How is Ethical Self-Awareness applied in the Role of an Advanced Practice Nurse?

Topic 1. Choose an ethical-legal dilemma that would cause the advanced practice nurse moral distress. The dilemma could be one you have faced in your practice. Write all the paragraphs in APA style. Be specific about the dilemma — something you may have experienced in your practice. Cite or reference a minimum of seven references relating to legal and ethical issues.

Topic 2: Evaluation of Ethical Models and the Ethics Committee

You identified an ethical dilemma in Discussion topic 1 of this unit. Present your dilemma to the ethics committee of your institution. Outline an ethical theory or model you wish the committee to consider when reviewing this case. What arguments do you have to support the use of this model? Discuss the role of the ethics committee in this particular ethical dilemma.

Textbook Readings

Essentials of Nursing Law and Ethics

  • Chapter 21: “Reproductive Services”
  • Chapter 24: “Organ and Tissue Donation and Transplantation”
  • Chapter 25: “Discharge Against Medical Advice”
  • Chapter 33: “Contracts”
  • Chapter 47: “Moral Courage and Patient Advocacy”
  • Chapter 48: “Social Media and Online Professionalism”
  • Chapter 51: “Futility of Care”
  • Chapter 52: “Advance Directives and End-of-Life Decisions”
  • Chapter 53: “Assisted Suicide”

Journal Readings

Park, E. (2012). An integrated ethical decision-making model for nurses. Nursing Ethics, 19(1), 139-159. doi:10.1177/0969733011413491

Cooper, R. J. (2012). Making the case for ethical decision-making models. Nurse Prescribing, 10(12), 607–622.

Monteverde, S. (2014). Undergraduate healthcare ethics education, moral resilience, and the role of ethical theories. Nursing Ethics, 21(4), 385-401. doi:10.1177/0969733013505308

Cameron, M., Schaffer, M., & Park, H. (2001). Nursing students’ experience of ethical problems and use of ethical decision-making models. Nursing Ethics, 8(5), 432–447.

Settle, P. D. (2014). Nurse activism in the newborn intensive care unit: Actions in response to an ethical dilemma. Nursing Ethics, 21(2), 198–209. doi:10.1177/0969733012475254

Zande, M., Baart, A., & Vosman, F. (2014). Ethical sensitivity in practice: Finding tacit moral knowing. Journal of Advanced Nursing, 70(1), 68–76. doi:10.1111/jan.12154

Optional Journal Readings

Berggren, I., & Severinsson, E. (2006). The significance of nurse supervisors’ different ethical decision-making styles. Journal of Nursing Management, 14(8), 637–643. doi:10.1111/j.1365-2934.2006.00710.x

Zydziunaite, V., & Suominen, T. (2014). Leadership styles of nurse managers in ethical dilemmas: Reasons and consequences. Contemporary Nurse: A Journal For The Australian Nursing Profession, 48(2), 150-167. doi:10.5172/conu.2014.48.2.150

Lavelle, S., & Tusaie, K. R. (2011). Reflecting on forced medication. Issues in Mental Health Nursing, 32(5), 274–278. doi:10.3109/01612840.2011.552749

Monteverde, S. (2009). The importance of time in ethical decision making. Nursing Ethics, 16(5), 613–624.

Snelling, P. C. (2004). Philosophical and ethical issues consequences count: Against absolutism at the end of life. Journal of Advanced Nursing, 46(4), 350–357. doi:10.1111/j.1365-2648.2004.03001.x

Inggs, R., & Christensen, M. (2015). To feed or not to feed: Using an ethical decision making model to support patient choice. Singapore Nursing Journal, 42(3), 17-21.

Wolf, M. T. (2013). Palliative sedation in nursing anesthesia. AANA Journal, 81(2), 113–117.

Web Resources

The National Council of State Boards of Nursing. (2016). Retrieved from

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