• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts and supporting your opinion with a reference. Response posts must be at least 150 words. Your reply posts are worth 2 points (1 point per response).
• Quotes “…” cannot be used at a higher learning level for your assignments, so sentences need to be paraphrased and referenced.
• Acceptable references include scholarly journal articles or primary legal sources (statutes, court opinions), journal articles, and books published in the last five years—no websites to be referenced without prior approval.

Response Posting: *200 word minimum

1. Thoughtfully and professionally contribute to one other student post by the deadline (see course Calendar) providing an objective assessment of their post and/or suggestions of (and rationales for) alternative axioms and models/theories that may also work for their target audiences/topic.  (5 points) 

2. Use two scholarly references to cite your work – a nursing scholarly article and/or reputable internet site and/or textbook. (5 points)

Discussion 5: Ethical Considerations & Moral Distress – Coach Cary Brown

From Law & Ethics in Nursing – 11479 NUR4826 202101No unread replies.No replies.All initial (primary) posts are due on Wed 11:59. A 10% deduction per day will occur up to 72 hours after which the initial will not be accepted. Responses are due on Sunday 11:59 and will not be accepted late and will receive a zero. 

The experience of moral distress can be distinguished from the experience of moral dilemmas.  In moral distress, a nurse knows the morally right course of action to take, but institutional structure and conflicts with colleagues create obstacles.  A nurse who fails to act in the face of obstacles also may have reactive distress in addition to the initial distress.  Both kinds of distress pose dilemmas about individual and collective moral responsibility.  Coping with these dilemmas effectively requires taking at least some successful actions to resolve distress.

For this discussion you are to reflect on a morally distressing clinical experience:

Primary Post

1. Describe a distressing clinical experience you have had as a nurse when you either were involved in or witnessed care or behaviors that you would describe as unethical. Ensuring confidentiality in your description of the event, place, and persons, include in your description:

a. the setting in which the conflict occurred (e.g., ICU, hospital inpatient unit, LTC, OR)

b. disease or patient group (e.g., geriatric, cancer, NICU, dementia) or healthcare team (e.g., physician-nurse, nurse-nurse)

c. the type of conflict (e.g., withdrawal of life support, nutrition, hydration; HIPAA violation, pain management)

d. all those involved in the conflict (e.g., nurse, physician, patient, family member)

e. cultural factors identified as influencing the clinical experience (e.g., ethnicity, poverty)

2. How do you think this experience affected you as a nurse?

a. What emotions do you recall having in the aftermath of the situation (e.g., advocacy, anger, career change, guilt, betrayal, and so on)?  

b. How do you feel about it now?

3. How do you think these experiences affect the profession of nursing?

4. When confronted with a similar situation what do you imagine doing differently?

5. What resource would you recommend to another nurse coping with a similar circumstance? (cite resource- can be a website, professional source or other source that supports coping with moral distress)

 

Module 01 Content

1. Grammarly plagiarism report must be submitted with this assignment.

   Submit a paper which compares and contrasts two mental health theories:

   • You may choose your theories from the textbook or from other sources.
   • Describe each theory, including some history about the person who developed the theory and the major ideas and applications of the theory.
   • Describe the ways in which the two theories are similar, and how they differ.
   • Include a statement of how each theory could be used in your nursing practice. Include specific patient examples if you have them. You may also critique the theory: Is there anything with which you disagree or are there any problems you can identify?
   • It is expected that this essay will be 2-3 pages in length (not including the title page), double-spaced. Your paper should include an introduction and conclusion and proper APA citations from any source material you use, including your text.

Search the GCU Library and find two new health care articles that use quantitative research. Do not use articles from a previous assignment, or articles that appear in the Topic Materials or textbook.

Complete an article analysis for each using the “Article Analysis: Part 2” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 2,” for an example of an article analysis.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.