Criterion Search: Minimum Of Scholarly Nursing Journals

Criterionsearch Minimum Of A Scholarly Nursing Journals Or

Perform a scholarly research paper focusing on an ethical dilemma in nursing involving patient consent, specifically, a situation where there is confusion from a patient regarding consent for an angiogram. Your paper should address the following elements:

• Identify and explain the ethical dilemma.
• Discuss how the dilemma impacts nursing practice.
• Analyze the main moral issues raised by the situation.
• Examine two bioethical principles related to the dilemma.
• Reflect on a personal moral value and discuss its relationship with the morals of your current societal or group context.

Your paper must cite at least 8 references, including at least two from the course text. It should be approximately 7 pages in length, excluding the title and reference pages, and adhere to APA 6th edition formatting guidelines. The paper requires a clear organization with effective headings, well-structured paragraphs, and proper grammar. It should demonstrate critical thinking through synthesis and analysis of the ethical issues discussed. The introduction should provide relevant background and preview main points; the conclusion should logically summarize and reflect on the major insights addressed.

Paper For Above instruction

The ethical dilemma concerning patient consent for an angiogram where the patient is confused presents a complex challenge in nursing practice, raising important questions about autonomy, beneficence, and informed consent. This scenario necessitates a thorough understanding of ethical principles and their application in delivering patient-centered care, especially when cognitive impairments or confusion hinder informed decision-making.

The core of this dilemma revolves around whether to proceed with the angiogram when the patient lacks clear understanding or the capacity to give informed consent. Informed consent is a fundamental ethical and legal requirement in healthcare, aiming to respect patient autonomy. When a patient is confused, their ability to comprehend, evaluate, and voluntarily accept the procedure is compromised, potentially leading to ethical conflicts between respecting autonomy and ensuring beneficence — acting in the patient's best interest.

This confusion can significantly influence nursing practice, challenging nurses to balance respecting the patient's rights while protecting their wellbeing. It prompts nurses to advocate for the patient's best interests, often requiring consultation with healthcare providers, family members, or legal representatives. Ensuring that consent is genuinely informed becomes more complex, especially when dealing with vulnerable populations such as those with cognitive impairments or language barriers.

The main moral issues include the risk of violating patient autonomy, the potential for harm if a procedure is performed without proper understanding, and the ethical obligation to prevent harm while respecting individual rights. Nurses must navigate these issues carefully to uphold ethical standards, often relying on institutional policies, ethical frameworks, and family involvement to guide decisions.

Two prominent bioethical principles relevant here are autonomy and beneficence. Autonomy emphasizes the patient's right to make decisions about their own healthcare, which is foundational to ethical nursing practice. Beneficence requires healthcare providers to act in the patient's best interest, promoting health outcomes and preventing harm. When a patient's understanding is impaired, these principles may conflict, requiring careful balancing. For example, a nurse might seek advance directives or consult with legal guardians, emphasizing the importance of considering the patient's preferences and welfare.

Personally, I value the principle of respect—treating individuals with dignity and ensuring their participation in decisions affecting their lives. This value aligns with the societal value of individual autonomy, which is fundamental to Western healthcare systems. Society generally upholds personal autonomy through laws and policies that protect informed consent and personal choice. However, societal values also recognize the need to protect vulnerable individuals, sometimes justifying surrogate decision-making when cognitive capacity is lacking.

This interplay illustrates that personal morals can both align and conflict with societal morals. My personal respect for individual decision-making emphasizes honoring the patient's preferences, but I also accept societal norms that prioritize safeguarding those unable to consent fully. These intertwined values guide ethical nursing practice, emphasizing compassion, advocacy, and respect for legal and moral standards.

In conclusion, managing ethical dilemmas involving confused patients and consent requires a comprehensive understanding of bioethical principles and a nuanced approach that respects individual rights while ensuring safety and wellbeing. Nurses play a vital role in advocating for ethically sound decisions by applying foundational moral principles, consulting relevant stakeholders, and upholding societal standards. Continuous ethical reflection and adherence to professional guidelines are essential to navigate these complex situations effectively, ensuring care that respects both individual dignity and societal responsibilities.

References

• Beauchamp, T. L., & Childress, J. F. (2013). Principles of Biomedical Ethics (7th ed.). Oxford University Press.
• Faden, R. R., Beauchamp, T. L., & King, N. M. (1986). A History and Theory of Informed Consent. Oxford University Press.
• Jonsen, A. R., Siegler, M., & Winslade, W. J. (2015). Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine (8th ed.). McGraw-Hill Education.
• Levine, R. J. (2010). Ethics and regulation of clinical research. New England Journal of Medicine, 362(4), 393-396.
• Knapp, M., & Gottlieb, M. (2018). Ethical dilemmas in nursing: A systematic review. Nursing Ethics, 25(6), 747-763.
• MacDonald, T., & Donnelly, M. (2017). Nursing and ethical decision-making. Nursing Management, 24(5), 24-30.
• National Institute of Nursing Research. (2019). Ethical considerations in nursing practice. NIH, https://www.ninr.nih.gov.
• Pellegrino, E. D., & Thomasma, D. C. (1993). The Virtues in Medical Practice. Oxford University Press.
• Resnik, D. B. (2014). The Ethics of Research with Human Subjects: Protecting and Promoting Human Welfare. Springer.
• Varelius, J. (2007). Respect for Autonomy as Rationality. The Journal of Medicine and Philosophy, 32(4), 379-396.