Ethical Implications of A Nurse
Discuss the ethical implications of one of the recommendations and what it means to the nurse, the patient, the health care environment and system. Also include what ethical principles (i.e., veracity, sanctity of life, beneficence, maleficence, etc.) are at stake and who are the stakeholders. Your post should be a minimum of three paragraphs and two references. Please ensure your discussion in the the APA template. See attached for further guidance and directions: Module 4 DQ Directions.docx Download Module 4 DQ Directions.docx
Submission: To create your initial post. Type the title of your discussion in the subject line and use the message box to type in your response to the prompt. Be sure to cite your sources in APA format, along with having your discussion in APA format.
Reply to two or more of your classmates postings, discuss your experiences and how you would apply an ethical principle. Initial post and at least 2 quality responses are required to receive the full points ("exemplary") for posting quantity, per grading rubric.
Grading: This discussion is worth 50 points and will be graded using the Nursing Discussion rubric. Use the information in the rubric as a guide toward successful completion of this moduleâ€™s discussion.)))
BELOW IS READING MATERIAL FOR SUBJECT.
In 2010, the Institute of Medicine (IOM) published “The Future of Nursing: Leading Change, Advancing Health.” This report called for nurses to:
Practice to the full extent of their education and training
Achieve higher levels of education and training
Be full partners with physicians and other health care professionals to redesign healthcare
Become involved in effective workforce planning and policy making
To achieve the above, the IOM made the following recommendations:
Remove scope of practice barriers
Expand opportunities for nurses to lead and diffuse collaborative improvement efforts
Implement nurse residency programs
Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020
Double the number of nurses with a doctorate by 2020
Ensure that nurses engage in lifelong learning
Prepare and enable nurses to lead change to advance health
Build an infrastructure for the collection and analysis of inter-professional health care workforce data
As a follow-up from the report, the Robert Wood Johnson Foundation and the American Association of Retired Persons (AARP) partnered to establish the Future of Nursing: Campaign for Action. This initiative used the IOM report as a framework and formed groups of nurses, other healthcare providers, patients and employers in all 50 states and the District of Columbia. Many of these groups have focused on the recommendation from the IOM for nurses to have a bachelorâ€™s degree by 2020. The Center to Champion Nursing in America (2014) summarized the recommendation â€œA more highly educated nursing workforce can lead system improvements and improve quality, accountability and coordination of care.’
Institute of Medicine. (2010). The future of nursing: Leading change, advancing health. Retrieved from: http://www.nap.edu/download.php?record_id=12956 (Links to an external site.)
Center to Champion Nursing in America. (2015). Campaign progress: Dashboard indicators. Retrieved from: http://campaignforaction.org/dashboard (Links to an external site.)
The role of data in the healthcare system for nursing practices is vital and unavoidable. The data collection methods should be of quality to ensure that the information gathered is ideal and reliable. In your post, you have identified quality data collection and communication as a key driver to effective nursing and healthcare in general, as recommended by the IOM. You have indicated that data is important in identifying the needs of a health organization and policymaking. Data can also be used for doing medical research in understanding the prevalence of diseases, infections, and distribution of services across a particular population. The key data collection ethical issues identified include field biasness and discrimination, reducing people to numbers, and being an over-strict person in controlling behavior. How do these contribute to ethical problems? Biasness and discrimination may include avoidance of key populations for inclusion in the data, elimination of key data, and having implicit support for a particular group in the data collection process (Sigh & Estefan, 2018).
Effective data collection for decision-making benefits the patients in providing safe and patient-centered care and benefits healthcare providers in quality decision-making. You have indicated that the guidelines on improved data collection strategies and infrastructure reduce the autonomy of nurses. How is their autonomy affected? The role of data collection is providing information that is an empowering tool for nurses in quality decision-making. This improves healthcare quality, thus applicable for the non-maleficence ethical principle that calls for no harm for the patients. The stakeholders in the data collection process are called upon to contribute towards quality data collection process. As you have indicated, data collection is not for nurses only but also other management and professions associated with healthcare. Some stakeholders, such as institutional boards, play an important role in approving the data collection processes and thus should be involved. Data collected by other agencies should be utilized within the nursing scope in quality decision-making.
Singh, S., & Estefan, A. (2018). Selecting a grounded theory approach for nursing research. Global qualitative nursing research, 5, 2333393618799571.