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Instructions of NHS-FPX 4000 Assessment Three
Applying Ethical Principles
Develop a solution to a specific ethical dilemma faced by a healthcare professional by applying ethical principles. Describe the issues and a possible solution in a paper of 3-5 pages.
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Introduction
Whether you are a nurse, a public health professional, a health care administrator, or in another role in the health care field, you must base your decisions on a set of ethical principles and values. Your decisions must be fair, equitable, and defensible. Each discipline has established a professional code of ethics to guide ethical behavior. In this assessment, you will practice working through an ethical dilemma as described in a case study. Your practice will help you develop a method for formulating ethical decisions.
Instructions
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.
For this assessment, develop a solution to a specific ethical dilemma faced by a healthcare professional. In your assessment:
Select one of the case studies presented in the Assessment 03 Supplement: Applying Ethical Principles [PDF] Download Assessment 03 Supplement: Applying Ethical Principles [PDF]resource.
Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.
Summarize the facts in the selected case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
Identify who is involved or affected by the ethical problem or issue.
Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
Apply the three components outlined in the Ethical Decision-Making Model media.
Analyze the factors that contributed to the ethical problem or issue identified in the case study.
Describe the factors that contributed to the problem or issue and explain how they contributed.
Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
In addition to the readings provided, use the Capella Library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references. You will select at least one current scholarly or academic peer-reviewed journal article published during the past 3–5 years that relates to your topic.
Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
Review the Think Critically About Source Quality resource.
Assess the credibility of the information source.
Assess the relevance of the information source.
Discuss the effectiveness of the communication approaches present in a case study.
Describe how the healthcare professional in the case study communicated with others.
Assess instances where the professional communicated effectively or ineffectively.
Explain which communication approaches should be used and which ones should be avoided.
Describe the consequences of using effective and non-effective communication approaches.
Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
Discuss the key lessons this case provides for healthcare professionals.
Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
Describe the proposed solution.
Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
Discuss how likely it is the proposed solution will foster professional collaboration.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Apply the principles of effective composition.
Determine the proper application of the rules of grammar and mechanics.
Write using APA style for in-text citations, quotes, and references.
Determine the proper application of APA formatting requirements and scholarly writing standards.
Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
Additional Requirements
Your assessment should also meet the following requirements:
Length: 3–5 typed, double-spaced pages, not including the title page and reference page.
Font and font size: Times New Roman, 12 points.
APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
Written communication: Use correct spelling, grammar, and punctuation.
References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.
APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
Competency 3: Apply ethical principles and academic standards to the study of health care.
Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
Discuss effective communication approaches the provider can use to address the issue in the case study.
Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
Competency 4: Write for a specific audience, in an appropriate tone and style, in accordance with Capella’s writing standards.
Discuss the effectiveness of the communication approaches present in a case study.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Write the following APA style for in-text citations, quotes, and references.
Resources
This course has been completed and no further assessments may be submitted.
Use the resources linked below to help complete this assessment.
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Ethics for Health Care
Perhaps the most basic and important subject in the healthcare field is ethics. Remember Hippocrates and the Hippocratic Oath about doing no harm. This simple proposition, written sometime in the fifth century BC, is one of the oldest binding ethical documents in human history. Almost 100 percent of graduating healthcare professionals take an ethically based oath before they begin practice.
The resources in the following reading list provide information about the codes of ethics of professional associations, government entities, and other organizations:
Implicit Bias
Adverse patient outcomes occur when members of the health care team have implicit bias. According to the Joint Commission (2016):
Implicit (subconscious) bias refers to the attitudes or stereotypes that affect our understanding, actions, and decisions in an unconscious manner. These biases, which encompass both favorable and unfavorable assessments, are activated involuntarily and without an individual’s awareness or intentional control (p. 1).
Public Radio International (PRI) shares a story about how implicit bias can manifest itself in a healthcare screening, highlighting a specific situation for Asian Americans regarding Type 2 diabetes:
The Joint Commission provides these further insights:
Writing
Writing is one of the most important skills you need to excel in your healthcare studies and in your professional life. In this assessment, you can begin to build the skills needed to express your thoughts clearly and directly in writing and to support your thoughts by citing credible evidence. You can also gain practice using APA standards for academic writing. Adhering to these standards will boost the credibility of your writing.
The following media and Campus resources provide information and assistance for building your writing skills and understanding APA standards:
Each of the following research guides is written with a specific program in mind. The one for your program can provide insights about researching topics related to your field:
The following resources will help you assess the articles you find to ensure they are appropriate peer-reviewed articles that have credibility and relevance:
Activity
This course has been completed and no further assessments may be submitted.
Click the linked Ethical Terminology title to check your understanding of the terminology associated with ethical practice in health care. This is for your own self-assessment.
Step-By-Step Guide NHS-FPX 4000 Assessment Three: Applying Ethical Principles
Introduction to NHS 4000 Assessment Three
The NHS-FPX 4000 Assessment Three: Applying Ethical Principles focuses on ethical decision-making in healthcare, specifically examining a case involving Nurse Amelia Brooks. It explores the intricate balance between personal convictions and professional responsibilities when faced with moral dilemmas. This How-To NHS-FPX 4000 Guide helps utilize an ethical decision-making model to navigate and resolve these conflicts effectively, which is the goal.
Select one of the case studies presented in the Assessment 03 Supplement: Applying Ethical Principles.
Identifying Key Issues and Stakeholders
To start the NHS-FPX 4000 Assessment Three: Applying Ethical Principles, we will identify the key issues and stakeholders.
- Read the case study thoroughly to understand the core ethical dilemma.
- Identify the main stakeholders, including the nurse, the patient, and other healthcare professionals.
- Determine the specific ethical issues at play. In this case, it involves conscientious objection versus professional duty.
Example
Healthcare practitioners frequently face difficult moral decisions that need rigorous thought and the application of ethical precepts. This essay discusses the ethical problem that Riverside Medical Center nurse Amelia Brooks encountered when it came to her conscientious objection to taking part in Sophie Turner’s elective abortion operation. The case examines the complex interplay between one’s convictions, professional obligations, and the values of autonomy, accountability, and non-maleficence. This essay will discuss the case study to pinpoint Nurse Amelia’s moral problem and use the Ethical Decision-Making Model to provide a workable solution.
As requested to help patient Sophie Turner, whose request is within her legal rights, have an elective abortion, nurse Amelia Brooks is put in a difficult moral position. Amelia must balance her professional obligation to offer fair treatment with her conscientious objection, which is motivated by her strong personal views against abortion.
Summarize the facts in the selected case study and use the three components of an ethical decision-making model to analyze a moral problem or issue and the factors that contributed to it.
Application of Ethical Decision-Making Models
Next, we will discuss the applications of the ethical decision-making models.
- Select a model that fits the context, such as Beauchamp and Childress’ principles of biomedical ethics or another suitable framework.
- Follow the model’s steps systematically to analyze the dilemma and consider all relevant ethical principles.
Example
The moral dilemma arises from Nurse Amelia’s commitment to offer impartial treatment and her conscientious aversion to taking part in an elective abortion. An examination examining abortion service providers in Zimbabwe found that their negative view of women seeking abortion services was influenced by the cultural opinion that abortion is morally wrong (Chiweshe and Macleod, 2017). Conflicting ethical principles or values are at issue in moral dilemmas, which gives rise to arguments about how to weigh these principles and reach a conclusion (Beauchamp & Childress, 2001). The problem is made more difficult by the competing ideals of professional obligation and personal convictions.
Analyzing Ethical Principles
Here, we will analyze the ethical principles.
- Respect the patient’s right to make informed decisions about their healthcare.
- Ensure that actions do not cause harm to the patient.
- Balance personal beliefs with professional obligations to provide fair and unbiased care.
Example
Complexity is increased by Amelia’s ethical problem, which involves her convictions, the patient’s legal rights, and her professional obligations. Her battle with conformist reasoning is consistent with the findings of Dierckx de Casterlé et al. (2008), which place more weight on conformist reasoning than on critical thinking. The conflicting values in clinical nursing are brought to light by the impact of underlying somatic constructions on Amelia’s moral judgments, which are based on her opposition to abortion. Since ethical dilemmas in clinical nursing frequently include negotiating opposing values, finding a solution to her situation would necessitate sacrificing her personal and professional principles, impairing her capacity to offer compassionate and high-quality care (Robson et al., 2000). The instance emphasizes how important it is to support nurses in critical and creative thought, as this enables a more thorough approach to ethical decision-making that considers each individual’s complexity.
Consistent with previous research, the majority of ethical challenges faced by medical professionals stemmed from their comprehension and application of abortion laws (Miljeteig et al., 2019). In their work, nurses are frequently confronted with morally challenging scenarios that go beyond life-or-death crises to include everyday problems. These moral judgments are supported by the ethical principle of justice, which is based on ideas of equality and fairness. Justice requires conformity to universal standards emphasizing individualism, objectivity, and optimism. Reliance on bioethical principles may not give sufficient advice in situations with unclear treatment advantages or competing interests between patients and healthcare providers because of possible discrepancies (Haahr et al., 2019). Under such circumstances, nurses can encounter moral problems similar to Nurse Amelia’s.
Identifying Affected Parties
In this section of Assessment Three, we will identify the affected Parties.
- Focus on those directly involved, such as the patient and the nurse.
- Consider the broader impact on colleagues, the healthcare institution, and other patients.
Example
Dr. Rebecca Martin, who asks for help, Nurse Amelia Brooks, and patient Sophie Turner, whose autonomy and well-being are crucial, are important stakeholders. In addition to the persons directly engaged, coworkers, patients, and the healthcare facility are also impacted by the ethical dilemma.
Discuss the effectiveness of the communication approaches present in a case study. Explain which communication approaches should be used and which ones should be avoided.
Communication Strategies
Here, we will discuss communication strategies.
- Practice clear, empathetic, and respectful communication to convey ethical concerns and decisions.
- Use negotiation and conflict resolution skills to handle disagreements and find mutually acceptable solutions.
Example
In the case study of Nurse Amelia, communicating effectively is essential to resolving the moral problem. Amelia effectively and respectfully informs Dr. Martin of her conscientious objection, assuring openness regarding her moral position. However, how well she communicates with Dr. Martin—who could have different opinions—will determine its effectiveness. If Amelia doesn’t express her issue adequately or Dr. Martin sees it as challenging to accept medical procedures, communication may be ineffective, and patient care may be jeopardized. Amelia has to communicate with empathy and transparency to be more productive. She should encourage candid discussion, value other viewpoints, and maintain cooperative connections. Ineffective communication strategies, including being condescending or contemptuous, can damage our professional relationships, affecting the continuity of patient treatment and the team’s cohesiveness. One of the outcomes of poor communication is a collapse in team trust within the medical community. As such, understanding the ethical aspects of the problem and promoting a cooperative settlement need excellent communication.
Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
Professional Approaches to Ethical Practice
Now, we will look into the professional approaches to ethical practices.
- Reflect on personal values and how they align with professional responsibilities.
- Strive to provide high-quality care while respecting ethical boundaries and personal convictions.
Example
Nurse Amelia takes a sophisticated approach to balancing competing principles to resolve the ethical problem. She exhibits moral awareness by acknowledging the contradiction between her moral obligations to care for others and her convictions. Her moral judgment entails weighing the values of non-maleficence, professional responsibility, and autonomy, which results in a deliberate decision-making process. Amelia searches for a solution that upholds the patient’s conscientious objection and her independence in an ethical manner. Her attitude indicates her dedication to maintaining professional standards even in challenging ethical situations. The most important lesson for healthcare professionals is the value of proactive, compassionate, ethical involvement. Transparent communication and an emphasis on patients are vital components in resolving ethical quandaries.
Proposed Solutions and Recommendations
Here, we will propose solutions and recommendations.
- Propose realistic and ethical solutions to the dilemma, such as reassignment or alternative care options.
- Use ethical principles and evidence from literature to justify the proposed solutions.
Example
As a solution to the moral problem, Nurse Amelia can ask to be transferred to a different assignment where her convictions are more in line with her duties as a professional, enabling her to give care without sacrificing her conscientious objection to abortion. Based on moral precepts, this approach upholds patient autonomy and puts their needs first. Amelia can maintain her dedication to delivering high-quality treatment while navigating the challenging ethical terrain thanks to the suggested strategy. From an interdisciplinary standpoint, by exhibiting a proactive and moral reaction to possible problems, this strategy could aid in developing beneficial relationships. Fostering professional collaboration among healthcare professionals is contingent upon the organizational support afforded to conscientious objection accommodations and open communication.
Closing
NHS-FPX 4000 Assessment Three: Applying Ethical Principles How-To Owlisdom Guide provides a structured approach for students to effectively navigate and resolve ethical dilemmas in healthcare settings. By following these steps, students can develop a comprehensive understanding of moral decision-making and apply it to real-world scenarios.
References
Beauchamp, T. L., & Childress, J. F. (2001). Principles of biomedical ethics (5th ed.). Oxford University Press.
Chiweshe, M., & Macleod, C. (2017). ‘If You Choose to Abort, You Have Acted As an Instrument of Satan’: Zimbabwean Health Service Providers’ Negative Constructions of Women Presenting for Post Abortion Care. International Journal of Behavioral Medicine, 24(6), 856–863. https://doi.org/10.1007/s12529-017-9694-8
Miljeteig, I., Defaye, F., Desalegn, D., & Danis, M. (2019). Clinical ethics dilemmas in a low-income setting: a national survey among physicians in Ethiopia. BMC Medical Ethics, 20, 1–13. https://doi.org/10.1186/s12910-019-0402-x
Haahr, A., Norlyk, A., Martinsen, B., & Dreyer, P. (2019). Nurses’ experiences with ethical dilemmas: A literature review. Nursing Ethics, 27(1), 258-272. https://doi.org/10.1177/0969733019832941
Burkholder, J., Burkholder, D., & Gavin, M. (2020). The role of decision-making models and reflection in navigating ethical dilemmas. Counseling and Values, 65(1), 108–121. https://doi.org/10.1002/cvj.12125
Hervey, L. (2007). Embodied ethical decision-making. American Journal of Dance Therapy, 29(2), 91–108. https://doi.org/10.1007/s10465-007-9036-5.
Dierckx de Casterlé, B., Izumi, S., Godfrey, N. S., et al. (2008). Nurses’ responses to ethical dilemmas in nursing practice: meta-analysis. Journal of Advanced Nursing, 63(6), 540–549.
Robson, M., Cook, P., Hunt, K., & Alred, G. (2000). Towards ethical decision-making in counseling research. British Journal of Guidance & Counselling, 28(4), 533-547. DOI:10.1080/713652317.