good of society (Silva & Ludwick, 2006). Entry-level nurses are taught the foundational nursing ethics of to include nonmaleficence, beneficence, autonomy, and justice. Silva & Ludwick (2006) suggests there is a social contract nurses enter into with society which gives nurses permission to practice with the understanding of commitment to the greater good of society. Incorporating nursing ethics is essential for nurses to utilize when implementing change or care, especially at the Doctor of Practice (DNP) level. There are so many ethical situations DNP-prepared nurses will face that are centered around health disparities, social determinants of health, cultural competency, and social justice, just to name a few. Peirce & Smith (2008) urges as the scope of practice expands for advanced practice registered nurses (APRNs), so will ethical dilemmas.

DNP-prepared nurses will undoubtedly be placed in scenarios related to a patient making the decision to refuse treatment. DNP-prepared nurses understanding if a patient has adequate decision-making capacity, it is within his or her right to refuse care. Knowing, patients have the right to autonomy. DNP- prepared nurses will face the ethical dilemma of ensuring the greater good in society. Equally important, DNP-prepared nurses have the duty of increasing the knowledge of others. If DNP-prepared nurses educated his or her patient on all treatment options and the patient opt to not undergo treatment, the DNP nurse must come to terms that he or she has fulfilled their role to do no harm, as well as the commitment to the greater good of society. The scenario discussed above is all too familiar in my current everyday practice. As an APRN, I see patients on a daily who refused adjunct treatment to medication interventions. Specifically, my patient population with severe anxiety and depression. I encourage them to seek therapy in combination with medication management. I have a high percentage of patients who adamantly refuses therapy and opts only for medication interventions.

DNP-prepared nurses will, at some point, face the population of patients who are underinsured or not insured at all. How do DNP-prepared nurses ensure patients with healthcare disparities receive the essential services to promote the better good of society? DNP-prepared nurses must explore all community resources to help patients with health insurance disparities gain access to services needed. Currently, I know all too well the hardship patient with health insurance disparities face. As an APRN, I have patients tell me they can afford their medications. I always go the extra mile to explore indigent prescription programs, manufacture coupons, and prescription saving cards to help my patients get their medication. As a future DNP nurse, I will continue to explore all avenues to ensure the greater good of my patients and society.

References

Peirce, A. G., & Smith, J. A. (2008). The ethics curriculum for Doctor of Nursing Practice programs. Journal of Professional Nursing, 24(5), 270-274.

Silva, M., Ludwick R., (March 20, 2006). “Ethics: Is the Doctor of Nursing Practice Ethical?” OJIN: The Online Journal of Issues in Nursing. Vol. 11 No. 2

Sample Answer 7 for NURS 8000 Week 5 Discussion Ethics

There are many ethical issues in nursing. As one’s career progresses so does their responsibility to act justly toward those whom they serve. As a n informatics nurse there are several ethical dilemmas which impact one’s career.  Burnout is a major issue related to healthcare professions. Many professionals work long hours and pursue perfection which is unattainable (Hetzel-Riggin et al., 2020). Human beings are complex as are the dilemmas they present to healthcare professionals. To impact change nurses in informatics often set unrealistic expectations for themselves and others as they see the importance of their work. This passion can lead to burnout thus decreasing the impact the nurse is able to make in the lives of those whom they serve.

 Nurses working in informatics are taxed with solving new problems which did not exist even seventy five years ago and thus the answers can be nebulous (Curtin LL, 2005).  This second ethical dilemma is the role of implementing change to well established rules and norms. While nurses of the past have played a role in healthcare they have rarely been viewed as leaders. The establishment of the doctoral practice degree has upped the bar for nurses. Now nurses are filling roles that have long been reserved for physicians. Nursing has increased credibility, responsibility, and impact in all of healthcare (Curtin LL, 2005). This role which has always been important is now becoming visible in all aspects of nursing and the healthcare professions (Currey et al., 2011).

As a Doctor of Nursing Practice my role will continue to be called upon to positively impact my patients and peers. Will nursing is a passion it is also a calling. Nurses must care for themselves as they care for those around them to maintain their effectiveness. Failure to serve is not an option which I am willing to accept.

References

Currey, J., Considine, J., & Khaw, D. (2011). Clinical nurse research consultant: A clinical and academic role to advance practice and the discipline of nursing. Journal of Advanced Nursing, 67(10), 2275–2283. https://doi.org/10.1111/j.1365-2648.2011.05687.x

Curtin LL. (2005). Ethics in nursing administration. Ethics in informatics: The intersection of nursing, ethics, and information technology. Nursing Administration Quarterly, 29(4), 349–352.

Hetzel-Riggin, M. D., Swords, B. A., Tuang, H. L., Deck, J. M., & Spurgeon, N. S. (2020). Work Engagement and Resiliency Impact the Relationship Between Nursing Stress and Burnout. Psychological Reports, 123(5), 1835–1853. https://doi.org/10.1177/0033294119876076