westcoast nurs521 all assignments latest 2017 october
Week 1 Virtue Ethics
Essay
Respond to one of the following three “news clippings”
related to virtue ethics from your Pozgar text.
Write a 1- 2 page essay addressing the discussion questions posed for
the one you selected. Be sure to clearly
identify the news clipping you selected.
Adhere to APA formatting and cite all sources. Review the
rubric for further information on how your assignment will be graded.
Due: Sunday, 11:59 p.m. (Pacific time)
Points: 40
Watch the following 3 videos and choose one to address for
your assignment.
#1. Wrong-Operation Doctor
Script
Find Out More: You may use these and other outside sources
to frame your discussion.
The Pain of
Wrong Site Surgery
Judgment Upheld in Arkansas Brain Surgery Lawsuit
National Quality Forum
Assignment Discussion Questions
1. Discuss the issues of integrity in this case.
2. Should criminal charges be considered in this case, if
accurately reported? Discuss your answer.
3. Why did you choose to respond to this story?
4. How is integrity displayed in your clinical setting?
#2. Cheney’s Staff Cuts Testimony on Warming
Script
Find Out More: You may use these and other outside sources
to frame your discussion.
The full story Cheney’s Staff Cut Testimony On Warming
CDC on Air Quality
Assignment Discussion Questions
1. Discuss how headlines such as this affect your opinion of
politicians.
2. At the end of our days, the most basic principles of
life–trust and survival–are on trial. What is your verdict, if you believe
there was a cover-up?.
3. Why did you choose to respond to this story?
4. How are government and political trust displayed in your
clinical setting?
#3. Surgeon Uses Ministry in Medical Practice
Script
Find Out More: You may use these and other outside sources
to frame your discussion.
The full story:
Praying with patients: A Dallas surgeon finds a way to put ministry into
practice
Should Your Doctor Pray With You?
South Korean Hospitals Shut Over MERS Fears; 11th Person
Dies
Note the picture in this article
Assignment Discussion Questions
1. Discuss the pressure, if any, placed on the patient to
responding to the suggestion of prayer prior to surgery.
2. Describe how you, as the surgeon, or nurse, would address
a patient’s religious or spiritual needs if the risks of a complex surgical
procedure appear to be threatening.
3. Why did you choose to respond to this story?
4. How is religion or faith displayed in your clinical
setting?
Week 2 Ethical
Frameworks Essay
Consider the “Four Topics Approach” (or Four Box method) to
ethical decision making on page 61, Table 2.1 in Butts (below). Apply this model to a challenging situation
in your nursing career that required you to consider the ethical dimensions of
the patient case and the role you played in providing care. Specifically apply
and address the questions within each topic area as they pertain to your
situation.
In your conclusion, discuss the impact of the Four Topics
process. Did applying these principles shape your decision making in any
way? Does this seem like a valid process
for you to apply in your practice?
Your paper should be 1-2 pages. Adhere to APA formatting
throughout, and cite any outside sources you may use.
Review the rubric for further information on how your
assignment will be graded.
Optional: You may this pdf, complete it using
correct grammar and APA, and submit it as your assignment in lieu of writing a
paper. *You will need Adobe Acrobat in order to utilize this fillable .pdf
form.
Due: Sunday, 11:59 p.m. (Pacific time)
Points: 60
TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics
Cases
Medical Indications: The Principles of Beneficence and
Nonmaleficence
1. What is the patient’s medical problem? Is the problem
acute? Chronic? Critical? Reversible? Emergent? Terminal?
2. What are the goals
of treatment?
3. In what
circumstances are medical treatments not indicated?
4. What are the
probabilities of success of various treatment options?
5. In sum, how can
this patient be benefited by medical and nursing care, and how can harm be
avoided?
Patient Preferences:
The Principle of Respect for Autonomy
1. Has the patient been informed of benefits and risks,
understood this information, and given consent?
2. Is the patient
mentally capable and legally competent, and is there evidence of incapacity?
3. If mentally
capable, what preferences about treatment is the patient stating?
4. If incapacitated,
has the patient expressed prior preferences?
5. Who is the
appropriate surrogate to make decisions for the incapacitated patient?
6. Is the patient
unwilling or unable to cooperate with medical treatment? If so, why?
Quality of Life: The Principles of Beneficence and
Nonmaleficence and Respect for Autonomy
1. What are the
prospects, with or without treatment, for a return to normal life, and what
physical, mental, and social deficits might the patient experience even if
treatment succeeds?
2. On what grounds
can anyone judge that some quality of life would be undesirable for a patient
who cannot make or express such a judgment?
3. Are there biases
that might prejudice the provider’s evaluation of the patient’s quality of
life?
4. What ethical
issues arise concerning improving or enhancing a patient’s quality of life?
5. Do quality-of-life
assessments raise any questions regarding changes in treatment plans, such as
forgoing life-sustaining treatment?
6. What are plans and
rationale to forgo life-sustaining treatment?
7. What is the legal
and ethical status of suicide?
Contextual Features: The Principles of Justice and Fairness
1. Are there
professional, interprofessional, or business interests that might create conflicts
of interest in the clinical treatment of patients?
2. Are there parties
other than clinicians and patients, such as family members, who have an
interest in clinical decisions?
3. What are the
limits imposed on patient confidentiality by the legitimate interests of third
parties?
4. Are there
financial factors that create conflicts of interest in clinical decisions?
5. Are there problems
of allocation of scarce health resources that might affect clinical decisions?
6. Are there
religious issues that might influence clinical decisions?
7. What are the legal
issues that might affect clinical decisions?
8. Are there
considerations of clinical research and education that might affect clinical
decisions?
9. Are there issues
of public health and safety that affect clinical decisions?
10. Are there
conflicts of interest within institutions and organizations (e.g., hospitals)
that may affect clinical decisions and patient welfare?
Week 3 Contemporary
Issue Position Essay
Choose a case from the AMA Journal of Ethics Case Index and
take a position. For this assignment you will evaluate the ethical arguments
for or against the issue. Identify the potential legal arguments (consider
current federal guidelines), indicate any potential professional code conflicts
you foresee, and support your position with an explanation of your own
ethical/moral foundation.
In your 2-3 page paper:
Identify the issue and state your ethical position.
How might this scenario play out or impact you in your role
as a nurse practitioner?
Defend your position with legal, ethical, and professional
evidence.
As part of your position, propose strategies and solutions
for addressing the issues.
What other ethical issues does this case bring to light, if
any?
Support your position with at least one scholarly source (it
may be your text). Be sure to cite the
article you choose, use APA format, and include a title page and reference
page.
Review the rubric for further information on how your
assignment will be graded.
Week 4 Article
Summary and Review Essay
Choose one of the articles below, and address the essay
prompt associated with it. You will need to log in to the WCU library to access
the full article.
Park, M. (2009). Ethical issues in nursing practice. Journal
of Nursing Law, 13(3), 68-77. doi:10.1891/1073-7472.13.3.68
Link: Ethical issues
in nursing practice
Essay Prompt: Identify primary areas for legal and ethical
issues faced by oncology nurses in this study (Park, 2009), and strategies they
may have developed to work with those ethical issues.
Or,
Croke, E. (2006). Nursing malpractice: determining liability
elements for negligent acts. Journal of Legal Nurse Consulting, 17(3), 3.
Link: Nursing malpractice: determining liability elements
for negligent acts
Essay Prompt: Identify primary problems that led to the
malpractice suits (Croke, 2006), and identify the role the nurse played and
what the nurse did wrong.
Your 1-2 page paper should include adhere to APA formatting
and references/ citations for the article.
Additional sources are optional.
Review the rubric for further information on how your
assignment will be graded.
Week 5 Field Activity
Paper
This paper will have three parts addressing two important
pieces of legislation related to the right of individuals to make health care
decisions for themselves.
Part I
The Advance Health Care Directive
Locate a copy of an advanced directive (AD) that complies
with the laws of the state in which you work. The organization in which you
work should have a copy of an advance directive that is given to patients. If
not, your state’s Advance Directives here
http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289.
Complete the advance directive for yourself. Do not turn in your AD with your paper. The AD
is for your personal use.
In your paper, Part I:
Identify where you obtained the AD and explain its
compliance with state law.
Conduct research (1-2 sources) to learn more about the AD in
your state and explain how it works.
Discuss how easy or difficult it was to complete the AD.
Your comments should be specific and both objective and subjective. For
example, when you state your personal feelings, you must relate them to the
literature (textbook and research) that discusses this process and the difficulties
that many people face when completing an advance directive.
(Cite/ reference any sources you use to explore these
questions, including your texts.)
Part II
Physician Orders for Life-Sustaining Treatment (POLST) Form
What is a Physician Orders for Life-Sustaining Treatment
(POLST) form?
When should this form be completed?
Who can complete the form?
Who needs to sign the form to make it a legal document?
(Cite/reference any sources you use to explore these
questions, including your texts.)
Part III
Tie the two first sections together by writing a summary and
conclusion.
This section should address:
1. the differences between an Advance Health Care Directive
and the POLST,
2. the RN’s important role in assuring the patient’s right
to autonomy in choosing the healthcare interventions the patient does or does
not want.
Use current APA format.
The paper should be between 3-5 pages in length excluding
the title and reference page(s).
Cite and reference the course text and at least two (2)
additional appropriate professional sources.
Review the rubric for further information on how your
assignment will be graded.
Week 6 Organizational
Ethics Presentation
This week, you will submit your presentation using the
Kaltura recording tool within Blackboard. See the Getting Started with Kaltura
link listed under the Resources area in your course menu to learn how to use
this tool. Your presentation must include both audio and visual components and
be professional in nature.
You will submit your final presentation here for grading,
and you will submit it to the discussion board this week as a draft for your
peers to review and as a final product to share. See the discussion board for details.
Taken from the assigned reading in Butts chapter 12, page
401, “Ethical Reflection: Typical Unethical or Illegal Behaviors in
Organizations”
2. Create a presentation of 10-15 slides or screens
excluding the title and references.
Your slides/screen should include titles, main ideas, bullet
points, and relevant images, charts, graphs, etc.
3. In your presentation:
Describe an ethical situation, based on the chosen topic,
that can get in the nurse’s way of practicing ethically. Describe the situation
clearly and concisely.
Identify how this situation relates to one provision within
the Code of Ethics for Nurses.
Identify two ethical principles that may arise when facing
this situation.
Discuss how a nurse might lessen the impact of the situation
on the nurse’s practice.
In addition to the course texts, cite and reference a
minimum of two (2) additional scholarly sources to support your work.
Close with a summary of your topic, and APA formatted
reference slide(s).
Audio is optional.
Review the rubric for further information on how your
assignment will be graded.
Week 7 Advocacy Paper
Choose a patient-care situation in which the RN should
intervene and advocate for the patient.
An example of such a situation might be when a patient has not been
given complete informed consent.
Include the following in your paper:
Describe the clinical situation concisely and descriptively.
It can be an actual situation or a hypothetical one.
Apply the Bioethical Decision Making Model to the specific
clinical ethical situation that you choose. Address each section of the model
in your paper.
Conclude with a discussion of nursing advocacy in the
clinical setting and the nurse’s role as a patient advocate.
Your paper should be 4-5 pages.
You must reference and cite 1-2 scholarly sources other than
your text. Include a title page and a reference page to cite your text and
adhere to APA formatting.
Review the rubric for further information on how your
assignment will be graded.
Week 8 Nine Tenets
Essay
Reviewing Appendix B in Butts, choose two of the Nine Tenets
of the Code of Ethics for Nurses and describe how you will personally apply
each tenet in the practice setting with your patients. Describe in detail the
purpose of the tenet and provide examples of the tenet applied in practice.
Explain why it is important to uphold the tenet in maximizing the quality of
patient care, and identify how it enhances your own practice as a nurse.
Your paper should be 1-2 pages.
Include a title page and a reference page to cite your text.
Adhere to APA formatting throughout, and cite any outside sources you may use.
Review the rubric for further information on how your
assignment will be graded.
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