NURS 8002 ETHICS AND THE DNP-PREPARED NURSE

NURS 8002 ETHICS AND THE DNP-PREPARED NURSE

NURS 8002 ETHICS AND THE DNP-PREPARED NURSE

The ethical issues relevant to the DNP-prepared nurse include informed consent and fidelity. Informed consent is based on a patient’s right to decide for themselves. The DNP prepared nurse must respect patients’ right to decide and protect those patients who are unable to decide for themselves (Varkey, 2021). Informed consent stems from the ethical principle of autonomy.  The principle of autonomy entails a person’s right to choose and the ability to act on that choice. DNP prepared nurse has a responsibility of respecting patients’ right to autonomy. Autonomy reflects the belief that every competent individual has the right to determine their course of action (Vikas et al., 2021). DNP prepared nurse should be aware that the right to free choice rests on the patient’s competency to decide.

Fidelity means faithfulness and keeping promises and is the ethical foundation of nurse-client relationships. Patients have an ethical right to expect nurses to act in their best interests. As the DNP prepared nurse function in the role of patient advocate, they are upholding the principle of fidelity. The DNP nurse demonstrates fidelity when they represent the patient’s viewpoint to other members of the healthcare team (Graf et al., 2020). Fidelity is also demonstrated when the DNP prepared nurse avoids letting their own values influence their advocacy for clients. Thus, the DNP prepared nurse should support the patient’s decision even when it conflicts with the nurse’s preferences or choices.

The above issues compare to the ethical issues I have encountered in my practice since providers often encounter challenges when patients or their guardians fail to give consent. We have experienced lawsuits after providers failed to obtain consent from patients, and the interventions provided led to adverse effects. We have also had lawsuits when providers failed to keep the promises they made to patients, and the patients prosecuted them for failing to act in their best interest.

 

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References

Graf, W. D., Epstein, L. G., & Pearl, P. L. (2020). Practical Bioethics during the Exceptional Circumstances of a Pandemic. Pediatric neurology108, 3–4. https://doi.org/10.1016/j.pediatrneurol.2020.04.011

Varkey, B. (2021). Principles of Clinical Ethics and Their Application to Practice. Medical principles and practice : international journal of the Kuwait University, Health Science Centre30(1), 17–28. https://doi.org/10.1159/000509119

Vikas, H., Kini, A., Sharma, N., Gowda, N. R., & Gupta, A. (2021). How informed is the informed consent?. Journal of family medicine and primary care10(6), 2299–2303. https://doi.org/10.4103/jfmpc.jfmpc_2393_20

Reading through your post was educative. I agree with you on the aspect that Informed consent is based on a

NURS 8002 ETHICS AND THE DNP-PREPARED NURSE
NURS 8002 ETHICS AND THE DNP-PREPARED NURSE

patient’s right to decide for themselves. As we all know Informed consent is an important ethical notion in healthcare delivery, ensuring that patients have the right to know the benefits, risks, and alternatives to any medical procedure (Gossman et al., 2022). When working with vulnerable groups like children, the elderly, and those with cognitive disabilities, DNP-prepared nurses may face ethical problems involving informed consent. They must therefore ensure that patients or their carers understand the information presented to them and can make informed decisions about their care. Informed consent requires that the information presented to patients be understandable, and nurses must use clear and concise language to ensure that patients comprehend (Bartrum, & Karp, 2022).

Furthermore, when caring for a patient with poor English ability, I confronted an ethical difficulty in terms of informed consent. The patient was scheduled for surgery and needed information regarding the procedure, risks, advantages, and alternatives.

However, due to the language barrier, the patient had trouble understanding the information. As a nurse, I was responsible for ensuring that the patient comprehended the information given to them, and I collaborated with a professional translator to explain the procedure in a way that the patient could understand. Despite the language barrier, this method guaranteed that the patient’s right to make informed decisions regarding their care was respected.

References

Gossman, W., Thornton, I., & Hipskind, J. E. (2022, June 11). Informed Consent. National

Library of Medicine; StatPearls Publishing. Retrieved from

https://www.ncbi.nlm.nih.gov/books/NBK430827/

Bartrum, A., and Karp, B., (2022). Informed Consent – an overview. Retrieved from

https://www.sciencedirect.com/topics/medicine-and-dentistry/consent

Great post Oyebisi!. Informed consent is a complex process of communication that includes three elements: disclosure, competence in making decisions, and voluntariness (Cheng & Lin, 2017). This process ensures that patients have a clear understanding of their condition, the proposed treatment, potential risks and benefits, alternatives, and the right to make decisions about their own care. For DNP-prepared nurses, there are several ethical considerations related to informed consent. Respecting the autonomy of patients is central to the principle of informed consent. DNP-prepared nurses must ensure that patients are provided with all relevant information in a comprehensible manner, allowing them to make informed choices about their healthcare. Some patients, such as those with cognitive impairments, language barriers, or limited health literacy, might struggle to fully comprehend complex medical information. DNP-prepared nurses must take extra measures to ensure these patients can provide genuine informed consent or involve legally authorized representatives. Informed consent isn’t just about providing information; it’s also about engaging patients in shared decision-making. DNP-prepared nurses should facilitate open discussions, address patient concerns, and involve patients in the decision-making process. Fidelity, also known as veracity, refers to the ethical principle of being truthful and honest in all professional interactions. DNP-prepared nurses are expected to uphold this principle in various ways. Nurses with a DNP preparation often have advanced roles in healthcare management and leadership. Being truthful and transparent in their communications with patients, families, colleagues, and other healthcare professionals is essential to maintain trust and integrity. DNP-prepared nurses must navigate the balance between respecting patient autonomy through informed consent and maintaining fidelity through honest communication. In summary, the ethical issues of informed consent and fidelity are paramount for DNP-prepared nurses. Upholding patient autonomy, engaging in shared decision-making, being truthful in communication, and advocating for patients’ rights all contribute to the ethical foundation of nursing practice at the DNP level.

References

Cheng, C.-T., & Lin, C.-C. (2017). [The Use of Informed Consent in Clinical Nursing Practice]. Hu Li Za Zhi The Journal of Nursing, 64(1), 98–104. https://doi.org/10.6224/JN.64.1.98

Expressing respect for patient’s autonomy means acknowledging that patients who have decision-making capacity have the right to make decisions regarding their care, even when their decisions contradict their clinicians’ recommendations (Sedig, 2016). As human, we have our own beliefs, but as health care providers, we must learn to respect the belief of others, even if it does not coincide with our own. According to Sedig (2016), when taking care of patients as a DNP-prepared nurse, you must respect patient’s autonomy by giving them the information needed to understand the risk and benefits of a proposed intervention, as well as the reasonable alternatives, so they can make independent decisions.

Fidelity as an ethical principle, is about ensuring that you’ve done everything possible to make sure your actions align with high standards and values. For health care professional the only thing guiding their choices in patients care is strong morals and a nursing code of ethics (Team, 2022). As healthcare providers, our clients will normally trust us, it is important that we keep up those values. As you stated above, while working, as a risk manager, I have seen many cases where patient’s autonomy or fidelity were not valued. Most of the time when we make an encounter with these patients, they are at a vulnerable period and the last thing they need is not to trust the people that are taking care of them.

 

Reference

Sedig, L. (2016). What’s the Role of Autonomy in Patient- and Family-Centered Care When Patients and Family Members Don’t Agree? AMA Journal of Ethics18(1), 12–17. https://doi.org/10.1001/journalofethics.2017.18.1.ecas2-1601

‌ Team, S. E. (2022, October 18). Fidelity in Nursing: Nursing Ethical Principles – SimpleNursing. Simple Nursing. https://simplenursing.com/fidelity-in-nursing/#:~:text=Fidelity%2C%20as%20an%20ethical%20principle