DNP 815 Based on your response to Topic 4 DQ 1, provide a decision tree of how you came to the decision of ethical theory application

DNP 815 Based on your response to Topic 4 DQ 1, provide a decision tree of how you came to the decision of ethical theory application

DNP 815 Based on your response to Topic 4 DQ 1, provide a decision tree of how you came to the decision of ethical theory application

Nurses have a responsibility as advocates for patients’ rights; as a consequence, nurses confront ethical quandaries daily (Johnstone ,2021). As the healthcare system becomes more complex and demands for high-quality nursing care increase, nurses struggle to solve multi-faceted ethical challenges. Early nurse theorists positioned the principles and practice of nursing as having their origins in ‘universal human needs. Ethical issue addressed was on justice and the principle of non-maleficence among mental health patients in seclusion. Justice was one of the fundamental rights of mankind, patients with the mental disability still had their inherent rights to be treated equally, their integrity and dignity should also be respected.

Ethical decision-making is a vital aspect to working within the mental health professions. There are benefits in the use of an EDM model to work through ethical dilemmas in mental health professions (Johnson, et al 2022). Ethical decision-making (EDM) models are designed to guide professionals in a systematic and standardized manner to provide a framework for helping someone determine an acceptable and defensible outcome when confronted with an ethical dilemma. According to Johnson 2021, the decisions in ethical dilemmas can be resolved by (a) evaluate whether training on the use of EDM models improves decision quality, (b) compare the acceptability of EDM models as rated by participants, and (c) demonstrate that EDM model use, training practices, or similar decision-making strategies, are associated with feelings of preparedness or improved decision-making.

The use of ethical decision-making models has its setbacks s, such as social influences, culture, ethical mindset, and biases in decision-making, but understanding these limitations also allows practitioners to consider supplementing existing models with steps that take into account checks for biases. The principle of deriving nursing care from human needs was thought to provide a guide not only for promoting health, but for preventing disease and illness. The nursing profession has had a longstanding commitment to social justice as a core professional value and ideal, obligating nurses to address the social conditions that undermine people’s health (Lee, et al 2020).

 

References

Johnstone M. J. (2011). Nursing and justice as a basic human need. Nursing philosophy : an international journal for healthcare professionals12(1), 34–44. https://doi.org/10.1111/j.1466-769X.2010.00459.x

 

Johsons, M.K., Weeks, S.N., Peacock, G.g., Rodriquez, M.M. (2022). Ethical decision-making models: a taxonomy of models and review of issues, Ethics & Behavior, 32:3, 195-209, DOI: 10.1080/10508422.2021.1913593

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: DNP 815 Based on your response to Topic 4 DQ 1, provide a decision tree of how you came to the decision of ethical theory application

 

Lee, W., Choi, S., Kim, S., & Min, A. (2020). A Case-Centered Approach to Nursing Ethics Education: A Qualitative Study. International journal of environmental research and public health17(21), 7748. https://doi.org/10.3

Nine Checkpoints for Ethical Decision Making

  • Determine the moral issue.- the moral issue discussed in the previous discussion about is the moral outage or frustration directed towards others who refused to be vaccinated with the Covid vaccine, which can probably limit their capacity for empathy affecting patient care.

 

Determine the actor-  Nurses providing patient care

 

  • Get the facts.- The right to refuse a vaccine may be considered an exercise of individual liberty or resistance against mandates of the government.

 

  • Determine if the moral issue is right versus wrong- Attitude towards possible disparate levels of care to
    DNP 815 Based on your response to Topic 4 DQ 1, provide a decision tree of how you came to the decision of ethical theory application
    DNP 815 Based on your response to Topic 4 DQ 1, provide a decision tree of how you came to the decision of ethical theory application

    unvaccinated patients may be guided to the nursing-related policies and codes, such as the statement outlined in the American Nurses Association (ANA) Social Policy Statement wherein obligation of the nursing profession is not only to optimize, promote and protect the health, to alleviate suffering, to prevent illness and injury but also to advocate for individuals, communities and patient population (Milken & Uveges, 2022).

 

  • Test for right versus right by assigning one of the four dilemma paradigms. The dilemma paradigm of justice vs. mercy indicates fairness, equality, understanding, and compassion. As nurses, we are expected to use theory and evidence-based knowledge to carry out nursing interventions with the goal of promoting quality outcomes (Milken & Uveges, 2022).

 

  • Apply resolution principles: Rules-based, known as duty or obligation, dictates the behavior without consequences, whereas care-based principles guide the nurse to determine the most compassionate course. Delivery of care, as outlined in the ANA Social Policy Statement relies on nurses who are guided by an established professional code of ethics that defines what beneficial or good care looks like (Milken & Uveges, 2022). The first provision of the ANA Code of Ethics calls on nurses to practice with respect and compassion to all individuals, whether vaccinated or not.

 

  • Identify if a trilemma or third option exists- Provisions call on the nurses to take the lead on issues of public health and to collaborate with other healthcare clinicians by adapting the nature of social determinants.

 

  • Make the decision- Nursing codes of ethics and other related policy statements will serve as a helpful reminder of our professional obligations.

 

  • Reflect on the decision- Consider productive and proactive ways to address vaccine refusal.

 

References

 

Edgar, P. H. (2002). Resolving Ethical Dilemas: Applying the Institute for Global Ethics’ Ethical FitnessTM Model to Occupational and Environmental Health Practice Issues. AAOHN Journal50(1), 40–47. https://doi.org/10.1177/216507990205000110

 

 

Milliken, A., & Uveges, M. K. (2022). Nurses’ Ethical Obligations Toward Unvaccinated Individuals. AACN Advanced Critical Care33(2), 220–226.

https://doi-org.lopes.idm.oclc.org/10.4037/aacnacc2022491

Nine Checkpoints for Ethical Decision Making

  • Determine the moral issue.- the moral issue discussed in the previous discussion about is the moral outage or frustration directed towards others who refused to be vaccinated with the Covid vaccine, which can probably limit their capacity for empathy affecting patient care.

 

  • Determine the actor-  Nurses providing patient care

 

  • Get the facts.- The right to refuse a vaccine may be considered an exercise of individual liberty or resistance against mandates of the government.

 

  • Determine if the moral issue is right versus wrong- Attitude towards possible disparate levels of care to unvaccinated patients may be guided to the nursing-related policies and codes, such as the statement outlined in the American Nurses Association (ANA) Social Policy Statement wherein obligation of the nursing profession is not only to optimize, promote and protect the health, to alleviate suffering, to prevent illness and injury but also to advocate for individuals, communities and patient population (Milken & Uveges, 2022).

 

  • Test for right versus right by assigning one of the four dilemma paradigms. The dilemma paradigm of justice vs. mercy indicates fairness, equality, understanding, and compassion. As nurses, we are expected to use theory and evidence-based knowledge to carry out nursing interventions with the goal of promoting quality outcomes (Milken & Uveges, 2022).

 

  • Apply resolution principles: Rules-based, known as duty or obligation, dictates the behavior without consequences, whereas care-based principles guide the nurse to determine the most compassionate course. Delivery of care, as outlined in the ANA Social Policy Statement relies on nurses who are guided by an established professional code of ethics that defines what beneficial or good care looks like (Milken & Uveges, 2022). The first provision of the ANA Code of Ethics calls on nurses to practice with respect and compassion to all individuals, whether vaccinated or not.

 

  • Identify if a trilemma or third option exists- Provisions call on the nurses to take the lead on issues of public health and to collaborate with other healthcare clinicians by adapting the nature of social determinants.

 

  • Make the decision- Nursing codes of ethics and other related policy statements will serve as a helpful reminder of our professional obligations.

 

  • Reflect on the decision- Consider productive and proactive ways to address vaccine refusal.

 

References

 

Edgar, P. H. (2002). Resolving Ethical Dilemas: Applying the Institute for Global Ethics’ Ethical FitnessTM Model to Occupational and Environmental Health Practice Issues. AAOHN Journal50(1), 40–47. https://doi.org/10.1177/216507990205000110

 

 

Milliken, A., & Uveges, M. K. (2022). Nurses’ Ethical Obligations Toward Unvaccinated Individuals. AACN Advanced Critical Care33(2), 220–226.

https://doi-org.lopes.idm.oclc.org/10.4037/aacnacc2022491