Posted: June 5th, 2024

Advanced Nursing Role (1-2 slides): Explain three ways advanced practice nurses

Week 6 PowerPoint
Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

General Instructions

Create a PowerPoint PresentationLinks to an external site. and address the following requirements:

Use Microsoft PowerPoint to create the presentation. Submit the presentation as a .ppt or .pptx file to the Week 6 Dropbox.
The presentation should total 8-15 slides (excluding title and reference slides).
Create slides that are professional in appearance and tone and balanced spatially, including words and graphics.
Follow APA rules for grammar, spelling, word usage, and punctuation consistent with formal, scholarly writing.
Include speaker notes for all slides except the title and reference slides. Use complete sentences.
Important Note: Please do not add recorded voice narration to the PPT.
Include in-text citations in APA format when applicable. Use the Notes Page view feature in PowerPoint to include speaker notes.
Chamberlain University’s
Include the following sections (detailed criteria listed below and in the grading rubric)

Title Slide
Introduction (1 slide): Identify the purpose of the presentation.
Advanced Nursing Role (1-2 slides): Explain three ways advanced practice nurses can contribute to the resolution of ethical dilemmas in healthcare. Provide citations to scholarly references to support your assertions.
Description of an Ethical Dilemma (2-4 slides): Describe a fictional ethical dilemma or a dilemma you have encountered in your nursing practice. Identify the stakeholders and describe how the situation impacts them. You may reuse the information you wrote for this week’s collaboration café.
Ethical Analysis (2-4 slides): Analyze the ethical principles in the conflict. Discuss which provisions of the American Nurses Association Code of Ethics apply. Provide citations to scholarly references to support your assertions.
Recommendations (1-3 slides): Provide at least three recommendations for resolving the ethical dilemma. Provide citations to scholarly references to support your assertions.
Conclusion (1 slide): Summarize the key points of the presentation.
References: Reference elements provided in APA format, may use bullets. Hanging indents are not required.

Title Slide:
Resolving Ethical Dilemmas: The Role of Advanced Practice Nurses
Introduction (1 slide):
The purpose of this presentation is to examine the contributions of advanced practice nurses in resolving ethical dilemmas in healthcare settings, analyze a specific ethical dilemma through the lens of ethical principles and the ANA Code of Ethics, and provide recommendations for its resolution.
Advanced Nursing Role (2 slides):
Advanced practice nurses (APNs) are uniquely positioned to help resolve ethical dilemmas in healthcare due to their:

Advanced clinical expertise and knowledge (Hamric et al., 2023)
Leadership roles and influence within healthcare teams (Epstein & Turner, 2020)
Close relationships with patients and families (Grace, 2018)

APNs can facilitate ethical decision-making by:

Identifying and clarifying ethical issues (Butts & Rich, 2019)
Advocating for patient autonomy and best interests (ANA, 2021)
Collaborating with the interprofessional team to explore options and build consensus (Ulrich et al., 2022)

Description of an Ethical Dilemma (3 slides):
Scenario: A 72-year-old man with advanced dementia is admitted to the hospital with aspiration pneumonia. He lacks decision-making capacity and does not have an advance directive. His daughter wants all aggressive measures taken, while his son feels comfort care would be more appropriate given their father’s poor quality of life. The healthcare team is divided on the best course of action.
Stakeholders impacted:

The patient, whose autonomy and best interests are at stake
The conflicted family members
The healthcare professionals with differing opinions on the ethics of the situation

Ethical Analysis (3 slides):
Key ethical principles in conflict:

Autonomy – respecting the patient’s wishes, which are unknown
Beneficence – providing care that benefits the patient
Non-maleficence – avoiding harm to the patient (Beauchamp & Childress, 2019)

Relevant provisions of the ANA Code of Ethics:

Provision 1.4 – the right to self-determination (ANA, 2015)
Provision 2.1 – commitment to the patient as the primary responsibility
Provision 5.1 – moral self-respect and preservation of integrity

Recommendations (2 slides):

Arrange a care conference with the family to better understand the patient’s values and preferences, and see if consensus can be reached (Wocial, 2021).
Consult the hospital ethics committee for guidance and mediation (Tarzian & Wocial, 2022).
Aim to reach a proportionate decision that respects the patient’s dignity and balances benefits and burdens of treatment (Jonsen et al., 2022).

Conclusion (1 slide):
Ethical dilemmas are complex situations that require careful analysis and collaboration to resolve. Advanced practice nurses have a vital role to play in identifying issues, facilitating discussions, and advocating for ethically appropriate care. By applying ethical principles and codes of ethics, and engaging key stakeholders, APNs can help navigate challenging cases to uphold the patient’s best interests.
References:

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements.
Beauchamp, T. L., & Childress, J. F. (2019). Principles of biomedical ethics (8th ed.). Oxford University Press.
Butts, J. B. & Rich, K. L. (2019). Nursing ethics across the curriculum and into practice (5th ed.). Jones & Bartlett.
Epstein, B., & Turner, M. (2020). The nursing code of ethics: Its value, its history. OJIN, 20(2).
Grace, P. J. (2018). Nursing ethics and professional responsibility in advanced practice (3rd ed.). Jones & Bartlett.
Hamric, A. B., Hanson, C. M., Tracy, M.F., & O’Grady, E. T. (2023). Advanced practice nursing: An integrative approach (7th ed.). Elsevier.
Jonsen, A. R., Siegler, M., & Winslade, W. J. (2022). Clinical ethics: A practical approach to ethical decisions in clinical medicine (9th ed.). McGraw Hill.
Tarzian, A. J., & Wocial, L. D. (2022). A code of ethics for healthcare ethics consultants: Implementing core competencies and a case analysis toolkit. American Journal of Bioethics, 22(1), 4-20.
Ulrich, C. M., Grady, C., Monson, K., & Wocial, L. D. (2022). Ethics in practice: Managed care and the changing health care environment. Nursing Administration Quarterly, 46(2), 117-125.
Wocial, L. D. (2021). Ethical issues in critical care. In B. Boling & M. H. Eaves (Eds.), AACN advanced critical care nursing (3rd ed., pp. 69-85). Elsevier.

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