NR581 Week 6 Addressing Ethical Dilemmas in Patient Care Assignment

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NR581 Week 6 Addressing Ethical Dilemmas in Patient Care Assignment – Step-by-Step Guide

The first step before starting to write the NR581 Week 6 Addressing Ethical Dilemmas in Patient Care Assignment 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 NR581 Week 6 Addressing Ethical Dilemmas in Patient Care Assignment

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 NR581 Week 6 Addressing Ethical Dilemmas in Patient Care Assignment

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 NR581 Week 6 Addressing Ethical Dilemmas in Patient Care Assignment

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 NR581 Week 6 Addressing Ethical Dilemmas in Patient Care Assignment

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 NR581 Week 6 Addressing Ethical Dilemmas in Patient Care Assignment

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 NR581 Week 6 Addressing Ethical Dilemmas in Patient Care Assignment

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.

NR581 Week 6 Addressing Ethical Dilemmas in Patient Care Assignment Instructions

Purpose

The purpose of this assignment is to identify and respond to ethical dilemmas in the healthcare setting. This assignment will allow for the discovery of ethical principles and supports the professional formation of the nurse practitioner practice role. Have a look at NR582 Week 1 Discussion Impact of a Leader.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

  • CO 1: Examine essential competencies and underpinnings across advanced nursing practice roles. (POs 2, 5)
  • CO 2: Integrate concepts related to person-centered care in advanced nursing practice. (POs 1, 2, 3, 5)
  • CO 3: Appraise policies, evidence-based practices, and ethical principles for advanced nursing practice. (POs 1, 3, 4, 5) 
  • CO 4: Analyze interprofessional partnerships to enhance practice and patient/population health outcomes. (POs 3, 4, 5) 
  • CO 5: Demonstrate professional competencies in the formation of the advanced nursing practice role. (POs 1, 2, 3, 4, 5) 

Due Date

Submit your presentation to the Dropbox by 11:59 p.m. MT Sunday at the end of Week 6.

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with a penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.

Total Points Possible: 225

Preparing the Assignment

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

General Instructions

Complete the Addressing Ethical Dilemmas Assignment by following the steps below.

  1. Download the Week 6 Addressing Ethical Dilemmas PowerPoint template. Use of this template is required. If the template is not used, a 10% deduction will be applied. See the rubric.
  2. Submit the presentation as a .ppt or .pptx file to the Week 6 Dropbox. PDF files are not allowed, as speaker notes are not visible.
  3. Follow current APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.
  4. Include speaker notes for all slides except the title and reference slides. Use the Notes Page view feature in PowerPoint to include speaker notes.
  5. Use at least 3 scholarly sources to substantiate the information presented.
  6. Correctly cite and reference information from scholarly sources.
  7. Abide by Chamberlain University’s academic integrity policy.

Include the following sections (detailed criteria listed below and in the grading rubric)

  1. Title Slide
    1. Include your name and session.
  2. Introduction (1 slide)
    1. Identify the purpose of the presentation.
  3. Advanced Nursing Role (1-2 slides)
    1. Explain three ways advanced practice nurses can contribute to the resolution of ethical dilemmas in healthcare.
    1. Provide an in-text citation from one scholarly source to support your writing.
  4. Description of an Ethical Dilemma (2-4 slides)
    1. Describe an ethical dilemma from the literature or your nursing practice. You may reuse the information you wrote for this week’s Collaboration Café.
    1. Identify the stakeholders.    
    1. Describe how the situation impacts stakeholders.
  5. Ethical Analysis (2-4 slides)
    1. Analyze the ethical principles in the conflict.
    1. Discuss which provisions of the American Nurses Association Code of Ethics apply.
    1. Provide an in-text citation from one scholarly source to support your writing.
  6. Recommendations (1-3 slides)
    1. Provide at least three recommendations for resolving the ethical dilemma.
    1. Provide an in-text citation from one scholarly source to support your writing.        
  7. Conclusion (1 slide)
    1. Summarize the key points of the presentation.
  8. References
    1. Create references in APA format. You may use bullets. Hanging indents are not required.
    1. Use at least 3 scholarly sources.
    1. Ensure each reference has a matching citation.
Presentation
  1. The slides are professional in appearance and tone.
  2. Slide information is succinct and presented with bulleted points.
  3. A minimum of 18-point font is used and appropriate for audience reading.
  4. The presentation has 8-15 slides (excluding title and reference slides).
  5.  Title and Reference slides are included.

NR581 Week 6 Addressing Ethical Dilemmas in Patient Care Assignment Example (PPT Notes)

Introduction

Ethical dilemmas in primary care are common due to various factors, including limited resources, conflicting demands, and organizational constraints. Nurses frequently encounter situations where it is challenging to balance ethical principles like autonomy, beneficence, and nonmaleficence. According to recent research, such as the scoping review by Giannetta et al. (2021), these challenges contribute significantly to moral distress among primary care nurses. Addressing these dilemmas through ethical decision-making and organizational support can help alleviate the distress and improve patient care outcomes​.

Advanced Nursing Role

APNs are instrumental in supporting patients’ autonomy by making them understand their options regarding their care. Developing and maintaining practice cultures that value ethics helps to decrease levels of moral stress and increases the quality of patient services. APNs can facilitate ethical thinking and enhance ethical reasoning. In their positions as leaders, APNs contribute to creating an ethical culture within the healthcare teams and supporting colleagues in solving ethical problems.

APNs can also guide the interprofessional team in completing problem-solving from different angles to ensure that ethical issues are resolved amicably. They formulate policies to incorporate ethical values in organizations, thus helping foster ethical compliance in the working world. This way, APNs help train staff members to identify relevant ethical issues and enable the rest of the team to address such concerns more competently.

Description of an Ethical Dilemma

The patient’s history includes 20 years of homelessness following the onset of schizophrenia, which led to losing her job and family. Her psychiatric condition is managed through monthly injections, and she avoids hospitalization by cooperating with treatment. Her request raises ethical questions about autonomy, the role of socioeconomic factors in healthcare decisions, and whether offering MAID is appropriate given her mental health and social situation.

Since the stakeholders have different objectives, the process of decision-making becomes challenging. The need to respect the patient’s right to self-determination against medical interventions that may help extend her life must be considered. This is an ethical dilemma since the healthcare team has the duty of respecting autonomy while at the same time being benevolent and non-malevolent. The role that mental health plays in decision-making also warrants attention through the concerns expressed by the psychiatrist.

In this case, issues that involve justice and equity emerge, considering that the patient’s years-long homelessness and mental instability affect the assessment of her legal competence. Her case calls for thoughtful, ethical analysis, thus respecting her self-determination but considering options for ending her suffering by offering palliative treatment and social support.

Ethical Analysis

The patient’s autonomy is a fundamental principle in this case. She has expressed a clear preference for palliative care over invasive surgery, which should be respected if she is deemed capable of making this decision.

Nonmaleficence raises questions about whether declining surgery is causing more harm than respecting her choice. The medical team must weigh the risks of sepsis against the potential psychological and emotional distress of a forced procedure.

Beneficence supports providing compassionate care aimed at symptom relief through palliative interventions. Justice highlights systemic factors, such as her homelessness, which might limit her access to support and affect her capacity to make truly informed decisions.

Provision 1 underlines the importance of respecting the patient’s autonomy, while Provision 2 suggests considering all aspects of her well-being.

Provision 3 calls for a fair process, ensuring that the patient’s rights are not overshadowed by discomfort from the care team. The patient’s mental health status complicates the ethical analysis, necessitating a balanced approach to respecting autonomy while protecting her from harm.

Recommendations

Carrying out a comprehensive MAID assessment guarantees that the patient’s request is respected while affirming the ethical means. It honors self-determination while ensuring that all legal and medical requirements have been complied with.

Improving palliative care services eases the pressure and offers care for the patient’s holistic needs to alleviate physical and psychological distress. It may also change the patient’s stance towards the further continuation of the life-sustaining treatment. Capacity must be evaluated and re-evaluated to make sure her current mental and emotional state is appropriate for her to make sound decisions regarding her personal preferences in the present.

Enhanced social support can help address the underlying factors contributing to the patient’s suffering and could alter her decision about MAID. Open communication with the entire care team promotes ethical decision-making, balances different viewpoints, and ensures a holistic approach. Supporting the patient’s autonomy means respecting her choices, even if they differ from the care team’s recommendations, as long as she demonstrates decision-making capacity.

Conclusion

The presentation highlighted the critical role of ethical principles in guiding care decisions, especially in complex cases. By leveraging the skills and ethical frameworks available to advanced practice nurses, patient-centered care can be upheld while navigating difficult choices.
Emphasis was placed on a holistic approach that integrates ethical analysis with practical solutions to enhance patient outcomes and well-being.

References

•American Nurses Association. (2021). Nurses’ professional responsibility to promote ethical practice environments. Accessed 9th October 2024 from  https://www.nursingworld.org/~4ab6e6/globalassets/practiceandpolicy/nursing-excellence/ana-position-statements/nursing-practice/nurses-professional-responsibility-to-promote-ethical-practice-environments-2021-final.pdf

•American Nurses Association. (2023). Why ethics in nursing matters: Ethical principles in nursing. American Nurses Association. Accessed 9th October 2024 from https://www.nursingworld.org/content-hub/resources/workplace/why-ethics-in-nursing-matters/

•Ernstmeyer, K., & Christman, E. (2022). Chapter 6 – ethical practice. Www.ncbi.nlm.nih.gov; Chippewa Valley Technical College. https://www.ncbi.nlm.nih.gov/books/NBK598377/

•Giannetta, N., Villa, G., Pennestrì, F., Sala, R., Mordacci, R., & Manara, D. F. (2021). Ethical problems and moral distress in primary care: A scoping review. International Journal of Environmental Research and Public Health, 18(14), 7565. https://doi.org/10.3390/ijerph18147565

•Wati, N. M. N., Juanamasta, I. G., Thongsalab, J., & Yunibhand, J. (2023). Strategies and challenges in addressing ethical issues in the hospital context: A phenomenological study of nurse team leaders. Belitung Nursing Journal, 9(2), 139–144. https://doi.org/10.33546/bnj.2446