Read your colleaguesâ responses and respond to your colleague by expanding upon on your colleagueâs post or suggesting an alternative approach to the ethical issue described by your colleague.
A significant ethical issue experienced by the DNP-prepared nurse is that of trying to provide the best patient care while upholding the economic goals of the facility in which they are employed (Grace, 2018). Grace (2018) goes on to state that DNP programs should not only focus on good practice, but on ethical leadership as well. Because healthcare in the United States is often dictated by business principles, it seems as though quality healthcare can sometimes fall to the wayside. It is important as nurses to ensure that our patients are taken care of to the best of our ability, and sometimes we must be aware of limited resources and use them accordingly, which is another ethical issue in itâs own right.
Another important ethical issue experienced by DNP-prepared nurses is that of disagreements between patients, family members, and/or the medical team regarding patient care or treatment. For example, unrealistic expectations regarding a patientâs prognosis, or the family insisting on continued aggressive management despite the education provided showing the care may further harm or prolong the patientâs suffering would account for this type of ethical dilemma. For this reason, communication between the patient/family and the provider is of extreme importance, no matter how difficult the conversation may be. Pavlish et al., (2020) relayed that delaying conversations regarding prognosis or treatment options likely increases the rate of unwanted treatments in those with serious and/or life-limiting conditions. The DNP-prepared nurse must spend time educating patients and their support system regarding all options available, so they can make an educated opinion about how they want to manage their care.
References
Grace, P. (2018). Enhancing nurse moral agency: The leadership promise of doctor of nursing practice preparation. The Online Journal of Issues in Nursing, 23(1). https://doi.org/10.3912/OJIN.Vol23No01Man04
Pavlish, C. L., Henriksen, J., Brown-Saltzman, K., Robinson, E. M., Warda, U. S., Farra, C., Chen, B., & Jakel, P. (2020). A Team-Based Early Action Protocol to Address Ethical Concerns in the Intensive Care Unit. American Journal of Critical Care, 29(1), 49â58. https://doi.org/10.4037/ajcc2020915
Read your colleaguesâ responses and respond to your colleague by expanding upo
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