Assignment: Ethical Concerns Sample

As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?
In this Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios. Assignment: Ethical Concerns Sample
Scenario 1:
The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.
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To prepare:
• reflect on the material presented throughout this course.
• What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
• Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenario you selected.
To complete:
Write a detailed two-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient .Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least 3 different references from current evidence based literature. Assignment: Ethical Concerns Sample
Nursing personnel play an important role in the management of children’s health. This is based on their knowledge of diseases and health concerns. Also, they are well positioned to identify incidences of ill health or risk. On principle, they have the central responsibility of providing medical care. This means that if faced with a child requiring care, they would be responsible for providing the required medical care (Woods, 2014). With regards to nurses’ management of medical conditions requiring vaccines, the nurses would be concerned with informing the parents, assessing the child’s condition, providing education about control and prevention, screening, and making referrals. This action show concern for risk and incidence with the intention of facilitating control and prevention (Potter et al., 2018).

In the present case, a patient is presented for routine physical examination but the parents have already expressed an aversion to vaccination. The situation presents an ethical concern to the nurse since he or she has the primary responsibility of addressing the patient’s care needs while the parents have already restricted that capacity. In addressing the case, there is a need to understand that ethical situations consists of three questions. The first question is what should the nurse do since there are a range of options ranging from conceding to the parents demands to ignoring their demands. The next question is what will the nurse do based on the prevailing situation. If there is no need for a vaccination, then the nurse would passively follow the parents’ demands. On the other hand, should there be a need for vaccination, then the nurse would either ignore the parents’ demand and provide the vaccination or convince them that the vaccination is necessary. The final question would be how the decision make affect the different stakeholders. Ignoring the parent’s demand could attract legal suits while conceding to those demands could place the patient at risk (Marquis, B. L. & Huston, 2014). Assignment: Ethical Concerns Sample

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As a nurse, I would first evaluate the patient’s condition and determine if there is a need for vaccination. The ethical dilemma will not exist if the patient does not require vaccination. On the other hand, it would exist if he requires vaccination. Should he require vaccination, then the next step is to prevent the parents with evidence and education material to show that the patient requires vaccination to maintain good health. If the parents are not convinced about the need for vaccination, then the next step would be to approach the court system under urgency to determine whether a public representative would be necessary to make medication decisions for the patient who is a minor. The argument would be that the parents are not acting in the best interest of the patient and could place him in imminent danger of harm. The court’s decision is important to avoid future legal action. Should the court decide that the parents are not fit to make care decisions for the patient, then a court-appointed representative would be appointed to make the decision that would support the vaccination. On the other hand, if the parents retain the right to make medical decisions for the patient, then there would be no opportunity for the patient to be vaccination and the nurse has no other option other than to respect the parents’ demands.

References

Marquis, B. & Huston, C. (2014). Leadership roles and management functions in nursing: theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Potter, P., Perry, A., Stockert, P., Hall, A. & Castaldi, P. (2018). Study guide for essentials for nursing practice. St. Louis, MO: Elsevier.

Woods, M. (2014). Beyond moral distress: preserving the ethical integrity of nurses. Nursing Ethics, 21(2), 127-128. Assignment: Ethical Concerns Sample

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