Nrg5000 Theoretical Foundations Of Nursingdr Lisa Capps Faculty4ethi ✓ Solved
NRG5000 Theoretical Foundations of Nursing Dr. Lisa Capps, Faculty 4 Ethics Final Paper Instructions and Rubric Choose a topic of an ethical issue that is of interest to you that is relevant to nurses/nursing practice. You must receive approval of your topic from the class professor before writing your paper. Ideally, you will choose a topic in which you do not have great deal of knowledge or pre-conceived ideas. This topic will also be relevant to nursing practice .
Journals and articles other than those in the nursing profession may be considered. This assignment is a formally written paper in APA format, 7th edition. A minimum of three professional references is required. You may use internet sites and articles but they will not be counted as a professional citation. A pdf. version of the paper may NOT be submitted—only a Word document that can be edited will be accepted. · The term “ethical dilemma†refers to a situation where choices need to be made, the answers may not be clear, the options are not ideal and there may be active barriers to a reasonable solution · The topic is objectively defined and described.
As nurses we have a duty to our patients to advocate for them. At the same time, we must keep ourselves out of the situation. This section must address the topic with objectivity and facts. · Write in the third person until you are to provide your personal professional response. · At least three professional nursing journal articles should be cited to substantiate the facts that are relevant to the topic · The paper introduction should be submitted in APA style (7th edition). Please familiarize yourself with APA and how to cite references. The following websites are helpful APA style references. · The final paper should be 6 ½ to 7 ½ pages (double-spaced 12-pt.
Times New Roman font). Use the following as Level One Headings for your paper: · Introduction · Identification and Discussion of the Ethical Dimensions · Relevance of the Ethical Issue to Nursing · Analysis of Relevant Ethical Principles, Theories, Laws, and Standards of Practice · Personal Professional Response to the Issue · Conclusion Rubric for the Ethics Final Paper: Criteria Level 4 3 points Level 3 2 points Level 2 1 point Level 1 0 points Introduction Theme/Objective Clearly and effectively communicates an introduction of the theme/objective of the ethics topic Effectively communicates an introduction of the theme/objective of the ethics topic but questions remain Does not effectively communicate an introduction of the theme/objective of the ethics topic Misses point completely in introduction of the theme/objective of the ethics topic / 3 Supporting Details Each detail supports or tells more about the topic and has follow up sentences which provide additional support Some of the details support the main idea/topic, but some do not The details do not support the main idea/topic OR there are not enough details There are no substantiating support for the main idea/topic /3 Relevance: Why is this an ethical dilemma in today’s society?
Very strong appropriate interpretation of data and relevant to the topic Largely appropriate interpretation of data and relevant to topic May contain some misinterpretation and/or irrelevant material Limited interpretation and relevance of topic / 3 Ethical analysis: application and discussion of ethical principles, theories, laws, and standards of nursing practice Ethical principles, theories, laws, and standards of nursing practice are clearly and effectively defined and applied to the topic Ethical principles, theories, laws, and standards of nursing practice are defined and applied to the topic, but clarity or thoroughness are lacking Ethical principles, theories, laws, and standards of nursing practice are superficially mentioned or inadequately applied to the topic Ethical principles, theories, laws, and standards of nursing practice are incorrectly defined or incorrectly applied to the topic /3 Understanding of Topic as Ethical Dilemma for Nursing Addresses ethical issues in good detail, if appropriate Addresses ethical issues adequately, if appropriately Does not address ethical issues adequately, if appropriate Ethical issues not appropriately or clearly addressed, if appropriate /3 Personal Professional Response to the Issue Clearly and effectively presents one’s personal PROFESSIONAL response to the issue Presents one’s personal PROFESSIONAL response to the issue, but clarity is lacking Presents one’s personal response to the issue, but emphasizes non-professional experiences Fails to make a connection between the writer and the topic presented /3 Conclusion: Reflection of What You Learned Reflection Good summary, clearly articulated Summarized and adequately articulated Incomplete summary/superficially articulated Not a summary/poorly articulated /3 Clarity and Organization Headings utilized Headings utilized, paper clear/concise/organized Headings not utilized, paper clear/concise/organized No Headings, paper unclear/ not concise/disorganized Lack of organization obscures meaning or you have not corrected feedback given in prior assignments /3 Spelling and Grammar No spelling or grammatical errors.
Less than 3 spelling or grammatical errors Less than 7 spelling or grammatical errors. More than 7 spelling or grammatical errors, errors obscure meaning, or a failure to correct errors discussed in class or feedback from previous assignments / 3 APA format No APA 7th edition errors Less than 3 incidents of APA errors Less than 7 incidents of APA errors More than 7 incidents of APA errors or failure to correct errors discussed in class or feedback from previous assignments /3 Correct Length: 6 ½-7 ½ pages of text, PLUS title page and references yes no /3 Minimum of 3 professional nursing references, 5 years old or less yes no /3 Total /36 Your point total Points awarded Your point total Points awarded RL/0521 EXAMPLES Wild Labs Through your generous donations, the WILDLABS community was formed, and its greatest strength is the diversity and variety in the members’ expertise, skill sets, interests, and areas of research.
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Paper for above instructions
Introduction
Ethical dilemmas in nursing practice occur when healthcare professionals face situations where conflicting moral principles challenge the duty of care they have towards their patients. One significant ethical issue that continues to escalate within nursing practice is the allocation of resources within an intensively constrained healthcare environment. The concept of resource limitation particularly became evident during the COVID-19 pandemic when numerous healthcare systems globally struggled to provide adequate care to every patient. This paper aims to explore the ethical dimensions of resource allocation within nursing practice, analyze relevant ethical principles, theories, laws, and standards of practice, and provide a personal professional response to this critical issue.
Identification and Discussion of the Ethical Dimensions
Resource allocation in healthcare is intricate and fraught with ethical challenges that force nurses to make difficult decisions. Ethical principles such as justice, beneficence, and autonomy are put to the test when healthcare resources are scarce. Justice involves the fair distribution of resources, which is essential for ensuring that all patients receive appropriate care (Beauchamp & Childress, 2019). However, when faced with limited resources, nurses must navigate competing interests and priorities, including the urgency of medical needs and the potential benefit of interventions.
The ethical dilemma intensifies when considering vulnerable populations, such as the elderly, low-income individuals, and those with preexisting conditions. The challenge lies in balancing the immediate needs of the individual patient against the overall benefit to the population. For instance, healthcare professionals may need to decide whether to allocate critical care services to a younger patient with a higher likelihood of recovery over an elderly patient who may have less chance of survival (Kelley & Kearns, 2020). These decisions highlight a broader societal debate about value judgment in healthcare, deepening the ethical challenges faced by nurses.
Relevance of the Ethical Issue to Nursing
The implications of resource allocation are not merely administrative but significantly impact nursing practice and patient care. Nurses, being at the frontline of patient care, often face the burden of making these ethical decisions. The emotional toll can lead to moral distress, a phenomenon characterized by feelings of guilt, frustration, and helplessness among nurses who feel they have to compromise their professional integrity (McCarthy & Gastmans, 2015).
Further, this ethical dilemma is critical in shaping the nurse’s role as a patient advocate. Nurses are often perceived as the voice of patients, and when resources are scarce, the ability to advocate effectively on behalf of patients becomes compromised. This dynamic can lead to situations where the optimal care cannot be provided, creating ethical challenges that nurses must navigate daily (Labrague et al., 2020).
Analysis of Relevant Ethical Principles, Theories, Laws, and Standards of Practice
Within healthcare practice, ethical principles serve as foundational guidelines for moral conduct. The principles of autonomy and beneficence, for instance, are pivotal in patient care. Autonomy highlights the importance of respecting a patient’s right to make informed decisions regarding their treatment, while beneficence emphasizes the nurse's duty to act in the best interest of the patient (Beauchamp & Childress, 2019).
Furthermore, the theory of utilitarianism can inform the ethical considerations in resource allocation. This theory posits that the best course of action is one that maximizes overall good or happiness. Applying utilitarianism to nursing practice suggests that healthcare professionals may need to prioritize interventions that will yield the greatest benefit for the most people, often rending individual patient needs secondary (Gertner & Ahmadi, 2020).
Legislation also plays a crucial role in guiding ethical practice within healthcare settings. The American Nurses Association (ANA) Code of Ethics for Nurses articulates the ethical obligations of nurses and emphasizes patient advocacy in the context of equitable resource distribution (ANA, 2015). Specifically, the ethical commitment to promote justice underscores the necessity of addressing healthcare disparities, thereby informing nursing practice in resource allocation dilemmas.
Personal Professional Response to the Issue
As a healthcare professional, grappling with moral dilemmas surrounding resource allocation is challenging. Recognizing the ethical principles at play allows for a more structured approach to difficult decisions while standing firm in the duty to advocate for patients. However, it is acknowledged that the emotional component cannot be overlooked. It is crucial to engage in open discussions with colleagues about these ethical dilemmas to mitigate feelings of isolation and foster a supportive environment where sharing experiences is encouraged (Harris et al., 2018).
In response to the ethical challenge of resource allocation, personal commitment to continuous education is paramount. Staying informed about best practices, ethical guidelines, and current research can enhance decision-making processes. Collaborating with interdisciplinary teams and engaging patients in their care plans can also promote a collective approach to addressing resource limitations without compromising ethical standards.
Conclusion
The ethical dilemma surrounding resource allocation confronts nurses and healthcare professionals with profound moral challenges. The balancing act of advocating for individual patients while ensuring fair resource distribution necessitates a nuanced understanding of ethical principles, theories, and laws. The role of nurses is crucial in navigating these dilemmas, underscoring the importance of continuous education, collaborative approaches, and emotional support. By recognizing the complexities inherent in resource allocation, nurses can foster ethical practices that honor both their professional duty and the rights of their patients.
References
1. American Nurses Association (ANA). (2015). Code of Ethics for Nurses with Interpretive Statements. ANA.
2. Beauchamp, T. L., & Childress, J. F. (2019). Principles of Biomedical Ethics. Oxford University Press.
3. Gertner, M. D., & Ahmadi, M. (2020). Ethical Decision Making in Resource Allocation. Journal of Nursing Ethics, 27(6), 424–430.
4. Harris, S. M., et al. (2018). The Emotional Impact of Moral Distress on Nursing Professionals. Nursing Ethics, 25(5), 631-641.
5. Kelley, K., & Kearns, J. (2020). Ethical Framework for Resource Allocation during a Pandemic. Health, Ethics & Politics, 16(3), 203-213.
6. Labrague, L. J., et al. (2020). Nurses’ Advocacy: How Nurses Can Support Patient’s Rights. Nursing Practice Today, 7(1), 14-21.
7. McCarthy, J., & Gastmans, C. (2015). Moral Distress: A Review of the Healthcare Literature. Nursing Ethics, 22(1), 173–184.
8. Polit, D. F., & Beck, C. T. (2020). Nursing Research: Generating and Assessing Evidence for Nursing Practice. Wolters Kluwer.
9. Restrick, L., et al. (2020). The Role of Ethical Principles in Allocating Limited Resources in Healthcare. Journal of Clinical Ethics, 31(4), 309-317.
10. Westrick, S. J., et al. (2021). Ethical Dilemmas Faced by Nurses in Resource Limited Settings. International Nursing Review, 68(2), 210-218.