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Ethics in Nursing Research discussion

Ethics in Nursing Research discussion

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NURS 4116: Ethics in Nursing

Ethical Analysis Paper Guidelines/Instructions

The ethical paper is an application of ethical knowledge to an ethical dilemma. The role of the RN in advocacy is explored. Ethical decision making emerges as a critical skill.

An ethical dilemma is a situation in which an individual is compelled to choose between two actions that will affect the welfare of a sentient being, and both actions are reasonably justified as being good, neither action is readily justified as being good, or the goodness of the actions is uncertain (Butts & Rich, 2016, p. 55).

Some see choices related to an ethical dilemma as finding the path to least harm between two choices in which neither are wholly acceptable. Some may see the resolution of an ethical dilemma as being choosing the lesser of two evils.

Bioethical concerns have been with us throughout time. Some recurring questions are:

What obligation does society have toward those who must rely on decisions made by others?

What rights do parents have in the decision making for the welfare of their children? Is this absolute? In what instances may the mentally ill be required to take medications against their will? Who should be allowed to make end of life decisions?

When does the welfare of the many supersede the rights of the individual?

This is a perennial concern in terms of communicable diseases.

What are the issues when there is conflict between what is legal and individual’s sense of right and wrong?

Abortion, for instance, is a critical topic for many.

When might one’s autonomy be subjugated to the will of another? Is this EVER ok?

Consider an individuals’ decision to avoid treatment or to engage in harmful behavior and the obligation/right or absence of the judgement of another to intervene. This could range from a refusal of surgery, to rescuing one from the side of a bridge, or to force feed an anorexic teen who is approaching death.

What strategies would you employ to advocate for a patient under your care?

Ethics in Nursing Research discussion

Refer to the rubric for this paper for grading guidelines. Then, see instructions below:

Choosing an issue (Introduction section of the paper on rubric):

You have many examples in your book.

Choose an ethical issue that relates to your clinical practice area or is relevant to special interest you have in the practice of nursing.

  1. An ethical concern would not be an issue if there were a clear-cut answer. Your work is to investigate an issue, utilize various tools to analyze the issue and then present your own argument/position of the issue with justification and support for your position. Investigate this issue by doing a search of the literature.
  2. Use either an example from the literature (you may use your textbook) or from your experience and describe a scenario in which this issue is relevant. Write a paragraph or two with this “story”.

Analyze the issue (Discussion of relevant ethical principles or values section of the paper on rubric)

  1. Define the underlying ethical principle or value: (see pages 53 and 54 in your textbook)
  • Beneficence and non-malfeasance
  • Respect for autonomy
  • Quality of life
  • Both beneficence and non-malfeasance and the respect for autonomy
  • Justice and fairness
  1. Using the FOUR TOPICS method for analysis of clinical ethical cases (pages 53 and 54 in your textbook), choose ONE of the approaches (matching the ethical principles or values in the table, as above) and answer the questions related to your ethical issue.
  1. Include relevance to nursing practice using the code of ethics for nurses.
  1. Examine at least one of the ethical oriented theories described in your textbook and determine how the theory could help you in identifying desired outcomes.

For example:

Theory of Justice

Person Centered Care

Humanistic theory

Ethical decision making (Discussion of ethical scenario section of the paper on rubric)

  1. Examine at least two options of actions and outcomes based on your analysis. (What strategies would help you support and advocate for the rights of the patient/family?
  1. From these two options, choose your position with rationale. Present an argument for your position. Be sure to support your stated position.

Conclusion (Conclusion section of the paper on rubric)

  1. Conclusion: Reflect upon your learning and the choices you support. Consider the following questions (if they are relevant) or other questions you may have:

Ethics in Nursing Research discussion

Do we have a gap between that which is legal and that which may be considered ethical?

What one factor might have changed your decision making?

Is this a unique case or a universal concern?

How does it impact your nursing practice?

Are there elements in our society or in healthcare that are evolving and may impact future concerns?

References (APA section of the paper on rubric)

  1. Be sure to include your references. In addition to your textbook, use at least three scholarly articles (such as journal articles) or reliable sources (such as ANA).

Be sure to use APA conventions for your paper and follow the criteria in the rubric.

 

Reference

Butts, J.B. & Rich, K. L. (2016). Nursing ethics across the curriculum and into practice. (4thed.) Boston: Jones and Bartlett Publishers. ISBN-10:1284059502ISBN-13:97812840595

Ethics in Nursing Research discussion