Assignment: Case Aspects of Nursing
NUR3826 Ethical and Legal Aspects of Nursing Week 1 discussion DQ1 Right Wrong Picture Differentiate between the terms “Ethics”, “Morals”, and “Values”. Discuss why ethical theories are important to nursing practice. Discuss a situation from your clinical practice or training where one or more ethical principles was supportive of care or was in conflict of care. DQ2 Explain the term “standard of care” from a legal and a nursing perspective. Include support for your explanation by using references from your ANA Essentials of Nursing Package (Scope and Standards of Practice, Guide to Nursing’s Social Policy Statement, and the Guide to the Code of Ethics for Nurses). NUR3826 Ethical and Legal Aspects of Nursing Week 2 discussion DQ1 Are you knowledgeable about your own state statutes and regulations regarding informed consent? 1. Discuss the law or rules of informed consent in your state or workplace organization. 2. What ethical issues should be realized by practicing nurses in regards to consent? 3. How does the process of consenting patients for genetic testing differ? 4. Many patients or family members ask nurses for further clarification regarding genetic testing and often the response is in terms of what the health care provider himself or herself would do. Discuss this phenomenon and include the concept of “paternalism” in your remarks. DQ2 Please thoroughly review the “Effective Documentation” and Electronic Medical Record (Computerized Charting)” content from Chapter Nine of the Guido (6th ed.) textbook. After reviewing: 1) Discuss at least two of the findings you consider most important to your practice. 2) Does your present (or past) employer use Electronic Health Records (EHR)? If so, which technology platform is utilized? In your experience, describe your biggest challenges using EHR? 3) How can privacy and confidentiality be ensured with the use of electronic health records? 4) What ethical issues might arise from the use of technology in patient care? 5) Discuss if the electronic medical record has made documentation better from a legal perspective AND from the nurses’ practice perspective. NUR3826 Ethical and Legal Aspects of Nursing Week 3 discussion DQ1 Discuss issues related to corporate liability and the nurse leader’s role in prevention of legal entanglement. What role does staffing and delegation play in corporate liability? DQ2 There are laws that impact nursing practice including licensure, the Nurse Practice Act, the Americans with Disabilities Act (ADA) and the Civil Rights Act of 1991. As a nurse leader, legal and ethical concerns must be acknowledged and addressed to ensure care is safe, timely, effective, efficient, equitable, and patient-centered (STEEEP). Ethical decisions must adhere to both legal and ethical principles. Consider the following scenario: Impaired Nurse – A nurse on your unit is frequently late, occasionally looks “high”, and based on your observations, gives substandard care to patients. Upon receiving report, you realize that there is a discrepancy about medication given to one of the patients and what the patient tells you. You have suspicions based on the nurse’s behavior that the nurse might be diverting narcotics meant for patients. What do you do? Do you have a legal obligation to address suspicions? And if so, what laws or rules would indicate a legal responsibility and what actions would you take? If the nurse is found to have a narcotic addiction, is the identifying nurse required to report this to the state board of nursing? What is the ethical responsibility of the nurse who suspects a co-worker of substance abuse? What ethical principles apply? NUR3826 Ethical and Legal Aspects of Nursing Week 4 discussion DQ1 Read the attached ethical situations. Choose one of the case study scenarios and answer the questions that follow it (Autonomy, Euthanasia, Oregon Death with Dignity Act, Assisted Reproduction, Universal Health Care, and Bioterrorism). Consider the nurses role, legal considerations, and the ethical principles involved. DQ2 Choose the health care setting that most closely correlates with your own place of practice or one you desire to work in. 1. Acute Care Setting 2. Ambulatory and Managed Care Setting 3. Public and Community Health Setting 4. Long-Term Care Setting 5. Research 6. Education Describe the legal and ethical issues that can arise in your chosen setting and reflect on what you have learned in this course to assist you in your practice. NUR3826 Ethical and Legal Aspects of Nursing Week 3 assignment Summary: Your assignment is to write an APA formatted paper based on your readings and literature searches exploring and answering a series of questions. Nurses are at the forefront of patient care, and will participate fully in genetic-based and genomic-based practice activities, such as collecting family history, obtaining informed consent for genetic testing, and administering gene-based therapies. Nurses will have a critical role advocating for, educating, counseling, and supporting patients and families who are making gene-based healthcare decisions (Cassells, Jenkins, Lea, Calzone, & Johnson, 2003). Nurses will need to be able to effectively translate genetic and genomic information to their patients with an understanding of associated ethical issues. This new direction in healthcare calls for nurses to integrate into their scope of practice the emerging field of genetics and genomics. The increased availability of personal genetic information also challenges nurses to understand the ethical issues associated with activities such as informed decision making, informed consent and genetic testing, genetic and genomic research testing protection, maintaining privacy and confidentiality of genetic information, preventing genetic discrimination, and strengthening genetic and genomic care around the world (Lea, 2008). Cassells, J.M., Jenkins, J., Lea D.H., Calzone K., & Johnson E., (2003). An ethical assessment framework for addressing global genetic issues in clinical practice. Oncology Nursing Forum, 30(3), 383-90. NUR3826 Ethical and Legal Aspects of Nursing Quiz 1 Question 1 External sources for determining standards of care include: Answers: Hospital policy and procedure manuals. Professional journals and nursing texts. The individual nurse’s experience and education. The individual nurse’s job description. Question 2 The statute of limitations for a lawsuit: Answers: Defines events that will not be allowed to be discussed at trial. Defines the period of time in which a lawsuit may be filed. Is suspended for minors in all states until they become 18 years of age. Limits the number of plaintiffs and defendants in any given lawsuit. Question 3 The single most critical factor in determining whether a particular nurse acted with reasonable care in a given situation is: Answers: The number of years the nurse has practiced as a professional. The experience the nurse has in a particular clinical setting. The ability of the nurse to perform according to his or her job description. How the nurse’s conduct compared to the conduct of other nurses with similar backgrounds and experience. Question 4 Which of the following persons would best qualify as an expert in a nursing malpractice case filed because of failure of a post-anesthesia care unit nurse to recognize the early signs and symptoms of respiratory arrest? Answers: The director of nursing at the hospital, who holds an MSN in Nursing Administration. The director of clinical pharmacy, who holds a doctoral degree in clinical pharmacology. A critical care nurse, who holds a BSN in nursing and certification from the American Association of Critical Care Nurses (AACN). A staff nurse, who works on the general medical floor and has recently earned a BSN degree. Question 5 Match the definition to the term provided: Question Match Moral Stress Moral distress Moral Uncertainty Moral Dilemma All Answer Choices A. Questioning the right course of action. B. Negative painful state of psychological imbalance which occurs when moral decisions cannot be implemented due to real or perceived constraints. C. Occurs when two ethical principles compete. D.
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