Using the options below based on your specialization; create an ethical and legal decision-making dilemma involving an advanced practice nurse in the field of administration, education, or a nurse practitioner:
Administration Dilemma Healthcare Needs versus Resource Allocation
Education Dilemma Nursing Students Religious Beliefs versus Provision of Care
Practice Dilemma Honesty versus Withholding Information
INSTRUCTIONS
Describe one ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts. Construct a decision that demonstrates integrity and that would prevent violation of the ethical principle and prevent the law from being violated. List three recommendations that will resolve advanced practice nurses moral distress in the dilemma you have presented. Support your paper with a minimum of three scholarly references. This Assignment should be 3 pages in length, exclusive of cover page and references.
Scenario:
Sarah, a Family Nurse Practitioner (FNP) and Director of Nursing Services at a rural community hospital, faces a difficult decision. The hospital is experiencing significant financial strain due to declining patient volume and recent cuts in insurance reimbursements. The administration has mandated budget cuts across all departments, including a 10% reduction in the nursing staff budget.
Sarah knows this cut will have a direct impact on patient care. The hospital is already understaffed, and further reductions will necessitate increased patient-to-nurse ratios. This will make it challenging to provide adequate care, potentially leading to longer wait times, increased patient stress, and higher risks of medication errors.
Ethical Principle and Law at Risk:
Ethical Principle: Beneficence: This principle compels healthcare professionals to act in the best interest of their patients and to prevent harm. Reducing nursing staff would directly contradict this principle by compromising the quality and safety of patient care.
Law: Nurse Practice Act: Each state has a Nurse Practice Act that outlines the standards of care nurses must uphold. Reduced staffing could make it difficult for nurses to meet these standards, potentially leading to violations. Additionally, depending on the severity of the consequences, it could be considered patient neglect, a civil offense.
Decision with Integrity:
Sarah prioritizes patient safety and ethical practice. Here’s how she can address the situation:
Recommendations to Reduce Moral Distress:
References: