A HISTORY OF NURSING ETHICS

The Nuremberg trials at the close of WWII offered disturbing questions. How can “good” people in traditionally honor-bound professions become complicit in some of the worst violations of humanity in history? What happens when individual professionals are not held to account by their peers, professions, and society as a whole? The trials showed how moral individuals within organizations can engage in morally “wrong” functions. “I was just following orders,” complicit healthcare providers, doctors, and nurses claimed.

Morality refers to principles that help determine what is “right” and what is “wrong.” Ethics is the related field that puts these principles to work to:

apply moral principles to choose “right” actions,

conduct relationships in an ethical manner, and

manage situations where a “right” action is clear but for some reason not possible.

Using what we have learned this week- read the ethical dilemma below and explain your response and actions:

Nurse Is Instructed to Have Patient with Low Literacy Level to Sign Consent for Treatment

Scenario: Nurse Gloria is instructed by the attending physician to have Mr. Isaacs sign a consent form before a scheduled colonoscopy. As Nurse Gloria goes over the form with the patient, she notices he seems confused and is unsure where or how to sign the paperwork.

Ethical Dilemma: It is common for nurses to be the ones to get signatures on consent forms, especially for procedures like the one described in this scenario. When faced with a situation like the one here when the nurse is not sure that the patient understands what he is being told or if he can read, the decision of whether to delay a busy schedule to have the doctor come back and talk to the patient or explain to the best of her knowledge and get the patient’s signature may seem difficult to make.

Now that you have read the ethical dilemma below WHAT IS THIS PERSON FOCUSING ON EMOTIONALLY? What are the ASSOCIATED ETHICAL PRINCIPLEs AT PLAY IN THIS SCENARIO? WHAT ARE THE IMPLICATIONS OF THE NURSE’S ACTIONS? explain your responses and your current actions.

Please note the grading rubric.

Actions should incorporate EI, your actions and priorities, and the EBP behind your decisions.

This assignment is to be submitted as an essay- with an introduction, questions developed at the graduate level, and a conclusion to summarize and synthesize key points. A minimum of 4 pages not counting cover and reference pages- APA must be strictly followed.

4 references

· Learning Activity Question

50% of total result

Excellent

The learning activity questions are answered comprehensively. The word count if applicable has been met, and it is accurate, non-evaluative, coherent, readable, and concise. All the following elements are included: a. The problem or issue you are presented and clearly explained, and b. the author’s conclusions are clear and concise are explained. There is an introduction and a conclusion to the submission.

50

Satisfactory

The learning activity questions are not answered comprehensively. The word count is 50 words short of meeting the required count, and it is accurate, has some non-cohesive thoughts, readable, and is concise. All the following elements are included: a. The problem or issue you are presented and clearly explained, and b. the author’s conclusions are clear and concise are explained. There is either an introduction or a conclusion to the submission- but not both.

37.5

Unsatisfactory

The learning activity questions are not answered comprehensively. The word count is 50 words short of meeting the required count, but it is not clear and accurate, has some non-cohesive thoughts, and struggles to be coherent, readable, and concise. All the following elements are included: a. The problem or issue you is not presented and clearly explained, and b. the author’s conclusions are not clear and concise are explained. There is either an introduction or a conclusion to the submission- but not both.

25

· Reference Page

25% of total result

Excellent

Utilizes at least 4 sources and all sources are current within 5 years. Cited following APA format.

25

Satisfactory

Utilizes at least 2 sources and all sources are current within 5 years. Cited following APA format.

18.75

Unsatisfactory

Utilizes at least 1 sources and all sources are current within 5 years. Cited following APA format.

5

· Grammar, Spelling, APA, Page Requirement

25% of total result

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