NRP 508 Assignment 4 Ethical Decision-Making Part 1

NRP 508 Assignment 4 Ethical Decision-Making Part 1

Ethical Decision-Making in End-of-Life Care

It is the duty of advanced practice nurses (APNs) to treat patients with respect and disregard for their socioeconomic status or health issues. In the line of training, medical caretakers face different moral issues as they experience circumstances that require various activities that could think twice about moral contemplations. The purpose of professional ethics, the expert’s expected behavior, and the professional’s expected skills and outcomes (Hamric et al., 2014) 

The medical attendant is the essential guardian of the patient, guaranteeing that the patient gets the best consideration determined to mitigate languishing. The American Attendants Affiliation (ANA) general set of rules for medical caretakers gives the rules to attendants to use in doing their obligations and pursuing moral choices. When there isn’t a clear choice to be made, situations lead to ethical quandaries. NRP 508 Assignment 4 Ethical Decision-Making Part 1

Since both the patients and the nurses are dealing with intense feelings of loss and grief, this is a good place for the practitioner to encourage the use of communication, education, and dialogue regarding preferences for end-of-life care. The case presents a number of ethical quandaries, some of which include the breakdown in communication and shared decision-making. 

Arrangement Abused in the Nursing Set of rules

As indicated by the ANA, the problem abuses arrangement one of the General set of rules which calls for regard for human nobility. During the finish of-life care, the attendant might confront the predicament of giving satisfactory consideration to the patient on the grounds that the patient is in their last days. 

According to the American Nurses Association (2001, p. 3), the code of ethics for nurses requires nurses to practice with compassion in relation to human characteristics such as respect for human dignity, healthy relationships with patients, and the nature of the health problem. APNs must respect patient autonomy by using effective communication and making clinical decisions on behalf of the patient without substituting tradition for the clinical decision-making process. NRP 508 Assignment 4 Ethical Decision-Making Part 1

How the code of ethics can deal with the problem The patient’s right to self-determination is the ethical dilemma’s starting point. The nurse must respect the patient’s autonomy, according to the code of ethics. However, this ought to have restrictions. By ensuring the patient’s safety and making fair use of resources, the caregiver must be aware of the limitations. 

During end-of-life care, caregivers face a significant ethical challenge when it comes to the patient’s treatment withdrawal. The patient can decide for themselves whether or not to give consent to an intervention that could save their life. The caregiver can also weigh the potential benefits of the treatment against the potential harms. Notwithstanding these reasons, an assurance of worthless treatment can likewise be a legitimization of the guardian’s choice of pulling out the patient’s treatment. 

Creating an ethical environment 

The policies and politics in the healthcare sector influence the creation of an ethical environment. The work environment strategy enables attendants to impact different moral and moral results in the medical services setting. Supporting nurses in putting their code of ethics into practice necessitates a practice environment that promotes ethical behavior. As a result, Nurse Practitioners (NPs) will be able to demonstrate the integrity and respect necessary for patient care. The nurse’s professional satisfaction and the provision of safe, high-quality care to patients require an ethical work environment.

NRP 508 Assignment 4 Ethical Decision-Making Part 1

As indicated by arrangement six of the implicit set of principles, attendants have the obligation of establishing conditions that help the medical caretakers’ satisfaction of moral commitments. The environment ought to have observable characteristics that encourage nurses to carry out their responsibilities ethically. For example, there should be enough resources in the environment for nurses to do their jobs. Additionally, the environment ought to have the appropriate policies and procedures for demonstrating the nurses’ expectations. 

Fair hearing of complaints should also be supported in the environment whenever they occur. As a practitioner, I am responsible for fostering an ethical work environment by treating colleagues with respect and supporting peers. Also, I can uphold the climate by explaining the issues that need the administration’s consideration.  I am entitled, as a nurse, to reject an environment that jeopardizes the patient and other healthcare providers’ safety.

NRP 508 Assignment 4 Ethical Decision-Making Part 1

Subsequently, I will utilize proper channels to make mindfulness among different medical attendants on the significance of having moral conditions. I can talk about with my partners to join the nursing proficient relationship to help a moral climate for all medical caretakers and patients. Watson uses the concept of transpersonal theory to develop the theory of human caring and the caring moment, which serves as a guide for ethical decisions. The connection that humans have with one another, with other people, and with nature is referred to as the transpersonal concept (Clark, 2016, p. 

It reaches a state of interconnection with humanity and the universe that transcends the personal realms of body and ego. In the medical care setting, transpersonal is the intelligent human relationship by which the attendant individual effects and is impacted by someone else. Because it provides guidance for the transpersonal human care practices, Watson’s theory of human caring is useful for assisting nurses in practicing ethically. Because of our interdependence, our perceptions and beliefs can lead to meaningful interactions with other people. There are guidelines for nurses on how to improve patient care and working relationships in the nursing code of ethics. 

NRP 508 Assignment 4 Ethical Decision-Making Part 1

The theory of human care also focuses on how nurses can interact with patients, their families, and other nurses to provide high-quality care. The transpersonal state enables nurses to cultivate healthy relationships with both themselves and their patients. Watson’s theory of human care serves as a source of inspiration for the ethical principles of moral respect as well as safeguarding the patient’s rights, health, and safety (Clark, 2016).

In conclusion, the nurse practitioner can in the field of nursing; Throughout their nursing careers, they will constantly face or be forced to choose between right and wrong choices. As age propels, so will the diseases, pursuing the choices distressing for those families during a crucial time. The Code of Ethics provides the necessary guidelines for making the right decisions to improve the quality of care and ease the patients’ end-of-life journey in order to help nurses make decisions. The ANA code of ethics addresses ethical dilemmas in end-of-life care by providing a provision regarding the respect for human dignity.


American Nurses’ Association. (2001). Code for nurses: with interpretive statements. The Association.

Clark, C. S. (2016). Watson’s human caring theory: Pertinent transpersonal and humanities concepts for educators. Humanities5(2), 21.

Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Advanced Practice Nursing-E-Book: An Integrative Approach. Elsevier Health Sciences. 

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