Assignment: Ethics and Leadership in Nursing Responses

Assignment: Ethics and Leadership in Nursing Responses ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Assignment: Ethics and Leadership in Nursing Responses Please respond to these 2 different discussions separately. The response should be 1 to 2 paragraphs per discussion paper with a minimum of 220 words( not including references ). Also, 2 different reference and citation per each discussion. Assignment: Ethics and Leadership in Nursing Responses **** It should be 2 separate response with one to two paragraph each**** The response should be done as a research with 2 reference each. Style: APA References: 2 each double space Please see attachment for the discussion responses Please contact me if you have any questions in regards to the instruction Thank you attachment_1 Please reply to Research # 1- Omaily Need to reply with 1 to 2 paragraphs with a minimum of 250 words including 2 different reference with citation 1- Which of the following behaviors may be: (1) ethical but illegal, (2) legal but unethical, (3) illegal and unethical, and (4) legal and ethical. a) Working in a clinic that performs abortions. Legal but unethical. b) Respecting the wishes of a client suffering from ALS that he be permitted to die with dignity and not placed on “breathing machines ”- Legal and ethical . c) Respecting the health surrogate’s wishes regarding termination of life support of her friend. Ethical but illegal d) Observing a coworker take out two tablets of oxycodone as ordered for pain management for his patient but keeping one for himself, administering only one tablet to the patient. Illegal and unethical (Med, 2018). 2- Differentiate among the following: deontological theories, utilitarianism, and Principlism. Deontological theories emphasize the essence of the connection between roles/duties and the moral values of human beings. These theories hold that some actions are seen to be morally acceptable regardless of their consequences on human welfare, unlike Principlism that is used in biomedical ethics that deploys the use of four universal frameworks and basic ethical principles such as beneficence, justice, nonmaleficence, and general respect for autonomy and resolves conflicts through moral reasoning and balancing of judgment to reflect equilibrium. On the other hand, Utilitarianism one of the ethical theories that aim at identifying right from wrong by mainly maintaining its focus on the final outcomes. It believes that most ethical choices are those that will, in the end, produce good for the highest number (Guzman, 2016). 3- What do you think about health-care professionals disclosing information to clients about a poor prognosis, even though the information may cause severe distress. In my personal opinion, patients do not need to be tormented with a reality that is completely crushing, so that their immune system remains at least functional, but at the same time they would have to be introduced into the complexity of the situation little by little to prepare them for the results, it is not about what that the family wants or the patient himself, but the well-being of the patient and what is best to make him feel the best possible within his situation, but that does not translate to withholding the information if it is required by the right people. Except in situations where the client cannot make their own decisions, withholding such information without the client’s knowledge sounds unethical; therefore, care professionals ought to reveal or disclose and communicate such details in a more sensitive and respectfully way with the clients but at the same time ensure that that the information is channeled professionally to avoid distress and anxiety on the clients. Assignment: Ethics and Leadership in Nursing Responses 4- What do they think about health-care professionals disclosing information to clients against family wishes? It should be known that health care professionals are vested with a wide range of duties and responsibilities during care delivery and provision. And perhaps patients have the right to their privacy as afar as their medical information is concerned. In my view, I think it will be a right, a patient have to know everything related to his condition and health status, the difference relays on the way that information is presented to the patient, even though is against the family wishes, the patient has rights. Any health-care professional is expected to adhere and maintain expected care standards and refrain from sharing any information without relevant parties’ consent on the same issues (Med, 2018). Therefore, sharing or disclose information without the patient consent would be, unethical, and illegal, but patient has all the right to know. 5- You see a colleague use another nurse’s password to access the medication administration system and take out a narcotic. What would you do? I consider such acts as trespass. In such a scenario where my colleague gets access to another nurse’s medication administration system and takes out a narcotic, it is termed as unethical, and illegal with reference to medical policies. Therefore, I will get some time and try to make my colleague understand why they should not do the same again, and if need be for such acts, how should they get help instead of accessing other people’s private logins without their knowledge, I may also report the incident to the relevant authority for disciplinary actions to curb such vices in health-care systems. 6- Your colleague’s child fell and was brought to the emergency department. She comes back up to the unit and tells you that they cleaned and debrided the wound, and she needs to change the dressings twice a day using a wet to dry method. You see her go into the supply system and remove the dressings and saline utilizing a patient’s identification number. What would you do? I will politely explain to her that the child will be taken care of, and then I will ensure that the child gets the correct wound medications that will enable them to recover from the said wound. Additionally, I will not hesitate to remind her that what she was doing was against the institution’s expectations. Perhaps it was unethical to take action or engage herself in such acts (BeauchampEmail & RauprichEmail, 2016). 7- You are caring for a patient who has a terminal disease. He asks you if he is dying. Would you tell him? If yes, how? If no, what might you say? I understand that talking about death and dying may result in the development of uncomfortable thoughts, fear, and anxiety by the patients. I will use a subtle way to let the patient see that the hopes for the treatment are not the best, as well as the prognosis for recovery, and that the diagnoses do not leave room for a recovery. I will always use soft and supportive terms for my patient to avoid further deterioration of his condition and in turn make him feel supported and respected. Assignment: Ethics and Leadership in Nursing Responses 8- You are administering hydromorphone to a patient. The patient asks you what you are administering. Would you tell the patient about the medication? Professional health providers are often held accountable for their decisions and acts as they handle medical-related issues. With respect to autonomy, in my position, I will tell the patient the kind of drug I am administering to her, the reasons for the said medication, and the side effects associated with such medications, and the risk for withdrawal symptoms if stopped suddenly. Assignment: Ethics and Leadership in Nursing Responses References BeauchampEmail, T. L., & RauprichEmail, O. (2016, July 16). Retrieved from https://link.springer.com/referenceworkentry/10.1007%2F978-3-319-0948 Guzman, C. G. (2016, February 5). L03 Deontology vs Utilitarianism, The eternal battle… | PSY 833: Ethics and Leadership (Buban). Retrieved from https://sites.psu.edu/psy533buban/2016/02/05/l03-deontology-vs-utilitarianism-the-eternal-battle/ Med, M. J. (2018, June 28). The Ethics of Truth-Telling in Health-Care Settings. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422557/ Pullen, R. L. (2016, June). Nursing made incredibly easy . Retrieved January 2018 Weiss, S. A., Tappen, R. M., & Grimley, K. (2019). Essentials of nursing leadership & management . FA Davis Please reply to Research # 2 Dayra Need to reply with 1 to 2 paragraphs with a minimum of 250 words including 2 different reference with citation Ethical Issues in Nursing Which of the following behaviors may be (1) ethical but illegal, (2) legal but unethical, (3) illegal and unethical, and (4) legal and ethical. Working in a clinic that performs abortions || Legal but unethical Respecting the wishes of a client suffering from ALS that he be permitted to die with dignity and not placed on “breathing machines” || legal and ethical. Respecting the health surrogate’s wishes regarding termination of life support of her friend. || Ethical but illegal. Observing a coworker take out two tablets of oxycodone as ordered for pain management for his patient but keeping one for himself, administering only one tablet to the patient. || Illegal and unethical. Differentiate among the following: deontological theories, utilitarianism, and principlism. The deontological theory derived from Immanuel Kant and it is based on the notion that certain responsibilities, duties or obligations are fundamentally wrong or right regardless of the consequence or outcomes that could potentially follow the doing. In this theory consequences do not matter; rules are still implemented, and the purpose of the action are still considered. Unlike the deontological theory, in the utilitarianism theory, does put emphasis on the outcome coming from the action that will be performed. That is, right or wrong are determined based on the possible consequence. When determining what will be done, we should keep in mind the most positive outcome. In the principlism theory is widely popular in the healthcare field it is what we know as the four universal and most basic ethical principles: autonomy, nonmaleficence, beneficence, and justice (Shaw, 2016). Autonomy is showing respect for the patient’s decisions and advocating for the patients right. Nonmaleficence is making sure no harm is done to the patient. Beneficence is doing what is best for the patient in the most beneficial and positive way. Lastly justice, means fair care and access to care to every patient regardless of their background. What do you think about health-care professionals disclosing information to clients about a poor prognosis, even though the information may cause severe distress. A patient must always be aware of their prognosis. It is the duty of the healthcare professional to relay on this information to best decide the plan of care. Despite a poor prognosis, many things can be arranged should the patient choose so. Palliative care for instance is a choice to relieve patients from experiencing intense pain and help to make their situation feel better (Butts & Rich, 2020). The patient has the right to know about their health condition, obtain all the information that is necessary and needed in order to process and make a decision about how to best go forward. What do they think about health-care professionals disclosing information to clients against family wishes? I would first ask the patients family why they want to keep this information from the patient and explore the feelings that they have. If the patient is mentally competent, then it is their right to be told. If it is a situation where the patient is not competent, and it is coming from a guardian or if it’s the patients’ healthcare power of attorney, then the situation changes and the families wishes must be kept. Otherwise, the patient is should always be made aware of their health conditions despite the families wishes. You see a colleague use another nurse’s password to access the medication administration system and take out a narcotic. What would you do? What the nurse is doing is illegal and unethical. I would not say anything to the nurse right away, but I would report it to the nurse manager. This is due to the fact that the nurse may be having drug dependency issue and is also depriving patients from a medication they need. The other nurse’s job is also being put in jeopardy. It is all around an uncomfortable situation but someone in a position of power should be told. Your colleague’s child fell and was brought to the emergency department. She comes back up to the unit and tells you that they cleaned and debrided the wound, and she needs to change the dressings twice a day using a wet to dry method. You see her go into the supply system and remove the dressings and saline using a patient’s identification number. What would you do? I think it’s important to first speak to my colleague and remind them that those dressings and the saline are designated for that specific patient and that is it inappropriate and fraudulent. I would also tell them that It is important to put the supplies back and ask to suggest asking her daughters primary physician or the insurance for the supplies instead or where to get them. if they do not follow the suggestion and take the supplies anyways, it is important to report it to the floors nurse manager. You are caring for a patient who has a terminal disease. He asks you if he is dying. Would you tell him? If yes, how? If no, what might you say? I think it’s important to be truthful in the situation and not sugarcoat things or give false hope to the patient. so yes, I would tell the patient the truth in an empathetic way but also make sure that they will get the best care possible. It is important that the patient knows of the true notions of his or her condition, that he or she can arrange things in a timely manner and make the decisions needed for their end of life care and the choices in his end of life wishes. 8-You are administering hydromorphone to a patient. The patient asks you what you are administering. Would you tell the patient about the medication? Yes, I would tell the patient about the medication. I would educate my patient and let them know that hydromorphone is a narcotic medication used to treat and ease pain the patient is experiencing. This type of medication acts on the central nervous system to relive pain. I would also educate them on some adverse effects they may experience like diarrhea, headaches, itchiness, sweating, dizziness to name a few (Yao, 2010). It would also be important to inform that vital signs will be checked frequently to make sure there aren’t any serious side effects like respiratory depression. References Butts, J. B., & Rich, K. L. (2020). Nursing Ethics: Across the curriculum and into practice . Burlington, MA: Jones and Bartlett Learning. Ethics Theories: Utilitarianism Vs. Deontological Ethics. (n.d.). Retrieved September 15, 2020, from https://www.equip.org/article/ethics-theories-utilitarianism-vs-deontological-ethics/ Shaw, R. M. (2016). Ethics, Moral Life and the Body: Sociological Perspectives . Basingstoke: Palgrave Macmillan. Yeo, M. (2010). Concepts and cases in nursing ethics . Peterborough, Ont.: Broadview Press. Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10