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)

Scenario

You are a first-year graduate student. You are taking a graduate course on research and writing. In this assignment, your professor has asked that you create a research question for a topic you are interested in and that you also perform an initial literature review.

Instructions

In a paper, do the following:

• Explain the research question you would like to pursue and why you chose it. It should be researchable, feasible to pursue in the time span of a school term, and of interest to you.
• Explain what type of research will be most appropriate to answer your research question.
• Perform a literature review to help identify how your research study will contribute to current knowledge about the topic. Include at least ten (10) scholarly sources from the last five years that are relevant to your research question. In your literature review, you should analyze the content of the articles reviewed, compare findings in different articles, and integrate the literature into an organized discussion.

 

4. Create your Assignment submission and be sure to cite your sources, use APA 7th edition  style as required, check your spelling.

Assignment:

Design a PowerPoint presentation for high school aged students discussing normative aging changes, sexuality, STDs, and prevention.  

• Discuss normal body changes that occur through puberty into young adulthood
• Discuss specific STDs, causes, symptoms, complications, and treatment: 

                        **You should include a slide or two for each of the following:  Gonorrhea, Chlamydia, Herpes, HIV, Syphillis, HPV

• Discuss pregnancy and prevention

The assignment should be submitted in PowerPoint format, with at least 10 content slides (in addition to a title slide and reference slide) and include at least two scholarly sources other than provided materials.

 

Discussion Question:

Investigate how school health is delivered within your local school system. You can look at one specific school, or an entire school district. Do the schools in your area have a school health nurse assigned? If not, how are health care needs within the school district managed? What are ways in your area schools in which health promotion and management of existing health problems are addressed?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. APA format 7the edition.