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Virtue Ethics Essay

NURS521 Ethics in Healthcare

Week 1 Assignment  

Virtue Ethics Essay

Respond to one of the following three “news clippings” related to virtue ethics from your Pozgar text.  Write a 1- 2 page essay addressing the discussion questions posed for the one you selected.  Be sure to clearly identify the news clipping you selected.

 

Adhere to APA formatting and cite all sources. Review the rubric for further information on how your assignment will be graded.

 

Watch the following 3 videos and choose one to address for your assignment.

 

#1. Wrong-Operation Doctor

 

Download Script Download Download Script

 

Find Out More: You may use these and other outside sources to frame your discussion.

 

         The Pain of Wrong Site Surgery (Links to an external site.)

 

Judgment Upheld in Arkansas Brain Surgery Lawsuit (Links to an external site.)

 

National Quality Forum (Links to an external site.)

 

Assignment Discussion Questions

 

1. Discuss the issues of integrity in this case.

 

2. Should criminal charges be considered in this case, if accurately reported? Discuss your answer.

 

3. Why did you choose to respond to this story?

 

4. How is integrity displayed in your clinical setting?

 

#2. Cheney’s Staff Cuts Testimony on Warming 

 

Download Script Download Download Script

 

Find Out More: You may use these and other outside sources to frame your discussion.

 

The full story Cheney’s Staff Cut Testimony On Warming (Links to an external site.)

 

CDC on Air Quality (Links to an external site.)

 

Assignment Discussion Questions

 

1. Discuss how headlines such as this affect your opinion of politicians.

 

2. At the end of our days, the most basic principles of life–trust and survival–are on trial. What is your verdict, if you believe there was a cover-up?.

 

3. Why did you choose to respond to this story?

 

4. How are government and political trust displayed in your clinical setting?

 

#3. Surgeon Uses Ministry in Medical Practice

 

Download Script Download Download Script

 

Find Out More: You may use these and other outside sources to frame your discussion.

 

The full story:  Praying with patients: A Dallas surgeon finds a way to put ministry into practice (Links to an external site.)

 

Should Your Doctor Pray With You? (Links to an external site.)

 

South Korean Hospitals Shut Over MERS Fears; 11th Person Dies

 

 (Links to an external site.)

 

Note the picture in this article

 

Assignment Discussion Questions

 

1. Discuss the pressure, if any, placed on the patient to responding to the suggestion of prayer prior to surgery.

 

2. Describe how you, as the surgeon, or nurse, would address a patient’s religious or spiritual needs if the risks of a complex surgical procedure appear to be threatening.

 

3. Why did you choose to respond to this story?

 

4. How is religion or faith displayed in your clinical setting?

 

 

 

NURS521 Ethics in Healthcare

 

Week 2 Assignment  

 

Ethical Frameworks Essay

 

Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below).  Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.

 

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way?  Does this seem like a valid process for you to apply in your practice?

 

Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.

 

Review the rubric for further information on how your assignment will be graded.

 

TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases

 

Medical Indications: The Principles of Beneficence and Nonmaleficence

 

1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?

 

2.  What are the goals of treatment?

 

3.  In what circumstances are medical treatments not indicated?

 

4.  What are the probabilities of success of various treatment options?

 

5.  In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?

 

Patient Preferences:  The Principle of Respect for Autonomy

 

1. Has the patient been informed of benefits and risks, understood this information, and given consent?

 

2.  Is the patient mentally capable and legally competent, and is there evidence of incapacity?

 

3.  If mentally capable, what preferences about treatment is the patient stating?

 

4.  If incapacitated, has the patient expressed prior preferences?

 

5.  Who is the appropriate surrogate to make decisions for the incapacitated patient?

 

6.  Is the patient unwilling or unable to cooperate with medical treatment? If so, why?

 

Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy

 

1.  What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?

 

2.  On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?

 

3.  Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?

 

4.  What ethical issues arise concerning improving or enhancing a patient’s quality of life?

 

5.  Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?

 

6.  What are plans and rationale to forgo life-sustaining treatment?

 

7.  What is the legal and ethical status of suicide?

 

Contextual Features: The Principles of Justice and Fairness

 

1.  Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?

 

2.  Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?

 

3.  What are the limits imposed on patient confidentiality by the legitimate interests of third parties?

 

4.  Are there financial factors that create conflicts of interest in clinical decisions?

 

5.  Are there problems of allocation of scarce health resources that might affect clinical decisions?

 

6.  Are there religious issues that might influence clinical decisions?

 

7.  What are the legal issues that might affect clinical decisions?

 

8.  Are there considerations of clinical research and education that might affect clinical decisions?

 

9.  Are there issues of public health and safety that affect clinical decisions?

 

10.  Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?

 

 

 

NURS521 Ethics in Healthcare

 

Week 3 Assignment  

 

Contemporary Issue Position Essay

 

Choose a case from the AMA Journal of Ethics Case Index (Links to an external site.) and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.

 

In your 2-3 page paper:

 

Identify the issue and state your ethical position.

 

How might this scenario play out or impact you in your role as a nurse practitioner?

 

Defend your position with legal, ethical, and professional evidence.

 

As part of your position, propose strategies and solutions for addressing the issues.

 

What other ethical issues does this case bring to light, if any?

 

Support your position with at least one scholarly source (it may be your text).  Be sure to cite the article you choose, use APA format, and include a title page and reference page.

 

Review the rubric for further information on how your assignment will be graded.

 

 

 

NURS521 Ethics in Healthcare

 

Week 4 Assignment  

 

Article Summary and Review Essay

 

Choose one of the articles below, and address the essay prompt associated with it. You will need to log in to the WCU library to access the full article.

 

Park, M. (2009). Ethical issues in nursing practice. Journal of Nursing Law, 13(3), 68-77. doi:10.1891/1073-7472.13.3.68

 

Link:  Ethical issues in nursing practice  (Links to an external site.)   

 

Essay Prompt: Identify primary areas for legal and ethical issues faced by oncology nurses in this study (Park, 2009), and strategies they may have developed to work with those ethical issues.

 

Or,

 

Croke, E. (2006). Nursing malpractice: determining liability elements for negligent acts. Journal of Legal Nurse Consulting, 17(3), 3.

 

Link: Nursing malpractice: determining liability elements for negligent acts (Links to an external site.)

 

Essay Prompt: Identify primary problems that led to the malpractice suits (Croke, 2006), and identify the role the nurse played and what the nurse did wrong.

 

Your 1-2 page paper should include adhere to APA formatting and references/ citations for the article.  Additional sources are optional.

 

Review the rubric for further information on how your assignment will be graded.

 

 

 

NURS521 Ethics in Healthcare

 

Week 5 Assignment  

 

Field Activity Paper

 

This paper will have three parts addressing two important pieces of legislation related to the right of individuals to make health care decisions for themselves.

 

Part I

 

The Advance Health Care Directive

 

Locate a copy of an advanced directive (AD) that complies with the laws of the state in which you work. The organization in which you work should have a copy of an advance directive that is given to patients. If not, download your state’s Advance Directives here http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289. (Links to an external site.)

 

Complete the advance directive for yourself.  Do not turn in your AD with your paper. The AD is for your personal use.

 

In your paper, Part I:

 

Identify where you obtained the AD and explain its compliance with state law.

 

Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.  

 

Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive.

 

(Cite/ reference any sources you use to explore these questions, including your texts.)

 

Part II

 

Physician Orders for Life-Sustaining Treatment (POLST) Form

 

What is a Physician Orders for Life-Sustaining Treatment (POLST) form (Links to an external site.)?

 

When should this form be completed?

 

Who can complete the form?

 

Who needs to sign the form to make it a legal document?

 

(Cite/reference any sources you use to explore these questions, including your texts.)

 

Part III

 

Tie the two first sections together by writing a summary and conclusion.

 

This section should address:

 

1. the differences between an Advance Health Care Directive and the POLST,

 

2. the RN’s important role in assuring the patient’s right to autonomy in choosing the healthcare interventions the patient does or does not want.

 

Use current APA Style.

 

The paper should be between 3-5 pages in length excluding the title and reference page(s).

 

Cite and reference the course text and at least two (2) additional appropriate professional sources.  

 

Review the rubric for further information on how your assignment will be graded.

 

 

 

NURS521 Ethics in Healthcare

 

Week 6 Assignment  

 

Organizational Ethics Presentation

 

This week, you will submit a video presentation. Your presentation must include both audio and visual components and be professional in nature.

 

You will submit your final presentation here for grading, and you will submit it to the discussion board this week as a draft for your peers to review and as a final product to share.  See the discussion board for details

 

Choose a topic below.

 

Taken from the assigned reading in Butts chapter 12, page 401, “Ethical Reflection: Typical Unethical or Illegal Behaviors in Organizations”

 

Create a presentation of 10-15 slides or screens excluding the title and references.

 

Your slides/screen should include titles, main ideas, bullet points, and relevant images, charts, graphs, etc. 

 

In your presentation:

 

Describe an ethical situation, based on the chosen topic, that can get in the nurse’s way of practicing ethically. Describe the situation clearly and concisely.

 

Identify how this situation relates to one provision within the Code of Ethics for Nurses.

 

Identify two ethical principles that may arise when facing this situation.

 

Discuss how a nurse might lessen the impact of the situation on the nurse’s practice.

 

In addition to the course texts, cite and reference a minimum of two (2) additional scholarly sources to support your work.

 

Close with a summary of your topic, and APA formatted reference slide(s).

 

Review the rubric for further information on how your assignment will be graded.

 

Videos can be recorded using any software or tool, but all videos are required to be uploaded to My Panopto Videos for assignment submission.

 

You can also use the Panopto Desktop Recording tool to create your video.

 

 

 

NURS521 Ethics in Healthcare

 

Week 7 Assignment  

 

Advocacy Paper

 

Choose a patient-care situation in which the RN should intervene and advocate for the patient.  An example of such a situation might be when a patient has not been given complete informed consent.

 

Include the following in your paper:

 

Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one.

 

Apply the Bioethical Decision Making Model to the specific clinical ethical situation that you choose. Address each section of the model in your paper.

 

Conclude with a discussion of nursing advocacy in the clinical setting and the nurse’s role as a patient advocate. 

 

Your paper should be 4-5 pages.

 

You must reference and cite 1-2 scholarly sources other than your text. Include a title page and a reference page to cite your text and adhere to APA formatting.

 

Review the rubric for further information on how your assignment will be graded.

 

 

 

NURS521 Ethics in Healthcare

 

Week 8 Assignment  

 

Nine Tenets Essay

 

Reviewing Appendix B in Butts, choose two of the Nine Tenets of the Code of Ethics for Nurses and describe how you will personally apply each tenet in the practice setting with your patients. Describe in detail the purpose of the tenet and provide examples of the tenet applied in practice. Explain why it is important to uphold the tenet in maximizing the quality of patient care, and identify how it enhances your own practice as a nurse.

 

Your paper should be 1-2 pages.

 

Include a title page and a reference page to cite your text. Adhere to APA formatting throughout, and cite any outside sources you may use.

 

Review the rubric for further information on how your assignment will be graded.

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