Applying Ethical Principles

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9/17/2021 Assessment 1 Instructions: Applying Ethical Principles –…

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Assessment 1 Instructions: Applying Ethical Principles

Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a 3-5-page paper.

Introduction

Whether you are a nurse, a public health professional, a health care administrator, or in another role in the health care field, you must base your decisions on a set of ethical principles and values. Your decisions must be fair, equitable, and defensible. Each discipline has established a professional code of ethics to guide ethical behavior. In this assessment, you will practice working through an ethical dilemma as described in a case study. Your practice will help you develop a method for formulating ethical decisions.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care. Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.

Competency 3: Apply ethical principles and academic standards to the study of health care. Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it. Discuss the effectiveness of the communication approaches present in a case study. Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study. Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.

Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics. Write following APA style for in-text citations, quotes, and references.

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:

1. Access the Ethical Case Studies media piece to review the case studies you will be using for this assessment. Select the case most closely related to your area of interest and use it to complete the assessment.

Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.

Include the selected case study in your reference list, using proper APA style and format. Refer to the Evidence and APA section of the Writing Center for guidance.

2. Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.

Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.

Identify who is involved or affected by the ethical problem or issue.

Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.

Apply the three components outlined in the Ethical Decision-Making Model media.

Analyze the factors that contributed to the ethical problem or issue identified in the case study. Describe the factors that contributed to the problem or issue and explain how they contributed.

3. Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.  In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The How Do I Find Peer-Reviewed Articles? library guide will help you locate appropriate references.

Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.

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9/17/2021 Assessment 1 Instructions: Applying Ethical Principles –…

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Review the Think Critically About Source Quality resource. Assess the credibility of the information source.

Assess the relevance of the information source.

4. Discuss the effectiveness of the communication approaches present in a case study. Describe how the health care professional in the case study communicated with others.

Assess instances where the professional communicated effectively or ineffectively.

Explain which communication approaches should be used and which ones should be avoided.

Describe the consequences of using effective and non-effective communication approaches.

5. Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study. Describe the actions taken in response to the ethical dilemma or issue presented in the case study.

Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.

Discuss the key lessons this case provides for health care professionals.

6. Apply ethical principles to a possible solution to an ethical problem or issue described in a case study. Describe the proposed solution.

Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.

Discuss how likely it is the proposed solution will foster professional collaboration.

7. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics. Apply the principles of effective composition.

Determine the proper application of the rules of grammar and mechanics.

8. Write using APA style for in-text citations, quotes, and references. Determine the proper application of APA formatting requirements and scholarly writing standards.

Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Assessment 1 Example [PDF].

Additional Requirements

Your assessment should also meet the following requirements:

Length: 3–5 typed, double-spaced pages, not including the title page and reference page. Font and font size: Times New Roman, 12 point. APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance. Written communication: Use correct spelling, grammar, and punctuation. References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper. APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, do not hesitate to ask faculty or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions.

SCORING GUIDE

Use the scoring guide to understand how your assessment will be evaluated.

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PICOT Question Nursing

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LITERATURE SUMMARY TABLE

 

PICOT QUESTION (sentence format):

 

QUANTITATIVE STUDIES (use these headers for EACH quantitative study):

Author/Title/Year (APA format):

Problem related to PICOT:

Purpose:

Sample/Population:

Data Collection Method:

Major Findings/Conclusions:

Contribution to Review of the Literature:

 

QUALITATIVE STUDIES (use these headers for EACH qualitative study):

Author/Title/Year (APA format):

Problem related to PICOT:

Purpose:

Sample:

Data Collection Method:

Key Findings/Themes:

Contribution to Review of the Literature:

 

MIXED METHODS STUDIES (use these headers for EACH mixed methods study):

Author/Title/Year (APA format):

Problem related to PICOT:

Purpose:

Sample:

Data Collection Method:

Key Findings/Themes/Conclusions:

Contribution to Review of the Literature:

 

META-ANALYSIS STUDIES (use these headers for EACH meta-analysis study):

Author/Title/Year (APA format):

Problem related to PICOT:

Purpose:

Search selection method:

Meta-Analysis Model:

Consistency/Variation of Studies:

Summary of Findings:

 

CLINICAL PRACTICE GUIDELINES

Author/Title/Year (APA format):

Problem related to PICOT:

Stakeholders represented:

Systematic review of literature:

Strength of recommendations used:

Recommendations have been peer reviewed:

Summary of findings as related to PICOT:

 

LITERATUR

E SUMMARY TABLE

 

 

PIC

OT QUESTION (

sentence format)

:

 

 

QUANTITATIVE STUDIES

 

(

use these

 

headers for EACH quantitative study):

 

Autho

r/Title/Year

 

(A

PA format)

:

 

Problem related to PICOT:

 

Purpose:

 

Sample

/P

opulation

:

 

Data Collection Method:

 

Major

Findings/

Conclusions

:

 

Contribution to Review of the Li

terature:

 

 

QUALITATI

VE STUDIES

(

use these headers for EACH qualitative study):

 

Autho

r/Title/Year

 

(APA format)

:

 

Pro

blem related to PICOT:

 

Pu

rpose:

 

Sample:

 

Data Collection Method:

 

Key

Findings/Themes:

 

Contribution to Review of the Liter

ature:

 

 

MI

XED METHODS

 

STUDIES

(

use th

ese headers for EACH mixed m

ethods s

tudy):

 

Author/Title/Year (APA format):

 

Problem related to PICOT:

 

Purpose:

 

Sample:

 

Data

Collection Method:

 

Key Findings/

Themes/Conclusions:

 

Contribution to Review of the Literature:

 

 

LITERATURE SUMMARY TABLE

 

PICOT QUESTION (sentence format):

 

QUANTITATIVE STUDIES (use these headers for EACH quantitative study):

Author/Title/Year (APA format):

Problem related to PICOT:

Purpose:

Sample/Population:

Data Collection Method:

Major Findings/Conclusions:

Contribution to Review of the Literature:

 

QUALITATIVE STUDIES (use these headers for EACH qualitative study):

Author/Title/Year (APA format):

Problem related to PICOT:

Purpose:

Sample:

Data Collection Method:

Key Findings/Themes:

Contribution to Review of the Literature:

 

MIXED METHODS STUDIES (use these headers for EACH mixed methods study):

Author/Title/Year (APA format):

Problem related to PICOT:

Purpose:

Sample:

Data Collection Method:

Key Findings/Themes/Conclusions:

Contribution to Review of the Literature:

Nursing Trend And Issue Discussion

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Week7 reply

Reply1Danielle

· Do you feel bullying or horizontal violence is an issue in the clinical environment? Why or why not?

First of all, I was not really sure what horizontal violence was so to clarify, horizontal violence, often referred to as lateral violence or workplace bullying, is defined as non-physical, hostile, aggressive, and damaging behavior directed at a coworker or group of coworkers, expressed through attitudes, actions, words, and/or behaviors (Horizontal Violence, 2020). Making snarky, insulting, or caustic remarks are examples of this conduct.

I believe this is a huge issue in the clinical environment and the worst part is that I feel it is only getting worse. Most recently I have experienced staff members being extremely rude to travel nurses just because they make more money and the staff nurses are jealous.

· Discuss how the nurse mentor can promote professional socialization in the workplace.

Mentoring and precepting serve to facilitate a smooth transition by promoting professional socialization. Effective mentorship, which includes role-playing, reflection exercises, and debriefing, allows the transferring nurse to reach his or her full potential in the new workplace (Bellucci & Misher, n.d.). The mentor and manager must create a learning environment that fosters a just culture, is favorable to learning, and assists newly recruited nurses in achieving targeted clinical outcomes (Bellucci & Misher, n.d.).

References

Bellucci, N., & Misher, S. (n.d.). What can we do to promote professional socialization in nursing? Journal of Nursing. Retrieved December 14, 2021, from https://rn-journal.com/journal-of-nursing/what-can-we-do-to-promote-professional-socialization-in-nursing.

Horizontal violence “alive and well” in nursing. (2020). Kai Tiaki Nursing New Zealand, 26(3), 24.

 

Reply2Isa

·   Bullying among nurses is a well-known issue with serious ramifications for nurses, patients, and healthcare organizations. Bullying in the workplace is a severe problem in the nursing profession. (Homayuni et al., 2021) The World Health Organization (WHO) has identified workplace bullying as a severe threat to nurses’ health and well-being around the world, emphasizing the importance of minimizing workplace violence as a top goal. (Homayuni et al., 2021)In nurses, being bullied is linked to symptoms of despair, anxiety, and discomfort. (Homayuni et al., 2021) Furthermore, workplace bullying can cause spectator coworkers to become stressed and dissatisfied with their jobs. (Homayuni et al., 2021) These implications can have significant ramifications for healthcare organizations and the quality of care they deliver since they can lower the quantity of nursing staff and impose additional and significant expenditures in terms of staff replacement and recruitment. (Homayuni et al., 2021)

·         As nurse leaders battle to recruit and retain nursing staff, the issue of nurse-to-nurse bullying in the workplace has gotten a lot of attention. (Rocker, 2008) Despite the knowledge that workplace bullying is undesirable and that healthcare managers are obliged to provide a respectful work environment for nurses, workplace bullying nevertheless exists among nurses. (Rocker, 2008) The person who is being bullied is an important person to stop. (Rocker, 2008) When these victims of nurse-to-nurse bullying decide they’ve had enough of “going to war every day,” they’ll need help from both inside and outside the organization to stay optimistic while dealing with workplace bullies. (Rocker, 2008) The nurse’s ability to stop bullying can be aided by both assistance and counseling. (Rocker, 2008)

Maternalclinical_3-Case Study 128

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Case Study 128 – Postpartum

Read the scenario and answer all questions

Scenario:

T.N. delivered a healthy male infant 2 hours ago. She had a midline episiotomy. This is her sixth pregnancy. Before this delivery, she was G6, T4, P0, A1, L4. She had an epidural block for her labor and delivery. She is now admitted to the postpartum unit.

1. What is important to note in the initial assessment? necessary.

2. You find a boggy fundus during your assessment. What corrective measures should be instituted?

3. The patient complains of pain and discomfort in her perineal area. How will you respond?

4. The nurse reviews the hospital security guidelines with T.N. The nurse points out that her baby has a special identification bracelet that matches a bracelet worn by T.N., and the nurse reviews other security procedures. Which statement by T.N. indicates a need for more teaching?

a. “If I have a question about someone’s identity, I can ask my nurse about it.”

b. “If someone comes to take my baby for an examination, that person will carry my baby to the examination room.”

c. “Nurses on this unit all wear the same color uniform.”

d. “Each staff member who takes my baby somewhere will have a picture identification badge.”

5. An hour after admission, you recheck T.N.s perineal pad and find that there is a very small amount of lochia on the perineal pad. What will you do next? a. Ask T.N. to change her perineal pad

b. Check her perineal pad again in 1 hour

c. Check the pad underneath T.N.’s buttocks

d. Document the findings in T.N.’s medical record

6. That evening, the nursing assistive personnel assesses T.N.’s vital signs. Which vital signs would be of concern at this time?

Vital Signs:

Temperature: 99.9°F
Blood pressure: 100/50
Pulse rate: 120 bpm

Respiratory rate: 16/min.

7. What will you do next? Monitor VS, notify doctor is BP and pulse do not improve. Assess pt for bleeding or leaking. Assess for color, amount, consistency, and odor of the lochia. Check to see if blood has spread to other areas of the body. Check uterine fundus, if boggy, massage until firm.

8. After your prompt intervention, you need to document what occurred. Write an example of a documentation entry describing this event.

Time: 1600 Pulse: 120 BP: 100/50

Large amount of lochia rubra noted with small clots underneath patients buttocks. Fundus was boggy until massaged firm. Patient encouraged to increase fluid intake. Patient voiding without difficulty. Assisted patient with perineal hygiene and provided a clean perineal pad which was placed under patient. Will continue to monitor.

9. Two hours later, you perform another perineal pad check and observe a 2 in. stain on the pad. How would you document your findings in terms of the amount of lochia on the peripad? Light

10. T.N.’s condition is stable, and you prepare to provide patient teaching. What patient teaching is vital after delivery?

11. T.N. tells you she must go back to work in 6 weeks and is not sure she can continue breastfeeding. What options are available to her?

T.N. is discharged to home and plans to consult a lactation specialist before returning to work.

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