Describe an organizational environment that would facilitate the ethical practice of nurses caring for chronically ill patients.

Week 1 Discussion
Forum
Discussion Prompt #1
Reflect upon the survey you took. In your initial response,
address some of the following questions. Explain your answers.
Did you find it easy to make confident and decisive
decisions with several strongly agree or strongly disagree answers, or did you
select mostly moderate responses?
Did any subject areas trigger personal emotions or
issues? If so, do you feel you were able
to remain objective?
Were any of the decisions especially difficult to make?
Did you employ any critical thinking or resolution
strategies to determine a response?
Did you rely on policy or legal parameters to make your
decisions?
Would you be comfortable making your answers to the survey
public, or do you prefer anonymity?
Have you dealt with similar situations and could you
perceive similar situations occurring in your clinical practice?
How might a moral inventory such as this survey impact your
clinical practice?
Please share additional thoughts as well.
Discussion Prompt #2
Identify examples of active and latent errors. Provide
examples from your clinical experience, if possible. How can such errors be
avoided to support better patient care?

Week 2 discussion
Discussion Prompt #1
Explain the statement, What may be an ethical dilemma for
one registered nurse may not be an ethical dilemma for another registered
nurse.” Be sure to define an ethical dilemma in the course of your
discussion. Describe 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. (Be sure to respect and maintain patient and
colleague confidentiality.)
Discussion Prompt #2
Apply the framework of The Five Rs approach to ethical
nursing practice from this week’s reading to answer the questions about values
and choices.
What are values?
Q. What are your personal values?
Q. Why do you value them?
Q. What are the values in your society?
Q. How do you make choices?
Q. Are your choices based on your values?
Q. What values are useful in society?
What are the limits to personal choice?
Q. Who limits your choices?
Q. Are limits to choices good?
Q. Do you limit other people’s choices?
Q. Should the health care organization or the government
limit people’s choices? If so, how, and under what circumstances?
In your responses to peers, feel free to agree, disagree,
question, compare, and discuss each other’s responses in a way that fosters
thoughtful and respectful dialog. You may also address the following: Did any
responses surprise you? If so, how? Did reading your peers’ responses to the
questions expand your own view of ways to answer questions?
Finally, consider this: A common idea in health care is that
if you are drawn to health care as a profession, you are inherently guided by
an inner compass that is composed of a strong moral framework. Why is this a
dangerous assumption?

Week 3 discussion
Discussion Prompt #1
Discuss the potential controversy when considering a
patients right to know whether a caregiver has AIDS, and the caregivers right
to privacy and confidentiality. Consider
the following: A physician cut his hand with a scalpel while he was assisting
another physician. Because of the uncertainty that blood had been transferred
from the physician’s hand wound to the patient through an open surgical
incision, he agreed to have a blood test for HIV. His blood tested positive for
HIV and he withdrew himself from participation in further surgical
procedures. Discuss the ethical and
legal issues.
Discussion Prompt #2
The following questions refer to your experience in this
week’s exercise, Conducting Moral and Ethical Dialog in Clinical Practice. Describe your overall experience with the
moral and ethical dialog exercise, and address at least three (3) of the
following:
Did you find any of the scenarios more difficult to deal
with than others?
Did you feel any internal conflict with any of the
scenarios?
How did your personal and professional background impact how
you decided to interact with the patient?
Do you feel the responses the patient gave to the
practitioners response were reasonable or typical?
Were you taken aback by any of the patient reactions?
How might this activity contribute to your role as a nurse
advocate in a moral and ethical practice?
Did you utilize an ethical decision making model to explore
a systematic way to evaluate any of these ethical dilemmas? If so, describe the
effectiveness.

Week 4 discussion
Discussion Prompt #1
Apply the differences between negligence and malpractice to
the practice of nursing. Provide
examples to illustrate your points.
Discussion Prompt #2
Read the following article and view the video on the same
case. How can this example be used as an
illustration of maintaining patient safety and
providing safe, effective care?
Identify some of the possible barriers that nurses face when acting on
what they believe to be the morally correct action in this particular case.
Patient Safety Advocate Carole Hemmelgarn

Week 5 discussion
Discussion Prompt #1
Specifically define the role of the registered nurse in
patient advocacy. Describe situations in which nursing advocacy can assist
patients within the healthcare environment. Defend why nurses are, or are not,
adequately prepared, in prelicensure education, to act as patient advocates.
Discussion Prompt #2
The ANA Code of Ethics currently emphasizes the word
“patient” instead of the word “client” in referring to
nursing care recipients. Do you agree with this change? Why or why not? Review the ANA Code of Ethics for Nurses with
Interpretive Statements found in Appendix B of your Butts text.

Week 6 discussion
Discussion Prompt #1
Identify two issues that a nurse might bring to an
institutional ethics committee. Describe why the nurse should bring these issues
to the ethics committee. Elaborate on how a nurse should prepare to present one
of the issues to the ethics committee.
Discussion Prompt #2
Betty, the chief nursing officer, had to make a decision
about buying 120 new hospital beds for patient rooms. After she interviewed
nurse mangers at the units where the beds were going to be placed, Betty
compiled her findings and decided to contact a well-known equipment company to
obtain prices and contracts. The equipment companys executive salesperson,
Jim, discussed options at length with her and invited her and her significant
other to an upcoming all-expenses-paid lavish retreat at a five-star hotel in
Hawaii to see demonstrations of the beds and to hear a comprehensive sales
pitch. Betty thought to herself, We badly need some relaxation and stress
relief. Hawaii would be so much fun. Would it be wrong for us to go?
If you were Betty, what would you do? Give your rationale.
Justify your answer with an ethical frameworka theory, approach, or principle.
Do you consider this situation a conflict of interest? Why
or why not? Give your rationale.
What policies, if any, should be in place regarding a
scenario such as this one? Do you have
any such policies in place at work for similar situations? Do such policies
impact day-to-day activities in any way?
Explain.

Week 7 discussion
Discussion Prompt #1
Discuss the elements of informed consent and provide a
clinical example about what can happen when some elements are not adhered to.
Discussion Prompt #2
Describe an organizational environment that would facilitate
the ethical practice of nurses caring for chronically ill patients. As you read about patient rights, describe
one patient right that is often not fully implemented in the patient care
environment. Identify specific strategies to help ensure that this right is
supported within the patient care environment. Explain how the registered nurse
can assist in protecting patient rights.

Week 8 discussion
Discussion Prompt #1
Describe a clinical situation in which a registered nurse
may encounter moral distress. Answer the
AACNs Four A’s found on page 84 in your Butts and Rich text to further explain
the situation, and the possible mitigation strategies.
Discussion Prompt #2
Describe different ways that social media use can violate
ethical nursing practices. How can ethical social media use be beneficial to
health care professionals and their patients?Week 1 Discussion
ForumDiscussion Prompt #1Reflect upon the survey you took. In your initial response,
address some of the following questions. Explain your answers.Did you find it easy to make confident and decisive
decisions with several strongly agree or strongly disagree answers, or did you
select mostly moderate responses?Did any subject areas trigger personal emotions or
issues? If so, do you feel you were able
to remain objective?Were any of the decisions especially difficult to make?Did you employ any critical thinking or resolution
strategies to determine a response?Did you rely on policy or legal parameters to make your
decisions?Would you be comfortable making your answers to the survey
public, or do you prefer anonymity?Have you dealt with similar situations and could you
perceive similar situations occurring in your clinical practice?How might a moral inventory such as this survey impact your
clinical practice?Please share additional thoughts as well.Discussion Prompt #2 Identify examples of active and latent errors. Provide
examples from your clinical experience, if possible. How can such errors be
avoided to support better patient care?Week 2 discussion Discussion Prompt #1Explain the statement, What may be an ethical dilemma for
one registered nurse may not be an ethical dilemma for another registered
nurse.” Be sure to define an ethical dilemma in the course of your
discussion. Describe 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. (Be sure to respect and maintain patient and
colleague confidentiality.)Discussion Prompt #2Apply the framework of The Five Rs approach to ethical
nursing practice from this week’s reading to answer the questions about values
and choices.What are values?Q. What are your personal values?Q. Why do you value them?Q. What are the values in your society?Q. How do you make choices?Q. Are your choices based on your values?Q. What values are useful in society?What are the limits to personal choice?Q. Who limits your choices?Q. Are limits to choices good?Q. Do you limit other people’s choices?Q. Should the health care organization or the government
limit people’s choices? If so, how, and under what circumstances?In your responses to peers, feel free to agree, disagree,
question, compare, and discuss each other’s responses in a way that fosters
thoughtful and respectful dialog. You may also address the following: Did any
responses surprise you? If so, how? Did reading your peers’ responses to the
questions expand your own view of ways to answer questions?Finally, consider this: A common idea in health care is that
if you are drawn to health care as a profession, you are inherently guided by
an inner compass that is composed of a strong moral framework. Why is this a
dangerous assumption?Week 3 discussion Discussion Prompt #1Discuss the potential controversy when considering a
patients right to know whether a caregiver has AIDS, and the caregivers right
to privacy and confidentiality. Consider
the following: A physician cut his hand with a scalpel while he was assisting
another physician. Because of the uncertainty that blood had been transferred
from the physician’s hand wound to the patient through an open surgical
incision, he agreed to have a blood test for HIV. His blood tested positive for
HIV and he withdrew himself from participation in further surgical
procedures. Discuss the ethical and
legal issues. Discussion Prompt #2The following questions refer to your experience in this
week’s exercise, Conducting Moral and Ethical Dialog in Clinical Practice. Describe your overall experience with the
moral and ethical dialog exercise, and address at least three (3) of the
following:Did you find any of the scenarios more difficult to deal
with than others?Did you feel any internal conflict with any of the
scenarios?How did your personal and professional background impact how
you decided to interact with the patient?Do you feel the responses the patient gave to the
practitioners response were reasonable or typical?Were you taken aback by any of the patient reactions?How might this activity contribute to your role as a nurse
advocate in a moral and ethical practice?Did you utilize an ethical decision making model to explore
a systematic way to evaluate any of these ethical dilemmas? If so, describe the
effectiveness. Week 4 discussion Discussion Prompt #1Apply the differences between negligence and malpractice to
the practice of nursing. Provide
examples to illustrate your points.Discussion Prompt #2Read the following article and view the video on the same
case. How can this example be used as an
illustration of maintaining patient safety and
providing safe, effective care?
Identify some of the possible barriers that nurses face when acting on
what they believe to be the morally correct action in this particular case.Patient Safety Advocate Carole Hemmelgarnhttps://www.youtube.com/embed/3SfrQnwRIjUWeek 5 discussion Discussion Prompt #1Specifically define the role of the registered nurse in
patient advocacy. Describe situations in which nursing advocacy can assist
patients within the healthcare environment. Defend why nurses are, or are not,
adequately prepared, in prelicensure education, to act as patient advocates.Discussion Prompt #2The ANA Code of Ethics currently emphasizes the word
“patient” instead of the word “client” in referring to
nursing care recipients. Do you agree with this change? Why or why not? Review the ANA Code of Ethics for Nurses with
Interpretive Statements found in Appendix B of your Butts text.Week 6 discussion Discussion Prompt #1Identify two issues that a nurse might bring to an
institutional ethics committee. Describe why the nurse should bring these issues
to the ethics committee. Elaborate on how a nurse should prepare to present one
of the issues to the ethics committee.Discussion Prompt #2Betty, the chief nursing officer, had to make a decision
about buying 120 new hospital beds for patient rooms. After she interviewed
nurse mangers at the units where the beds were going to be placed, Betty
compiled her findings and decided to contact a well-known equipment company to
obtain prices and contracts. The equipment companys executive salesperson,
Jim, discussed options at length with her and invited her and her significant
other to an upcoming all-expenses-paid lavish retreat at a five-star hotel in
Hawaii to see demonstrations of the beds and to hear a comprehensive sales
pitch. Betty thought to herself, We badly need some relaxation and stress
relief. Hawaii would be so much fun. Would it be wrong for us to go?If you were Betty, what would you do? Give your rationale.
Justify your answer with an ethical frameworka theory, approach, or principle.Do you consider this situation a conflict of interest? Why
or why not? Give your rationale.What policies, if any, should be in place regarding a
scenario such as this one? Do you have
any such policies in place at work for similar situations? Do such policies
impact day-to-day activities in any way?
Explain.Week 7 discussionDiscussion Prompt #1Discuss the elements of informed consent and provide a
clinical example about what can happen when some elements are not adhered to.Discussion Prompt #2Describe an organizational environment that would facilitate
the ethical practice of nurses caring for chronically ill patients. As you read about patient rights, describe
one patient right that is often not fully implemented in the patient care
environment. Identify specific strategies to help ensure that this right is
supported within the patient care environment. Explain how the registered nurse
can assist in protecting patient rights.Week 8 discussion Discussion Prompt #1Describe a clinical situation in which a registered nurse
may encounter moral distress. Answer the
AACNs Four A’s found on page 84 in your Butts and Rich text to further explain
the situation, and the possible mitigation strategies.Discussion Prompt #2Describe different ways that social media use can violate
ethical nursing practices. How can ethical social media use be beneficial to
health care professionals and their patients?

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