NR719 Week 3 Assignment: The DNP-Prepared Nurse and Ethical Accountability

ByDaniel Rossi Updated on

NR719 Week 3 Assignment: The DNP-Prepared Nurse and Ethical Accountability – Step-by-Step Guide With Example Solution

The first step before starting to write the NR719 Week 3 Assignment: The DNP-Prepared Nurse and Ethical Accountability is to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the paper’s audience and purpose, as this will help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, review its use, including writing citations and referencing the resources used. You should also review the formatting requirements for the title page and headings in the paper, as outlined by Chamberlain University.

How to Research and Prepare for NR719 Week 3 Assignment: The DNP-Prepared Nurse and Ethical Accountability

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify a list of keywords related to your topic using various combinations. The first step is to visit the Chamberlain University library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from the Chamberlain University Library, PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last 5 years and go through each to check for credibility. Ensure that you obtain the references in the required format, such as APA, so that you can save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next, create a detailed outline of the paper to help you develop headings and subheadings for the content. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NR719 Week 3 Assignment: The DNP-Prepared Nurse and Ethical Accountability

The introduction of the paper is the most crucial part, as it helps provide the context of your work and determines whether the reader will be interested in reading through to the end. Begin with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NR719 Week 3 Assignment: The DNP-Prepared Nurse and Ethical Accountability

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence collected from the research, and ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance, as well as how it relates to the thesis statement. You should maintain a logical flow between paragraphs by using transition words and a flow of ideas.

How to Write the In-text Citations for NR719 Week 3 Assignment: The DNP-Prepared Nurse and Ethical Accountability

In-text citations help readers give credit to the authors of the references they have used in their work. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

“The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Morelli et al. (2024), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Alawiye (2024) highlights that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.”

How to Write the Conclusion for NR719 Week 3 Assignment: The DNP-Prepared Nurse and Ethical Accountability

When writing the conclusion of the paper, start by restating your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper by restating them. Discuss the implications of your findings and your arguments. Conclude with a call to action that leaves a lasting impression on the reader or offers recommendations.

How to Format the Reference List for NR719 Week 3 Assignment: The DNP-Prepared Nurse and Ethical Accountability

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically, and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Morelli, S., Daniele, C., D’Avenio, G., Grigioni, M., & Giansanti, D. (2024). Optimizing telehealth: Leveraging Key Performance Indicators for enhanced telehealth and digital healthcare outcomes (Telemechron Study). Healthcare, 12(13), 1319. https://doi.org/10.3390/healthcare12131319

Alawiye, T. (2024). The impact of digital technology on healthcare delivery and patient outcomes. E-Health Telecommunication Systems and Networks, 13, 13-22. 10.4236/etsn.2024.132002.

NR719 Week 3 Assignment: The DNP-Prepared Nurse and Ethical Accountability Instructions

Purpose

The purpose of this assignment is to examine the leadership decisions of the DNP-prepared nurse when dealing with ethical and legal dilemmas that present in today’s complex healthcare systems, to ensure safe and effective patient-centered care. Have a look at NR719 Week 4 Discussion | The Advanced Practice Nurse as an Entrepreneur or Intrapreneur.

Instructions

For this assignment, select an ethical or legal dilemma that you have personal experience with or have witnessed and examine the accountability of the DNP-prepared nurse in resolving ethical and legal dilemmas to ensure safe and effective patient-centered care.

To create flexibility, we are providing you options on this assignment. For this assignment, each of the sections can be presented either as a narrative or as a concept map. Concept maps are an effective way to express complex ideas, especially for visual learners.

Please note that you are not required to complete any or all sections as a concept map. If you choose to use a concept map for a section, it should be created in Microsoft Word and placed in that section of your paper. The concept map must meet all the requirements of the assignment rubric for that section. The rubric and page length requirements of the paper are the same whether you complete the sections of this assignment as a narrative or as a concept map.

Concept Map Resources

If you need additional information on concept maps and how to create a concept map in Microsoft Word, review the following resources:
Link (video): Microsoft Word: Creating a Flowchart, Concept Map, or Process Map. (4:03)
Concept Map (2:48)

Include the following in your paper:

Introduction

Introduce the paper’s topic and establish its importance.
Present a clear purpose statement.
Provide the reader with a brief organizing statement of what will be discussed in the paper.
Ethical Dilemmas in Healthcare: Explain the ethical or legal dilemma in healthcare.
Describe the ethical or legal dilemma and its impact on healthcare outcomes.
Explain if the dilemma is an ethical issue, a legal issue, or both.
Identify the key issues surrounding the dilemma.
What are the consequences if the dilemma is not resolved appropriately and timely?
Differing Views: Identify and examine differing views that create the dilemma.
Determine the stakeholders most impacted by the dilemma.
Describe the impact on staff, patients, and the community.
Are the views influenced by culture, socio-economic status, religion, generational differences, ethnic diversity, or other factors?
The Role of the DNP-Prepared Nurse in Resolving Legal and Ethical Dilemmas: Base analysis on a review of the literature.
Explain the position you would choose as a DNP-prepared nurse.
Cite at least three (3) scholarly sources to defend your position.
How would you demonstrate leadership accountability to reach a positive outcome?
How would you mitigate risk to the organization?

Conclusion

Recap the paper’s purpose statement and organizing criteria.
Draw major conclusions from the body of the paper.
Summarize the DNP-prepared nurse’s accountability for resolving legal and ethical dilemmas in the healthcare setting.

References (minimum of 3 scholarly, peer-reviewed sources)

Create the reference page.
Ensure each reference has a matching citation.
Support your position and the impact of the dilemma on healthcare by using evidence from at least three (3) scholarly, peer-reviewed journal sources (preferably research or systematic reviews) that are retrieved from the Chamberlain library databases. Do not use textbooks, government sources, or organizational websites for the three sources in this assignment.
Review the rubric for the grading criteria.

APA Guidelines

Use the current Publication Manual of the American Psychological Association (APA Manual) and the Chamberlain Guidelines for Writing a Professional Paper (located in the APA Basics section of the Writing Center) to complete this assignment. Follow these guidelines when completing each component. Contact your course faculty if you have questions.

Use the APA Paper Template (located in the Writing Center) to format this assignment.
Turn on Grammarly to check the correctness of the grammar and punctuation as you write. (Note: if you have not already done so, please download the free version at Grammarly.com before construction of the assignment.)

Construct a title page using the APA paper template (Example: The Nurse Leader and Impaired Nursing Staff) based on your selected ethical or legal dilemma.

Use the following prescribed Level I headings for the paper:
Ethical and Legal Dilemmas in Healthcare
Differing Views
Role of the DNP-Prepared Nurse in Resolving Ethical and Legal Dilemmas

Writing Requirements (APA format)

Length: 5-7 pages (not including title page or references page) The length requirement is the same for a narrative or a paper using concept maps.  
1-inch margins
Double-spaced pages
12-point Times New Roman font or 11-point Arial
Headings & subheadings
In-text citations
Title page
References page
Standard English usage and mechanics

Program Competencies

This assignment enables the student to meet the following program outcomes:
Integrates scientific underpinnings into everyday clinical practice. (POs 3, 5)
Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
Uses analytic methods to translate critically appraised research and other evidence into clinical scholarship for innovative practice improvements. (POs 3, 5)
Appraises current information systems and technologies to improve health care. (POs 6, 7)
Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)
Creates a supportive organizational culture for flourishing collaborative teams to facilitate clinical disease prevention and promote population health at all system levels. (PO 8)
Translates a synthesis of research and population data to support preventative care and improve the nation’s health. (PO 1)
Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (POs 1, 4)

Course Outcomes

This assignment enables the student to meet the following course outcomes:
Apply leadership practices that support interprofessional collaborative practice and team effectiveness. (PCs 2, 4, 5, 6, 8; POs 2, 4, 6, 8)
Translate quality improvement initiatives to provide safe and effective patient-centered care. (PCs 1, 3, 6, 7, 8; POs 1, 3, 5, 8)
Apply ethical leadership to the role of the advanced practice nurse. (PCs 7, 8; POs 1, 4)

NR719 Week 3 Assignment: The DNP-Prepared Nurse and Ethical Accountability Example

The DNP-Prepared Nurse and Ethical Accountability

Healthcare personnel face substantial hurdles when faced with ethical concerns, especially balancing patient autonomy and safety. This paper aims to investigate the ethical and legal consequences of this dilemma, focusing on the contribution that DNP-educated nurses can make to solving such intricate problems. Since it affects individual patient care and healthcare quality, this is a critically important problem. Patient autonomy is central to healthcare ethics because it enables individuals to exercise responsibility in making healthcare decisions that align with their values and priorities.

There may be tensions between patient autonomy and the duty of healthcare practitioners to deliver effective and secure care. Patient safety, interpersonal conflicts, legal battles, and brand damage could all result from ignoring this problem. The paper will focus on critical issues, including open dialogue and consensus-building among medical staff. Additionally, it will examine how various parties perceive the dilemma and how the issue affects different individuals in different ways. The paper will also address the role of the DNP-prepared nurse, with an emphasis on the value of a focus on the patient and taking leadership responsibility.

Ethical Dilemmas in Healthcare

Maintaining patient safety while respecting their autonomy is a common ethical and legal challenge in healthcare. This problem occurs when patients decline medical care or voice reservations about their prescribed medications. Medical personnel are responsible for safeguarding patients’ rights to participate actively in healthcare decisions, considering their values, priorities, and preferences (Varkey, 2020). On the other hand, healthcare providers have a moral and ethical obligation to ensure the safety and well-being of their patients, which may involve using specific interventions to achieve this goal.

This problem has profound implications for healthcare delivery. Promoting patient empowerment and respecting patient decisions, patient autonomy is a cornerstone of healthcare ethics. Patients involved in their care have a higher rate of plan adherence and better outcomes (Rees, 2023). Patient’s well-being is paramount, but doctors and nurses are also responsible for protecting them from harm. Inadequate response to this challenge may jeopardize patient safety, result in unfavorable outcomes, strain relationships between patients and healthcare providers, and even result in legal consequences.

From a legal perspective, it involves questions of patient rights, healthcare providers’ duty of care, and the necessity of obtaining patients’ informed consent. Regarding ethics, healthcare providers should never put patient autonomy above their responsibility to seek the patient’s best interests (Bolcato et al., 2021). The legal side of things, meanwhile, requires strict compliance with the rules and regulations governing healthcare practice to avoid legal issues.

Effective communication, patient education, shared decision-making, and teamwork among healthcare practitioners are crucial to addressing this issue. Patients can better express their concerns, and healthcare providers can provide more effective advice on the benefits, risks, and alternatives to recommended therapies when there is open and respectful communication between the two parties. Respect for patient autonomy can coexist with attention to safety concerns when patients, their families, and healthcare practitioners collaborate to make informed decisions.

Several key issues can occur if this moral and legal dilemma is not resolved promptly. When patients lose faith in healthcare professionals, it can harm their health. A patient’s health condition may worsen, or preventable problems may arise from a lack of care or drug adherence. Furthermore, unaddressed ethical issues may lead to legal proceedings, which can affect patients, healthcare providers, and the institution’s reputation.

Differing Views

Various perspectives and interests contribute to the complexity of the ethical and legal dilemma of balancing respect for patient autonomy with the need to ensure patient safety in healthcare. Understanding the complexity of the challenge and its potential effects on staff, patients, and the community requires an in-depth analysis of these contrasting perspectives. Patients, medical professionals, hospitals, healthcare systems, and communities at large are all affected by this problem. Patient’s autonomy is at the heart of the problem, and as such, they play a pivotal part in the decision-making process. Patients’ opinions and choices about their healthcare are crucial as they seek a compromise between independence and safety.

Nurses, doctors, pharmacists, and the rest of the care team are all directly affected by this moral issue. They have to balance the need to ensure patients’ safety and well-being with the need to honor each person’s right to decide about their treatment. The healthcare industry is a stakeholder because it develops decision-making frameworks, such as policies, procedures, and systems. This problem affects more than just the people who are directly impacted. Staff, and especially healthcare professionals, may experience moral distress and emotional hardship when faced with competing values of patient autonomy and safety (Alimoradi et al., 2023). If their decisions are questioned, or a patient is harmed as a result of them exercising their right to refuse treatment, they may also suffer professional and legal consequences.

The dilemma could have varying effects on individual patients. Patient autonomy promotes independence and self-reliance by letting people make their own choices about medical care. However, patients who resist treatments or medications out of personal belief or misunderstanding may experience adverse health effects or a slowed recovery. Actions in such cases can impact public view and trust in the healthcare system; hence, the ethical and legal dilemma may have repercussions beyond the immediate crisis.

Culture, socioeconomic status, religion, generation, and ethnicity can all influence public opinion. When deciding whether to pursue a particular course of treatment, patients may consider how well that course of therapy aligns with their personal value system and long-held customs, including their cultural and religious beliefs. Healthcare services and access to information may differ by socioeconomic class, influencing decision-making.

Perspectives on the relative value of patient autonomy and the need to ensure safety may vary by generation and ethnic background. Regarding healthcare, people of different ages may value other things. In contrast, younger people may lean towards autonomy; older adults may prefer to have faith in the advice given by healthcare professionals. Ethnic diversity may give rise to contrasting cultural values and beliefs that influence perspectives on healthcare decision-making, and thus, the ethical problem may arise.

The Role of the DNP-Prepared Nurse in Resolving Legal and Ethical Dilemmas

The role and responsibilities of a nurse with a Doctor of Nursing Practice (DNP) degree in resolving legal and ethical challenges are essential to providing high-quality, patient-centered care. My research has led me to believe that adopting a patient-centered strategy that emphasizes protecting patients while respecting patient autonomy is the best course of action. This view is consistent with patient-centered care principles, emphasizing the importance of patient participation in decision-making and tailoring treatment plans to individual needs. When healthcare workers treat their patients as partners, patients are more likely to feel safe confiding in them and eager to help make treatment decisions.

Kuosmanen et al. (2021) found that patient engagement in decision-making was associated with higher treatment plan adherence and better health outcomes. Rees’s (2023) research emphasizes the ethical and legal importance of respecting patient autonomy, highlighting the necessity for healthcare providers to strike a balance between patient autonomy and patient safety. Faiman and Tariman’s (2019) research highlights the benefits of shared decision-making for patient satisfaction and active participation in their care, which include favorable patient outcomes, less legal issues and an increase in the overall quality of care accorded to patients.

Achieving success as a DNP-prepared nurse requires one to show leadership accountability. Facilitating honest dialogue, teamwork, and moral judgment among healthcare professionals is a hallmark of strong leadership. Patient-centered care must ensure that patients can access complete and objective information about their treatment options. The DNP-prepared nurse can encourage collaborative decision-making and patient engagement in healthcare by modeling clear and courteous communication.

Several measures can be used to reduce risk to the organization. The DNP-prepared nurse must uphold the values of informed consent and patient rights while working within the legal and regulatory frameworks that regulate healthcare practice. Following institutional standards and policies is necessary, such as getting proper treatment consent and documenting talks and decisions. The nurse can also reduce the likelihood of making a mistake by working with interdisciplinary teams and asking for and receiving feedback from other professionals in the field. Regularly educating and training employees on ethical and legal concerns is another great way to foster a proactive attitude toward risk management and ensure everyone is current on the latest best practices.

Conclusion

This paper examines the ethical and legal challenges facing the healthcare industry. This paper aims to examine the complexities of this problem, highlight its impact on healthcare outcomes, and demonstrate the importance of the DNP-prepared nurse in addressing these complex challenges. It addressed some of the most critical aspects of this ethical and legal issue, including open dialogue, group decision-making, and interprofessional collaboration. It was clear that delivering patient-centered care and attaining positive healthcare outcomes depended on respecting patient autonomy while protecting patient safety. The paper emphasized the importance of addressing the issue effectively to minimize patient harm, strained relationships, and legal complications.

As a leader in healthcare, the DNP-prepared nurse is responsible for promoting a culture of open communication, collaboration, and ethical decision-making; this role was emphasized, as was the importance of the DNP-prepared nurse in addressing legal and ethical issues. Involving patients in decision-making, providing evidence-based information, and encouraging shared decision-making are all part of a nurse’s scope of practice. The DNP-educated nurse helps reduce hazards to the organization and improves patient care by being transparent and adhering to all rules and regulations.

The DNP-prepared nurse plays a crucial role in leading and navigating these complex situations since they require a holistic and patient-centered approach to resolve ethical and legal challenges in healthcare. The DNP-educated nurse makes a difference in healthcare outcomes and builds trust among patients, healthcare providers, and the community by preserving ethical values, supporting teamwork, and campaigning for patient autonomy and safety.

References

Alimoradi, Z., Jafari, E., Lin, C.-Y., Rajabi, R., Marznaki, Z. H., Soodmand, M., Potenza, M. N., & Pakpour, A. H. (2023). Estimation of moral distress among nurses: A systematic review and meta-analysis. Nursing Ethics, 096973302211352. https://doi.org/10.1177/09697330221135212

Bolcato, M., Shander, A., Isbister, J. P., Trentino, K. M., Russo, M., Rodriguez, D., & Aprile, A. (2021). Physician autonomy and patient rights: lessons from an enforced blood transfusion and the role of patient blood management. Vox Sanguinis. https://doi.org/10.1111/vox.13106

Faiman, B., & Tariman, J. (2019). Shared decision making: Improving patient outcomes by understanding the benefits of and barriers to effective communication. Clinical Journal of Oncology Nursing, 23(5), 540–542. https://doi.org/10.1188/19.cjon.540-542

Kuosmanen, L., Hupli, M., Ahtiluoto, S., & Haavisto, E. (2021). Patient participation in shared decision‐making in palliative care – an integrative review. Journal of Clinical Nursing, 30(23-24). https://doi.org/10.1111/jocn.15866

Rees, M. (2023). Patient autonomy and withholding information. Bioethics, 37(3), 256–264. https://doi.org/10.1111/bioe.13130

Varkey, B. (2020). Principles of clinical ethics and their application to practice. Medical Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119