NURS204 Fundamentals of Nursing

Ethics in Nursing Assignment

Ethical problems commonly arise between nurses and patients, nurses and health care providers, nurses and other nurses, and nurses and their employing institutions. Ethical dilemmas arise when attempted adherence to basic ethical principles results in two conflicting courses of action (Taylor et al., 2019). Nurses often deal with ethical dilemmas in our everyday clinical practice; and as professionals, we have the responsibility to analyze and examine any ethical problems that may arise.

Instructions: Following the instructions in Part 1 and Part 2 of the assignment, complete a  page paper in APA format (no abstract necessary) with a minimum of 2 references. One reference must be from a journal article related to your ethical issue.

OBJECTIVES:

  1. Identify an ethical problem in the nursing profession
  2. Discuss the ethical principles related to the ethical problem identified
  3. Discuss how this impacts the nursing profession
  4. Analyze and discuss the ethical principles that apply to a clinical scenario
  5. Utilize the five-step process for resolving an ethical conflict

Part 1 (Objectives 1-3):

Identify an ethical problem in the nursing profession (refer to Chapter 6 p. 110-111 for

examples). Define the ethical problem, present the conflicting viewpoints pertaining to the ethical issue, identify the nursing ethical principles relevant to the issue, and discuss how the nurse can be affected. Some examples of ethical problems are listed below. You must use a journal article to reference your ethical issue.

Ethical Problem Examples

PaternalismDeceptionPrivacy and social media
ConfidentialityAllocation of Scarce Nursing Resources  Valid Consent or Refusal
Conflicts concerning new technologiesUnprofessional, Incompetent, Unethical, or Illegal Physician Practice  Unprofessional, Incompetent, Unethical, or Illegal Nurse Practice
Short Staffing IssuesBeginning-of-Life issuesEnd-of-life issues

Part 2 (Objectives 4 & 5):

Consider the following scenario:

Mrs. Smith was an 85-year-old widowed female, brought to the emergency department (ED) after her at-home caretaker found her in respiratory distress. The ED doctor noted that the patient was minimally responsive to verbal stimuli, afebrile, normotensive, tachycardic to 130 bpm, and tachypneic to 30 breaths/min. A chest radiograph (CXR) revealed right lower lobe consolidation. Based on her health history, it was found that she had recently been admitted to the hospital for significant weight loss (a few months ago) and she was diagnosed with advanced bowel cancer with lung, bone, and brain metastases. While in the ED, Mrs. Smith’s respiratory function deteriorated, and she was admitted to the ICU for closer observation. Within 24 hours of being admitted to the ICU, Mrs. Smith’s condition deteriorated rapidly, and a decision was made to talk with the family of what should be done in the event of respiratory or cardiac arrest. The son, who is the first contact listed, was informed about his mother’s condition, and it was revealed that Mrs. Smith had previously stated to him that she does not want any heroic measures done in the event of cardiac arrest. The conversation with the son resulted in the decision to initiate a Do Not Resuscitate (DNR) order.

The next day, the patient’s daughter arrived. The daughter mentioned that she had a distant relation with her mother and had not been in contact with the patient over the past 3 years. The daughter expressed that she wanted everything done for her mother. You are the nurse assignment to Mrs. Smith.

  1. Identify the ethical dilemma in this scenario
  2. What are the ethical principles that apply to the scenario?
  3. Use the five-step nursing process approach, how would you resolve this ethical dilemma?

References:

Taylor, C., Lynn, P., & Bartlett, J. (2019).  Fundamentals of nursing: The art and science of

person-centered care. (9th ed.). Philadelphia: Wolters Kluwer.

Grading Rubric:

Criteria Exceeds Expectation   Meets Expectation Does Not Meet Expectation   
Discuss Ethical Issue  (15 pts)   Discusses in depth ethical issue.  (11-15 points) Discusses partially the ethical issue.   (6-10 points) Does not discuss ethical issue at all.  (0-5 points)   
Discuss ethical principles related to the Issue    (20 pts)   Identifies ethical principles and demonstrates a thorough understanding of these concepts.  (16-20 points)   Identifies some of the ethical principles and demonstrates a basic understanding of these concepts.  (11-15 pts)   Identifies no ethical principles and/or demonstrates little or no understanding of these concepts.  (0-10 points)   
Discuss Impacts on Nursing  (10 pts)   Discusses in depth how the ethical issue impacts the nursing profession.  (10 points)   Provides a basic understanding of how the ethical issue impacts the nursing profession.  (5-9 points)   Provides little insight on how the ethical issue impacts the nursing profession.  (0-4 points)   
Identifies ethical dilemma in scenario and discusses ethical principles that apply (20 pts)  Demonstrates thorough understanding of the scenario and correctly identifies the ethical principles that apply  (16-20 points) Demonstrates basic understanding of the scenario and/or identifies most, but not all, of the ethical principles that apply (11-15 pts)   Demonstrates little or no understanding of the scenario and/or the ethical principles that apply (0-10 points)   
Uses 5-step nursing process approach to guide ethical decision making (25 pts)  Demonstrates correct use of the 5-step nursing process approach to guide ethical decision making (20-25 pts)Demonstrates some basic understanding of the 5-step nursing process approach to guide ethical decision making (11-20 pts)Demonstrates little or not understanding of the 5-step nursing process approach to guide ethical decision making (0-10 pts)
APA Format  (5pts)  Consistent adherence to APA format in title page, citations, and reference page. Font, layout, and/or margins adhere to APA format.  (5 pts)Minimal errors in APA format for title page, citations, reference page, font, layout and/or margins that do not distract from the content or readability of the paper. (3-4 pts)  Major problems with implementation of APA formatting with title page, citations, and/or reference page. Font, layout, and/or margins do not adhere to APA format, which affect overall flow and readability of the paper.  (0-2 pts)  
Mechanics of style Sentence structure, grammar, mechanics, spelling (5 pts)All sentences are well constructed. There are no errors in grammar, mechanics, or spelling.  (5 pts)Most sentences are well constructed. There are few errors in grammar, mechanics, and/or spelling, but they do not interfere with understanding.  (3-4 pts)  Sentences are awkward, repetitive, or are difficult to understand. There are numerous errors in grammar, mechanics, and/or spelling that interfere with understanding.  (0-2 pts)  

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