Discussion: APNs and Healthcare Board Membership

Why is it meaningful to have doctorally prepared advanced practice nurses as members of health care boards? What is the role of the nurse on these boards?

Sample Essay – DNP840 Topic 8 DQ1

The essence of ethics in healthcare has been emphasized by past studies conducted by Lakhan, Hamlat, McNamee & Laird (2009) and Stirrat, Johnston, Gillon & Boyd (2009). Multifactorial principles and values outlined in diverse oaths and declarations form the underpinning foundation for ethical practices in medical care.  Earlier studies by Hurwitz & Richardson (1997) and Rancich, Pérez, Morales & Gelpi (2005) posits that the Hippocratic Oath is one of the many declarations and oaths that have been recited by entering and newly graduated nurses over the centuries. Recent studies by Gabel (2011) and Peter (2018) explains that ethical behavior is integral element for nurses and medical practitioners since ethical standards reinforce the objective of medical care—to alleviate patient’s suffering and pain. Ethical standards and behaviors are further pertinent since healthcare has its foundation on effective communication between medical personnel and the patients and or patients families. As such, ethical standards reinforce the values that are pertinent to proficient communication like accountability, trust, mutual respect and justifiable and fair medical care.

Research conducted by Caprino (2016), Quartey (2014) and Restauri (2012) concur that role models are considered so for having key traits. Restauri (2012) argues that number one trait of a role model is being a “doer” in regard to proactiveness of taking action, changing healthcare dynamics my formulating and advocating for policies rather than observing and complaining. Caprino (2016) explains that based on their experience and training in a key niche or dynamic, role models own the title for having deep empathy for others, fighting for equality and justice and reinforcing collaborative efforts while making efforts to make a difference. Quartey (2014) explains that role models are considered so for their positive influence, fighting to shape the future and setting an inspiring example that others can emulate. These traits are true for doctorally prepared advanced nurses and make them being branded as role models.

Earlier studies by Wright & Carrese (2002) explain that one displays attributes of a role model by their personal qualities and teaching skills. In regard to their personal qualities, one is regarded as a role model for having interpersonal skills (such as being supportive, respectful and caring of others), positive outlook (such as being friendly, easy-going and enthusiastic), commitment to excellence and growth (which entails having strong work ethics, high standards and values, inquisitiveness and creativity), integrity (by being true to one’s ideals) and leadership (based on their capability to inspire, excel at communication skills and influence others). In regard to teaching skills, one is regarded as a role model for his ability to establish rapport with colleagues and subordinates that they can teach; in coming up with key specific philosophies and methods and by being committed to the growth of the learners.

A doctorally prepared advanced nurse has every legitimate right and ethical underpinnings to interject their ideas into business practice. Angeli & Jaiswal (2016) explains that healthcare adopts a business model despite having a core goal of service to patients. As such through the teaching phase from RN, BSN, MSN to DNP level, nurses are trained on business concepts and how to approach care in business oriented terms. The core essential phase in business is product or service delivery at an excellent level. Such an objective explains the ANA scope of practice and guidelines emphasizing on quality healthcare delivery as explained by Kane (2015) among other healthcare articles and reputable journals.

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References

Angeli, F., & Jaiswal, A. (2016). Business model innovation for inclusive health care delivery at the bottom of the pyramid. Organization & Environment, 29(4), 486-507. doi: 10.1177/1086026616647174

Caprino, K. (2016). 6 Powerful traits of people who inspire others to become their best. Retrieved from https://www.forbes.com/sites/kathycaprino/2016/07/24/7-powerful-traits-of-people-who-inspire-others-to-become-their-best/#16b52d435b4c

Gabel, S. (2011). Ethics and values in clinical practice: Whom do they help?. Mayo Clinic Proceedings, 86(5), 421-424. doi: 10.4065/mcp.2010.0781

Hurwitz, B., & Richardson, R. (1997). Swearing to care: The resurgence in medical oaths. BMJ, 315(7123), 1671-1674. doi: 10.1136/bmj.315.7123.1671

Kane, C., (2015). The 2014 scope and standards of practice for psychiatric mental health nursing: Key updates. The Online Journal of Issues in Nursing. 20(1), 1-2.doi: 10.3912/OJIN.Vol20No01Man01

Lakhan, S., Hamlat, E., McNamee, T., & Laird, C. (2009). Time for a unified approach to medical ethics. Philosophy, Ethics, and Humanities In Medicine, 4(1), 13. doi: 10.1186/1747-5341-4-13

Peter, E., (2018). Ethics in healthcare: Nurses respond. The Online Journal of Issues in Nursing. 23(1), 2-7. doi: 10.3912/OJIN.Vol23No01ManOS

Quartey, H. (2014). How to be a role model. Retrieved from https://www.theguardian.com/women-in-leadership/2014/jan/08/how-to-be-a-role-model

Rancich, A., Pérez, M., Morales, C., & Gelpi, R. (2005). Beneficence, justice, and lifelong learning expressed in medical oaths. Journal of Continuing Education In The Health Professions, 25(3), 211-220. doi: 10.1002/chp.32

Restauri, D. (2012). The No.1 trait of role models. Do you have it?. Retrieved from https://www.forbes.com/sites/deniserestauri/2012/08/06/the-no-1-trait-of-role-models-do-you-have-it/#754cb5311061

Stirrat, G., Johnston, C., Gillon, R., & Boyd, K. (2009). Medical ethics and law for doctors of tomorrow: the 1998 Consensus Statement updated. Journal of Medical Ethics, 36(1), 55-60. doi: 10.1136/jme.2009.034660

Wright, S. M., & Carrese, J. A. (2002). Excellence in role modelling: Insight and perspectives from the pros. CMAJ : Canadian Medical Association journal = journal de l’Association medicale canadienne, 167(6), 638–643.Discussion: APNs and Healthcare Board Membership