NUR-310:  Ethics in Professional Nursing

3 Credits

                                           

Instructor

Metichico Reed, PhD., RN

Phone

601-573-6471

Office

Remote

E-mail

Reedm@lackawanna.edu

Office Hours

5pm-7pm EST

 

 

 

Text

American Nurses Association. (2015). Code of Ethics for Nurses with Interpretive Statements. Silver Spring, MD: Author.

Beery, T. A., Workman, M. L., & Eggert, J. A. (2018). Genetics and Genomics in Nursing and HealthCare (2nd ed.). Philadelphia, PA: F.A

Description

 This course considers the place of the nurse at the crossroads of ethics, evolving medical technology, expanding knowledge of genetics and genomics, and shifts in societal beliefs and values. Informed by the American Nurses Association code of ethics, the learner will identify and analyze a wide range of legal and ethical concepts applicable to professional nursing practice. The course considers concepts, theories, and values germane to ethical dilemmas, and examines ways in which ethical decision-making models could be applied to a variety of dilemmas.

 

Objectives

  • Examine the American Nurses Association Code of Ethics with interpretive guidelines
  • Identify moral or ethical dilemmas in nursing practice.
  • Apply ethical theories or principles of nursing care to an individual and family.
  • Discuss the multiple conflicting loyalties of the nurse to the patient, profession, employer, physician, insurer, and government.
  • Formulate a rationale for a position on an ethical issue using a contrasting framework.
  • Determine ethical implications of technological development in healthcare.
  • Ethical considerations related to our expanding knowledge of genetics/genomics

Requirements

Complete all weekly discussion, course readings and written assignments.

 

Evaluation

All weekly discussion and written assignments will be evaluated by individual rubrics.

 

Online Course Attendance Policy

Students enrolled in credit-bearing courses at Lackawanna College will fail any course(s) in which they accumulate absences beyond the maximum number allowed. This pertains to online courses as well. Attendance is defined by participating in an academic activity within the online classroom, which includes posting replies in a graded discussion forum or submitting a written assignment. *Please note that the beginning of course activities common to all courses (Syllabus quiz, Course Navigation Quiz, Academic Honesty Pledge, Autobiography) DO NOT count for attendance purposes.

Students that fail to participate in an academic activity as described above in the online classroom prior to the last day to drop/add a course will automatically be dropped from the course.

Students who miss one week of participation will be DROPPED from the course. It is the responsibility of the student to formally withdraw from the course at the Registrar’s office.

 

Online Course Discussion Policy

In order to understand, remember, and benefit from what we learn in class, discussion and interaction are critical. Responses such as, “I like what you said.” “I agree.” Or “Good thinking.” are NOT acceptable. Also, you should NOT simply repeat what someone else has already said.

Good Discussions in Course Resources will help you, but you should also use this rubric to gain all possible points for your contributions and, more importantly, to get the most out of our class discussion!

Ask yourself the following questions to help guide you in having a great discussion:

  • Did I answer the discussion questions directly demonstrating a clear understanding of the material that promoted conversation?
  • Did I support my answers to the discussion questions with research and reading?
  • Did I respond to at least two classmates?
  • Did I continue the conversation with peers that replied to my discussion?
  • Did I answer any additional questions the instructor may have asked?
  • Are all of my responses detailed and clear?
  • Did I participate in the discussion on 4 separate days?
  • Did I relate my responses to the course reading, notes, and/or personal life?
  • Did I provide the class with a response that is non-generic and inspiring – meaning that they learned from what I have contributed and can continue the conversation
  • Did I use proper grammar, spelling and netiquette?

 

Responses that do not move the conversation forward by providing information to which others can respond and build upon will negatively affect your weekly score.

 

Withdrawal Policy

A student has the privilege of withdrawing from any courses or from the College itself without academic penalty up to and including the final date for withdrawal indicated on the College calendar.

To withdraw officially from a course or from the College, a student must obtain the proper withdrawal form from the Student Affairs Office or from your Center Director, complete this form and submit it to the Registrar's Office before the final day for withdrawal without academic penalty as indicated on the College calendar. If a student stops attending a course for which he/she is registered after the published census date (end of drop/add) without having officially withdrawn from the course, the student will be assigned an AW (penalty-grade failure) for the class. No exceptions will be made.

Students who violate the College's Academic Integrity Policy and fail a course in consequence may not exercise the withdrawal privilege in that particular course.

 

Financial obligations to the College will be determined according to the Refund Policy.

 

Instructor Policies

  • All emails and responses posted in the General Questions section of the forum will be answered within one day.
  • All assignments will be graded within 3 days of the assignment due date

 

 

Grading

Unit 2 Assignment: Ethical Dilemma Proposal (150 pts).

 

Unit 4 Assignment:  Ethical Dilemma Paper (150 pts)

 

Unit 7 Assignment: Ethical Implications of Technological Development in Healthcare Paper (210 pts)

 

Discussion: 7 Units with 2 DQs each (35 pts for each discussion) = 490 pts

 

 

 

 

Letter Grade

Numeric Range

Quality Points

A

96 – 100

4.0

A-

90 – 95

3.67

B+

87 – 89

3.33

B

83 – 86

3.0

B-

80 – 82

2.67

C+

77 – 79

2.33

C

73 – 76

2.0

C-

70 – 72

1.67

D+

67 – 69

1.33

D

60 – 66

1.0

F

0 – 59

0

 

Due Dates and Late Penalties

  • The grace period for late assignments is as follows:
    • 1 day late-10% deduction off of the assignment grade
    • 2 days late-20% off of the assignment grade
    • 3 days late-the assignment will receive a grade of 0%
  • There will be no “extra credit.”

 

Academic Integrity

Academic dishonesty in any form, such as plagiarism and cheating, will not be tolerated. Sanctions will include an automatic F for plagiarism, but the severity or frequency of the violation may result in dismissal from the College as well. Please see the Student Handbook for a complete explanation.

 

The following are among the forms of dishonesty, in a classroom of any type, for which sanctions may be applied:

  • Using books, notes or other materials during an examination, unless expressly permitted;
  • Using purchased essays, term papers or preparatory research for such papers;
  • Copying others' work or engaging in unauthorized cooperation during an assignment or examination;
  • Allowing another student to copy from an examination or other assignment intended to be performed independently;
  • Borrowing from published works, whether material is taken verbatim or with minor alterations, without proper and/or sufficient acknowledgment;
  • Submitting as one’s own work originally done by someone else;
  • Submitting the same written report in more than one course without prior approval from the instructor(s) involved;
  • Stealing examinations or assignments;
  • Supplying or selling examinations or assignments;
  • Misrepresenting statements concerning work submitted;
  • Falsifying or fabricating experimental data or results;
  • Falsifying or fabricating the need for extensions on papers or make-up examinations.
  • Misrepresenting identity in an online course

 

(Please see student handbook for more information)

 

Disability Statement

Lackawanna College is an Affirmative Action, Equal Employment Opportunity institution.  Students with disabilities and other needs should feel free to contact the instructor privately if there are services and adaptations which can be made to accommodate specific needs.  Students who are having difficulties with class material are strongly advised to seek assistance in the reading and writing lab.  If you feel that you have a disability that has not been formally documented, you may meet with Mrs. Christine Kiehart in the Disability Services office to discuss your options. Please note that disability services do not include exemption from participation requirements in courses considered part of the School of Distance Education, including online and hybrid courses.

Lackawanna College Notice of Nondiscrimination

Lackawanna College will not discriminate in its educational programs, activities, or employment practices, based on race, color, national origin, sexual orientation, disability, age, religion, ancestry, union membership, or any other legally protected classification. Announcement of this policy is in accordance with State Law including the Pennsylvania Human Relations Act and with Federal Law including Titles VI and VII of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Sections 503 and 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Americans with Disabilities Act of 1990.

 

Title IX of the Education Amendment of 1972 is a federal civil rights law that prohibits discrimination on the basis of sex in federally funded education programs and activities. Lackawanna College is committed to providing an educational and work environment that is free from unlawful sexual discrimination including sexual harassment, sexual violence, and gender based harassment. 

 

In accordance with Title IX of the Education Amendments of 1972, Lackawanna College will not tolerate any forms of sexual misconduct including but not limited to: sexual harassment, sexual assault, sexual violence and gender-based harassment by employees, students or third parties. This includes prohibiting discrimination against pregnant and parenting students. The College also prohibits retaliation against any person who makes a claim of discrimination or harassment or who provides information in such an investigation. This policy applies to admissions, employment, treatment and access to all programs and activities that take place either on or off the campus at Lackawanna College. 

 

Lackawanna College will fully and promptly investigate all allegations of sexual misconduct and will take action reasonably designed to resolve the complaint in an equitable manner, end a hostile environment if one has been created, prevent its recurrence, and, when appropriate, take steps to remedy its effects on individuals and the college community.

Lackawanna College complies with Title IX and all other federal laws and regulations that prohibit discrimination in education programs or activities receiving federal financial assistance.

Reports or inquiries regarding nondiscrimination should be made to:

Title IX Coordinator/ Executive Director of the Student Wellness Program, Marsha Pigga, Angeli Hall, Room 102, 501 Vine Street, Scranton PA, 18509 (570) 955-1466/ (570) 677-7589, piggam@lackawanna.edu.

Equal Opportunity and Affirmative Action inquiries: Georgia Egan, Affirmative Action Officer/Director of Continuing Education, Angeli Hall, Room 300C, Vine Street, Scranton PA (570) 961-7815, EganG@lackawanna.edu or Gopu Kiron, Affirmative Action Officer/eLearning Director, Angeli Hall, Ground Floor, Vine Street, Scranton PA, (570) 504-7929, Kirong@lackawanna.edu.

Additional information regarding Title IX requirements and how to file a complaint with the Office of Civil Rights: Office of Civil Rights at www2.ed.gov/ocr, 800-421-3481. Philadelphia Office: Office for Civil Rights U.S. Department of Education, The Wanamaker Building,100 Penn Square East, Suite 515, Philadelphia, PA 19107-3323 Telephone: 215-656-8541, Email: OCR.Philadelphia@ed.gov.   

Portfolio and Coursework

Lackawanna College will empower you to experience learning by inspiring your critical thinking, accessing your talents and skills, motivating you toward a career choice, and encouraging you to make a difference. In evidence of this learning, the College requires a graduation portfolio containing Career Documents, including a résumé, two letters of recommendation, and a career exploration; Core Coursework, including a research paper from College Writing; three sample papers or projects from Major Coursework; and a Lackawanna College Reflection Paper.


 

Course Schedule

 

Week

Topic

Course Objective Met

NLN Competency Addressed

END OF PROGRAM OUTCOMES

[Essentials of Baccalaureate Education Competencies]

ANA standards of Practice and/or Standards of Professional  Performance

Related Assignment, Assessment, or Learning Activity

 

1

Unit 1: The Nurse practices with compassion and respect for the inherent dignity, worth and unique attributes of every person

 

  • Discuss the multiple conflicting loyalties of the nurse to the patient, profession, employer, physician, insurer, and government

NLN Competencies for Professional Identity- express one’s identity as a nurse through actions that reflect integrity; a commitment to evidence-based practice, caring, advocacy, and safe, quality care for diverse patients, families, and communities; and a willingness to provide leadership in improving care.

 

 

 

 

NLN Competencies for Professional Identity- express one’s identity as a nurse through actions that reflect integrity; a commitment to evidence-based practice, caring, advocacy, and safe, quality care for diverse patients, families, and communities; and a willingness to provide leadership in improving care.

 

 

 

 

 

 

 

 

NLN Competencies for Spirit of Inquiry- act as an evolving scholar who contributes to the development of the science of nursing practice by identifying questions in need of study, critiquing published research, and using available evidence as a foundation to propose creative, innovative or evidence-based solutions to clinical practice problems.

 

 

 

•Engage in lifelong learning in the ongoing development of one's self, nursing practice, and the profession. (Essential I)

 

 

•Demonstrate evolving competence in the professional role within a dynamic, multicultural, global society. (Essential IX)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

•Synthesize theories and concepts from the arts and humanities and the natural and social sciences in professional nursing practice.  (Essential I)

Use leadership skills and knowledge of the healthcare, financial, and regulatory systems to advance high quality, safe professional practice. (Essential V)

Translate research findings for the purpose of engaging in evidence-based nursing practice.  (Essential III)

 

Standards of Professional Performance

Standard 14. Quality of Practice

Standard 15. Professional Practice Evaluation

Standard 9. Communication

 

 

 

 

 

 

 

 

Standard 10. Collaboration

Standard 11. Leadership

Standard 12. Education

Standard 13. Evidence-based Practice and Research

Readings:

 

Read:  Provision 1 and

Article: Situational Awareness of the Nursing Code of Ethics. By Teresa M. Stephens, PhD, MSN, RN, CNE

 

Discussion:

Discussion Topic 1: Introduction

Write a short summary telling the class about you, what area of nursing you have worked in and why you decided to get your BSN, this is so the class may get to know you and develop the online community. Respond to these questions:

  • According to Provision 1, What is compassion? Can compassion be taught? Is compassion the same as sympathy or pity?
  • Who is worth a nurse’s compassion?
  • Does having compassion for your patient the same as loyalty?

Discussion Topic 2: The Right of Self Determination

 

  • What part does a nurse play in a patients’ sense of autonomy? How does the nurse educate a patient on being informed, ethical dilemma does a nurse How was this style exhibited in their leadership? Provide examples.
  • How does the nurse work to achieve safe, effective, quality outcomes to meet while still meeting the guidelines of the employer, physician, government, and the patient?

 

 

 

 

2

Unit 2: The nurse’s primary commitment is to patient

 

  • Examine the professional bases for nursing practice.
  • Articulate critical abilities required for baccalaureate-level nursing practice.
  • Explore elements included in quality of care for individuals, families, and groups.

 

 

NLN Competencies for Spirit of Inquiry- act as an evolving scholar who contributes to the development of the science of nursing practice by identifying questions in need of study, critiquing published research, and using available evidence as a foundation to propose creative, innovative or evidence-based solutions to clinical practice problems.

 

•Apply critical thinking, decision making, and clinical reasoning skills in the provision of quality nursing care to individuals, families, groups, and communities.  (Essential II)

 

•Translate research findings for the purpose of engaging in evidence-based nursing practice.  (Essential III)

 

 

•Demonstrate effective inter-professional communication and collaboration to provide quality, patient-centered care. (Essential VI)

 

 

•Engage in lifelong learning in the ongoing development of one's self, nursing practice, and the profession. (Essential I)

 

 

•Demonstrate evolving competence in the professional role within a dynamic, multicultural, global society. (Essential IX)

Standards of Professional Performance

Standard 9. Communication

Standard 10. Collaboration

Standard 12. Education

Standard 13. Evidence-based Practice and Research

Standard 14. Quality of Practice

Standard 15. Professional Practice Evaluation

Standard 16. Resource Utilization

Standard 17. Environmental Health

Reading:

Read Provision 2 and Article:  Case Study: A cold, hard lesson about patient dumping by Eileen Weber, DNP, JD, PHN

Assignment Due:

Ethical Dilemma Proposal

Please follow the below directions for writing this two-page proposal. The proposal should be two pages in length (body) with a cover page and reference page (4 pages in total). Please use APA for the cover page, two-page body and reference listings. Write the document in the order listed below.

Proposal to include:

Topic of the Ethical Dilemma or Issue.

Definition of the dilemma- what are the decision options?

Significance of the Topic- why is this topic important to research?

Literature to Support Premises- 3 references to support key.

Alternatives/possibilities for decision making related to action to take. Find two recent references to support the alternatives you need to consider in the dilemma. Paraphrase the findings in the proposal.

Summarize a model that you can use to analyze an ethical dilemma decision.

Ethical principles to guide decision. What ethical principles can you use to help guide your decision? You can use the ANA website or other resources to identify the principals that guide nurses in difficult ethical situations and help nurses identify their own standards and principals (your moral compass). Summarize the purpose for the paper and define the significance of the topic.

Body must be 2-3 pages

Ethical Dilemma Paper:

Total: 150 points

 

3

Unit 3: The nurse promotes, advocates for, and protects the rights, health and safety of the patient

 

  • Examine the professional bases for nursing practice.
  • Articulate critical abilities required for baccalaureate-level nursing practice.
  • Explore elements included in quality of care for individuals, families, and groups.

 

NLN Competencies for Professional Identity- express one’s identity as a nurse through actions that reflect integrity; a commitment to evidence-based practice, caring, advocacy, and safe, quality care for diverse patients, families, and communities; and a willingness to provide leadership in improving care.

 

NLN Competencies for Spirit of Inquiry- act as an evolving scholar who contributes to the development of the science of nursing practice by identifying questions in need of study, critiquing published research, and using available evidence as a foundation to propose creative, innovative or evidence-based solutions to clinical practice problems.

 

• Synthesize theories and concepts from the arts and humanities and the natural and social sciences in professional nursing practice.  (Essential I)

 

• Apply critical thinking, decision making, and clinical reasoning skills in the provision of quality nursing care to individuals, families, groups, and communities.  (Essential II)

 

• Translate research findings for the purpose of engaging in evidence-based nursing practice.  (Essential III)

 

• Leveraging information and technology to deliver quality patient care and nursing services in a variety of settings. (Essential IV)

 

•Integrate professional values and ethical, moral, and legal aspects of nursing into one's professional practice. (Essential VIII)

 

•Engage in lifelong learning in the ongoing development of one's self, nursing practice, and the profession. (Essential I)

 

•Demonstrate evolving competence in the professional role within a dynamic, multicultural, global society. (Essential IX)

Standards of Practice

Standard 1. Assessment

Standard 2. Diagnosis

Standard 5. Implementation

Standard 5A. Coordination of Care

Standard 5B. Health Teaching and Health Promotion

Standard 7. Ethics

Standard 8. Culturally Congruent Practice

Standard 9. Communication

Standard 11. Leadership

Standard 12. Education

Standard 14. Quality of Practice

Standard 15. Professional Practice Evaluation

 

Readings:

Read: Provision 3. Article: Ethical Considerations During Disaster by Donna Casey.

Discussion Topic 1: Nursing Conflict and Advocacy

The third provision weaves together multiple threads into a safety net for the patient. It includes protecting patient’s information, whistleblowing, attributes required for nursing practice, a culture of safety, and processes to address questionable practice.

 

  • Share an example of an example when your cultural/ values conflicted with the care you had to give to a patient. How did you (as a nurse) feel during this conflict?
  • Confidentiality and privacy are at the top of the list of the patient rights that nurses must protect. Share an example when you as a nurse had to protect a patient’s privacy.

 

Discussion Topic 2: Performance Standards and Review Mechanisms

  • What is retained under this provision that is directly related to the patient’s safety? How must the nurse demonstrate the required knowledge and skills to provide the basis for the protection and advocacy for the patient?
  • How can the nurse act to safeguard the patient when his care and safety are affected by incompetent, unethical or illegal actions or care?

 

 

4

Unit 4: The nurse has authority, accountability, and responsibility for nursing practice; making decisions; and takes action consistent  with the obligation to promote health and to   provide optimal care

 

  •  Examine the professional bases for nursing practice.
  • Articulate critical abilities required for baccalaureate-level nursing practice.
  • Explore elements included in quality of care for individuals, families, and groups.

 

NLN Competencies for Professional Identity- express one’s identity as a nurse through actions that reflect integrity; a commitment to evidence-based practice, caring, advocacy, and safe, quality care for diverse patients, families, and communities; and a willingness to provide leadership in improving care.

 

NLN Competencies for Spirit of Inquiry- act as an evolving scholar who contributes to the development of the science of nursing practice by identifying questions in need of study, critiquing published research, and using available evidence as a foundation to propose creative, innovative or evidence-based solutions to clinical practice problems.

 

•  Synthesize theories and concepts from the arts and humanities and the natural and social sciences in professional nursing practice.  (Essential I)

 

• Apply critical thinking, decision making, and clinical reasoning skills in the provision of quality nursing care to individuals, families, groups, and communities.  (Essential II)

 

• Translate research findings for the purpose of engaging in evidence-based nursing practice.  (Essential III)

 

 

• Leveraging information to deliver quality patient care and nursing services in a variety of settings. (Essential IV)

 

• Use leadership skills and knowledge of the healthcare, financial, and regulatory systems to advance high quality, safe professional practice. (Essential V)

 

• Demonstrate effective inter-professional communication and collaboration to provide quality, patient-centered care. (Essential VI)

 

•Engage in lifelong learning in the ongoing development of one's self, nursing practice, and the profession. (Essential I)

 

•Demonstrate evolving competence in the professional role within a dynamic, multicultural, global society. (Essential IX)

Standards of Practice

Standard 1. Assessment

Standard 2. Diagnosis

Standard 3. Outcomes Identification

Standard 4. Planning

Standard 5. Implementation

Standard 5A. Coordination of Care

Standard 5B. Health Teaching and Health Promotion

Standard 6. Evaluation

Standards of Professional Performance

Standard 9. Communication

Standard 10. Collaboration

Standard 11. Leadership

Standard 12. Education

Standard 13. Evidence-based Practice and Research

Standard 14. Quality of Practice

Standard 15. Professional Practice Evaluation

Standard 16. Resource Utilization

 

 Reading:

Read Provision 4 and Provision 9

Assignment Due:

Paper will include:

·           Topic

·   Definition of the dilemma-what is the ethical dilemma and what are the possible choices to make in the ethical dilemma?

·      Purpose of the paper clearly stated

·         Significance of the topic –why is this topic important to research?

·         Model used for decision-making. Model is summarized and process for using is explained; assigned ethical dilemma is evaluated using this nursing model and process.

 

 

·         Ethical principles used to guide the decision-List all ethical principles that are applicable in making a decision regarding the assigned ethical dilemma. Autonomy, justice, beneficence, and nonmaleficence are examples of ethical principles that must be considered in the decision. Use of the ANA website is a resource that guides in identifying personal ethical standards; impact on the nursing profession is summarized.

·         Literature review that supports each side of the ethical decision

·         Student’s personal beliefs are discussed with references that support those beliefs.

·         Summary paragraph

  • 4 References
  • Total: 150 points

 

5

Unit 5: The Nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth

 

  • Examine the professional bases for nursing practice.
  •  Articulate critical abilities required for baccalaureate-level nursing practice.
  • Explore elements included in quality of care for individuals, families, and groups.
  • Develop a professional development plan that includes completion of the Bachelor of Science in nursing.

NLN Competencies for Professional Identity- express one’s identity as a nurse through actions that reflect integrity; a commitment to evidence-based practice, caring, advocacy, and safe, quality care for diverse patients, families, and communities; and a willingness to provide leadership in improving care.

 

NLN Competencies for Spirit of Inquiry- act as an evolving scholar who contributes to the development of the science of nursing practice by identifying questions in need of study, critiquing published research, and using available evidence as a foundation to propose creative, innovative or evidence-based solutions to clinical practice problems.

 

 

•Apply critical thinking, decision making, and clinical reasoning skills in the provision of quality nursing care to individuals, families, groups, and communities.  (Essential II)

 

•Translate research findings for the purpose of engaging in evidence-based nursing practice.  (Essential III)

 

 

•Use leadership skills and knowledge of the healthcare, financial, and regulatory systems to advance high quality, safe professional practice. (Essential V)

 

•Demonstrate effective inter-professional communication and collaboration to provide quality, patient-centered care. (Essential VI)

 

•Apply principles of prevention and health promotion in providing care to individuals, families, groups, and communities. (Essential VII)

 

 

•Integrate professional values and ethical, moral, and legal aspects of nursing into one's professional practice. (Essential VIII)

 

•Demonstrate evolving competence in the professional role within a dynamic, multicultural, global society. (Essential IX)

Standards of Practice

Standard 1. Assessment

Standard 3. Outcomes Identification

Standard 5. Implementation

Standard 5A. Coordination of Care

Standard 5B. Health Teaching and Health Promotion

Standard 6. Evaluation

Standards of Professional Performance

Standard 7. Ethics

Standard 8. Culturally Congruent Practice

Standard 9. Communication

Standard 10. Collaboration

Standard 14. Quality of Practice

Standard 15. Professional Practice Evaluation

 

Reading:

Read Provision 5 and Article: Toward Everyday Ethics: Strategies for Shifting Perspectives by Aimee Milliken, RN, PhD

Discussion Topic One:

The Nurse as Person of Dignity and Worth

The fifth provision states that the most precious possession of this profession is the ideal of service, extending even to the sacrifice of life itself.

  • Nurses do have a duty to protect their own wellbeing and not to place themselves in harm, describe a situation in which you (as a nurse) was placed in this situation.

 

Topic Two: Differences in ethics

What is the difference between virtue-based ethics and duty-based ethics?

 

6

Unit 6: The nurse, through individual and collective effort, establishes, maintain and improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality health care.

  • Examine the professional bases for nursing practice.
  • Articulate critical abilities required for baccalaureate-level nursing practice.
  • Explore elements included in quality of care for individuals, families, and groups.

 

NLN Competencies for Professional Identity- express one’s identity as a nurse through actions that reflect integrity; a commitment to evidence-based practice, caring, advocacy, and safe, quality care for diverse patients, families, and communities; and a willingness to provide leadership in improving care.

 

NLN Competencies for Spirit of Inquiry- act as an evolving scholar who contributes to the development of the science of nursing practice by identifying questions in need of study, critiquing published research, and using available evidence as a foundation to propose creative, innovative or evidence-based solutions to clinical practice problems.

 

•Synthesize theories and concepts from the arts and humanities and the natural and social sciences in professional nursing practice.  (Essential I)

 

•Apply critical thinking, decision making, and clinical reasoning skills in the provision of quality nursing care to individuals, families, groups, and communities.  (Essential II)

 

•Translate research findings for the purpose of engaging in evidence-based nursing practice.  (Essential III)

 

 

•Leveraging information and technology to deliver quality patient care and nursing services in a variety of settings. (Essential IV)

 

 

•Use leadership skills and knowledge of the healthcare, financial, and regulatory systems to advance high quality, safe professional practice. (Essential V)

 

•Demonstrate effective inter-professional communication and collaboration to provide quality, patient-centered care. (Essential VI)

 

•Apply principles of prevention and health promotion in providing care to individuals, families, groups, and communities. (Essential VII)

 

•Integrate professional values and ethical, moral, and legal aspects of nursing into one's professional practice. (Essential VIII)

 

•Engage in lifelong learning in the ongoing development of one's self, nursing practice, and the profession. (Essential I)

 

•Demonstrate evolving competence in the professional role within a dynamic, multicultural, global society. (Essential IX)

Standards of Practice

Standard 1. Assessment

Standard 2. Diagnosis

Standard 3. Outcomes Identification

Standard 4. Planning

Standard 5. Implementation

Standard 5A. Coordination of Care

Standard 5B. Health Teaching and Health Promotion

Standard 6. Evaluation

 

Standards of Professional Performance

Standard 7. Ethics

Standard 8. Culturally Congruent Practice

Standard 9. Communication

Standard 10. Collaboration

Standard 11. Leadership

Standard 12. Education

Standard 14. Quality of Practice

Standard 15. Professional Practice Evaluation

Standard 17. Environmental Health

 

Readings:

Read Provision 6 and Article:  Consequences of Moral Distress in the Intensive Care Unit: A Qualitative Study by By Natalie J. Henrich, PhD, MPH, Peter M. Dodek, MD, MHSc, Emilie Gladstone,

BA, MPH, Lynn Alden, PhD, Sean P. Keenan, MD, MSc, Steven Reynolds, MD, and

Patricia Rodney, PhD

Discussion:

Discussion Topic 1: The Moral Milieu of Nursing Practice

The work environment in which nursing care is provided is a paramount importance. These roots lie deep in the concern for the economic and general welfare of the nurse.

  • How do you think 12 hours shifts affect nurses? What about requiring mandatory overtime for nurses?
  • Describe an experience when you had to take care of a patient with TB or HIV. How did the work environment affect you as a nurse and the care you gave the patient?

Discussion Topic 2: Responsibility for the Healthcare Environment

The ANA Bill of Rights addresses the environment concerns of the workplace. It is necessary to protect the dignity and autonomy of nurses in the workplace

  • Describe a situation in which you as a nurse had to advocate for the patient. Did you feel fear of retribution? Describe.
  • Describe a situation in which a manager, supervisor asked you to work in an area in which you did not have the experience or knowledge? What did you do and what was the outcome?

 

 

7

Unit 7: The nurse, in all roles and settings, advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy.

Examine the professional bases for nursing practice.

  • Articulate critical abilities required for baccalaureate-level nursing practice.
  • Explore elements included in quality of care for individuals, families, and groups.

Develop a professional development plan that includes completion of the Bachelor of Science in nursing.

NLN Competencies for Professional Identity- express one’s identity as a nurse through actions that reflect integrity; a commitment to evidence-based practice, caring, advocacy, and safe, quality care for diverse patients, families, and communities; and a willingness to provide leadership in improving care.

 

NLN Competencies for Spirit of Inquiry- act as an evolving scholar who contributes to the development of the science of nursing practice by identifying questions in need of study, critiquing published research, and using available evidence as a foundation to propose creative, innovative or evidence-based solutions to clinical practice problems.

 

•Apply critical thinking, decision making, and clinical reasoning skills in the provision of quality nursing care to individuals, families, groups, and communities.  (Essential II)

 

 

 

•Demonstrate effective inter-professional communication and collaboration to provide quality, patient-centered care. (Essential VI)

 

•Apply principles of prevention and health promotion in providing care to individuals, families, groups, and communities. (Essential VII)

 

•Integrate professional values and ethical, moral, and legal aspects of nursing into one's professional practice. (Essential VIII)

 

 

•Demonstrate evolving competence in the professional role within a dynamic, multicultural, global society. (Essential IX)

Standards of Professional Performance

Standard 7. Ethics

Standard 8. Culturally Congruent Practice

Standard 9. Communication

Standard 10. Collaboration

Standard 11. Leadership

Standard 12. Education

Standard 13. Evidence-based Practice and Research

Standard 14. Quality of Practice

Standard 15. Professional Practice Evaluation

Standard 16. Resource Utilization

 

Readings:

Read Provision 7 and Provision 8         

Assignment Due: Ethical Implications of Technological Development in Healthcare Paper

 

Paper must include the following:

  • Title Page
  • Introduction
  • Body
  • Conclusion
  • 3-4 Evidence-based references

 

Introduction: Describe an ethical issue that is causing an ethical issue in the Healthcare Environment.

Body: Support your issue with 3-4 evidence-based research articles (Body should be 3-4 pages).

Conclusion: summarize your paper and what should be done to improve this ethical issue

Reference Page: 3-4 references.

Total: 210 points

 

 

 

 

                 

 

 

 

RN-to-BSN Program e-Portfolio

 

All RN-to-BSN students are required to create an electronic portfolio (simply referred to as the e-Portfolio) which will be added through as you progress through the program with the final reflection and revised professional development plan submitted in your capstone course. The e-Portfolio assignment is designed to help you showcase your professional and academic growth through the RN-to-BSN program here at Lackawanna College, and will map to end-of-program learning outcomes.

 

The e-Portfolio will contain artifacts such as your professional development plan, certain course assignments, presentations, and other evidentiary documents which will demonstrate what you have accomplished throughout the Lackawanna College RN-to-BSN program and will demonstrate how you met the end-of-program outcomes.

LOCATION OF YOUR e-Portfolio - Your e-Portfolio will be housed on a LinkedIn account that you will establish for yourself. For those of you who are not familiar with LinkedIn, you can learn more about it here: https://www.lifewire.com/what-is-linkedin-3486382

The LinkedIn platform was decided on because it was designed for professional networking. In fact, some online job applications can be completed simply by linking your LinkedIn profile to the application. Your profile can serve as your resume, and potential employers can see samples of your academic work and achievements- which can help you to stand out as a candidate for a coveted position!

In your capstone course, you will revisit your professional development plan and revise it (now that your BSN will have been earned), and your revisions will reflect your “next steps.” Your final assignment will also include your final narrative addressing how course assignments helped you achieve each end-of-program outcome.

The RN-to-BSN end-of-program outcomes at Lackawanna College adheres to the Essentials of Baccalaureate Education established by the American Association of Colleges of Nursing. By the end of the program, the learn will be able to:

 

  1. Synthesize theories and concepts from the arts and humanities and the natural and social sciences in professional practice.  (Essential I)
  2. Apply critical thinking, decision making, and clinical reasoning skills in providing quality nursing care to individuals, families, groups, and communities.  (Essential II)
  3. Translate research findings to provide evidence-based practice of nursing.  (Essential III)
  4. Manage information and technology to deliver quality patient care in a variety of settings. (Essential IV)
  5. Use leadership skills and knowledge of the healthcare, financial, and regulatory systems to advance high quality, safe professional practice. (Essential V)
  6. Demonstrate effective inter-professional communication and collaboration to provide quality, patient-centered care. (Essential VI)
  7. Apply principles of prevention and health promotion in providing care to individuals, families, groups, and communities. (Essential VII)
  8. Integrate Benedictine and professional values and ethical, moral, and legal aspects of nursing into one's professional practice. (Essential VIII)
  9. Engage in a lifelong process of learning in the development of one's self, nursing practice, and the profession. (Essential I)
  10. Demonstrate evolving competence in professional role within a dynamic, multicultural, global society. (Essential IX)