Ethical Decision Making

Describe a situation when you served as an advocate for your patient. Discuss any legal ramifications in this situation.  Describe the role of the Nurse Manager, describe the involvement of your facility ethics committee or other interprofessional team members.  Analyze two methods or models that leaders and managers can use to improve the quality of decision making. 

Support your discussion and opinions with facts, relevant examples from personal nursing practice.

All submissions must have a minimum of two scholarly references to support your work. 

Examples of work to show mastery:

• 2-3 page paper – APA format

 

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It is important to understand the parts of examining an ethical dilemma before completely analyzing a case. You will be asked directed questions to help you see pertinent aspects of one case. Using a systematic method will allow you to address ethical dilemmas that you encounter in practice.

Fill out the attached table.

 

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I need help with my ethics midterm. 

 

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This week students will be completing a narrated power point to discuss one of the following cases.

1. Lisa McPherson Clearwater, Florida (1995)
2. Terri Schiavo St. Petersburg, Florida (1990–2005)
3. Nadya Doud-Suleman Bellflower, California (January 2009)
4. Elodie Irvine v. Regents of the University of California 57 Cal.Rptr.3d 500, 149 Cal.App.4th 994 (2007) Court of Appeal State of California, Fourth Appellate District Division Three

First, students should pick one of the ethical cases above and create a power point presentation to address the following:

1. What are the facts of the case? This should include: what do we need to know, who is involved in the situation, where does the ethical situation take place, and when does it occur? (3-4 slides)
2. What is the precise ethical issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and justice? (5-6 slides)
3. Identify the major principles, rules, and values of the case.  Values are sets of beliefs about good and bad, right and wrong, and about many other aspects of living and interacting in the society with others. A principle is a personal rule that governs personal behavior. A rule is generally imposed by a figure of authority, and used to guide and govern people. (3-5 slides)
4. Is there legal ground for this case, state what they are? Who is at fault? What legal action should be taken? (2-4 slides)
5. Are there alternative to the actions completed in this case by the parties involved? What could have been done to prevent the outcome of the case? (3-6 slides)
6. If you were a member of the ethics committee at the facility the event happened, what action would you take in this case? (2-4 slides)
7. As a healthcare professional, how did the outcome of the case make you feel? Does it align with your personal values and beliefs? Would caring for this patient be difficult? How do you separate your personal beliefs when completing your job? (4-6 slides)

For the presentation, insure information is referenced and cited in your slides. The presentation should start with a title slide and end with a reference slides. At least 3 references are required for this assignment. If you include pictures, your pictures should also be referenced and cited.

Now students will add the narrative to their power point using one of the following tools.

VoiceThread (http://voicethread.com/) – VoiceThread allows you to upload, share and discuss documents, presentations, images, audio files and videos (over 50 different types of media can be used in a VoiceThread). Within the presentation, you can comment on VoiceThread slides using one of five options: Microphone, webcam, text, phone, and audio-file upload. VoiceThreads can be used to create microlectures by:

• Narrating a PowerPoint presentation
• Discussing a journal article
• Annotating a website or document
• Reviewing a picture or graphic

For detailed information on how to use VoiceThread to create microlectures, see:

• Written instructions: http://www.asu.edu/courses/tconline/Include/VoiceThread%20Instructions.htm
• Video tutorial: https://youtu.be/2jVW_aAyGPE

Screencast-o-Matic (http://www.screencast-o-matic.com/) – Screencast-o-Matic is a program that allows for one-click screen capture recording. Not only does Screencast-o-Matic record all the activities on your computer screen, but it allows you to simultaneously record your voice as the narration to support your screen capture recording. Screencast-o-Matic is great for:

• Narrating PowerPoint lectures (i.e., create lectures for your online courses)
• Demonstrating website navigation (i.e., create how-to videos for using the library or a required web-based activity)
• Demonstrating software application (i.e., create videos demonstrating how to run an analysis in SPSS)
• Course overview tutorials (i.e., provide students with a visual tour of your online course)
• Syllabus overview tutorials (i.e., create a video walking students through the requirements of your course)

For detailed information on how to use Screencast-o-Matic to create engaging course supplements, see:

• Written instructions: http://aohs.ua.edu/cm/general/screen_o_matic.pdf
• Video tutorial: https://youtu.be/jADJ_OoSnm8

Assignment Expectations:

• Length:
  • 15 to 20 slides, and 8-15 minutes in length
  • Use the tips at http://www.garrreynolds.com/preso-tips/design/ to create the slideshow.  Because good PowerPoints have very few words, submit a script that describes the content of each slide – about 50 words per slide.  Place this script in a separate Word document that shows each slide number and the text for each slide as shown in the provided PowerPoint Slide Notes.docx.
• Structure:
  • Include a title page and reference page in APA style
• References:
  • References are required. You should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions.  You must include at least 5 pictures or graphics. All pictures or graphics taken from outside sources must be referenced and cited.
• Format:
  • save your assignment as a Microsoft PowerPoint  (.ppt or .pptx)
• File name:
  • name your saved file according to your last name, first initial and the week (for example, “jonesb.week1”)

 

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This week students will create a powerpoint to address the following questions…

Case Study:

A mother expecting her first child miscarried at home on June 22, 2010. The pregnancy was six months along. An ambulance was called at 4:57 a.m. The EMTs helped the mother to the stretcher and then went inside to retrieve the fetus from the bathroom floor. The baby was seen moving its head. The EMTs requested ALS to the scene. The baby was placed inside a small container. The ALS personnel visually assessed the fetus and stated the fetus was “non-viable”. There was never a fetal heart check in the field. Mother and fetus were transported to the hospital arriving at 5:16 a.m.

At the hospital, a nurse noticed that the fetus was warm and had a heartbeat. The baby was raced to the special care nursery and placed on a warmer. The staff then proceeded to resuscitate the baby. The baby was dusky and noted to have a heart rate of 30 with respirations of 6-8 at 5:40 a.m., and cardiopulmonary resuscitation was initiated. The oxygen saturation was 2-10%. The baby was intubated at 5:55 a.m. At 6:05 a.m., the blood pressure was 44/24. By 6:15 a.m., the baby was on a ventilator with oxygen saturation of 96%, a heart rate of 102, but remained dusky. By 6:30 a.m., the baby’s heart rate was 120 and blood pressure 52/24.

At 7:45 a.m., the baby was transported to a Boston hospital NICU for further care and treatment. Unfortunately, the baby died on August 10, 2010 at age 1 month and 16 days, not from prematurity but rather from brain damage due to lack of oxygen.

The plaintiffs’ claimed the accepted standard of care for basic and paramedic emergency medicine technicians in Massachusetts in 2010 required basic and paramedic EMTs to provide appropriate evaluation and treatment by following established protocols. It is beyond the scope of practice for EMTs at any level to make determinations in regard to viability of a patient. As a result of the negligence, the baby was improperly designated as “non-viable”, was placed in a Pizzeria Uno’s delivery plastic bag inside of a box with a lid on it further depriving the baby of oxygen, and as a result was not resuscitated for the first several minutes of life.

Lubin & Meyers. (2016). EMT negligence lawsuit settles for $1 million. 2011 medical Malpractice Trial Report. Retrieved from http://www.lubinandmeyer.com/cases/emt-malpractice.html

1. Title page (1 slide)
2. What are the facts of the case? This should include: what do we need to know, who is involved in the situation, where does the ethical situation take place, and when does it occur? (3-4 slides)
3. What is the precise ethical issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and justice? (4-5 slides)
4. Identify the major principles, rules, and values of the case.  Values are sets of beliefs about good and bad, right and wrong, and about many other aspects of living and interacting in the society with others. A principle is a personal rule that governs personal behavior. A rule is generally imposed by a figure of authority, and used to guide and govern people. (3-4 slides)
5. Locate the scope of practice for EMTs in your state.  Is your scope of practice dictated by the state or facility the EMT works for? Does the scope of practice vary from state to state? Explain and support your answers (4-5 slides)
6. Locate your professional code of ethics for EMTs.  Does the code of ethics address autonomy, nonmaleficence, beneficence, fidelity, and justice? Explain and provide an example for each (5-6 slides)
7. Based on the scope of practice and code of ethics found, do you support the EMT’s decision in this case? Why or why not? Be specific with examples (3-4 slides)
8. If you were a member of the ethics committee at this facility, what actions or changes would you recommend changing? Why? (2-3 slides)

For the presentation, insure information is referenced and cited in your slides. The presentation should start with a title slide and end with a reference slides. At least 3 references are required for this assignment. You must include at least 5 pictures or graphics. All pictures or graphics taken from outside sources must be referenced and cited.

Assignment Expectations:

• Length:
  • 25-33 slides
  • Use the tips at http://www.garrreynolds.com/preso-tips/design/ to create the slideshow.  Because good PowerPoints have very few words, submit a script that describes the content of each slide – about 50 words per slide.  Place this script in a separate Word document that shows each slide number and the text for each slide as shown in the provided PowerPoint Slide Notes.docx.
• Structure:
  • Include a title page and reference page in APA style
• References:
  • References are required. You should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions
• Format:
  • save your presentation as a Microsoft PowerPoint  (.ppt or .pptx)
  • Save the slide script as a Word document
• File name:
  • name your saved file according to your last name, first initial and the week (for example, “jonesb.week1”)

 

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