NURS 6565: Week 2: Consequences of Ethical Issues in Advanced Nursing Practice Essay Assignment Paper

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NURS 6565: Week 2: Consequences of Ethical Issues in Advanced Nursing Practice Essay Assignment Paper

NURS 6565: Synthesis in Advanced Practice Care of Complex Patients in Primary Care Settings | Week 2

“Ethics is not definable, is not implementable, because it is not conscious; it involves not only our thinking, but also our feeling.”

— Valdemar W. Setzer
Brazilian anthropologist, Department of Computer Science, University of São Paulo, Brazil

Advanced Practice Nurses are constantly challenged with ethical issues and dilemmas in clinical practice. Indeed, ethics requires NPs to use their knowledge, wisdom, critical thinking, and decision making skills to do what is right for individuals, families, and communities. There is a process that is used to make ethical decisions. A primary question to ask in every patient encounter is, “Am I doing what is right and good for the patient?”

The NP Core Ethics Competencies include integrating ethical principles in decision making, evaluating the ethical consequences of decisions, and applying ethically sound solutions to complex issues related to individuals, populations and systems of care. This week you will examine the process of using ethical principles in decision making and meeting the NP Core Ethics Competencies.

Learning Objectives

By the end of this week, students will:

• Analyze salient ethical issues in Advanced Nursing Practice
• Compare ethical dilemmas with state health laws and regulations
• Outline the process of ethical decision making

Learning Resources

This page contains the Learning Resources for this module. Be sure to scroll down the page to see all of this module’s assigned Learning Resources.

Required Readings

Buppert, C. (2018). Nurse practitioner’s business practice and legal guide (6th ed.). Sudbury, MA: Bartlett & Jones Learning.

• Chapter 16, “Resolving Ethical Dilemmas” (pp. 471-479)

This chapter provides examples of ethical dilemmas in NP practice and enables you to analyze the ethical choices inherent in these situations. Ethical analyses are provided in this chapter.

Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Ethical decision making. In Advanced Practice Nursing: An Integrative Approach (5th ed.) (328 – 354). St. Louis, MO: Elsevier Saunders.

This chapter covers characteristics of ethical dilemmas in nursing, ethical issues affecting advanced practice nurses, ethical decision making competency of advanced practice nurses, evaluation of the ethical decision making competency, and barriers to ethical practice and potential solutions.

MidlevelU: The Online Hub for Midlevels. (2013, January 14). Should Providers Treat Their Friends and Family? [Blog post]. Retrieved from http://midlevelu.com/blog/should-providers-treat-their-friends-and-family

Lachman, V. D. (2012). Applying the ethics of care to your nursing practice. MEDSURG Nursing, 21(2), 112-116.

Thomas, A. C., Crabtree, M. K., Delaney, K. R., Dumas, M. A., Kleinpell, R., Logsdon, C.,…Nativio, D. G. (2012). Nurse Practitioner Core Competencies. Retrieved from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/npcorecompetenciesfinal2012.pdf

NURS 6565: Week 2: Consequences of Ethical Issues in Advanced Nursing Practice Essay Assignment Paper

Required Media

HEAT Inc., Health Education & Training. (2010, May 12). Ethical Issues In Nursing — Commitment: Patients, Professionalism, and Boundaries. Retrieved from https://www.youtube.com/watch?v=XtuanLybaZs

Note: The approximate length of this media piece is 7 minutes.

Optional Resources

Buppert, C. (2004). Can NPs prescribe for family members or themselves? Medscape. Retrieved from http://www.medscape.com/viewarticle/478418

Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine, & Institute of Medicine (2011). The future of nursing: Leading change, advancing health. Retrieved from http://www.nap.edu/catalog/12956/the-future-of-nursing-leading-change-advancing-health

Wood, D. (2015). Everyday ethics for nurses: Addressing ethical challenges – Turning the Nurses Week theme into year-round ethical practice. Retrieved from http://essynursingservices.com/everyday-ethics-for-nurses-addressing-ethical-challenges/

NURS 6565: Week 2: Consequences of Ethical Issues in Advanced Nursing Practice Essay Assignment Paper

Assignment 1:
Analyzing an Ethical Decision

In your role, as an advanced practice nurse, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear cut answer of how to address the issue, but your ethical decision making must be based on evidenced based practice, and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their sociodemographic and ethnic/racial background. You must be prepared to critically analyze ethical situations, and develop an appropriate plan of action. For this Assignment, you will review the literature and discover the various ethical dilemmas advanced practice nurses encounter and how these issues are typically addressed in your state.

To prepare:

• Review literature for moral/ethical issues encountered by advanced practice nurses in clinical practice.
• Select an article that was published within the last five years.

By Day 7

Write a two page paper that answers the following questions:

• Summarize the moral/ethical issue in the article (no more than 1 paragraph)
• Describe the moral and ethical dilemmas surrounding the issue
• Analyze the ethical issue and compare them to the State Health Laws and Regulations in your state
• Outline the process of ethical decision making you would use to address this ethical dilemma

Assignment 2:
Practicum Journal and Time Log

Each week you will complete a Practicum Journal entry and Time Log that prompts you to reflect on and document your Practicum Experiences.

Practicum Journal

Continue documenting your Practicum Experiences in your Practicum Journal. Reflect on your practicum experiences and relate them to your Professional Goals and Self-Assessment of Clinical Skills that you identified in Week 1.

Time Logs

You are required to keep a log of the time you spend related to your practicum experience and enter every patient you see each day. You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term.

NURS 6565: Week 2: Consequences of Ethical Issues in Advanced Nursing Practice Essay Assignment Paper

Assignment 3:
Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

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