NSG 7220 Week 7 Discussion: Ethical Evidence and Application

Sample Answer for NSG 7220 Week 7 Discussion: Ethical Evidence and Application Included After Question

The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.

For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

Ethical Evidence and Application

In this assignment, you will discuss ethical evidence as it pertains to your topic. Everything we do in nursing should be supported by evidence. Nursing is a profession that demands ethical practice. We encounter ethical dilemmas on a daily basis. Most often, the ethical dilemma is directly related to care, be it overly aggressive care or suboptimal care, depending on the patient’s wishes. Visit the South University Online Library and retrieve two peer-reviewed articles pertaining to ethical research (or perhaps ethical theory) related to your topic of interest. Critique each article, highlighting the strengths and the weaknesses of each article. Interpret the statistical analysis and significance of results. Finally, analyze the feasibility of applying this evidence to your topic of interest in your current practicum setting. Both articles should support nursing standards and patient safety within your chosen topic.

A Sample Answer For the Assignment: NSG 7220 Week 7 Discussion: Ethical Evidence and Application

Title: NSG 7220 Week 7 Discussion: Ethical Evidence and Application 

This week, the discussion involves reviewing ethical considerations in relation to our projects. When implementing a training program or session to help staff nurses de-escalate patients experiencing a mental health crisis, it is essential to consider ethical factors. The nursing profession must maintain ethical standards, which involve ensuring that patients are treated fairly, supported to be autonomous, involved in their care, and that the care provided is beneficial and not causing harm (American Nurses Association, n.d.). As a result of high professional standards, nurses should also ensure they are completing continuing education and learning about the latest evidence-based practices in order to provide adequate care to patients (Mlambo et al., 2021).

The first article reviewed for this week was about ethical considerations that providers experience while caring for clients who want to end their lives. Hundreds of thousands of individuals commit suicide across the globe each year (Montreuil et al., 2021). Montreuil et al. (2021) noted that healthcare professionals are often the ones to intervene when patients try to end their lives, and there may be a lack of training on how to respond to suicidal clients, which can create ethical concerns. Not all nurses are trained to care effectively for patients with acute psychiatric illness like they would be when working at a mental health facility, in my experience.

This first research study involved surveying healthcare professionals in Canada with various questions to collect data on what the providers believe are ethical concerns involving patients wanting to end their lives (Montreuil et al., 2021). Over 90% of the providers (including various healthcare professionals) noted that they had cared for patients who were thinking of killing themselves (Montreuil et al., 2021). The researchers noted that nursing staff in the study were the ones who were most often caring for individuals who wanted to kill themselves when compared to the other professions (Montreuil et al., 2021).

Some other ethical factors involved with this study other than inadequate training were that the healthcare professionals did not feel they could adequately protect clients’ privacy and that it was difficult to develop therapeutic bonds (Montreuil et al., 2021). The lack of a therapeutic relationship, from experience, can decrease one’s ability to care for clients. It may lead to a lack of communication when it is essential to keep the communication pathways open when dealing with patients who are suicidal for their safety. Conducting a survey is something that can be completed in the projected project since I have access to several healthcare workers at the practice site. For example, I could share a survey link with questions to evaluate healthcare workers’ opinions towards caring for clients experiencing a mental health crisis.

A second article that raises ethical concerns involved a report that revealed practices in different centers conducting research in America when requesting consent from individuals in which English was not their first language (McMillan, 2020). This article was interesting to me since it discusses how essential it is to obtain informed consent. The patient’s right to education and not being harmed would be violated if informed consent is not obtained correctly. McMillan (2020) noted that ethical concerns arise if there are no clear, concise measures for obtaining informed consent from potential candidates if those candidates do not speak English.

This can cause participant selection bias that excludes candidates who are not native English speakers. This is concerning because this would result in a study’s results not necessarily being representative of every population. This article also made me think about patients with mental health issues who are asked to try medications and other therapies. The healthcare team must ensure the patient understands everything related to the treatment. Therefore, we must emphasize the importance of the nursing staff requesting translator services when attempting to de-escalate clients who are not native English speakers. This is taught in nursing school, but I have witnessed caregivers not utilizing the translator services. This could help identify the source of frustration or crisis much faster when using translation services to help diffuse the crisis.

References

American Nurses Association. (n.d.). Ethics and human rights. Retrieved December 7, 2023,

from https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/

McMillan, G. (2020). IRB policies for obtaining informed consent from non‐English‐speaking

people. Ethics & Human Research, 42(3), 21–29. https://doi-org.su.idm.oclc.org/10.1002/eahr.500050

Mlambo, M., Silen, C., & McGrath, C. (2021). Lifelong learning and nurses’ continuing

professional development, a metasynthesis of the literature. BMC Nursing, 20(1), 62.

https://doi.org/10.1186/s12912-021-00579-2

Montreuil, M., Seguin, M., Gros, C. P., & Racine, E. (2021). Everyday ethics of suicide care:

Survey of mental health care providers’ perspectives and support needs. PLoS One, 16(4),

1–13. https://doi-org.su.idm.oclc.org/10.1371/journal.pone.0249048