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NUR3805 Dimensions of Professional Practice
Chapter 7 Discussion
Follow the instructions under Discussion Board Rubric and Discussion Guidelines and APA Tips to create your post and respond to at least one other student. Internal citations and references are required.
Ladies and Gentlemen ~This topic of nursing ethics is HARD & complex ~ it requires thinking! … and we MUST think! In addition to thinking, we MUST speak ~ We are the advocates, the ethical voice, of our patients. We want easy answers but there are no easy answers when it comes to ethics.
Discussion:  Choose ONE of the following prompts to address:
1. Based on one the two situations below, discuss the different outcomes that would result if the decision were made based on these three ethical theories: (1) deontology, (2) utilitarianism, and (3) principalism. Identify your personal favorite of these three theories.
You need to discharge patients from a full ICU to make room for a critically ill admission
You are currently working short-staffed on your unit and you are being forced to take a patient load that will prevent you from giving good care
2. Read the ICN Code of Ethics for Nurses online at (Links to an external site.)Links to an external site. or download the PDF: icncode_english.pdfPreview the document and write your post comparing it to the American Nurses Association’s Code of Ethics for Nurses. What elements do they have in common? In what ways are they different?
3. Conduct a literature search for ethical decision-making models. Choose one that interests you and prepare a summary. In your summary, discuss whether the model you found includes all six steps identified in the text.
4. Amelia is a new nurse on a 35-bed medical unit and is enjoying her first few months there. She particularly enjoys her new patient, Katy, a 32-year-old mother of two little girls who has been admitted for fatigue and low blood counts. Katy had a bone marrow biopsy soon after admission, and she and her husband are anxiously waiting for the results. Late in the afternoon, Amelia notices that the preliminary report indicates that Katy has acute myelogenous leukemia (AML).
When Amelia goes to check Katy’s vital signs at 4 p.m., Katy asks her if the results are back yet. Amelia responds truthfully that she does not know if Katy’s doctor has seen the results yet. Katy persists, “…but you have. What is my diagnosis?” Amelia acts as if she had not heard the question. Katy then said, “It is bad, then.”
Consider these questions:
What is the ethical dilemma for Amelia?
What actions should she take?
What is the ethical basis for the actions that you believe she should take?
What principles from the ANA Code of Ethics can guide Amelia’s responses?

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