NURS 8002 WEEK 10 ETHICS AND THE DNP PREPARED NURSE DISCUSSION PAPER

NURS 8002 WEEK 10 ETHICS AND THE DNP PREPARED NURSE DISCUSSION PAPER

NURS 8002 WEEK 10 ETHICS AND THE DNP PREPARED NURSE DISCUSSION PAPER

NURS 8002 WEEK 10 ETHICS AND THE DNP PREPARED NURSE DISCUSSION PAPER SAMPLE

Ethics and the DNP-Prepared Nurse

The ethical issues relevant to the DNP-prepared nurse include informed consent and fidelity. Informed consent is based on a patient’s right to decide for themselves. The DNP nurse must respect patients’ right to decide and protect those patients who are unable to decide for themselves (Varkey, 2021). Informed consent stems from the ethical principle of autonomy.  The principle of autonomy entails a person’s right to choose and the ability to act on that choice. The DNP nurse has a responsibility of respecting patients’ right to autonomy. Autonomy reflects the belief that every competent individual has the right to determine their course of action (Vikas et al., 2021). The DNP nurse should be aware that the right to free choice rests on the patient’s competency to decide.

Fidelity means faithfulness and keeping promises and is the ethical foundation of nurse-client relationships. Patients have an ethical right to expect nurses to act in their best interests. As the DNP nurse function in the role of patient advocate, they are upholding the principle of fidelity. The DNP nurse demonstrates fidelity when they represent the patient’s viewpoint to other members of the healthcare team (Graf et al., 2020). Fidelity is also demonstrated when the DNP nurse avoids letting their own values influence their advocacy for clients. Thus, the DNP nurse should support the patient’s decision even when it conflicts with the nurse’s preferences or choices.

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The above issues compare to the ethical issues I have encountered in my practice since providers often encounter challenges when patients or their guardians fail to give consent. We have experienced lawsuits after providers failed to obtain consent from patients, and the interventions provided led to adverse effects. We have also had lawsuits when providers failed to keep the promises they made to patients, and the patients prosecuted them for failing to act in their best interest.  

References

Graf, W. D., Epstein, L. G., & Pearl, P. L. (2020). Practical Bioethics during the Exceptional Circumstances of a Pandemic. Pediatric neurology, 108, 3–4. https://doi.org/10.1016/j.pediatrneurol.2020.04.011

Varkey, B. (2021). Principles of Clinical Ethics and Their Application to Practice. Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 30(1), 17–28. https://doi.org/10.1159/000509119

Vikas, H., Kini, A., Sharma, N., Gowda, N. R., & Gupta, A. (2021). How informed is the informed consent?. Journal of family medicine and primary care, 10(6), 2299–2303. https://doi.org/10.4103/jfmpc.jfmpc_2393_20

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ETHICS AND THE DNP-PREPARED NURSE
You are likely already upholding ethics in nursing and healthcare delivery in your current nursing practice experience. As mentioned in the introduction for this week, a patient-focused approach that promotes the delivery of safe, quality, and cost-effective healthcare for promoting positive patient outcomes represents a fundamental alignment to ethical principles for the delivery of healthcare. In your journey toward becoming a DNP-prepared nurse, you will continue to uphold ethical principles in your nursing practice and will likely continue to serve as an advocate for adhering to these principles in all you do.
For this Discussion, reflect on the case studies/scenarios related to ethical challenges presented in this week’s Learning Resources. Think about how these ethical challenges may mirror your own experiences in nursing practice. Consider what other ethical challenges may arise in your own nursing practice or as you continue your program of study.
RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
TO PREPARE:
• Review the case studies/scenarios related to ethical challenges presented in this week’s Learning Resources.
• Reflect on ethical challenges related to the organization or at the point of care that you may have encountered in your nursing practice.
• Consider what new ethical challenges you might face once you obtain your doctoral degree.
BY DAY 3 OF WEEK 10
Post an explanation of at least two significant ethical issues relevant to the DNP-prepared nurse. Then explain how these issues might compare to the types of issues you have encountered in your practice. Be specific and provide examples.

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