DISCUSS MORAL ISSUES IN OCCUPATIONAL HEALTH AND SAFETY RESEARCH 

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ETHICAL ISSUES

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Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources.  Some answers may require you to do additional research on the Internet or in other reference sources.  Choose your sources carefully.

3. Consider the discussion and any insights you gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

1. Locate an article that discusses a bioethics issue. First, provide a summary of the article and the bioethics issue being presented. Next, discuss what ethical actions the nurse should take in relation to the issue being presented. Also, discuss possible legal issues that the nurse should be aware of. This section should include at least 1 outside reference and your textbook and should be at least 1 ½ pages long.

2. Analyze the following case study and then answer the following questions:

You are working on the Operating Room and the trauma alert goes off. You respond to the ER to provide support. Once in the ER, you receive report that an 89 year old male is coming in with a self-inflicted GSW (Gun Shot Wound) to the head.  You listen to the radio traffic between the ER and ambulance to get an idea what kind of surgery you need to set up for and what will be needed as far as lines and fluid.  Here is the report:

HR: 121

B/P: 60/45

Saturation: 93%

Patient is intubated and non-responsive. Right pupil is fixed and dilated. Paramedic also states there is a large extended family headed to the ER. The patient lost his wife of 60 years 1 week ago and left a note stating that he is too heartbroken to go on. The patient and family arrive. The neurosurgeon discusses that their father’s potential outcome, even with surgery, is not good. The family still insists that the neurosurgeon complete the surgery.

1. What are the ethical and legal issues in this case study. Be specific and support your response with references

Once you have the patient in the room and you are prepped and ready for surgery, the phone rings. You receive word that the patient signed DNR orders two days ago.

1. As the OR nurse what are your legal and ethical issues now? Was the patient of sound mind when he signed this order? Do you honor the DNR or the family’s wishes? Explain and support your response.  

Your response to this case study should be at least 2 pages and include 2 outside references and your textbook.

Please submit one paper which includes both assignments.

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1. Length: At least 3–5 typed, double-spaced pages, not including the title page and reference page.
2. Font and font size: Times New Roman, 12 point.
3. APA Template: Use the APA Style Paper Template as the paper format and the APA Style Paper Tutorial for guidance. 
4. Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
5. References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.
6. APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

For this assessment, you will develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:

1. Access the Ethical Case Studies attached to review the case study you may use for this assessment
   • Note: The case study may not supply all of the information you may need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.
2. Identify the case study you selected, briefly summarize the facts surrounding the case study, and identify the problem or issue in the case study that presents an ethical dilemma or challenge and describe that dilemma or challenge.
   • Use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) found in the Ethical Decision-Making Model media piece in the Resources to analyze the ethical issues.
3. Analyze the factors that contributed to the problem or issue.
   • Identify who is involved or affected by the problem or issue.
   • Describe the factors that contributed to the problem or issue and explain how they contributed.
   • In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation.
     • Cite and apply the journal article as evidence to support your critical thinking and analysis of the case.
     • Assess the credibility of the information source.
     • Assess the relevance of the information source.
4. Discuss the effectiveness of the communication approaches present in the case study.
   • Describe how the health care professional communicated with others.
   • Describe the communication and communication strategies that were applied, both in creating and in resolving the problems or issues presented.
   • Assess instances where the professional communicated effectively or ineffectively.
5. Discuss the effectiveness of the approach used by the professional related to any problems or issues involving ethical practice in the case.
   • Describe the actions taken in response to the ethical dilemma or challenge presented in the case study.
   • Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
   • Discuss the key lessons this case provides for health care professionals.
6. Apply ethical principles to a possible solution to the proposed problem or issue from the case study.
   • Describe the proposed solution.
   • Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
   • Discuss how likely it is the proposed solution will foster professional collaboration.
7. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
   • Determine the proper application of the rules of grammar and mechanics.
8. Write using APA style for in-text citations, quotes, and references.
   • Determine the proper application of APA formatting requirements and scholarly writing standards.
   • Apply the principles of effective composition.
   • Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

Attached is the case study.

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 Peer #1 – Good afternoon class , in analyzing the aspect of a high school student that has acquired immunodeficiency syndrome and wishes to attend class as public health nurse our outlook should be to advocate for this student as much as possible. With the right resources , understanding of protection, and preventing spreading of the disease to classmates. This student should have the right to to a proper education and social relationship is healthy from a psychological aspect this disease can not be easy to deal with so we have to view it from every angle. As nurses we have to advocate what is right for our patient at the same time thinking of the community by protecting the other students as well. Teaching about  hand washing should be implemented as wells as ,  avoid sharing ,avoid sharp objects and going to the school nurse if their is blood drawn should be emphasized for others protection.

When dealing with a student that has been sexually assaulted and the attackers being so close in the home we have to make action and call social services. The one thing about nursing is “ethical issues can occur in any situation where profound moral questions of  ‘rightness’ or ‘ wrongness’ underlie professional decision making and the beneficent care of the patients.” Even though the young girl wishes for this to be kept quit especially since it affects her whole lie including her mother. It can be extremely scary time for her but we have to be her advocate and place her in a safer environment going against the patients trust in us to not say anything which is where the moral issue of right and wrong come into play.

Peer # 2 – A high school student with acquired immunodefeciency syndrome ( AIDS) who wishes to attend school should be allowed to do so. However the child has to be educated properly as per how it can be transmitted so that his or her school mates do not contact the virus as well. Also, sensitization should be done at the level of the school in this regard without necessarily identifying the said student as a carrier of this virus.

Peer # 2 – A high school student with acquired immunodeficiency syndrome ( AIDS) who wishes to attend school should be allowed to do so. However the child has to be educated properly as per how it can be transmitted so that his or her school mates do not contact the virus as well. Also, sensitization should be done at the level of the school in this regard without necessarily identifying the said student as a carrier of this virus.s.

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A. Working in a clinic that performs abortions 

b. Respecting the wishes of a client suffering from ALS that he be permitted to die with dignity and not placed on “breathing machines”

c. Respecting the health surrogate’s wishes regarding termination of life support of her friend 

d. Observing a coworker take out two tablets of oxycodone as ordered for pain management for his patient but keeping one for himself, administering only one tablet to the patient. 

2-differentiate among the following: deontological theories, utilitarianism, and principlism. 

3-what do you think about health-care professionals disclosing information to clients about a poor prognosis, even though the information may cause severe distress.

4-What do they think about health-care professionals disclosing information to clients against family wishes? 

5. You see a colleague use another nurse’s password to access the medication administration system and take out a narcotic. What would you do? 

6.Your colleague’s child fell and was brought to the emergency department. She comes back up to the unit and tells you that they cleaned and debrided the wound, and she needs to change the dressings twice a day using a wet to dry method. You see her go into the supply system and remove the dressings and saline using a patient’s identification number. What would you do?

7. You are caring for a patient who has a terminal disease. He asks you if he is dying. Would you tell him? If yes, how? If no, what might you say? 

8-You are administering hydromorphone to a patient. The patient asks you what you are administering. Would you tell the patient about the medication?

Essentials of Nursing Leadership & Management
6th Edition

Sally A. Weiss  MSN, EdD, RN, CNE, ANEFRuth M. Tappen  EdD, RN, FAAN

ISBN-13: 978-0-8036-3663-7

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