Topic 1: Advanced Practice Nursing Decisions that Cause Moral Distress
Choose an ethical-legal dilemma that would cause the advanced practice nurse moral distress. The dilemma could be one you have faced in your practice. Write at least the introductory paragraphs for the Unit 4 Assignment. Be specific about the dilemma — something you may have experienced in your practice. Outline the topics that will be discussed in the Unit 4 Assignment using level one APA headings.
Use the APA template provided in the class for this paper. It is on the left navigation tab and is set up for all papers in APA format. Place the beginning of your paper in the Discussion Board for all to read and critique.
After receiving feedback from your peers and instructor, work on refining the paper to submit in Unit 4. Choose someone to peer review that does not have feedback.
Cite and reference at least three nursing peer reviewed articles to support the content in the paragraph. In the final Assignment, you will have a minimum of seven references relating to legal and ethical issues.
Chapter 16, titled Effective Peer Reviews, in the Kaplan Guide to Successful Writing handbook explains the importance of conducting peer reviews (critiques), how to conduct the peer review, and how to help your classmates and the reviewer achieve an improved learning experience.
Review pages 213–219 of Kaplan Guide to Successful Writing (see attached PDF)
*** So, just some more quick info about me and my work, I am currently doing my masters in Family Nurse Practitioner. I like how you work, and if all goes well, I will continue assigning you to the assignments for this class. So you might use work from one unit and use it in another (like this one for unit 4 assignment).
Again if there are any questions please do not hesitate to ask. Thanks!
section4_peer_reviews_grammar_and_grading.pdf
Expert Solution Preview
Introduction:
This Unit 4 Assignment will focus on an ethical-legal dilemma that could cause moral distress in an advanced practice nurse. The purpose is to explore an issue that could be encountered in practice, discuss ethical and legal considerations, and analyze the decision-making process. This paper will begin with an introduction to the chosen ethical-legal dilemma and an outline of the topics to be covered in the assignment.
Answer:
An ethical-legal dilemma that could cause moral distress in an advanced practice nurse is related to end-of-life care. Specifically, deciding whether to honor a patient’s request for a do-not-resuscitate (DNR) order, particularly in cases where the patient may not have the mental capacity to make such a decision. This scenario could cause moral distress because it involves balancing the duty to respect patient autonomy with the duty of beneficence, non-maleficence, and justice.
In this Unit 4 Assignment, we will explore the ethical and legal considerations surrounding DNR orders in end-of-life care, including informed consent, advance directives, and surrogate decision-making. We will also analyze the decision-making process, including principles of ethical reasoning, critical thinking, and problem-solving. Finally, we will discuss the implications of moral distress for nursing practice and potential strategies to mitigate its impact. The following are the topics to be covered in this assignment:
I. Introduction
II. Background and Description of the Ethical-Legal Dilemma
III. Ethical and Legal Considerations
A. Informed Consent
B. Advance Directives
C. Surrogate Decision-Making
IV. Decision-Making Process
A. Ethical Reasoning
B. Critical Thinking
C. Problem-Solving
V. Implications of Moral Distress for Nursing Practice
VI. Strategies to Mitigate the Impact of Moral Distress
VII. Conclusion
Throughout this paper, we will be utilizing evidence-based research to support our opinions, including a minimum of three nursing peer-reviewed articles. By exploring this ethical-legal dilemma and the complex decision-making process involved, we hope to gain a better understanding of how to approach similar scenarios and mitigate the impact of moral distress in practice.
