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DQ: Compare two different advanced registered nurse roles with regard to ethical guidelines

DQ: Compare two different advanced registered nurse roles with regard to ethical guidelines

Grand Canyon University DQ: 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: 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: 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: 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: Compare two different advanced registered nurse roles with regard to ethical guidelines  

The introduction for the Grand Canyon University DQ: 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: Compare two different advanced registered nurse roles with regard to ethical guidelines  

 

After the introduction, move into the main part of the DQ: 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: 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: 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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NUR 513 Topic 2 Discussion 2

Sample Answer for DQ: Compare two different advanced registered nurse roles with regard to ethical guidelines

The American Nurses Association (ANA), put out the Nursing Code of Ethics that serves as a guide in decision making. There are 4 main constructs of the nursing code of ethics that are autonomy, beneficence, justice, and nonmaleficence; over the years 9 provisional statements have been added to help further guide nurses in all areas of practice (ANA, 2015).

Nurse Practitioners (NPs) have the autonomy to diagnoses and prescribe, which comes with a plethora of complexed ethical issues. For example, there can be ethical issues related to prescribing narcotics to pain medication seeking patients. Are you practice the ethical value of nonmaleficence if you are giving narcotics to an addict? I’ve also witnessed examples where the entire care team has been told to withhold a cancer diagnosis from an adolescent pediatric patient who had the mental compacity to understand and make decisions in their care. In this particular case I had to watch our NP go over a CT scan with the patient without using the words tumor or cancer, at the parent’s request. At what point is withholding the true beneficial to the patient and how does this compromise the autonomy of the patient? In some cases telling the patient the truth can cause psychological harm to the patient (DeNisco & Baker, 2016).

As healthcare transforms, we rely on more technology within our practice. What stands unchanged within nursing informatics are basic ethical principles such as privacy, confidentially, nonmaleficence, virtue and autonomy (McGonigle & Mastrian, 2021). In the last year we have used telehealth and digital forms of communication. In my own practice, I found myself giving cardiology rounds to the entire care team through a Zoom call at the peak of the pandemic. I agree with McGonigle and Mastrian (2021), in the belief that ethics principles are unchanged, but what that instead we see an increase in complexity of ethical dilemmas within these principles. For example, as we rely heavily on digital forms of communication, and digital technologies including smartphone, it goes to stand that privacy issues, data breaches and increased access to electronic medical records will continue to challenge the principles of privacy, confidentially and nonmaleficence.

While the roles of an NP and informatics nurse greatly differ; one being a clinical role and the latter being a nonclinical role; the ethical principles are the same. DeNisco and Barker (2016) state that ethics “focuses on the rightness and wrongness of actions, as well as the goodness and badness of motives and ends” (p.652). Meaning that ethical principles are used in decision making and judgement in both APRN roles even though they are applied to different circumstances.

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References

American Nurses Association (ANA), (2015). The code of ethics for nurses with interpretive statements. https://www.nursingworld.org/coe-view-only

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning. ISBN-13: 9781284072570

McGonigle, D., & Mastrian, K.G. (2021). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning. ISBN-13: 9781284234770

Sample Answer 2 for DQ: Compare two different advanced registered nurse roles with regard to ethical guidelines

Ethics refers to understanding the moral rules and the system they are made of such as the nature, purposes, and justification (Barker & DeNisco, 2016). Ethical issue is one of the dilemmas faced by nurses today, even advance practice registered nurses and it is important to make the establish good ethical nursing practice which is best for the patient’s outcome.

Psychiatric clinical nurse specialists (CNS) provide nursing care to patients suffering from psychiatric disorders using best practices and evidence-based care to achieve the best possible outcomes (American Nurses Association, 2020). The care of patients in this field may be difficult and overwhelming due to the diagnosis of mental illness. To practice ethically and prevent bias, patience and empathy must be employed. it is important for a CNS to recognize their own feelings when dealing with difficult patients and not allow emotions to prevent them from providing effective patient care. The CNS should try to remain neutral and continue to provide the best care for the patient (Laskowski, 2001).

Nurse Practitioners (NP) provide primary, acute, and specialty health care across the lifespan through assessment, diagnosis, and treatment of illnesses and injuries (APRN, 2020). Ethical issues faced by NPs include dealing with difficult patients and family members. Complexity of Patients medical issues can cause psychological or emotional problems that may lead to hopelessness and behavioral issues. Despite patient’s behavioral issues NPs are still responsible to meet patient’s needs by fulfilling ethical standards in their profession (Barker & DeNisco, 2016).

References

Barker, A.M., & DeNisco, S.M. (2016). Advanced Practice Nursing: Essential Knowledge for the Profession. Jones & Bartlett Burlington, MA. Retrieved from https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php

American Nurses Association. (2020). Advanced practice registered nurse (APRN). American Nurses Association. Retrieved from https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn/

Laskowski, C. (2001). The Mental Health Clinical Nurse Specialist and the “Difficult” Patient: Evolving Meaning, Issues in Mental Health Nursing, 22:1, 5-22.

Sample Answer 3 for DQ: Compare two different advanced registered nurse roles with regard to ethical guidelines

Thank you for your response. This brings to mind King James Bible/New Living Translation 2005, Luke 8:17; For all that is secret will eventually turn to light. I was in Nursing school and happen to be tutoring a nursing student that was a class or two behind me. The student was prepared to take her med-surgical exam; we had reviewed the pathophysiology so that she would be able to look at, for example, be given a scenario regarding a patient’s lab values and know if the patient was in metabolic acidosis. We reviewed the ability to think critically. Prior to her taking the test we, both felt confident that she would pass. Day later she called and asked to come over and when she arrived, she was distraught. I was dumb founded; she explained that she had taken the exam, but it did not go very well because she decided to cheat. A couple of her classmates reassured her that they had the answers to the exam; She did not even read the exam to use anything that we had reviewed as far a critically thinking and using pathophysiology, lab values, and so on to arrive at the answers. I was upset that she had taken up hours and days of my time to prepare for an exam and she just totally threw everything out the window and just put down answers. The class prior to hers had aced the exam, but the instructor and the Director of the Nursing department reviewed the class trends and knew that the class prior to her class should not have scored that many A’s. Therefore, the test was changed and the test that my friend took was different from the one the prior class had taken. On top of that she had to speak with the Director of the Nursing department and was expelled from the program. She needed to at least pass with a C to remain in the program. The class prior had students that were also expelled as well as the students that were in her class. I only knew about this as she confided in me regarding the situation; otherwise, the was emphasis in my class to make sure that all the concepts were understood; if not ask questions during/after lecture and because in clinical we were taking care of patients and need to know why we were administering some as simple as a vitamin E and the side effects. In my practice I have been conscientious regarding patient care. In the Neonatal Intensive Care everything we gave during the time I worked in the unit was doubled checked. If it did not fit into a 1cc syringe it was triple checked.

King James Bible/New Living Translation. (2005). Tyndale House Publishers Inc. Https://www.tyndale.com

Sample Answer 4 for DQ: Compare two different advanced registered nurse roles with regard to ethical guidelines

Christians are held to a higher standard, and integrity should be a factor in all decisions. It’s doing the right thing even when no one is watching. I don’t understand how someone can cheat their way through school and receive their degree off someone else’s work.  Nursing is such a specialized profession with respect and trust from society.  Patient’s look to nurses for comfort, compassion and advice.  If the nurse cheats her way through school, how else will she cheat her patient’s?  Nurses also must have the knowledge to think critically.  It’s scary to think someone is providing care for you or your loved one who doesn’t fully understand the concepts and fundamentals of their profession.

My mother had a nurse in the hospital where she passed.  I have always wondered about her. She removed my mom’s central line like a peripheral IV.  She then turned her back and was preparing the 2×2 gauze with tape to apply it to the area.  By the time she turned around my mother had a huge knot where she removed the line, and she had an embolism hit her heart.  My sister and me panicked and told her she removed the line incorrectly.  My mom passed a few minutes later. I have often replayed this scene in my head, because removing central lines was taught very well in my program.  I am not sure if she cheated her way through school, or really did not know how to remove a central line. My mom had stage 4 lung cancer and was terminal, but none the less, that should have never happened.  The hospital formed a policy after that, that all central lines must be removed in radiology.