The Five R’s approach to ethical nursing practice
The Five R’s approach to ethical nursing practice
Explain the statement, “What may be an ethical dilemma for one registered nurse may not be an ethical dilemma for another registered nurse.” Be sure to define an ethical dilemma in the course of your discussion.
Describe a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and your role in providing care. (Be sure to respect and maintain patient and colleague confidentiality.)
Discussion 2
Apply the framework of The Five R’s approach to ethical nursing practice from this week’s reading to answer the questions about values and choices.
What are values?
Q. What are your values?
Q. Why do you value them?
Q. What are the values in your society?
Q. How do you make choices?
Q. Are your choices based on your values?
Q. What values are useful in society?
What are the limits to personal choice?
Q. Who limits your choices?
Q. Are limits to choices good?
Q. Do you limit other people’s choices?
Q. Should the health care organization or the government limit people’s choices? If so, how and under what circumstances?
In your responses to peers, feel free to agree, disagree, question, compare, and discuss each other’s responses in a way that fosters thoughtful and respectful dialog. You may also address the following: Did any responses surprise you? If so, how? Did reading your peers’ responses to the questions expand your view of ways to answer questions?
Finally, consider this: A common idea in health care is that if you are drawn to health care as a profession, you are inherently guided by an inner compass composed of a strong moral framework. Why is this a dangerous assumption?
WK 3
Discussion 1
Discuss the potential controversy when considering a patient’s right to know whether a caregiver has AIDS and the caregiver’s right to privacy and confidentiality.
Consider the following: A physician cut his hand with a scalpel while assisting another physician. Because of the uncertainty that blood had been transferred from the physician’s hand wound to the patient through an open surgical incision, he agreed to have a blood test for HIV.
His blood tested positive for HIV, and he withdrew himself from participation in further surgical procedures. Discuss the ethical and legal issues.
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Discussion 2
The following questions refer to your experience in this week’s exercise, Conducting Moral and Ethical Dialog in Clinical Practice. Describe your overall experience with the moral and ethical dialog exercise, and address at least three (3) of the following:
- Did you find any scenarios more difficult to deal with than others?
- Did you feel any internal conflict with any of the scenarios?
- How did your personal and professional background impact your interaction with the patient?
- Do you feel the patient’s responses to the practitioner’s response were reasonable or typical?
- Were you taken aback by any of the patient’s reactions?
- How might this activity contribute to your role as a nurse advocate in a moral and ethical practice?
- Did you utilize an ethical decision-making model to systematically evaluate any of these ethical dilemmas? If so, describe the effectiveness.
WK 4
Discussion 1
Apply the differences between negligence and malpractice to the practice of nursing. Provide examples to illustrate your points.
Discussion 2
Read the following article and view the video on the same case. How can this example be used as an illustration of maintaining patient safety and providing safe, effective care? Identify some possible barriers nurses face when acting on what they believe to be the morally correct action in this particular case.
Patient Safety Advocate Carole Hemmelgarn
CPR’s John Daley reports on patient safety advocate Carole Hemmelgarn – See more at http:// www. cpr. Org/news/story/ colorado-mom-story-daughters-hospital-death-key-others-safety# sthash.1 USwjbQ2. dpuf
WK 5
Discussion 1
Specifically, define the role of the registered nurse in patient advocacy. Describe situations in which nursing advocacy can assist patients within the healthcare environment. Defend why nurses are, or are not, adequately prepared, in prelicensure education, to act as patient advocates.
Discussion 2
The chief nursing officer Betty had to decide between buying 120 new hospital beds for patient rooms. After interviewing nurse managers at the units where the beds would be placed, Betty compiled her findings and contacted a well-known equipment company to obtain prices and contracts.
The equipment company’s executive salesperson, Jim, discussed options at length with her and invited her and her significant other to an upcoming all-expenses-paid lavish retreat at a five-star hotel in Hawaii to see demonstrations of the beds and to hear a comprehensive sales pitch. Betty thought, “We badly need some relaxation and stress relief. Hawaii would be so much fun. Would it be wrong for us to go?”
If you were Betty, what would you do? Give your rationale. Justify your answer with an ethical framework—a theory, approach, or principle.
Do you consider this situation a conflict of interest? Why or why not? Give your rationale.
What policies, if any, should be in place regarding a scenario like this one? Do you have any such policies in place at work for similar situations? Do such policies impact day-to-day activities in any way? Explain.
WK 6
Discussion 1
Citing scholarly resources in your work is required throughout your program. Follow the instructions in the bullets below to direct you to where to find resources on effective search strategies. This week, you will support your organizational ethics presentation using at least two sources.
Share your chosen topic and the keywords and search strategies you used with your peers so that you can review each other’s work and provide peer-to-peer feedback. Also, describe what you think are the most important search features when narrowing down topics in the databases and why.
Go to the Library’s Research Basics: Search Tips Guide:https://guides.westcoastuniversity.edu/c.php?g=77469&p=500486
Discussion 2
The chief nursing officer Betty had to decide between buying 120 new hospital beds for patient rooms. After interviewing nurse managers at the units where the beds would be placed, Betty compiled her findings and contacted a well-known equipment company to obtain prices and contracts.
The equipment company’s executive salesperson, Jim, discussed options at length with her and invited her and her significant other to an upcoming all-expenses-paid lavish retreat at a five-star hotel in Hawaii to see demonstrations of the beds and to hear a comprehensive sales pitch. Betty thought, “We badly need some relaxation and stress relief. Hawaii would be so much fun. Would it be wrong for us to go?”
If you were Betty, what would you do? Give your rationale. Justify your answer with an ethical framework—a theory, approach, or principle.
Do you consider this situation a conflict of interest? Why or why not? Give your rationale.
What policies, if any, should be in place regarding a scenario like this one? Do you have any such policies in place at work for similar situations? Do such policies impact day-to-day activities in any way? Explain.
WK 7
Discussion 1
Discuss the elements of informed consent and provide a clinical example of what can happen when some elements are not adhered to.
Discussion 2
Describe an organizational environment that would facilitate the ethical practice of nurses caring for chronically ill patients. As you read about patient rights, describe one patient right often not fully implemented in the patient care environment. Identify specific strategies to help ensure that this right is supported within the patient care environment. Explain how the registered nurse can assist in protecting patient rights.
WK 8
Discussion 1
Describe a clinical situation in which a registered nurse may encounter moral distress. Answer the AACN’s Four A’s found on page 84 in your Butts and Rich text to explain the situation further and the possible mitigation strategies.
Discussion 2
Describe different ways that social media use can violate ethical nursing practices. How can ethical social media use benefit healthcare professionals and their patients?