NURS 6512 Lab Assignment Ethical Concerns

Case Study Assignment

Case Study 1: The Parents of a 5-Year-Old Boy have accompanied their Son for his Required Physical Examination

Nurses often face ethical dilemmas in their practice.  Ethical dilemmas predispose nurses to conflicts in the soundest decision that is associated with minimal harm and optimum benefits to those involved. Nurses should have knowledge and skills in addressing ethical dilemmas in their practice. They should utilize models of ethical decision-making as well as institutional policies that guide the approaches to addressing ethical dilemmas in practice. Therefore, the purpose of this paper is an examination of a case study of parents who do not want their son to be immunized prior to joining the kindergarten.

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Assessment Information

The selected case study for analysis involves parents of a 5-year-old boy who accompanied their son for his required physical examination before starting kindergarten. The parents are opposed to him receiving any vaccines. Immunizations play an important role in promoting the health of the public. Immunizations prevent the risk of the population being affected by communicable diseases such as polio and tuberculosis. Patients are expected to ensure that children get all the prescribed immunizations to protect them from health problems (Smith et al., 2017). However, the uptake of immunizations may be low in families and communities that do not support the use of immunizations due to the effect of cultural values and beliefs.

As an advanced practice nurse, I am expected to perform a comprehensive assessment to develop an accurate diagnosis. I need to obtain information about the previous immunization history, surgical and medical history and undertake a comprehensive physical examination. Obtaining information about immunization history is important to determine whether the parents have been against it since early childhood or not. It will also be used to determine the vulnerability of the child to infections. History of medical and surgical history is important to determine whether the child has any underlying medical condition or history of surgery. Physical examination should be performed to determine any abnormalities such as injuries, abuse, and violence. I also need to obtain information about the religious history of the family, since some religious practices influence the uptake of immunizations in some communities (Quinn et al., 2018).

Responding to the Scenario

I will respond to the scenario by first educating the parents about the reasons for their decision that their son should not be immunized. Obtaining such information because it will provide insights into whether the parents have an informed basis for their decisions or not. It will also guide the determination of whether their decision is attributed to factors such as religious and cultural beliefs. The other intervention that I will embrace will be educating the parents about the importance of immunizations for their sons. Health education may increase their understanding and cause a change in their perception of immunization (Crocker-Buque et al., 2017; Hui et al., 2018). Resources such as videos and educational brochures may be used to increase their understanding.

Conclusion

Hesitancy to use immunizations is an ethical issue in nursing practice. Individuals may reject immunization services due to the influence of religious and cultural beliefs. Nurse practitioners have a critical role to play in assessing patients to make informed decisions on the uptake of immunization services. They also educate them about the importance of immunizations to facilitate informed decision-making.

NURS 6512 Lab Assignment Ethical Concerns

Photo Credit: Getty Images/Maskot

As an advanced practice nurse, you will encounter situations in which a patient’s health wishes conflict with evidence, your own experience, or the wishes of a family. This could create an ethical quandary. What do you do in these instances?

You will examine evidence-based practice guidelines and ethical considerations for specific scenarios in this Lab Assignment.

To Prepare

Review the scenarios provided by your instructor for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your scenarios.

Based on the scenarios provided:
Select one scenario, and reflect on the material presented throughout this course.
What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

The Lab Assignment

Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

By Day 6 of Week 11

Submit your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.
Click the Week 11 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 11 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 11 Assignment Rubric

NURS 6512 Lab Assignment Ethical Concerns

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 11 Assignment draft and review the originality report.

Submit Your Assignment by Day 6 of Week 11

To participate in this Assignment:

Week 11 Assignment

Week 11: The Ethics Behind Assessment

Consider the following scenarios:

You are a nurse at a large county hospital. One of your patients is leaning toward selecting a certain radical treatment for cancer, to which the family is in opposition. The family is concerned about making the correct decision and asks for your advice.
The state of Oregon has passed a “Death with Dignity” act that allows for euthanasia in certain situations. One of your patients suffering from terminal cancer is thinking of moving there to take advantage of this law and asks your opinion.

Throughout this course, you have explored a wide range of health assessments and abnormal examination findings. Although you have predominantly focused on the procedural aspects of health assessment, this week, you will focus on ethical considerations that should be taken into account when advising patients or their families.

This week, you will consider how evidence-based practice guidelines and ethical considerations factor into health assessments. You will also evaluate health assessment concepts related to sports physicals and well-child and well-woman examinations.

Learning Objectives

Students will:

Apply evidence-based practice guidelines to make an informed healthcare decision
Apply ethical considerations to a health assessment response
Apply concepts, theories, and principles relating to sports physicals and well-child and well-woman examinations
Identify  concepts, theories, and principles related to advanced health assessment

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Learning Resources

Required Readings (click to expand/reduce)

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Chapter 24, “Sports Participation Evaluation”In this chapter, the authors describe the process of a sports participation evaluation. The chapter also states the most common conditions encountered in a sports participation evaluation.

Chapter 25, “Putting It All Together”In this chapter, the authors tie together the concepts introduced in previous chapters. In particular, the chapter has a strong emphasis on the patient-caregiver relationship.

Tingle, J. & Cribb, A. (2014). Nursing law and ethics (4th ed.). Chichester, UK: Wiley Blackwell.

Furman, C. D., Earnshaw, L. A., Farrer, L. A. (2014). A case of inappropriate apolipoprotein E testing in Alzheimer’s disease due to lack of an informed consent discussion. American Journal of Alzheimer’s Disease & Other Dementias, 29(7), 590–595. doi:10.1177/1533317514525829.

Navarro-Illana, P., Aznar, J., & Díez-Domingo, J. (2014). Ethical considerations of universal vaccination against human papillomavirus. BMC Medical Ethics, 15(29). doi:10.1186/1472-6939-15-29. Retrieved from http://www.biomedcentral.com/1472-6939/15/29

Maron , B. J., Friedman, R. A., & Caplan, A. (2015). Ethics of preparticipation cardiovascular screening for athletes. Nature Reviews Cardiology, 12(6), 375–378. doi:10.1038/cardio.2015.21

May, K. H., Marshall, D. L., Burns, T. G., Popoli, D. M. & Polikandriotis, J. A. (2014). Pediatric sports-specific return to play guidelines following concussion. The International Journal of Sports Physical Therapy, 9(2), 242–255. PMCID: PMC4004129. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4004129/

American Academy of Pediatrics. (2008). Recommendations for preventative pediatric health care (periodicity schedule). Retrieved from https://www.harmonyhpi.com/WCAssets/illinois/assets/IL_MedicaidProviderManual_PEM_AdultPHGsForProviders.pdf

This resource provides recommendations for preventative pediatric healthcare from infancy through adolescence. The periodicity schedule covers a variety of areas, from health history to measurements, developmental/behavioral screenings, physical exams, procedural screenings, and oral health.

Rourke, L., Leduc, D., & Rourke, J. (2017). Rourke Baby Record. Retrieved from http://rourkebabyrecord.ca/

This website provides information on the Rourke Baby Record (RBR). The RBR supplies guidelines on growth and nutrition, developmental surveillance, physical exam parameters, and immunizations for well-baby and child care.

Document: Final Exam Review (Word document)

Required Media (click to expand/reduce)

Module 4 Introduction
Dr. Tara Harris reviews the overall expectations for Module 4. Consider how you will manage your time as you review your media and Learning Resources for your Case Study Lab Assignment and your Final exam (3m).

Sports Participation Evaluation – Week 11 (12m)

Assignment 1: Lab

Rubric Detail

Select Grid View or List View to change the rubric’s layout.

Content

Name: NURS_6512_Week_11_Assignment_Rubric

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Excellent Good Fair Poor
Write a detailed 1-page narrative (not a formal paper) addressing the following:

·  Explain the health assessment information required for a diagnosis of your selected patient (include the scenario number).

Points Range: 30 (30%) – 35 (35%)

The response clearly, accurately, and thoroughly explains detailed health assessment information required to diagnose the selected patient, with the correct scenario number included.

Points Range: 24 (24%) – 29 (29%)

The response accurately explains the health assessment information required to diagnose the selected patient, with the correct scenario number included.

Points Range: 18 (18%) – 23 (23%)

The response vaguely explains health assessment information required to diagnose the selected patient, with scenario number, correct or inaccurate, included.

Points Range: 0 (0%) – 17 (17%)

The response lacks and/or inaccurately explains assessment information required to diagnose the selected patient, with scenario numbers inaccurate or missing.

·   Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature. Points Range: 45 (45%) – 50 (50%)

The response clearly, accurately, and thoroughly explains detailed evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with clear, accurate, and thorough justification using three or more different references from current evidence-based literature.

Points Range: 39 (39%) – 44 (44%)

The response accurately explains evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with accurate justification using at least three different references from current evidence-based literature.

Points Range: 33 (33%) – 38 (38%)

The response vaguely explains evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with vague and/or inaccurate justification using two to three different references from current evidence-based literature.

Points Range: 0 (0%) – 32 (32%)

The response inaccurately explains or lacks evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with inaccurate or missing justification using two or fewer references from current evidence-based literature.

Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate the continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. Points Range: 5 (5%) – 5 (5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

Points Range: 4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. The purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.

Points Range: 3 (3%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. The purpose, introduction, and conclusion of the assignment are vague or off-topic.

Points Range: 0 (0%) – 2 (2%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided.

Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation Points Range: 5 (5%) – 5 (5%)

Uses correct grammar, spelling, and punctuation with no errors.

Points Range: 4 (4%) – 4 (4%)

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

Points Range: 3 (3%) – 3 (3%)

Contains several (3 or 4) grammar, spelling, and punctuation errors.

Points Range: 0 (0%) – 2 (2%)

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

Written Expression and Formatting – The paper follows the correct APA format for the title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list. Points Range: 5 (5%) – 5 (5%)

Uses correct APA format with no errors.

Points Range: 4 (4%) – 4 (4%)

Contains a few (1 or 2) APA format errors.

Points Range: 3 (3%) – 3 (3%)

Contains several (3 or 4) APA format errors.

Points Range: 0 (0%) – 2 (2%)

Contains many (≥ 5) APA format errors.

Total Points: 100

Name: NURS_6512_Week_11_Assignment_Rubric