The purpose of this assignment task is to identify the principles of professional nursing practice, outline the ethical and legal frameworks for professional practice and apply the Ethical Decision Making Framework to a complex scenario to establish an ethically and legally sound decision. Remember to incorporate evidenced-based practice in relation to quality patient care. You MUST include in your referencing 4(four)or more of the following;
- Health Practitioner Regulation National Law Act 2010(WA)
- NMBA Registered Nurse Standards for Practice 2016
- NMBA National Code of Conduct for the Registered Nurse 2008
- NMBA Code of Ethics for Registered Nurses 2008
- NMBA National Framework for the Development of Decision Making Framework: Scope of Nursing Practice (2007)
- NMBA Professional Boundaries 2010
Relevant Acts and Laws relating to the subject and health care practitioners – remember ALL your work must be referenced.
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Use the Model for Ethical Decision Making (included in your instructions, available on Blackboard) to determine the most favorable outcome of your chosen scenario.
General Instructions
There should be attention to spelling grammar and punctuation, this work is an academic paper and needs to reflect your ability to analyse, reflect and articulate in the written form. Take time to study the marking guide to assist you with your focus. Note that there is no requirement for an introduction or a conclusion. There should be evidence of critical thinking. Citations within text and reference list should conform to APA 6th ed format.
If you feel that you require assistance with your academic writing skills there are many facilities on campus and online to support you. Below is the link to access what is available.
http://life.curtin.edu.au/learning-support/writing-skills.htm
Include a marking guide with your work. Put your name in full on your uploaded document; Surname first.
Using the Model for Ethical Decision Making (Kerridge, Lowe and McPhee, p85 2005) to determine themost favorable outcome:
Model for Ethical Decision-Making
• Please use these headings when writing your case study
· The word count provided is only an example – it also shows the weighting of the importance of each section.
1. Clearlystatetheproblem: this should not be any more than 150 words (this is like an introduction)
Consider the problem within its context; ethical, medical,social and legal considerations.
This should be a very brief summary of the issues as you see it – extract the issues:
o What is the ethical ISSUE-what is the decision about?
o What is the medical condition, just state this in a few lines
o What is the social situation of the patient -is the person dependent, do they have support?
o What appear (prima facie) to be the legal issues? Is it assault; is it the application of an Advanced Directive or informed consent for example?
Example: The medical issues for this patient (Mr S) are; Diabetes type1, depression and Heart Failure. The ethical issue for Mr S is that he is concerned about the lack of autonomy and justice when he is in hospital. Mr S’s social situation is that he lives with his wife and one daughter, he states he is a Catholic. The legal issues for Mr S are namely consent, guardianship and refusal of treatment. These issues will be explored throughout this paper. (80 WORDS – you don’t have to put the word count in each section just at the end of your work – this is just an example for you).
2.Get thefacts: this should not be any more than 350 words
Here you need to find out what are the facts of the case; – what is the medical condition & history, examination, relevant tests (investigations), define the medical condition what is the pathophysiology of the condition/s – use scientific references
o What is the prognosis?
o What are the implications of the condition/s -for example is it acute, chronic, and degenerative? What type of progression or prognosis might be expected?
o Are there any alternative treatments?
o What social factors might have an influence – family input, social interaction
3. Consider the four principles: this should not be any more than 250 words
o You need to define each principle and relate the principle to the patient
o Autonomy: what are the patient’s preferences?
o Beneficence:whatbenefitscanbe obtainedforthepatient?
o Non-maleficence:whatarethe risksandhowcantheybeavoided?
o Justice:howarethe interestsofdifferentpartiesto be balanced?
4. Identify ethical conflicts: this should not be any more than 200 words
What are the ethical conflicts? To promote autonomy are we in conflict with beneficence (Autonomy vs Beneficence).
Explainwhytheconflictsoccur relating this to the patient andhowtheymayberesolved.
Ref the NMBA Code of Ethics / ICN Code of Ethics in this section
5.ConsidertheLaw: this should not be any more than 450 words
Identifyrelevantlegal conceptsandlawsandhowtheymightguidemanagement.
· Consider: the Practice Standards – how they apply to the case study ie (NMBA Registered Nurse Standards for Practice 2016).
o How does duty of care apply to the patient?
· How does the Practice Standards relate to the Act?
· You need to use the Acts (legislation) that apply to the case study for example:
o Consent to Treatment – Age of Majority Act
o Human Tissue and Transplant Act
6.Making the ethical decision: this should not be any more than 250 words
o Clearlystatethe clinical ethicaldecisionand justifyiteg:
o Specifyhowguidingprincipleswere balancedand why (i.e.justifythe decision). Use the information that you have in the Law and Get the Facts section to support your decision. MUST Reference
o Take responsibility for the decision & provide alternative management – reference this!
7. Evaluate the decision and discuss the legal relevance and importance of accurate documentation: this should not be any more than 150 words
· Identify how you would evaluate your decision-what is our fundamental tool for establishing the efficacy/outcome of an action/decision? – here you will research what does the literature say about evaluation – also use the NMBA Registered Nurse Standards for Practice 2016
o State where you would document and why it is a fundamental practice in healthcare. Here you will research what the literature say about evaluation – also use the NMBA Registered Nurse Standards for Practice 2016.
Tip for 7. – Review Kozier and Erb’s Fundamentals of Nursing 2008 Vol 1 – Evaluating p 245 and Documentation and reporting Chapter 15 p255
Further information:
· A minimum of 18 references are required for this assessment.
· Review the marking rubric when doing your assessment.
· Good luck
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