N520 Legal and Ethical Issues in Health Care Module 7 Assignment

N520 Legal and Ethical Issues in Health Care Module 7 Assignment

The article I chose is “The importance of adhering to high standards of research ethics”.  There are a few reasons that are necessary to adhere to high standards of ethics, but one important reason is to keep patients safe and protect their rights.

This can be done by following the guidelines of the Commission on Ethics in Science, 2012, according to Stefaniak & Mazurkiewicz(2017), which can be beneficial to researchers by preventing misconduct, falsification, and plagiarism. ” Doing the right thing from the beginning of a study is the best way to avoid legal and ethical accusations” according to Houser (p.68, 2018). The high standard of care starts when the researcher develops a design for the research. The researcher has to adhere to the laws related to research when designing the research and during the research.

Dangers of conflict of interest can cause bias to be introduced to the research. Dangers of conflict of interest would be getting financial benefit from the research or trying to achieve the best result in the shortest time possible, according to Stefaniak & Mazurkiewicz(2017). Abiding by the law and ethical standards can prevent a researcher from being in a conflict of interest situation with the research.

An example of bias in a research is nurse researcher should not do a research with a group that includes a subject that is under the primary nursing care of the nurse researcher. This can cause bias to be maximized, which can occur in the design of the research or during a research.

Houser, J. (2015). Nursing research: Reading, using and creating evidence (4th ed.). Sudbury, MA: Jones & Bartlett

Stefaniak, M., & Mazurkiewicz, B. (2017). The importance of adhering to high standards of research ethics. British Journal of Nursing, 26(1), 62. Retrieve the article: http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120706824&site=eds-live&scope=siteLinks to an external site.

to  which can be beneficial to researchers by preventing misconduct, falsification, and plagiarism ” Doing the right thing from the beginning of a study is the best way to avoid legal and ethical accusations” according to Houser (p.68, 2018). The high standard of care starts when the researcher develops a design for the research. The researcher has to adhere to the laws related to research when designing the research and during the research.

The dangers of conflict of interest would be bias introduced to the research. Others would be getting financial benefit from the research or acceleration the time of the research to achieve the best result, according to Stefaniak & Mazurkiewicz(2017). Abiding by the law and ethical standards can prevent a researcher from being in a conflict of interest situation with the research. Example, nurse researcher should not do a research with a randomized group that includes a subject that is under the primary nursing care of the nurse researcher. This can cause bias to be maximized, which can occur in the design or during the reasearch.

Houser, J. (2015). Nursing research: Reading, using and creating evidence (4th ed.). Sudbury, MA: Jones & Bartlett

Stefaniak, M., & Mazurkiewicz, B. (2017). The importance of adhering to high standards of research ethics. British Journal of Nursing, 26(1), 62. Retrieve the article: http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120706824&site=eds-live&scope=siteLinks to an external site.

I read the second article: Feeney, S., & Freeman, N. K. (2016). Ethical issues: Responsibilities and dilemmas. YC: Young Children, 71(1), 86.

Questions for the second article:

Discuss the difference between ethical responsibility and ethical dilemma:

Ethics is the study of right and wrong. It teaches what one might do when faced with issues where values, rights, personal beliefs, or societal norms may be in conflict (Houser, 2015).The first thing we need to do is determine whether it is an ethical issue when faced with a challenging situation, especially in the workplace. The first question we must ask ourselves if the situation concerns right and wrong, rights and responsibilities, human welfare, or individuals best interest. If the answer to each of these question is “no”, then the situation is not an ethical issue, but if any of the questions is yes, then the situation becomes an ethical issue. (Feeney, S., & Freeman, N. K. (2016).

Ethical responsibilities are mandates that are clearly spelled out in the NAEYC code of ethical conduct. It describes what one must do and must not do. It is similar to legal responsibilities in that they require or forbid a particular action.

According to (Houser, 2015), anytime someone determines that a situation involves ethics and does not think it is a responsibility, it is likely to be a dilemma. A dilemma is a situation for which there are two possible resolutions, each of which can be justified in moral terms. In a dilemma, a person is obligated to choose between two actions. Ethical dilemma s are sometimes known as situations that involve two rights.

Share an experience of ethical dilemma or moral distress in nursing today:

I work in a nursing home, and often times I see families making decisions for their own interest instead of the best interest of the patient. I had a patient with End Liver disease. The advance directives stated Full Code.  We organized a care plan meeting because the patient’s prognosis was very poor. The interdisciplinary team together with the Physician suggested to the family to change the code status because the patient was in and out of the hospital. The hospital had recommended hospice, but the family was adamant. The family wanted tube feeding to be inserted so their mother can be fed via tube despite the fact that the physicians have clearly stated the patient will not benefit from any artificial nutrition. In this situation, the family members were making the decisions not in the best interest of their mother but for fear of losing her. The family thought, they could prolong her life instead of thinking of the quality of her life at that particular time. The issue of respecting the patient’s advance directives during end of life is always an ethical dilemma that nurses are confronted with, as families always try to go against the wishes of their loved ones by trying to change the advance directives.

References

Feeney, S., & Freeman, N. K. (2016). Ethical issues: Responsibilities and dilemmas. YC: Young Children, 71(1), 86. Retrieve the article: http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=114680496&site=eds-live (Links to an external site.)Links to an external site.

Houser, J. (2018). Nursing research: reading, using, and creating evidence (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Professional Development Exercises :

Read the case study presented at the end of Chapter 17 (Guido, p. 362)

Was the nurse negligent for unlocking the bath-room door and allowing Judy to shower by herself?

Was it below the standard of care for the nurse to leave the bathroom door unlocked when the psychiatrist came to see Judy?

How significant are the hospital policy and procedures in this instance?

How would you decide this case?

Read the case study presented at the end of Chapter 18 (Guido, p. 393)

Was the nurse negligent in the advice she gave Mr. Gonzales concerning his condition?

Did the nurse exceed her scope of practice in the advice she gave the patient?

Should the nurse have instructed Mr. Gonzales to go immediately to the local emergency center?

How would you decide this case? Who, if anyone, is liable in this case?

Read the case study presented at the end of Chapter 20 (Guido, p. 439)

What should the standards of care be for such a patient?

Even though the nursing care plan did not specify that the wound should be checked hourly, how should the prudent nurse have acted?

Should the lawsuit center primarily on the surgeon for allowing this patient to be sent back to the nursing home for post- operative care rather than insisting he be kept for 24 hours in an acute care facility post-operatively?

How would you decide this case?

Please combine all of these responses into a single Microsoft Word document for submission

Please submit only complete assignments (not partial or “draft” assignments). Submit only the assignments corresponding to the module in this section.

You are not required to adhere to the 500-1000 word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question.

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).

Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.

I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.

As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.

It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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