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Assessment3feedbackfrompofessor.docx

Amanda, Thank you for your work on this assessment. You demonstrated positive critical thinking skills in your evaluation of the case study. You summarized the facts of the case study and analyzed the ethical issues involved. I liked that you supported your ideas with evidence from the literature to support your analysis However, you did not meet passing criteria in the area of ethical principles and the ethical decision making model. Please read my feedback carefully as I have made several recommendations to help you increase your performance scores. In your resubmission, highlight your changes so I will be sure to notice your efforts. I will not grade the reassessment unless there are highlights indicating where changes were made. Thank you, Dr. Dudzik

Assessment3Instructions.docx

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

Case Study: Conscientious Objection and Professional Responsibility

Nurse Amelia Brooks, a dedicated and experienced nurse at Riverside Medical Center, has always been known for her commitment to patient care. However, she finds herself in a moral quandary when Dr. Rebecca Martin, the leading obstetrician at the center, asks her to assist in an elective abortion procedure for a patient named Sophie Turner, a 24-year-old graduate student. Amelia holds strong personal beliefs against abortion due to her religious upbringing. She feels that participating in the procedure would violate her conscience and deeply held moral convictions. However, she also recognizes her professional responsibility to provide care without discrimination and to prioritize the well-being and autonomy of her patients.The principle of autonomy emphasizes the importance of individual choice and freedom. In this context, it applies both to Sophie's right to make decisions about her own body and to Amelia's right to act in line with her personal beliefs. The principle of professional responsibility, on the other hand, underscores Amelia's duty to provide care and uphold the standards of her profession. Balancing these principles is the concept of non-maleficence, which emphasizes the commitment to "do no harm." Amelia grapples with what "harm" means in this context: harm to the patient by potentially denying care or harm to herself by violating her conscience

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

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

1. From the case study

2. Summarize the facts in the selected case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.

· Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.

· Identify who is involved or affected by the ethical problem or issue.

· Access the  Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.

· Apply the three components outlined in the Ethical Decision-Making Model media.

· Analyze the factors that contributed to the ethical problem or issue identified in the case study.

· Describe the factors that contributed to the problem or issue and explain how they contributed.

3. Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.

· 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. The  NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references. You will select at least one current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.

· Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.

· Review the  Think Critically About Source Quality resource.

· Assess the credibility of the information source.

· Assess the relevance of the information source.

4. Discuss the effectiveness of the communication approaches present in a case study.

· Describe how the health care professional in the case study communicated with others.

· Assess instances where the professional communicated effectively or ineffectively.

· Explain which communication approaches should be used and which ones should be avoided.

· Describe the consequences of using effective and non-effective communication approaches.

5. Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.

· Describe the actions taken in response to the ethical dilemma or issue 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 an ethical problem or issue described in a 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.

· Apply the principles of effective composition.

· 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.

· Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

Assessment3byme.pdf

Applying Ethical Principles

Amanda Cabrera Acosta

Capella University

NHS4000: Developing a Health Care Perspective

Dr. Karolina Dudzik

July 2024

Karolina Dudzik
213710000000032713
The heading should be bolded.

Applying Ethical Principles

As healthcare professionals, we are taught to follow four ethical principles in practice:

beneficence, nonmaleficence, autonomy, and justice (Varkey, 2021). Beneficence refers to a

healthcare provider's duty to act in the patient's best interest. Nonmaleficence means the duty to

"do no harm" (Varkey, 2021). Autonomy is the right of individuals to make their own decisions

about their bodies and what happens to them. Finally, justice, as stated by (Varkey, 2021) ,

involves treating people fairly and equally. These four principles are essential in healthcare and

guide daily practice.

Healthcare professionals frequently encounter ethical dilemmas that may challenge their own

beliefs and principles. In such situations, professionals must provide appropriate care and

understanding while maintaining composure and professionalism. This can be difficult when the

required care conflicts with one's personal views on right and wrong. Today, we will analyze the

ethical issues in a case study using the "Ethical Decision-Making Model" (Ethical Decision-

Making Model (Video), n.d.) .Specifically, we will apply the three components of this model:

moral awareness, moral judgment, and ethical behavior (Capella University Media, n.d), while

also relying on the four ethical principles in healthcare.

Case Study Overview

Amelia Brooks, a dedicated and experienced nurse, is known for her commitment to providing

excellent patient care. She faces a significant moral dilemma when Dr. Rebecca Martin, the lead

obstetric physician at her facility, asks her to assist with an abortion procedure. This request

conflicts with Amelia's personal beliefs rooted in her religious affiliation. Nurse Amelia

struggles with her conflicting feelings related to the principle of nonmaleficence. She grapples

Karolina Dudzik
213710000000032713
Paragraphs should be indented.

with the meaning of "do no harm" and how it impacts both her patient if she denies care and

herself if she participates in a procedure she morally opposes.

The patient in question is Sophie Turner, a 24-year-old graduate student. It is assumed that

Sophie's pregnancy is unexpected and would significantly and negatively impact her current life

and goals. Sophie's decision to terminate the pregnancy was likely a difficult one, made with the

belief that it is the best choice for her circumstances. (Case Study: Conscientious Objection and

Professional Responsibility, n.d.)

Analysis of Ethical Issues within the Case Study

The case study presents several ethical issues. Nurse Amelia Brooks struggles with the task at

hand because her religious background and personal beliefs do not support abortion. However,

her pride and commitment to treating her patients with care, compassion, and professionalism

force her to confront this dilemma. She must reconcile the need to treat her patient with

beneficence, which conflicts with nonmaleficence, as she feels that assisting with the procedure

will cause harm to the fetus. Additionally, there is the issue of disclosing her reservations to Dr.

Martin, who is currently unaware of her stance.

There is also the ethical dilemma concerning Sophie’s right to autonomy and making decisions

that are best for her. She deserves the right to seek the care and treatment of her choice without

facing judgment. The correct course of action in this situation is not inherently clear, but Nurse

Amelia does have options. She should choose an option that effectively benefits the patient

without sacrificing her own beliefs.

Using the Ethical Decision-Making Model to Analyze the Case Study

To make the right decision for both herself and the patient, Nurse Amelia will need to reflect on

several factors. The Ethical Decision-Making Model will assist her in this process. We already

know that she possesses the moral awareness to recognize her conflicting feelings. Her next step

is to make a judgment call and determine whether taking on this patient is right or wrong. These

steps will guide her in doing the right thing and making the most ethical decision for both herself

and her patient. According to (Self, Maxwell, & Fleming, 2023), “individuals (including

healthcare practitioners) do not have to participate in an abortion if they have a conscientious

objection” (para. 1). Given what we know about Nurse Amelia, it is likely best for the patient if

she recuses herself from the case.

Effectiveness of Communication Approaches within the Case Study

The first step to communicating effectively is for Nurse Amelia to share her reservations with

Dr. Martin. As the provider in this case, Dr. Martin should be aware of all the relevant facts. The

patient, Sophie, should be left out of this conversation, especially if she has not yet been

introduced to Nurse Amelia. According to (Self, Maxwell, & Fleming, 2023), patients who are

denied care due to a healthcare provider's religious beliefs, known as conscientious objection, are

negatively affected. This can lead to patients feeling judged or mistreated and can have a

negative emotional impact. By communicating her feelings to Dr. Martin before being

introduced to the patient, Nurse Amelia is providing compassionate care indirectly.

Alternatively, if Nurse Amelia had agreed to assist with the abortion, her personal beliefs might

have negatively affected Sophie.

Resolution of the Ethical Dilemma by Applying Ethical Principles

We are not provided with the resolution so we must infer that Amelia declined to assist with the

abortion procedure. As a health care professional, she has a duty to provide care, but she also has

the right to excuse herself if she is not able to provide that care without allowing her own beliefs

to affect the care being given. Honest and open communication with her superior is an important

step toward solving the ethical dilemma. This will give Dr. Martin the option of re- questing an

alternate nurse to assist with the abortion. This addresses Amelia’s need to do what is morally

right for herself while ensuring that Sophie gets the care that she deserves without judgment.

This ethical decision-making process resolves this issue at hand.

Conclusion

Applying ethical principles in healthcare practice can be used regularly to solve ethical

dilemmas. In this instance, Nurse Amelia was able to reflect on how her religious beliefs directly

impacted her ability to care for her patient. By utilizing the ethical decision-making model, and

by having open communication with her superior, she was able to respect the patient's right to

autonomy and beneficence. She was able to ensure that Sophie received compassionate treatment

by having an alternate nurse assigned. In doing so, she was able to respect her own morals.

References

Case Study: Conscientious Objection and Professional Responsibility. (n.d.). Retrieved from

Capella University. (n.d.).:

https://courseroom.capella.edu/courses/24306/pages/assessment-3-

instructions?module_item_id=1194062

Ethical Decision-Making Model (Video). (n.d.). Retrieved from Capella University :

https://media.capella.edu/CourseMedia/nhs4000element18816/wrapper.asp

Principles of Clinical Ethics and Their Application to Practice. (2021). Retrieved from Medical

principles and practice : international journal of the Kuwait University, Health Science

Centre, 30(1), 17–28.: https://doi.org/10.1159/000509119

Self, B., Maxwell, C., & Fleming, V. (2023). The missing voices in the conscientious objection

debate: British service users’ experiences of conscientious objection to abortion.

Retrieved from BMC Med Ethics. 2023; 24: 65.: https://doi.org/10.1186/s12910-023-

00934-9