Assignment: Regulation for Nursing Practice Staff Development Meeting

Assignment: Regulation for Nursing Practice Staff Development Meeting
Assignment: Regulation for Nursing Practice Staff Development Meeting
Describe the differences between a board of nursing and a professional nurse association.
Walden University
NURS 6050 Policy and Advocacy for Improving Population Health
 

Difference Between Board of Nursing and Nursing Association
The Board of Nursing controls the nursing practice aiming at protecting the public.
Board members are appointed by the state authorities.
The US has state boards and national boards, called the National Council of State Boards of Nursing (NCSBN) (“What is a State Board of Nursing?”, 2020).
State boards regulate nursing practice
NCSBN works together with the state boards to protect and advocate for well-being and the safety of all patients (“What is a State Board of Nursing?”, 2020) Assignment: Regulation for Nursing Practice Staff Development Meeting.

Boards of Nursing are state agencies that protect and promote the public’s health and welfare by overseeing and assuring that licensed nurses from every level of practice are providing competent and safe care. There are fifty-nine boards, each of which comprise the National Council of State Boards of Nursing (NCSBN), an independent, non-profit organization.
The Governor appoints seven out of the nine board member. Senate President Pro-Tempore and the Assembly Speaker appoint one each of the remaining two
State boards regulate nursing practice through accepting and accrediting nursing programs, developing uniform rules and regulations, enforcing the law regarding nursing practice and overseeing the nursing licensure training process (“What is a State Board of Nursing?”, 2020).

Difference Between Board of Nursing and Nursing Association Continuation
Nursing Association fight for the rights of nurses and the advancement of their profession and members pay annual subscription fees
Nursing associations are either state-based, national-based like American Nurses Association (ANA) or international-based like International Council of Nurses (ICN) (“ANA Enterprise | American Nurses Association”, n.d.).
The members elect a board of directors that govern
Nursing Associations can be specific or specialty-focused Assignment: Regulation for Nursing Practice Staff Development Meeting.

Nursing associations differ from board of nursing in that they are professional membership organizations that are private. Members are required to pay dues in order to enjoy the benefits of membership.
Associations are governed by a Board of Directors but they are elected by members of the association.
Nursing associations can be specific, or specialty-focused based on the type of nursing (ambulatory or emergency room), specific nursing fields (maternal care or cardiology), age-specific (neonatal or geriatric), ethnic (black or male) advanced nursing specialties (nurse attorneys, nurse educators or certified nurse midwives) and education-specific (National League of Nursing – NLN or American Association of Colleges of Nursing)

Nursing Board in California
California’s policy requires the board to have nine members.
Seven out of the nine members are appointed by the governor, one by the Senate President Pro-Tempore, and the last one by the Assembly Speaker (“California Board of Registered Nursing”, 2021).
The nine board members must include five registered nurses and rest four are public members

. The board has nine members who serve as the policy-setting body for the Board. Seven of the members are appointed by the Governor, one by the Senate President Pro-Tempore, and one by the Assembly Speaker (“California Board of Registered Nursing”, 2021).
The board members include five registered nurses and four public members.
Out of the nine members two are officials (president and vice president), while the rest are members.
 

State regulation related to general nurse scope of practice
Section 2725 1 (b) prohibits clinics from employing registered nurses to exclusively dispense drugs.
It also prohibits registered nurses from dispensing drugs in a pharmacy, keeping a pharmacy, opening a shop, or drugstore for the retailing of drugs or poisons.
Dispensing of drugs by a registered nurse shall not include substances included in the California Uniform Controlled Substances Act (Division 10 (commencing with Section 11000) of the Health and Safety Code),

Section 2725 1 (b) prohibits clinics from employing registered nurses to exclusively dispense drugs. It also prohibits registered nurses from dispensing drugs in a pharmacy, keeping a pharmacy, opening a shop, or drugstore for the retailing of drugs or poisons. Dispensing of drugs by a registered nurse shall not include substances included in the California Uniform Controlled Substances Act (Division 10 (commencing with Section 11000) of the Health and Safety Code), except a certified nurse-midwife who functions pursuant to a standardized procedure or protocol described in Section 2746.51 or a nurse practitioner who functions pursuant to a standardized procedure described in Section 2836.1, or protocol (CALIFORNIA NURSING PRACTICE ACT, n.d.).

 

State regulation related to general nurse scope of practice Continuation
The regulation (Section 2725 1 (b)) limits the practices of registered nurses and prevents them from investing in the healthcare sector.
However, it is a good move to prevent the registered nursing practitioners from prioritizing their businesses over their professional work Assignment: Regulation for Nursing Practice Staff Development Meeting.
The regulation makes the delivery cost

The registered nursing practitioners channel their attention to a single working station, hence efficiency in their work
The regulation makes the delivery cost expensive because patients will flock healthcare facilities overcrowding them. Without the regulation in force, some would visit the pharmacy shops opened y the registered nurses.

 

State regulation related to Advanced Practice Registered Nurses (APRNs).
Chapter 6, 2835.7 section a (1) requires a specialized registered nurse practitioner to seek a third-party approval prior to performing the medical procedure.
Nurses should not use the privilege granted by the board for being APRN to quickly perform their duties.
The role they play is crucial because of their specialization and educational advancement.

Chapter 6, 2835.7 section a (1) requires a specialized registered nurse practitioner to seek a third-party approval prior to performing the medical procedure. This is despite of the nurse having the authority from the Board of Nurses to perform the standardized medical procedure and the permission to order durable medical equipment, subject to any limitations set forth in the standardized procedures (CALIFORNIA NURSING PRACTICE ACT, n.d.).

State regulation related to Advanced Practice Registered Nurses (APRNs) Continuation
APRNs play a significant role in saving patients with advanced complications.
The regulation (Chapter 6, 2835.7 section a (1)) ensures that the nurse does not perform procedure against the will of the patient and their family.
It ensures that stakeholders are involved in making a clinical decision

ARPNs should always involve the families of their patients when performing standardized procedures like surgery or midwifing. It helps to prepare the family incase a medical operation goes wrong. It also shields the nurse from taking all the blame in case of a medical complication.

State regulation related to Advanced Practice Registered Nurses (APRNs) Continuation

The regulation does not affect the cost of delivery of healthcare services.
However, access to emergency services could be delayed.
The patient’s health is at risk

The regulation could delay attendance to a patient in case of emergencies. For instance, a patient involved in an accident and needs surgical attention could suffer more waiting to get the consent from their family members. This puts the patient’s life at risk.
However, it does not affect the cost of delivery since there is no extra cash required to implement the regulation

 

References
NPR-B-03 06/1995 AN EXPLANATION OF SCOPE OF RN PRACTICE INCLUDING STANDARDIZED PROCEDURES REV. 07/1997, 01/2011. Board of Registered Nursing. Retrieved 1 April 2021, from https://www.rn.ca.gov/pdfs/regulations/npr-b-03.pdf.
CALIFORNIA NURSING PRACTICE ACT. Scope of Regulation Excerpt from Business and Professions Code Division 2, Chapter 6. Article 2. BOARD OF REGISTERED NURSING. Retrieved 1 April 2021, from https://www.rn.ca.gov/pdfs/regulations/npr-i-15.pdf.
What is a State Board of Nursing?. Graduatenursingedu.org. (2020). Retrieved 1 April 2021, from https://www.graduatenursingedu.org/state-board-of-nursing/Assignment: Regulation for Nursing Practice Staff Development Meeting.
ANA Enterprise | American Nurses Association. ANA. Retrieved 1 April 2021, from https://www.nursingworld.org/.
California Board of Registered Nursing. CA.Gov. (2021). Retrieved 1 April 2021, from https://www.rn.ca.gov/consumers/brdmbrs.shtml.

Assignment: Regulation for Nursing Practice Staff Development Meeting
Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.
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To Prepare:

Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
Review the NCSBN and ANA websites to prepare for your presentation Assignment: Regulation for Nursing Practice Staff Development Meeting.

The Assignment: (8- to 9-slide PowerPoint presentation)
Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

Describe the differences between a board of nursing and a professional nurse association.
Describe the board for your specific region/area.

Who is on the board?
How does one become a member of the board?

Describe at least one state regulation related to general nurse scope of practice.

How does this regulation influence the nurse’s role?
How does this regulation influence delivery, cost, and access to healthcare?

Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).

How does this regulation influence the nurse’s role?
How does this regulation influence delivery, cost, and access to healthcare?

Include Speaker Notes on Each Slide (except on the title page and reference page)

By Day 7 of Week 6

Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.

NURS_6050_Module03_Week06_Assignment_Rubric

Grid View
List View

Excellent
Good
Fair
Poor

Boards of Nursing vs. Professional Nurse Associations
Develop a 8- to 9-slide PowerPoint presentation that addresses the following:
·  Describe the differences between a board of nursing and a professional nurse association.
·  Describe the members of the board for your specific region/area.
·   Who is on the board?
·  How does one become a member of the board?

·  Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.

23 (23%) – 25 (25%)

The response accurately and thoroughly describes the differences between a board of nursing and professional nurse associations.
Response provides a complete and accurate description of who is on a board of nursing.
The response provides a detailed and thorough explanation of how one becomes a member of the board of nursing.
Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.

20 (20%) – 22 (22%)

The response accurately describes the differences between a board of nursing and professional nurse associations.
Responses provides an accurate description of who is on a board of nursing.
The response provides an accurate explanation how one becomes a member of the board of nursing.
Speaker notes are included on every slide and are used to explain the significant points on each slide.

18 (18%) – 19 (19%)

Description of the differences between a board of nursing and professional nurse associations is inaccurate or incomplete. Description of who is on a board of nursing is incomplete or inaccurate.
Explanation of how one becomes a member of the board of nursing is vague or inaccurate.
Speaker notes are included on every slide.

0 (0%) – 17 (17%)

Description of the differences between a board of nursing and professional nurse associations is inaccurate and incomplete or is missing.
Description of who is on a board of nursing detailing academic credentials, practice positions, and licensure status is inaccurate and incomplete, or is missing.
Explanation of how one becomes a member of the board is vague and inaccurate or is missing.
No speaker notes.

The Impact of State Regulation on Nurse Practice
Describe at least one state regulation related to general nurse scope of practice.
·  How does this regulation influence the nurse’s role?
·  How does this regulation influence delivery, cost, and access to healthcare?
·  Has there been any change to the regulation within the past 5 years? Explain.

·  Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.

27 (27%) – 30 (30%)

Response includes a complete and accurate description that fully details how one or more state regulations are related to general nurse scope of practice.
Response clearly and accurately explains in detail how the regulation(s) influences the nurse’s role.
Response clearly and accurately explains in detail how the regulation(s) influences delivery, cost, and access to healthcare.
Presentation includes speaker notes that explain and elaborate the points of the presentation.

24 (24%) – 26 (26%)

Response includes an accurate description of how one state regulation is related to general nurse scope of practice.
Response accurately explains how the regulation influences the nurse’s role.
Response accurately explains how the regulation(s) influences delivery, cost, and access to healthcare.
Presentation includes speaker notes that explain the points of the presentation.

21 (21%) – 23 (23%)

Description of one or more state regulations that are related to general nurse scope of practice is incomplete or inaccurate. Explanation of how the regulation(s) influences the nurse’s role is vague or inaccurate.
Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague or inaccurate.
Presentation includes speaker notes that are incomplete or lack appropriate explanation.

0 (0%) – 20 (20%)

Description of one or more state regulations related to general nurse scope of practice is vague and inaccurate, or is missing.
Explanation of how the regulation(s) influences the nurse’s role is vague and inaccurate, or is missing.
Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague and inaccurate, or is missing.
Speaker notes are incomplete or missing altogether.

Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
·  How does this regulation influence the nurse’s role?
·  How does this regulation influence delivery, cost, and access to healthcare?
·  Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.

27 (27%) – 30 (30%)

Response includes a complete and accurate description that fully details how one or more state regulations are related to Advanced Practice Registered Nurses (APRNs).
Response clearly and accurately explains in detail how the regulation(s) influences the nurse’s role.
Response clearly and accurately explains in detail how the regulation(s) influences delivery, cost, and access to healthcare.
Presentation includes speaker notes that explain and elaborate the points of the presentation.

24 (24%) – 26 (26%)

Response includes an accurate description of how one state regulation is related to Advanced Practice Registered Nurses (APRNs).
Response accurately explains how the regulation influences the nurse’s role.
Response accurately explains how the regulation(s) influences delivery, cost, and access to healthcare.
Presentation includes speaker notes that explain the points of the presentation.

21 (21%) – 23 (23%)

Description of one or more state regulations that are related to Advanced Practice Registered Nurses (APRNs) is incomplete or inaccurate.
Explanation of how the regulation(s) influences the nurse’s role is vague or inaccurate.
Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague or inaccurate.
Presentation includes speaker notes that are incomplete or lack appropriate explanation.

0 (0%) – 20 (20%)

Description of one or more state regulations related to Advanced Practice Registered Nurses (APRNs) is vague and inaccurate, or is missing.
Explanation of how the regulation(s) influences the nurse’s role is vague and inaccurate, or is missing.
Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague and inaccurate, or is missing. Speaker notes are incomplete or missing altogether.

Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.

5 (5%) – 5 (5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria Assignment: Regulation for Nursing Practice Staff Development Meeting.

4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.
Purpose, introduction, and conclusion of the assignment is vague or off topic.

0 (0%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. 4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors. 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors. 0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

5 (5%) – 5 (5%)

Uses correct APA format with no errors.

4 (4%) – 4 (4%)

Contains a few (1-2) APA format errors.

3.5 (3.5%) – 3.5 (3.5%)

Contains several (3-4) APA format errors.

0 (0%) – 3 (3%)

Contains many (≥ 5) APA format errors.

Total Points: 100

Name: NURS_6050_Module03_Week06_Assignment_Rubric Assignment: Regulation for Nursing Practice Staff Development Meeting


Identification and Analysis of an Ethical Dilemma nursing essay

Identification and Analysis of an Ethical Dilemma nursing essay
Identification and Analysis of an Ethical Dilemma nursing essay
DETAILS

Identification and Analysis of an Ethical Dilemma

Instructions – Overview
In this assignment, you are asked to reflect on a real experience from your own clinical practice, in which you encountered an ethical dilemma. The experience can be drawn from your current clinical placement or from any previous placement during your studies or you nursing education. It should relate to issues around your role as a nurse or nursing student. Identification and Analysis of an Ethical Dilemma nursing essay.
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Note: To write this Identification and Analysis of an Ethical Dilemma nursing essay assignment I attached this below assignment information+Information from my book to find ethical theory and ethical decision-making model + self reflection that I had at the clinical. These three documents will help you to write the assignment.
Assignment
Identification and analysis of an ethical dilemma
Instructions – Overview
In this assignment, you are asked to reflect on a real experience from your own clinical practice, in which you encountered an ethical dilemma ( Their is another attachment in this email of personal self reflection that I had when I was at the clinical and dealing with the ethical dilemma). The experience can be drawn from your current clinical placement or from any previous placement during your studies or you nursing education. It should relate to issues around your role as a nurse or nursing student.  (Please see another attachment for my personal self reflection that will help you to write this assignment)
 
In the first part of the assignment, you will tell the story of your experience. This narrative should clearly describe the specifics of the situation and all of the characters involved.  At the end of this narrative, explicitly identify for the reader the ethical dilemma that is apparent in the situation just described. Please remember to de-identify people and places within your paper to maintain confidentiality, especially related to clinical settings and patients.(In this section you can use I (first person) in your sentences) Identification and Analysis of an Ethical Dilemma nursing essay
 
In the second part of this assignment, you will analyze the ethical dilemma that is apparent in the story you have chosen to share. Your analysis must draw on ethical theory and use an ethical decision-making model, in order to propose recommendations for action. I attached another important information from my book that will help you to find the ethical theory and ethical decision making model to write the assignment.  ( In this section, use it as a 3rd person in your sentences)
 
In the last part of this assignment, you will offer a personal reflection about your own values with respect to both the ethical dilemma encountered and the recommended course of action implied by the ethical analysis of that dilemma. In what ways might this case impact your moral experience as a nurse? (In this section you can use 1st person in your sentences). Identification and Analysis of an Ethical Dilemma nursing essay
 
General guidelines
 
The assignment asks you to use an ethical decision-making model. This means picking any of the models that have been reviewed in class and/or made available on the course website ( I SCANNED THE CHAPTER FOR YOU THAT DESCRIBE THE ETHICAL DECISION MAKING MODEL……AND THAT WILL BE IN ANOTHER ATTACHMENT IN THE EMAIL). You may also perform an analysis by drawing together reflective questions from different models (e.g., “This ethical analysis will be structured according to several questions, drawn from [reference] and also from [reference]). What matters most is that you organize your analysis around key reflective questions that seek to clarify the landscape, i.e., what is going on; and to navigate ethical choices, i.e., what are our options and what is our decision?
 
The assignment also asks you to draw on ethical theory( YOU CAN FIND THE ETHICAL THEORY THAT I SEND YOU IN ANOTHER ATTACHMENT). The place to do this is when you are weighing your options for action. What are the bases of support for each option? Which option is morally preferable and why? (e.g., utilitarianism, deontology, virtue ethics, feminist theory),
 
Finally, the assignment asks you to offer a personal reflection about your values and your moral experience as a nurse. This means identifying and naming your personal beliefs, convictions, and principles concerning what is good, right, and just in the context of the situation described. In other words, as a nurse, what is at stake for you in situations like the described in your paper? Your moral experience refers to the ways in which the values you deem important are realized or thwarted in the context of your practice. You are encouraged to make use of the theoretical notions of moral identity, moral agency, and/or moral distress in describing your moral experience. Identification and Analysis of an Ethical Dilemma nursing essay
 
Format & Length: APA revised 6th edition. 5 pages not including title page and references.
 
 
Marking criteria
 
An A+ paper will satisfy all of the following criteria:
 

Opening narrative is clear and compelling
The ethical dilemma is explicitly identified and supported by the opening narrative.
A relevant ethical decision-making model is selected and thoroughly described.
The application of the model to the case succeeds in capturing the essence of the conflict/dilemma, identifies all relevant stakeholders, labels the principles and values at stake, and articulates at least two possible options for action.
Rationales for the possible options are presented. This section of the analysis successfully links theoretical ideas to the practicalities of the case. A clear claim for a way forward that is both logical and defensible is offered.
A plan for evaluating and reviewing the decision is offered, as well as suggestions for initiatives that might reduce moral uncertainty and/or support moral agency of clinicians who face similar situations in future.
The final reflection on personal values offers clear and compelling insight into potential consequences of situations such as these for individual nurses’ moral experience.
The paper is well written, ideas are clear and flow well, theoretical ideas are adequately developed and linked appropriately to options considered and recommendations made, ideas in the paper are well supported by academic literature, there are no typographical, grammatical, or formatting errors, the paper contains at least nine academic references not including the course textbook. Identification and Analysis of an Ethical Dilemma nursing essay

 
 
*Examples of credible sources/literature:
 

Peer reviewed journal articles
Other academic/professional journals
Best Practice Guidelines
Government publications, websites, documents (e.g. evaluation reports, annual reports)
Publications by nongovernmental organizations (e.g. International Council of Nurses, Canadian Nurses Association, Registered Nurses Association of Ontario, Ontario Nurses Association, other provincial associations)

 
*Canadian references preferred
*When writing a scholarly paper, you should use a variety of sources.
*Class notes or PowerPoint slides are not a credible source – cite the original source.
 
 Identification and Analysis of an Ethical Dilemma
Introduction
My Nursing Experience and Ethical Dilemma faced
Nurses face unimaginable instances of ethical dilemmas on almost daily basis regardless of where they practice. Irrespective of where nurses function in their varied roles, majority of them are faced with instances where they are faced with ethical decisions that may have huge impacts on them and their patients. It is important to note that there is no “right” solution to an ethical case or dilemma (Mannix, Wilkes and Daly, 2015). In short, an ethical dilemma is a problem without any sort of satisfactory resolution. Ethics involve doing “good” and causing no harm.
I recently encountered an ethical dilemma when undertaking my assigned clinical duties at the workplace. It was during my fourth day at the clinical when I was assigned to help a Registered Practical Nurse (RPN) in taking care of a sick patient. After introducing me to the patient, the nurse asked me to begin Postpartum and newborn assessment immediately. However, I could not begin such an exercise without reviewing the patient charting. I informed the patient on the need to asses her charting at the next room for a short while. On exiting the delivery room, I told the RPN outside that I needed to review the patient charting before starting any assessment. However, her response was not what I expected. The registered nurse told me that I did not need it and insisted that I go on with the process of assessing the patient before looking at the patient charting. Identification and Analysis of an Ethical Dilemma nursing essay.
Following the directive from the nurse, I felt like I had no choice as such. I immediately proceeded with the RPN to the patient room to begin the assessment. I immediately embarked on the assessment procedure. However, when I was informing the patient that the required or normal range of respiratory rate should be between 10-20 breath/min, the RPN interrupted me right in front of the patient. The RPN argued that the normal range of respiratory rate is 12-20 breath/min. I went ahead and began assessing the patient extremities. Surprisingly, the nurse (RPN) interrupted me once again arguing that the clinic does not assess patient extremities.
The above experiences left me disappointed as all the communication between us was conducted in front of the patient. I’ve never forgotten this incident as it made me be portrayed as if I am not educated enough to conduct patient assessment. Actually, I was right since I had learned the required ranges of the vital signs in the lab. I thought that such may depend on the agency policy and upon checking the agency policy, it was the same to what I had mentioned to the patient.
Even though the Postpartum turned out to be a success, I was faced with the ethical dilemma of truth telling versus deception. This is a major issue that nurses have to deal with on daily basis. It was my conviction that the patient at hand had to know of her condition before beginning the assessment and the patient had the right to know of her condition before beginning the assessment Identification and Analysis of an Ethical Dilemma nursing essay.
Ethical dilemma that is truth telling versus deception
            Truth telling and deception or withholding information is an ethical dilemma that clinicians undergo on daily basis. When physicians communicate with their patients, honesty is one of the most important ways of fostering trust and showing respect for the patient. Patients place a great deal of trust in their clinicians, and may immediately feel as if that trust is misplaced if they find out or perceive lack of honesty from the clinician. However, there are situations when the truth can be disclosed in a brutal manner, or may have a terrible impact on the patient (Begley, Begley and Blackwood, 2000).
According to Pergert and Lutzen (2012), contrary to what many clinicians have believed in the past, a good number of studies demonstrate that majority of patients actually prefer knowing the truth of their medical condition. However, how much should be revealed to patients are areas of concerns to clinicians. Truthful disclosure need not to be brutal though. At times, the truth could be harmful. It is argued that in such a case, withholding harmful information may be appropriate. Additionally, it may justifiable for clinician to withhold the truth if the clinician has compelling evidence that disclosure will cause real and predictable harm or the patient states an informed preference not to be told the truth.
Closely related to above scenario is a moral branch of philosophy that seeks to examine the beliefs and assumptions of certain human actions. When faced with conflicting duties, there are a number of ethical theories that one may rely on in order to make the right choices. One of them is Utilitarianism or consequentialism. This is a moral theory that believes that an action is judged as either being good or bad based on the consequence, outcome, or the end result that comes out of it (Hanssen and Alpers, 2010). According to utilitarian school of thinking, the right action is that which accrues greatest utility or benefit and no action is, in its original form, good or bad. However, the only factors that make an action good or bad are the end results (Lutzen, Dahlqvist, Eriksson and Norberg, 2006). Based on the earlier mentioned dilemma (Truth telling versus deception), it is the end result that matters. However, the right action is that which accrues greatest utility or benefit Identification and Analysis of an Ethical Dilemma nursing essay. 
Ethical decision making model
Based on the fact that ethical dilemmas may not always be quickly resolved through the use of codes of ethics, it may be useful enough, especially for clinicians to have a framework whereby ethical decisions can be analyzed. The following ethical-decision making model or steps by Park (2012) may be useful for purposes of coming up with the right ethical decisions.
Step 1: Identify the problem at hand.
Step 2: Identify the potential issues involved.
Step 3: Review relevant ethical guidelines.
Step 4: Know relevant laws and regulations in place.
Step 5: Obtain Consultation from higher authority.
Step 6: Consider possible and probable courses of action to take.
Step 7: List the consequences of the probable courses of action.

Step 8: Decide on what appears to be the best course of action to follow.
Identification and Analysis of an Ethical Dilemma nursing essay
 
My personal reflection based on my own values and ethical dilemma
Researchers have indicated that instances of moral distress are a big problem for health care providers in many places across the globe. Pharmacists, social workers, physicians, and nurses are constantly face instances of moral distress (Lutzen et al., 2006). Even though there are many sources of stress in health care, moral distress is mainly associated with the ethical dimensions of practices and other concerns related to difficulties in nursing or healthcare while upholding professional values, duties, and responsibilities. When faced with instances of moral distress, nurses may withdraw from ethically challenging situations, change their positions or go on raising objections or concerns based on a given situation (Preshaw, Brazil, McLaughlin and Frolic, 2016). In order to avoid this situation, nurses’ personal value and morals experience may come in handy. Personally, I have some guiding value and morals that I stood with when faced with the ethical problem presented to me.
In nursing, as in life generally, I have been presented with all sorts of issues and situations to which I have reacted. It is argued that the way one deals with problems that arise will be based on the values that one has and the moral standpoint he or she takes (Mannix, Wilkes, and Daly, 2015). Throughout my nursing career, I have developed my values and experiences as a nurse that I seek to promote for the longest time possible.
First, I have developed values of caring whereby I envision promoting health, healing, and aspects of hope in respect to the ethical dilemma (Truth telling versus deception) I faced. Secondly, the values of integrity have grown in me as I seek to respect the dignity and moral wholeness of the patient without any form of condition or limitation. Diversity is another value I seek to promote in respect to the aforementioned ethical dilemma. People are different and unique in ideas, values, and ethnicities. Identification and Analysis of an Ethical Dilemma nursing essay.
With experience in nursing, I have developed morally to the extent of learning to tell the difference between right and wrong and learning what ought and ought not to be done in a given situation. As a nurse, I have learnt how to follow autonomy, nonmaleficence, justice, veracity, fidelity, beneficence, accountability, and responsibility as espoused under the moral principles of nursing.
Recommendations
            Ethical dilemmas are prevalent in nursing and health care provision. Based on the above dilemma, it is a right of the patient to know his medical condition. Even though instances of distress may be faced by nurses at all times, personal values and moral developed over time will be a guiding factor towards making the right decisions (Hanna, 2004). The right to inform the patient of his or her medical condition is important.
Conclusion
            In a recap, ethical dilemmas in nursing are many. The aforementioned is just one of them. Many exist. However, in making an ethical decision, the greatest good must inform the end outcome. In the above ethical decision, denying the truth to a patient may be either wrong or right based on the situation at hand. However, if the greatest good will be accrued, then it may be the right path to follow. Identification and Analysis of an Ethical Dilemma nursing essay.
References
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