NURS 6512 Ethical Concerns

NURS 6512 Ethical Concerns

Sample Answer for NURS 6512 Ethical Concerns Included After Question

As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur? 

In this Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios. 

 

RESOURCES 

 

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.  

WEEKLY RESOURCES 

TO PREPARE 

Review the scenarios provided by your instructor for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your scenarios. 

  • Based on the scenarios provided: 
  • Select one scenario, and reflect on the material presented throughout this course. 
  • What necessary information would need to be obtained about the patient through health assessments and diagnostic tests? 
  • Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected. 

THE LAB ASSIGNMENT 

Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature. 

BY DAY 6 OF WEEK 11 

Submit your Assignment.  

SUBMISSION INFORMATION 

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.  

  1. To submit your completed assignment, save your Assignment as WK11Assgn+last name+first initial. 
  1. Then, click on Start Assignment near the top of the page. 
  1. Next, click on Upload File and select Submit Assignment for review. 

 

Rubric 

NURS_6512_Week_11_Assignment_Rubric 

NURS_6512_Week_11_Assignment_Rubric 
Criteria  Ratings  Pts 
This criterion is linked to a Learning OutcomeWrite a detailed 1-page narrative (not a formal paper) addressing the following:·  Explain the health assessment information required for a diagnosis of your selected patient (include the scenario number). 
35 to >29.0 pts 

Excellent 

The response clearly, accurately, and thoroughly explains detailed health assessment information required to diagnose the selected patient, with correct scenario number included. 

29 to >23.0 pts 

Good 

The response accurately explains health assessment information required to diagnose the selected patient, with correct scenario number included. 

23 to >17.0 pts 

Fair 

The response vaguely explains health assessment information required to diagnose the selected patient, with scenario number, correct or inaccurate, included. 

17 to >0 pts 

Poor 

The response lacks and/or inaccurately explains assessment information required to diagnose the selected patient, with scenario number inaccurate or missing. 

 

35 pts 
This criterion is linked to a Learning Outcome·   Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature. 
50 to >44.0 pts 

Excellent 

The response clearly, accurately, and thoroughly explains detailed evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with clear, accurate, and thorough justification using three or more different references from current evidence-based literature. 

44 to >38.0 pts 

Good 

The response accurately explains evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with accurate justification using at least three different references from current evidence-based literature. 

38 to >32.0 pts 

Fair 

The response vaguely explains evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with vague and/or inaccurate justification using two to three different references from current evidence-based literature. 

32 to >0 pts 

Poor 

The response inaccurately explains or lacks evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with inaccurate or missing justification using two or fewer references from current evidence-based literature. 

 

50 pts 
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. 
5 to >4.0 pts 

Excellent 

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria. 

4 to >3.0 pts 

Good 

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive. 

3 to >2.0 pts 

Fair 

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic. 

2 to >0 pts 

Poor 

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided. 

 

5 pts 
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 
5 to >4.0 pts 

Excellent 

Uses correct grammar, spelling, and punctuation with no errors. 

4 to >3.0 pts 

Good 

Contains a few (1 or 2) grammar, spelling, and punctuation errors. 

3 to >2.0 pts 

Fair 

Contains several (3 or 4) grammar, spelling, and punctuation errors. 

2 to >0 pts 

Poor 

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. 

 

5 pts 
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list. 
5 to >4.0 pts 

Excellent 

Uses correct APA format with no errors. 

4 to >3.0 pts 

Good 

Contains a few (1 or 2) APA format errors. 

3 to >2.0 pts 

Fair 

Contains several (3 or 4) APA format errors. 

2 to >0 pts 

Poor 

Contains many (≥ 5) APA format errors. 

 

5 pts 
Total Points: 100 

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A Sample Answer For the Assignment: NURS 6512 Ethical Concerns

Title: NURS 6512 Ethical Concerns

 

Assignment 1: Lab Assignment: Ethical Concerns

It is not uncommon for nurses advanced practice nurses to encounter situations where a patient’s wishes regarded their health are in conflict with the family’s wishes, professional experience, or evidence hence creating ethical dilemmas (Haahr et al., 2020). Therefore, it is important for an advanced practice nurse to make informed decisions that can positively impact the patient’s condition. The case considered in this assignment is for a 60-year-old man who was diagnosed with inclusive body myositis several years ago and is currently facing a rapid decline in his condition. While the patient prefers to be at home and get end-of-life care from there, the wife is of the opinion that her husband is admitted to the inpatient care setting.

Making a better decision regarding this case requires particular assessment information. Inclusive body myositis exposes the patients to falls; hence this patient is at risk of falling (Weihl, 2019).  I would assess the patient’s quality of life and ability to undertake daily life activities. Assessing the proficiency of the home caregiving would be key in determining whether the partner can offer good care and give moral support.

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An appropriate response to this scenario requires that I consider ethics as an advanced practice nurse. Guided

NURS 6512 Ethical Concerns
NURS 6512 Ethical Concerns

by nursing ethics, I would strive to educate the family and the patient to ensure that they have sufficient knowledge regarding the condition and how the family can help take care of the patient. After the assessment, I would also collaborate with the patient’s wife and other family members to help come up with an appropriate care plan which is likely to have a better impact on the patient’s condition. These actions are in accordance with the principles of beneficence and nonmaleficence, which involve doing the right and good thing for the patient and doing no harm (McDermott-Levy et al., 2018). I would also ensure that I treat the patient’s medical details with confidentiality.

References

Haahr, A., Norlyk, A., Martinsen, B., & Dreyer, P. (2020). Nurses experiences of ethical dilemmas: A review. Nursing Ethics27(1), 258-272. https://doi.org/10.1177%2F0969733019832941

McDermott-Levy, R., Leffers, J., & Mayaka, J. (2018). Ethical principles and guidelines of global health nursing practice. Nursing Outlook66(5), 473-481. https://doi.org/10.1016/j.outlook.2018.06.013

Weihl, C. C. (2019). Sporadic inclusion body myositis and other rimmed vacuolar myopathies. CONTINUUM: Lifelong Learning in Neurology25(6), 1586-1598. Doi: 10.1212/CON.0000000000000790

Case Study 1: Parents of a 5-year-old boy who oppose the immunization of their son

Immunization is an important component of health promotion for all children in the US. All the states require that children should be fully vaccinated before they begin their education. However, 47 states consider exemptions due to religious or philosophical reasons. Vaccinations are important in preventing unnecessary hospitalizations as well as mortalities. Therefore, it would be important for nurse practitioner to seek additional information from the parents about their reasons for opposing vaccination for their son. Often, parents decline vaccinations for their children due to the influence of factors such as religious beliefs and practice. The nurse practitioners should obtain information related to the religious affiliation of the family, beliefs and practice and their influence on the uptake on immunization services (Giubilini, 2021). The information on the religious beliefs, values and practices of the family will provide the nurse practitioner with the insights into the factors contributing to the decisions that the parents are making.

The nurse practitioner should also determine the knowledge and attitude of the family towards immunization. Information such as the knowledge of the parents about the benefits and risks of immunization should be obtained. The nurse practitioner should also obtained information about the fears and misconceptions that the family might have towards immunization. Low level of knowledge or misconceptions may affect the utilization of immunization services by the family (Berry et al., 2017). As a result, the nurse practitioner should educate the family about the benefits of immunization alongside the anticipated side effects. The nurse practitioner may utilize educational resources such as videos and photographs of the consequences of failing to immunize their child to increase the level of understanding of the patients (Mossey et al., 2020). Health education will help the family to make informed decisions about whether their son should be immunized or not.

 

 

References

Berry, N. J., Henry, A., Danchin, M., Trevena, L. J., Willaby, H. W., & Leask, J. (2017). When parents won’t vaccinate their children: A qualitative investigation of australian primary care providers’ experiences. BMC Pediatrics, 17(1), 19. https://doi.org/10.1186/s12887-017-0783-2

Giubilini, A. (2021). Vaccination ethics. British Medical Bulletin, 137(1), 4–12. https://doi.org/10.1093/bmb/ldaa036

Mossey, S., Hosman, S., Montgomery, P., & McCauley, K. (2020). Parents’ experiences and nurses’ perceptions of decision-making about childhood immunization. Canadian Journal of Nursing Research, 52(4), 255–267. https://doi.org/10.1177/0844562119847343