NUR 513 Compare two Different Advanced Registered Nurse Roles with Regard to Ethical Guidelines
Topic 2 DQ 2
Compare two different advanced registered nurse roles with regard to ethical guidelines. Are there any differences in the ethical guidelines that govern these roles? What situations might require one role to respond differently, depending on the ethical guidelines?
Ethics refers to understanding the moral rules and the system they are made of such as the nature, purposes, and justification (Barker & DeNisco, 2016). Ethical issue is one of the dilemmas faced by nurses today, even advance practice registered nurses and it is important to make the establish good ethical nursing practice which is best for the patient’s outcome.
Psychiatric clinical nurse specialists (CNS) provide nursing care to patients suffering from psychiatric disorders using best practices and evidence-based care to achieve the best possible outcomes (American Nurses Association, 2020). The care of patients in this field may be difficult and overwhelming due to the diagnosis of mental illness.
To practice ethically and prevent bias, patience and empathy must be employed. it is important for a CNS to recognize their own feelings when dealing with difficult patients and not allow emotions to prevent them from providing effective patient care. The CNS should try to remain neutral and continue to provide the best care for the patient (Laskowski, 2001).
Registered Nurses have numerous options within various types of Masters Programs. Advanced Nursing Practice Roles differ across specialties. I’ve chosen to contrast two types of APN positions: Nurse Educator and Nurse Practitioner (Liaison International , 2022).
The Nurse Educator plays an important role in both college instruction and hospital bedside guidance. When teaching and guiding nursing students, new graduates, and experienced nurses, it is critical to strike a balance (American Nurses Association, 2022). Ethical considerations may include offering constructive communication techniques for all aspects of learning styles, maintaining confidentiality and anonymity, and recognizing the potential for harm as soon as possible so that the issue can be revised and improved.
The nurse educator is a valuable resource in all areas of nursing, and performing this role compassionately and confidently has a direct impact on healthy growth and success at all levels of nursing practice (DeNisco & Barker, 2019).
Nurse Practitioners (NP) provide primary, acute, and specialty health care to patients of all ages by assessing, diagnosing, and treating illnesses and injuries (APRN, 2020). NPs face ethical challenges when dealing with difficult patients and family members.
Patients’ medical issues can cause psychological or emotional problems, which can lead to hopelessness and behavioral problems. Regardless of the patient’s behavioral issues, NPs are still responsible for meeting the patient’s needs by adhering to ethical standards in their profession (Barker & DeNisco, 2016).
- Barker, A.M., & DeNisco, S.M. (2016). Advanced Practice Nursing: Essential Knowledge for the Profession. Jones & Bartlett Burlington, MA. Retrieved from https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php
- American Nurses Association. (2020). Advanced practice registered nurse (APRN). American Nurses Association. Retrieved from https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn/
- Laskowski, C. (2001). The Mental Health Clinical Nurse Specialist and the “Difficult” Patient: Evolving Meaning, Issues in Mental Health Nursing, 22:1, 5-22.
NUR 513 Compare two Different Advanced Registered Nurse Roles with Regard to Ethical Guidelines Response
At GCU we hold Christian Values as a component of our educational foundation. Should this also be a factor in how students act and influence their decisions towards academic integrity? Answers are voluntary but do count towards one of your three substantive posts for the week if you meet the 200-word minimum requirement.
I think spiritual values do influence the decision to maintain academic integrity because otherwise, it would be hypocrisy. If one claims to be a spiritual being but cheats their way through life, then the question becomes who do we actually think we’re fooling? It is necessary to stay true to oneself and to choose the proper thing to do even when no one’s looking, to me, that’s the true definition of integrity.
I also believe one must constantly work at or renew their spiritual beliefs because we’re all human without perfection so, at times will’s get weak and we envision success by taking the easier way out such as cheating on a test or taking credit where it isn’t due by putting our names on others’ work, committing infractions known to us as plagiarism but causing greater damage to the soul.
We must remember every good thing worth having requires putting in the work required to achieve those goals. The constant struggle within to always do the right thing is understandable but, if we nourish the positivity more than we nourish the negativity, making the appropriate decisions become second nature and the struggle to make the desirable choices are lessened.
It’s a greater sense of appreciation to know the goals achieved were achieved honestly and through hard work. When one puts in honest work, the process is respected!
Thank you for your response.
This brings to mind King James Bible/New Living Translation 2005, Luke 8:17; For all that is secret will eventually turn to light. I was in Nursing school and happen to be tutoring a nursing student that was a class or two behind me. The student was prepared to take her med-surgical exam; we had reviewed the pathophysiology so that she would be able to look at, for example, be given a scenario regarding a patient’s lab values and know if the patient was in metabolic acidosis. We reviewed the ability to think critically.
Prior to her taking the test we, both felt confident that she would pass. Day later she called and asked to come over and when she arrived, she was distraught. I was dumb founded; she explained that she had taken the exam, but it did not go very well because she decided to cheat. A couple of her classmates reassured her that they had the answers to the exam; She did not even read the exam to use anything that we had reviewed as far a critically thinking and using pathophysiology, lab values, and so on to arrive at the answers.
I was upset that she had taken up hours and days of my time to prepare for an exam and she just totally threw everything out the window and just put down answers. The class prior to hers had aced the exam, but the instructor and the Director of the Nursing department reviewed the class trends and knew that the class prior to her class should not have scored that many A’s.
Therefore, the test was changed and the test that my friend took was different from the one the prior class had taken. On top of that she had to speak with the Director of the Nursing department and was expelled from the program. She needed to at least pass with a C to remain in the program. The class prior had students that were also expelled as well as the students that were in her class.
I only knew about this as she confided in me regarding the situation; otherwise, the was emphasis in my class to make sure that all the concepts were understood; if not ask questions during/after lecture and because in clinical we were taking care of patients and need to know why we were administering some as simple as a vitamin E and the side effects. In my practice I have been conscientious regarding patient care. In the Neonatal Intensive Care everything we gave during the time I worked in the unit was doubled checked. If it did not fit into a 1cc syringe it was triple checked.
- King James Bible/New Living Translation. (2005). Tyndale House Publishers Inc. Https:/www.tyndale.com
NUR 513 Identify at least two regulatory bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty
NUR 513 Topic 8: Role Development for Advanced Registered Nurses
NUR 513 Topic 7: Evidence-Based Practice Initiatives
Topic 3: Diversity and Global Perspectives of Care
- Discuss the role of the advanced registered nurse in promoting health and disease prevention for diverse populations.
- Discuss the impact of diversity, global perspectives, and the advanced registered nurse’s role in advancing health equity.
- Relate cultural and spiritual competence to the advanced registered nurse’s scope of
- Determine how your personal worldview may affect your future practice and
Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapters 7, 8, and 24 in Advanced Practice Nursing: Essential Knowledge far the Profession.
Explore the Diversity Rx website.
Tanenbaum Center for interreligious Understanding
Explore the Tanenbaum Center for Interreligious Understanding website.
Topic 3 DQ 1
Identify a population that you will likely serve as an advanced registered nurse that you think is particularly vulnerable to issues of health disparities/inequity. Discuss the contribution of your particular specialty to health promotion and disease prevention for th.is population. How do issues of diversity and global perspectives of care contribute to your understanding of health equity as it relates to this population?
Topic 3 DQ 2
What is your personal worldview? Connect your world view to cultural and spiritual competence. How will your world view and cultural and spiritual competence affect your future practice and role? Consider both the provision of safe, quality care to diverse populations and interprofessional relationships.
NUR 513 Topic 4: Theory-Based Nursing Practice I
- Describe nursing theories and their application to the advance registered nurse’s
- Evaluate nursing theories based on intent, goal, and
Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapters 19 and 23 in Advanced Practice Nursing: Essential Knowledge for the Profession.
The Living Tree of Nursing Theories
Read “The Living Tree of Nursing Theories,” by Tomville and Ingalls, from Nursing Forum (2003).
A Cross -Cultural Comparison of a Clinical Nurse Competency Path Model
Read “A Cross-Cultural Comparison of a Clinical Nurse Competency Path Model,” by Sportsman , Hamilton, and Schumacker, from International Journal of Nursing Education(2014).
A Multidimensional Analysis of the Epistemic Origins of Nursing Theories, Models, and Frameworks
Read “A Multidime nsional Analysis of the Epistemic Origins of Nursing Theories , Models , and Framewor ks,” by Beckstead and Beck stead , from International Journal of Nursing Studies(2006).
Explore the links on the Nursing Theories page of the Current Nursing website.
Topic4 DQ 1
Compare and contrast two nursing theories. How do they differ based on their intent, scope , and goals? Which one might be more relevant to your future role, and why?
Topic4 DQ 2
Select two different nursing theories and de scribe how they relate to patient care. How could you use them for inciting behavioral changes? Discuss the pros and cons of applying each theory and how they could be integrated into your future practice . Are there any particular ethical issues related to the integration of these theories that should be considered?