DQ 2: Compare two different advanced registered nurse roles with regard to ethical guidelines
Grand Canyon University DQ 2: Compare two different advanced registered nurse roles with regard to ethical guidelines-Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University DQ 2: Compare two different advanced registered nurse roles with regard to ethical guidelines assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for DQ 2: Compare two different advanced registered nurse roles with regard to ethical guidelines
Whether one passes or fails an academic assignment such as the Grand Canyon University DQ 2: Compare two different advanced registered nurse roles with regard to ethical guidelines depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for DQ 2: Compare two different advanced registered nurse roles with regard to ethical guidelines
The introduction for the Grand Canyon University DQ 2: Compare two different advanced registered nurse roles with regard to ethical guidelines is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for DQ 2: Compare two different advanced registered nurse roles with regard to ethical guidelines
After the introduction, move into the main part of the DQ 2: Compare two different advanced registered nurse roles with regard to ethical guidelines assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for DQ 2: Compare two different advanced registered nurse roles with regard to ethical guidelines
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for DQ 2: Compare two different advanced registered nurse roles with regard to ethical guidelines
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Your post effectively highlights the critical role of nursing ethics in ensuring patient care and safety. According to the American Nurses Association (ANA) (n.d.), nursing ethics are the foundation of nursing integrity and commitment to patient care. Advanced Practice Nurses (APNs), including Certified Nurse Midwives (CNMs) and Clinical Nurse Specialists (CNSs), must adhere to these ethical guidelines despite their different roles.
In Labor & Delivery, the policy mandates that all admitted patients have blood drawn and an IV placed. However, when CNMs started delivering at our facility, some patients refused these procedures. In such cases, the CNM provides informed consent, investigates the reasons for refusal, and discusses alternatives (DeNisco, 2024). As DeNisco (2024) states, the CNM must perform an “evaluation of the current circumstances, patient understanding, and continued willingness to participate or proceed requires that consent be, for the most part, an ongoing process” (p. 804). Some patients, after receiving education from the CNM, accept the IV placement, while others continue to refuse.
In contrast, a CNS might refer to the policy requiring IV placement during labor and delivery, emphasizing patient safety concerns. This demonstrates how both roles, though different, prioritize patient safety.
At admission, all patients sign a General Consent for Treatment, which includes provisions for necessary care in emergencies and allows patients to refuse treatment at any time. This policy was revised due to continued patient refusals, showcasing the importance of collaboration between CNMs and nursing leadership to ensure patient safety and respect for patient autonomy.
NUR 513 Topic 2 DQ 2
Compare two different advanced registered nurse roles with regard to ethical guidelines. Are there any differences in the ethical guidelines that govern these roles? What situations might require one role to respond differently, depending on the ethical guidelines?
REPLY TO DISCUSSION
There are many avenues available for Registered Nurses within different types of Masters Programs. Advanced Nursing Practice Roles uniquely identify within different specialties. The two types of APN roles I have decided to compare includes Nurse Educator and Nurse Practitioner (Liaison International , 2022).
The Nurse Educator, whether it be college instruction or hospital bedside guidance, has a very important responsibility. Teaching and guiding nursing students, new grads and experienced nurses through gentle but firm instruction is an important balance (American Nurses Association, 2022). Ethical considerations can include providing constructive communication techniques for all facets of learning styles, maintaining confidentiality and anonymity, and recognizing potential of harm so the issue can be swiftly revised and improved. The nurse educator is an important resource for all areas of nursing, and performing this role with compassion and confidence directly influences healthy growth and success within all levels of nursing practices (DeNisco & Barker, 2019).
The Nurse Practitioner involves direct patient care and can span all types of specialties in medicine. Diagnosis and treatment as well as counseling in preventative care helps to create a healthy balance between the actual management of care and strategies needed for long term success. (American Nurses Association, 2022). Nurse Practitioners do not just treat the present problem but also the patient’s future health and happiness. Ethical considerations include voluntary participation of the patient, confidentiality, and informed consent (DeNisco & Barker, 2019).
There are many ethical differences within these two APN roles. The scope of practice highly differs between the two, which directly influences the associated ethical guidelines. One huge difference is the population served. Nurse Educators directly serve the nurses and institutions, while Nurse Practitioners directly serve the patients and institutions. Both roles utilize evidence-based practice and definitive ethical standards. The response to an ethical situation differs in the fact that the educator may identify and correct situations by improving knowledge gaps and training while the Nurse Practitioner may have to adjust the plan of care accordingly and follow up with different treatment modalities.
For example: A Jehovah witness patient is diagnosed with sickle cell crisis who is dangerously anemic and needs a blood transfusion. Ethical guidelines remain in place for respecting spirituality and religion. The hospital educator may consider addressing this situation with cultivating awareness by teaching the institutions employees, which leads to building understanding and acceptance for this patient population. The Nurse Practitioner will need to adapt the plan of care to this specific situation but also directly educate the patient on the high level risks associated with the denial of the blood transfusion. The NP can help the patient define personal limits and wishes associated with the plan of care without encroaching on the validity of the religious belief.
American Nurses Association. (2022). Advanced Practice Registered Nurse (APRN). https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn
DeNisco, S. M., & Barker, A. M. (Eds.). (2019). Advanced practice nursing: essential knowledge for the profession (4th ed.). Jones & Bartlett Learning. ISBN-13: 9781284176124
Liaison International (2022). Explore Health Careers. https://explorehealthcareers.org/field/nursing/
REPLY
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Replies
Hi, Cristal I agree with your discussion of the different roles of a nurse educator and a nurse practitioner. The responsibilities and roles of these two types of nurses are different. The Nurse practitioner’s (NPs) responsibility, as you mentioned in your post, it is to “provide direct patient care” by “diagnosis and providing treatment” (American Nurses Association, 2022). The NP ethical guidelines are also different from the Nurse Educator’s; for example, the NP must make sure that the patient receives the health needed to improve the health condition by ensuring clear communication within them. In contrast, the Nurse educator must educate the student on the importance of following the code of ethics to provide excellent patient care to patients and families.
References
American Nurse Association. (2022). Advance Practice Nursing (APRN). Retrieve from https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn
REPLY
You made some really good points in your post Crystal! The nurse practitioner (NP) has a lot more freedom than the nurse educator as the autonomy is personal driven the educator has protocols and policies they must follow. That does not mean the NP does not have to follow federal laws and policies of the organization, however, they are patient-driven rather than organization-driven. Since the pandemic, even more states have changed their rules on the autonomy of the NP (Torrey, 2022). Now, about half of the states within our country do not need to have a physician oversee their practice and can go into private practice (Torre, 2022). Regardless of the path, one must have a passion for the population you serve, so choose wisely. 😉
Reference
Torrey, T. (2022, April 8). What is a nurse practitioner? Very Well Health. https://www.verywellhealth.com/difference-between-nurses-and-nurse-practitioners-2615018
REPLY
Crystal, I appreciate all of the information you shared. I also compared a nursed educator. Nurse educators have many responsibilities but one of the most important things that they must do is promote and encourage students to exercise around clinical judgement, practice using ethical standards, and support and respect their colleagues (National League for Nursing, 2012). Nursing educators need to treat all students fairly and stray away from racism. But all nurses whether that be an advanced registered nurse, or not should all have the goal to respect basic human right and dignity of all people, this is an important principal when caring for people.
References
National League for Nursing. (2012, January). Ethical principles for nursing education national league for nursing. https://www.nln.org/docs/default-source/uploadedfiles/default-document-library/ethical-principles-for-nursing-education-final-final-010312.pdf?sfvrsn=4b49d00d_0
REPLY
The two different advanced registered nurse roles that I am going to compare is a nurse midwife and a nurse educator. Although all nurses need to abide by similar ethics there are additional guidelines to consider for these very different roles. Nurse educators have many responsibilities but one of the most important things that they must do is promote and encourage students to exercise around clinical judgement, practice using ethical standards, and support and respect their colleagues (National League for Nursing, 2012). Nursing educators need to treat all students fairly and stray away from racism. On the other hand, nurse midwives have a whole new world of ethical guidelines that need implemented. Midwives provide care to women at some of the most vulnerable times of their lives. They are responsible to keep women healthy as well as making sure their babies arrive healthy. What a huge responsibility that has a lot of moving parts. One unique ethical guideline to midwives is that they must develop a partnership with the woman that they work with and shares relevant information to help women make informed decisions, consent to an evolving plan of care, and acceptance of responsibility for the outcome of their choices (American College of Nurse-Midwives, n.d.). Respect for autonomy is basic to midwifery care and is foundational to a partnership that fosters open communication between a midwife and a woman (American College of Nurse-Midwives, n.d.). But all nurses whether that be an advanced registered nurse, or not should all have the goal to respect basic human right and dignity of all people, this is an important principal when caring for people.
Ethics involves understanding the moral rules and the system that they are made of such as the nature of purposes and justifications. One of the major challenges that nurses encounter is the ethical dilemmas and it is vital that nurses establish good ethical practices to ensure that there are better patient outcomes. Nurse practitioners are responsible for the provision of primary, acute, and specialized care across the lifespan (Fraze et al., 2020). They perform their role by assessing, diagnosing and treating illnesses and injuries. One of the major ethical issues that nursing practitioners encounter is having to deal with difficult patients and their family members. Behavioral issues and hopelessness can arise because of the complex nature of a patient’s problem which can also result in emotional and psychological problems. Despite the various challenges that may arise, nurse practitioners are responsible for catering to the patients need by fulfilling their ethical standards in their practice.
Psychiatric clinical nurse specialists are responsible for the provision of care to patients suffering from psychiatric issues. These nurses utilize evidence-based practice and standards of best practice in ensuring that they offer the highest quality of care to the patients. Caring for patients in this area may be challenging because of the diagnosis of mental illness (Mohr & Coke, 2018). Nurses need to be patient and empathetic to ensure that they can practice ethically without any form of bias. It is important for these nurses to be objective and contain their emotions when dealing with patients and not allow them to prevent them from effectively caring for the patients. Nurses should attempt to be neutral and provide patients with the highest quality of care.
References
Fraze, T. K., Briggs, A. D. M., Whitcomb, E. K., Peck, K. A., & Meara, E. (2020). Role of nurse practitioners in caring for patients with complex health needs. Medical Care, 58(10), 853–860. https://doi.org/10.1097/mlr.0000000000001364
Mohr, L. D., & Coke, L. A. (2018). Distinguishing the clinical nurse specialist from other graduate nursing roles. Clinical Nurse Specialist, 32(3), 139–151. https://doi.org/10.1097/nur.0000000000000373
Two different advanced registered nurse roles are a. Nurse Practitioner (NP) and b. Clinical Nurse Specialist (CNS). Both roles have ethical guidelines that guide their practice, but there may be differences based on their specific roles and responsibilities (AANP,1993).The Nurse Practitioner’s ethical guidelines are outlined by the American Association of Nurse Practitioners (AANP 1993). These guidelines emphasize the NP’s responsibility to respect the dignity and rights of patients, to provide care without discrimination, to maintain patient confidentiality, and to advocate for patients. NP’s are also expected to engage in continuous professional development and to contribute to the advancement of the profession (Nurse ethics, 2015).
On the other hand, the Clinical Nurse Specialist’s ethical guidelines are outlined by the National Association of Clinical Nurse Specialists (NACNS). These guidelines emphasize the CNS’s responsibility to provide expert care, to promote evidence-based practice, to advocate for patients, and to contribute to the advancement of the nursing profession. CNS’s are also expected to engage in continuous professional development and to uphold the highest standards of ethical and professional conduct (Promoting Health equity, 2023).
While both roles share many ethical guidelines, there may be differences based on their specific roles and responsibilities. For example, NP’s often have more direct patient care responsibilities, which may require them to make difficult ethical decisions related to patient care. On the other hand, CNS’s often have more responsibilities related to systems-level change, which may require them to navigate ethical issues related to organizational policies and procedures (AANP,1993).
References
American Association of Nurse Practitioners (AANP 1993)
Revised 1998, 2002, 2007, 2010, 2013, 2015, 2019, 2022
Trobec I, Starcic AI. Developing nursing ethical competences online versus in the traditional Classroom. Nurse Ethics. 2015 May;22(3):352-66. [Pub-med]
Promoting Health Equity: The Role of Nurses in Addressing Social Determinants of Health
Clinical Nurse Specialist. 37(6):262-265, November/December 2023
your post focused on the ethical similarities and differences between CNS and APRN. They both deal with patient privacy and confidentiality (HIPAA) and informed consent. The APRN a focuses on direct patient interactions and veracity to name a few (DeNisco, 2024). Meanwhile the CNS is the manager focused on unit policies and are they working, where is there room for improvement as well as improving and streamlining processes. Is the staff finding the policy easy or do they need further education on these policies, are they working or do they need to go back and review where the breakdowns are and try new ones based off of current research. CNS are concerned with the policies for running the floor ethically and according to current scientific research. This carries over in the care provided by the APRN as she knows that these policies ensure her orders are carried out accurately and ethically.