Applying Ethical Principles in Clinical Practice
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Assessment Overview:
Applying Ethical Principles in Clinical Practice course requires students to extend beyond basic identification and analysis. This assessment requires students to to analyze a complex healthcare casehealthcare case study and demonstrate advanced proficiency in applying ethical principles to settle disagreements.
Assessment 3 is different from the others because it focuses on the resolution process. It asks, “Based on the ethical principles and the research that is available, what determines the most appropriate course of action for the patient, the family, and the healthcare organization?”Also visit our NURS FPX 4000 Assessment 3
How to Pass Applying Ethical Principles in Clinical Practice
- Define Your Model: Clearly identify the ethical decision-making model used. “I am using the Jonsen Model to look at this case.”
- A “Distinguished” paper recognizes that the nurse’s values may not align with the patient’s and provides guidance on maintaining objectivity.
- Connect your points to the NCSBN (National Council of State Boards of Nursing) rules.
- Ensure comprehensive stakeholder analysis that your analysis of each stakeholder is at least 150–200 words long so that you can meet the 1000-word requirement.
Sample Assessment:
NHS-FPX 4000 Assessment 3: Applying Ethical Principles in Clinical Practice
Introduction
The convergence of clinical necessity and patient autonomy frequently induces “moral distress” among nursing professionals. The methodology employed to address these tensions is the application of Ethical Principles. This evaluation examines the case of a Jehovah’s Witness patient necessitating a life-saving blood transfusion, emphasizing the conflict between Beneficence (promoting well-being) and Autonomy (honoring the patient’s refusal).
Stakeholder Perspectives
- The Patient:Prioritizes religious beliefs and spiritual values over life-prolonging treatment.
- The Surgical Team:Guided by beneficence and professional responsibility to preserve life.
- Hospital Risk Management:Evaluates legal implications and organizational liability.
Analysis through the Ethical Lens
The four core ethical principles must be carefully balanced in this case..” In this case, Autonomy takes precedence if the patient is a competent adult. According to the President’s Commission for the Study of Ethical Problems, competent individuals have the right to refuse even life-saving treatment.
Non-maleficence is also at play. While clinicians may interpret withholding treatment as harm, the patient may perceive receiving treatment as a violation of personal or spiritual integrity.
Proposed Resolution: The Multi-Step Approach
- Checking for Competence: Assess the patient’s decision-making capacity to ensure informed consent.
- Bloodless Alternatives: Explore evidence-based alternatives, such as bloodless treatment approaches.
- Consulting the Ethics Committee: Consult an interdisciplinary ethics committee to ensure balanced decision-making.
Conclusion
The healthcare team can facilitate collaborative and ethically sound decision-making to provide care by using ethical principles. In this case, the solution is to respect the patient’s autonomy while trying all medical options that don’t go against their beliefs. This way, the duty of beneficence is fulfilled without crossing ethical lines.
References (APA 7 Format)
- American Nurses Association. (2021). Ethics and human rights.NursingWorld.org
- Hester, D. M., & Schonfeld, T. (2022). Guidance for healthcare ethics committees. View on Cambridge Core
- Jonsen, A. R., Siegler, M., & Winslade, W. J. (2022). Clinical ethics: A practical approach to ethical decisions in clinical medicine (8th ed.). McGraw-Hill. View on AccessMedicine
- National Institutes of Health. (2023). Bioethics resources. NIH.gov
- World Health Organization. (2024). Ethics and health. WHO.int
Rubric Breakdown
| Criterion | Basic | Proficient | Distinguished |
| Application of Principles | Mentions ethical principles loosely. | Applies principles to the specific details of the case. | Critically synthesizes principles to justify a complex decision. |
| Stakeholder Analysis | Identifies the patient and nurse. | Identifies all major stakeholders and their perspectives. | Evaluates the diverse and conflicting values of all stakeholders. |
| Ethical Decision-Making Model | Briefly mentions a choice. | Uses an ethical model (e.g., Jonsen’s Four Boxes). | Demonstrates expert use of a model to reach a balanced conclusion. |
| Evidence Integration | Uses 1-2 sources. | Integrates 3-5 peer-reviewed sources. | Seamlessly blends high-quality evidence with ethical reasoning. |
Step-by-Step Guide
Step 1: Select Your Case Study
Select a case study involving an ethical dilemma (e.g., mandatory vaccination, withdrawal of life-sustaining treatment, or genetic privacy concerns).
Step 2: Identify Stakeholders
Identify all relevant stakeholders affected by the ethical issue.
- Primary: The patient.
- Secondary: Family members, legal guardians.
- Tertiary: Nurses, physicians, hospital administrators, and the community.
Step 3: Apply a Decision-Making Model
Utilize a structured ethical decision-making model. Use a recognized framework like the Jonsen Model (Four Boxes) which looks at Medical Indications, Patient Preferences, Quality of Life, and Contextual Features.
Step 4: Justify with Literature
Support your resolution by applying ethical principles outlined in the ANA Code of Ethics found in the ANA Code of Ethics.
Frequently Asked Questions
Q: Is it appropriate to disagree with a patient’s decision?
Personal perspectives may be acknowledged; however, professional recommendations must remain grounded in ethical and legal standards.
Q: Do you have to include the family in the analysis of stakeholders?
Yes. Even though the patient has the last word, the family’s point of view is a “Contextual Feature” that affects the healthcare setting.
Q: What if there isn’t a “perfect” answer to the case?
Ethical dilemmas are, by definition, situations that don’t have a clear answer. Your reasoning process, not the exact choice you make, is what the grade is based on.
Integrity Note
Note: Only use this assessment example for learning and structure purpose. Do not submit as your own work.
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