NURS 8000 Discussion: Ethics
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Write My Essay For MeAs referenced in Week 2, Discussion 2, nurses are perceived as having very high ethical standards (Gallup, 2013). Doctorally prepared nurses should be able to consider ethical issues from multiple viewpoints. In this week’s media presentation, the experts discuss ethical challenges encountered by nurses as they assume leadership positions and as they engage in research.
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Week 5 Discussion
Nurses are important links in healthcare delivery considering that they interact most with the patients. The interactions subject them to high cases of the ethical dilemma of which they are expected to uphold high standards of ethical values. The DNP nurses encounter various ethical issues including a case where a nurse prescribes a medication to the patient but the patient does not want to take the medicine because their cultural values do not allow it (Haahr et al., 2019). A second example involves a scenario where research practices where the nurse may explore social patterns and how they affect health outcomes. In this case, the nurse may focus on the sexual orientation and while the study aims at providing useful information for EBP implementation, it could expose the participants’ sexual identity and thus compromise the need for confidentiality (Van der et al., 2017).
The nurses must evaluate their practices to ensure that their actions result in no harm to the patients. The issues encountered by the DNP nurse are similar to the once experienced in the course of practice; though, the issues related to the research may be more challenging. For example, while it is important to keep the patients’ information confidential, the healthcare providers have also to share such data in determining the determinants of health and appropriate health interventions to engage in (Aitamaa et al., 2019). Furthermore, the issue of cultural differences is common and all healthcare providers are likely to encounter them (Rainer et al., 2018).
In conclusion, ethical principles guide healthcare providers on how to address emerging ethical issues. Ethical issues are prone in the healthcare system and so nurses and other healthcare providers must be prepared to handle them in the right way possible without compromising the patients’ values and dignity.
NURS 8000 Discussion: Ethics Reference
Aitamaa, E., Suhonen, R., Puukka, P., & Leino-Kilpi, H. (2019). Ethical problems in nursing management – a cross-sectional survey about solving problems. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4245-4
Haahr, A., Norlyk, A., Martinsen, B., & Dreyer, P. (2019). Nurses’ experiences of ethical dilemmas: A review. Nursing Ethics, 27(1), 258-272. https://doi.org/10.1177/0969733019832941
Rainer, J., Schneider, J. K., & Lorenz, R. A. (2018). Ethical dilemmas in nursing: An integrative review. Journal of Clinical Nursing, 27(19-20), 3446-3461. https://doi.org/10.1111/jocn.14542
Van der Linden, S., Maibach, E., Cook, J., Leiserowitz, A., Ranney, M., Lewandowsky, S., Árvai, J., & Weber, E. U. (2017). Culture versus cognition is a false dilemma. Nature Climate Change, 7(7), 457-457. https://doi.org/10.1038/nclimate3323
NURS 8000 Discussion: Ethics
To prepare:
- Reflect on ethical challenges that you have encountered in your nursing practice.
- Think about the information the experts shared in this week’s media presentation, focusing on the ethical challenges they have encountered as nurse leaders or scientists, as well as information presented in other Learning Resources.
- With this information in mind, consider what new ethical challenges you may face once you obtain your doctoral degree.
By Day 3 of NURS 8000 Discussion: Ethics
Post a cohesive response that addresses the following:
- Describe two or more significant ethical issues relevant to the DNP- or PhD-prepared nurse.
- Explain how these issues might compare to the types of issues you have already encountered in your practice.
Read a selection of your colleagues’ responses.
By Day 6 of NURS 8000 Discussion: Ethics
Respond to at least two of your colleagues in one or more of the following ways:
- Ask a probing question, substantiated with additional background information, evidence, or research.
- Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
- Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
- Validate an idea with your own experience and additional research.
- Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
- Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
Submission and Grading Information
Week 5: Ethical Issues Relevant to the Doctorally Prepared Nurse
Nurses encounter ethical issues every day in their practice. The high degree of public confidence only reinforces their responsibility to adhere to established ethical standards. As a DNP- or PhD-prepared nurse, it is especially important to be aware of the multitude of ethical issues that can affect nursing practice and research.
This week, you review ethical codes and standards for nursing practitioners and scholars, and you explore ethical challenges you may encounter in your chosen profession.
Learning Objectives
Students will:
- Analyze key ethical issues relevant to the doctorally prepared nurse
- Summarize required components of doctoral projects at Walden University
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
NURS 8000 Discussion: Ethics Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Burlington, MA: Jones & Bartlett.
[For PhD students ONLY]
- Chapter 3, “Ethical and Legal Considerations in Research”This chapter addresses ethical issues related to nursing research.
Campbell-Crofts, S., Field, J., & Fetherstonhaugh, D. (2013). Ethical considerations for nurses undertaking research with a potentially vulnerable population with chronic kidney disease. Renal Society of Australasia Journal, 9(2), 74-79.
Milton, C. (2010). Nursing ethics and power in position. Nursing Science Quarterly, 23(1), 18-21.
The author discusses what is meant by health care leaders judiciously and transparently addressing ethical challenges.
Suhonen, R., Stolt, M., & Leino-Kilpi, H. (2013). Older people in long-term care settings as research informants: Ethical challenges. Nursing Ethics, 20(5), 551-567. doi:10.1177/0969733012463722
Fouka, G., & Mantzorou, M. (2011). What are the major ethical issues in conducting research? Is there a conflict between the research ethics and the nature of nursing?. Health Science Journal, 5(1), 3-14.
[For PhD students ONLY]
Peirce, A. G., & Smith, J. A. (2008). The ethics curriculum for Doctor of Nursing Practice programs. Journal of Professional Nursing, 24(5), 270-274.
Schrems, B. (2013). Mind the gaps in ethical regulations of nursing research. Nursing Ethics, 20(3), 336-347.
[For PhD students ONLY]
University Office of Research Integrity and Compliance. (2010). Institutional Review Board for ethical standards in research. Retrieved from http://researchcenter.waldenu.edu/Office-of-Research-Integrity-and-Compliance.htm
White, E. (2012). Challenges that may arise when conducting real-life nursing research. Nurse Researcher, 19(4), 15-20.
[For PhD students ONLY]
Required Media
Laureate Education (Producer). (2011a). Ethical issues relevant to the DNP [Video file]. Retrieved from https://class.waldenu.edu
Note: The approximate length of this media piece is 5 minutes.
In this media program, Dr. Joan Stanley discusses the importance of considering multiple perspectives when approaching ethical issues as part of a health care team. Dr. Linda Beechinor and Dr. Susan Stefan share ethical challenges they face as nurse leaders.
Optional Resources
Fairchild, R. M. (2010). Practical ethical theory for nurses responding to complexity in care. Nursing Ethics, 17(3), 353–362.
Note: You will access this article from the Walden Library databases.
Grimm, J. (2010). Effective leadership: Making the difference. JEN: Journal of Emergency Nursing, 36(1), 74–77.
Note: You will access this article from the Walden Library databases.
Name: NURS_8000_Week5_Discussion_Rubric
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Excellent | Good | Fair | Poor | |
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RESPONSIVENESS TO DISCUSSION QUESTION
Discussion post minimum requirements: *The original posting must be completed by Wednesday, Day 3, at 11:59pm MST. Two response postings to two different peer original posts, on two different days, are required by Saturday, Day 6, at 11:59pm MST. Faculty member inquiries require responses, which are not included in the minimum number of posts. Your Discussion Board postings should be written in standard edited English and follow APA style for format and grammar as closely as possible given the constraints of the online platform. Be sure to support the postings with specific citations from this week’s Learning Resources as well as resources available through the Walden University online databases. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct. |
Points Range: 8 (26.67%) – 8 (26.67%)
Discussion postings and responses exceed the requirements of the Discussion instructions. They: Respond to the question being asked or the prompt provided; – Go beyond what is required in some meaningful way (e.g., the post contributes a new dimension, unearths something unanticipated); -Are substantive, reflective, with critical analysis and synthesis representative of knowledge gained from the course readings and current credible evidence. – Demonstrate significant ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Demonstrate that the student has read, viewed, and considered the Learning -Resources as well as additional resources and has read, viewed, or considered a sampling of colleagues’ postings; -Exceed the minimum requirements for discussion posts*.
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Points Range: 7 (23.33%) – 7 (23.33%)
Discussion postings and responses meet the requirements of the Discussion instructions. They: -Respond to the question being asked or the prompt provided; -Are substantive, reflective, with critical analysis and synthesis representative of knowledge gained from the course readings and current credible evidence.re -Demonstrate ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Demonstrate that the student has read, viewed, and considered the Learning Resources and has read, viewed, or considered a sampling of colleagues’ postings -Meet the minimum requirements for discussion posts*.
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Points Range: 6 (20%) – 6 (20%)
Discussion postings and responses are minimally responsive to the requirements of the Discussion instructions. They: – do not clearly address the objectives of the discussion or the question or prompt; and/or -May (lack) lack in depth, reflection, analysis, or synthesis but rely more on anecdotal than scholarly evidence; and/or -Do not adequately demonstrate that the student has read, viewed, and considered the Learning -Resources and/or a sampling of colleagues’ postings; and/or has posted by the due date at least in part. – Lack ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Do not meet the minimum requirements for discussion posts*.
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Points Range: 0 (0%) – 5 (16.67%)
Discussion postings and responses are unresponsive to the requirements of the Discussion instructions. They: – do not clearly address the objectives of the discussion or the question or prompt; and/or – Lack in substance, reflection, analysis, or synthesis but rely more on anecdotal than scholarly evidence. – Lack ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Do not demonstrate that the student has read, viewed, and considered the Learning Resources and/or a sampling of colleagues’ postings; and/or does not meet the minimum requirements for discussion posts*.
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CONTENT KNOWLEDGE |
Points Range: 8 (26.67%) – 8 (26.67%)
Discussion postings and responses: -demonstrate in-depth understanding and application of concepts and issues presented in the course (e.g., insightful interpretations including analysis, synthesis and/or evaluation of topic; – are well supported by pertinent research/evidence from a variety of and multiple peer- reviewed books and journals, where appropriate; -Demonstrate significant mastery and thoughtful/accurate application of content, applicable skills or strategies presented in the course.
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Points Range: 7 (23.33%) – 7 (23.33%)
Discussion postings and responses: -demonstrate understanding and application of the concepts and issues presented in the course, presented with some understanding and application of concepts and issues presented in the course (e.g., insightful interpretations including analysis, synthesis and/or evaluation of topic; -are supported by research/evidence from peer-reviewed books and journals, where appropriate; and · demonstrate some mastery and application of content, applicable skills, or strategies presented in the course.
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Points Range: 6 (20%) – 6 (20%)
Discussion postings and responses: – demonstrate minimal understanding of concepts and issues presented in the course, and, although generally accurate, display some omissions and/or errors; –lack support by research/evidence and/or the research/evidence is inappropriate or marginal in quality; and/or lack of analysis, synthesis or evaluation of topic – demonstrate minimal content, skills or strategies presented in the course. ——-Contain numerous errors when using the skills or strategies presented in the course
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Points Range: 0 (0%) – 5 (16.67%)
Discussion postings and responses demonstrate: -A lack of understanding of the concepts and issues presented in the course; and/or are inaccurate, contain many omissions and/or errors; and/or are not supported by research/evidence; and/or lack of analysis, synthesis or evaluation of topic -Many critical errors when discussing content, applicable skills or strategies presented in the course.
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CONTRIBUTION TO THE DISCUSSION |
Points Range: 8 (26.67%) – 8 (26.67%)
Discussion postings and responses significantly contribute to the quality of the discussion/interaction and thinking and learning by: -providing Rich and relevant examples; discerning and thought-provoking ideas; and stimulating thoughts and probes; – -demonstrating original thinking, new perspectives, and extensive synthesis of ideas supported by the literature.
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Points Range: 7 (23.33%) – 7 (23.33%)
Discussion postings and responses contribute to the quality of the discussion/interaction and thinking and learning by -providing relevant examples; thought-provoking ideas – Demonstrating synthesis of ideas supported by the literature
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Points Range: 6 (20%) – 6 (20%)
Discussion postings and responses minimally contribute to the quality of discussion/interaction and thinking and learning by: – providing few and/or irrelevant examples; and/or – providing few if any thought- provoking ideas; and/or -. Information that is restated from the literature with no/little demonstration of critical thinking or synthesis of ideas.
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Points Range: 0 (0%) – 5 (16.67%)
Discussion postings and responses do not contribute to the quality of interaction/discussion and thinking and learning as they do not: -Provide examples (or examples are irrelevant); and/or -Include interesting thoughts or ideas; and/or – Demonstrate of critical thinking or synthesis of ideas
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QUALITY OF WRITING |
Points Range: 6 (20%) – 6 (20%)
Discussion postings and responses exceed doctoral -level writing expectations. They: · Use grammar and syntax that is clear, concise, and appropriate to doctoral level writing; · Make few if any errors in spelling, grammar, and syntax; · Use original language and refrain from directly quoting original source materials; -provide correct APA · Are positive, courteous, and respectful when offering suggestions, constructive feedback, or opposing viewpoints.
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Points Range: 5 (16.67%) – 5 (16.67%)
Discussion postings and responses meet doctoral -level writing expectations. They: ·Use grammar and syntax that is clear and appropriate to doctoral level writing; ; · Make a few errors in spelling, grammar, and syntax; · paraphrase but refrain from directly quoting original source materials; Provide correct APA format · Are courteous and respectful when offering suggestions, constructive feedback, or opposing viewpoints;.
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Points Range: 4 (13.33%) – 4 (13.33%)
Discussion postings and responses are minimally below doctoral-level writing expectations. They: · Make more than occasional errors in spelling, grammar, and syntax; · Directly quote from original source materials and/or paraphrase rather than use original language; lack correct APA format; and/or · Are less than courteous and respectful when offering suggestions, feedback, or opposing viewpoints.
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Points Range: 0 (0%) – 3 (10%)
Discussion postings and responses are well below doctoral -level writing expectations. They: · Use grammar and syntax that is that is unclear · Make many errors in spelling, grammar, and syntax; and –use incorrect APA format · Are discourteous and disrespectful when offering suggestions, feedback, or opposing viewpoints.
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Total Points: 30 |
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NURS 8000 Discussion: Ethics Essay
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