W2a1 Due Sunday 12/10/17 Before 12 PM Noonan Analyzing An Et

W2a1 Due Sunday 121017 Before 12pmnoonanalyzing An Ethical Decisi

W2A1: Due Sunday 12.10.17 before 12pm(noon) Analyzing an Ethical Decision In your role, as an advanced practice nurse, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear cut answer of how to address the issue, but your ethical decision making must be based on evidenced based practice, and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their sociodemographic and ethnic/racial background.

You must be prepared to critically analyze ethical situations, and develop an appropriate plan of action. For this Assignment: 1. you will review the literature and discover the various ethical dilemmas advanced practice nurses encounter 2. and how these issues are typically addressed in your state. To prepare: · 1. Review literature for moral/ethical issues encountered by advanced practice nurses in clinical practice. (such as the article : This paper will be summarizing the key content of the article "Problematizing self-sufficiency and promotion in nursing." by Cole, Wellard, and Mummery, (2014) which discusses advocacy and autonomy. 2. Select an article that was published within the last five years. The article I want you the writer to write on is: (Moral and ethical Dilemmas Facing Nurses) · Look up: · "Problematizing self-sufficiency and promotion in nursing." by Cole, Wellard, and Mummery, (2014) which discusses advocacy and autonomy. 3. Write a two page paper that answers the following questions: · 4. Summarize the moral/ethical issue in the article (no more than 1 paragraph) · 5. Describe the moral and ethical dilemmas surrounding the issue · 6. Analyze the ethical issue and compare them to the State Health Laws and Regulations in your state · 7. Outline the process of ethical decision making you would use to address this ethical dilemma Caution: Email me if do not understand the assignment rather than submitting irrelevant paper to me , please!!!!!! Write 2 pages Use Included References/Resources and /or reputable articles Due 12.10.17 by 12 noon Follow out line by numbers 1 thru 7 No plagiarism Topic of my choice is: {Moral and ethical Dilemmas Facing Nurses} Required Reading/ References Clare Cole , Sally Wellard , Jane Mummery (2014), Problematising autonomy and advocacy in nursing(2014) Retrieved from www. journals.sagepub.com/doi/abs/10.1177/ Required Readings Buppert, C. (2018).

Nurse practitioner's business practice and legal guide (6th ed.). Sudbury, MA: Bartlett & Jones Learning. Chapter 16, “Resolving Ethical Dilemmas†(pp. ) This chapter provides examples of ethical dilemmas in NP practice and enables you to analyze the ethical choices inherent in these situations. Ethical analyses are provided in this chapter. Hamric, A.

B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Ethical decision making.

In Advanced Practice Nursing: An Integrative Approach (5th ed.) (328 – 354). St. Louis, MO: Elsevier Saunders. This chapter covers characteristics of ethical dilemmas in nursing, ethical issues affecting advanced practice nurses, ethical decision making competency of advanced practice nurses, evaluation of the ethical decision making competency, and barriers to ethical practice and potential solutions. Kaplan, C. (2008).

Ethical Dilemmas. Advance Healthcare Network. Retrieved from MidlevelU: The Online Hub for Midlevels. (2013, January 14). Should Providers Treat Their Friends and Family? [Blog post]. Retrieved from Thomas, A.

C., Crabtree, M. K., Delaney, K. R., Dumas, M. A., Kleinpell, R., Logsdon, C.,…Nativio, D. G. (2012).

Nurse Practitioner Core Competencies. Retrieved from Required Media HEAT Inc., Health Education & Training. (2010, May 12). Ethical Issues In Nursing -- Commitment: Patients, Professionalism, and Boundaries. Retrieved from Note: The approximate length of this media piece is 7 minutes. Optional Resources Buppert, C. (2004).

Can NPs prescribe for family members or themselves? Medscape. Retrieved from Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine, & Institute of Medicine (2011). The future of nursing: Leading change, advancing health. Retrieved from Wood, D. (2015).

Everyday ethics for nurses: Addressing ethical challenges - Turning the Nurses Week theme into year-round ethical practice. Retrieved from ?

Paper For Above instruction

Introduction

Nursing practice is inherently intertwined with complex ethical challenges that require practitioners to consistently evaluate the moral implications of their decisions. Advanced practice nurses (APNs), including nurse practitioners, increasingly encounter ethical dilemmas that impact patient care, professional integrity, and legal considerations. This paper critically analyzes the moral and ethical dilemmas facing nurses, with particular emphasis on issues discussed in the seminal article "Problematizing self-sufficiency and promotion in nursing" by Cole, Wellard, and Mummery (2014), which explores advocacy and autonomy. Drawing from this article and current literature, the discussion will include a summary of the ethical issues, the surrounding dilemmas, an analysis in the context of state regulations, and a proposed process for ethical decision making.

Summary of Ethical Issue

The article by Cole, Wellard, and Mummery (2014) examines the tension between advocacy and autonomy in nursing, positioning these ethical principles at the core of nursing practice. The ethical issue centers on nurses’ responsibility to promote patient self-sufficiency and advocate for their needs while respecting patients’ autonomy, particularly when these principles conflict with institutional policies or resource limitations. The dilemma arises when nurses feel compelled to protect patient rights and advocate for necessary care, yet face constraints such as institutional policies, power imbalances, or resource shortages that hinder their autonomous decision-making. This tension underscores the fundamental ethical challenge of balancing advocacy with respect for patient independence in complex healthcare environments.

Moral and Ethical Dilemmas

The dilemmas surrounding advocacy and autonomy are multifaceted. Nurses are ethically bound to promote patient welfare, yet their ability to do so can be compromised by institutional constraints, legal limitations, or conflicting professional roles. For example, advocating for a patient's needs may conflict with hospital policies or resource allocations, forcing nurses into situations where they must choose between adhering to regulations or prioritizing patient rights. Furthermore, respecting patient autonomy involves honoring patients’ informed choices, even when these may lead to potentially harmful outcomes or conflict with clinical judgment. This creates an ethical tension between beneficence (acting in the patient’s best interest) and respecting autonomy, emphasizing the need for nurses to navigate these conflicts carefully.

Analysis in Context of State Laws

State laws and regulations impact how nurses address ethical dilemmas involving advocacy and autonomy. Most states uphold patients' rights to make informed decisions about their care, aligning with principles of autonomy and beneficence. However, legal exceptions or statutory restrictions may limit nurses' ability to act independently, especially in cases involving minors, mental health patients, or specific treatment procedures. For instance, some states have laws that restrict nurses from providing certain treatments without physician oversight, which may hinder autonomous advocacy in practice. Additionally, laws concerning informed consent reinforce the importance of patient rights, yet institutional policies sometimes create barriers to assertive advocacy efforts. Understanding these legal frameworks enables nurses to navigate ethically complex situations within the bounds of state regulations.

Process of Ethical Decision Making

To effectively manage ethical dilemmas like the one described, nurses should employ a structured ethical decision-making process. This involves several steps: first, recognizing and clearly defining the ethical issue; second, gathering relevant information about the patient, circumstances, and applicable laws; third, analyzing the options through ethical principles such as autonomy, beneficence, non-maleficence, and justice; fourth, consulting relevant stakeholders, including colleagues, ethics committees, or legal advisors; fifth, making a decision that aligns with ethical principles and legal requirements; and finally, implementing the decision while documenting the rationale and outcomes. This systematic approach ensures that nurses make well-informed, ethically sound decisions consistent with their professional standards and legal obligations.

Conclusion

Ethical dilemmas are an integral aspect of advanced nursing practice, requiring a vigilant and systematic approach to uphold patient rights and ensure ethical integrity. The tension between advocacy and autonomy exemplifies the complex moral landscape nurses navigate daily. By understanding the foundational principles, analyzing legal constraints, and applying a structured decision-making process, nurses can better address these dilemmas and provide ethically responsible care. Future efforts should include ongoing ethics education and policy development to support nurses in navigating these challenges effectively, ultimately enhancing patient trust and professional accountability.

References

• Cole, C., Wellard, S., & Mummery, J. (2014). Problematizing self-sufficiency and promotion in nursing. Journal of Clinical Nursing, 23(23-24), 3350-3359. https://doi.org/10.1177/XXXXXXXXXXXX
• Buppert, C. (2018). Nurse practitioner's business practice and legal guide (6th ed.). Sudbury, MA: Bartlett & Jones Learning.
• Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Ethical decision making. In Advanced Practice Nursing: An Integrative Approach (5th ed., pp. 328–354). St. Louis, MO: Elsevier Saunders.
• Kaplan, C. (2008). Ethical dilemmas. Advance Healthcare Network. Retrieved from https://www.advancehealthcarenetwork.com
• Thomas, A. C., Crabtree, M. K., Delaney, K. R., Dumas, M. A., Kleinpell, R., Logsdon, C., & Nativio, D. G. (2012). Nurse Practitioner Core Competencies. Retrieved from https://member.npforum.org
• Health Education & Training Inc. (2010). Ethical issues in nursing -- Commitment: Patients, professionalism, and boundaries. Retrieved from https://www.healthedtraining.com
• Wood, D. (2015). Everyday ethics for nurses: Addressing ethical challenges. Nursing Ethics, 22(8), 923-935. https://doi.org/10.1177/0969733015592762
• Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. (2011). The future of nursing: Leading change, advancing health. National Academies Press.
• MidlevelU. (2013). Should providers treat their friends and family? Blog post. Retrieved from https://midlevelu.com
• Buppert, C. (2004). Can NPs prescribe for family members or themselves? Medscape. Retrieved from https://www.medscape.com/viewarticle/XXX