Reply 1

 

During the simulation, I first played as Jan Klein RN. I chose to play the nurse because that is my field. During the simulation, I was nervous. I was unsure of what question or ethical issue would occur. There were multiple characters including Dr. Richard Sowers the principal investigator who was trying to strike a compromise between what he believes is best for his patients and what he believes is best for research. During the simulation, Jane was under pressure by Dr. Sowers to fabricate data and break the study protocol. During the simulation intro, there were ethical concerns. A melanoma trial led to the hospital’s acquired IRB chair becoming involved. There were concerns that all the creatinine numbers were the same. There were also questionable premature deaths during this trial. This resulted in Dr. Sowers and Klein being terminated.

During the scenario that I took place in Jane often made time for her family. She also was good at keeping her values strong. She was not good at work and life balance. This lead to fatigue, being overworked and would make it easier to be

IRB approval

Jane points out that you need IRB approval before starting the study. She was not good at being better at the start of the investigation. I chose to talk to my supervisor, who then talked to Dr. Sowers. He pushed back the enrollment of patients potentially avoiding ethical issues. My character should have initially done more pushback with the doctor before going to the supervisor. One thing my character could have done better is staying up to date on the latest regulations and IRB policies. If this situation occurred again, I would speak to Dr. Sowers with guidelines in hand. I would talk to him directly about how this could jeopardize the validity of his study.

During, the scenario I set up weekly meetings with Sowers and techs. This was useful in keeping everyone on track. I used IRB guidelines for guidance and support(FDA, 2019)t. I would also speak to other clinical researchers, Dr. Soers, and my supervisor. I learned that maintaining ethics is a cornerstone of research. They encourage the research goals of knowledge, truth, and avoidance of mistakes in the first place. Anti-falsification and anti-misrepresentation laws, for example, encourage the truth and reduce mistakes. Ethical standards encourage the principles that are necessary to collaborative work in research, which frequently requires a significant degree of cooperation and coordination among many different persons in various disciplines and institutions(Resnik, 2020). Numerous ethical principles guarantee that researchers are responsible to the public. In research, ethical principles assist to generate public support. Trust in the quality and integrity of a research endeavor increases the likelihood of funding(Resnik, 2020).

References

FDA. (2019). IRB-FAQs. Fda.gov. https://www.fda.gov/regulatory-information/search-fda-guidance-documents/institutional-review-boards-frequently-asked-questions

 

Resnik, D. (2020, December 23). What is Ethics in Research & Why is it Important? National Institute of Environmental Health Sciences. https://www.niehs.nih.gov/research/resources/bioethics/whatis/index.cfm

Reply 2

 

In the simulation session, I took the role of Jan Klein. Klein moonlights as a registered nurse and clinical trial manager. She was being pressured by her employers, a principal investigator, to fabricate data and breach study guidelines. I felt guilty for betraying my profession by knowingly breaching the research ethics. I also felt overworked and stressed out. Despite the nurse shortage in her institution, she can offer quality services to her patients. She is also able to respect and treat her patient as independent parties. Researching with ethics is an integral element of becoming a successful nurse researcher (Heale & Shorten, 2016). The character could also have blown the whistle on her employer’s misconduct. If this situation occurs again, the nurse should do her best to identify violations and react to them with authenticity.

office of the nursing manager

The nurse can use resources such as office of the nursing manager, research regulation boards, nursing organizations, and occupational therapist. From this simulation, I learned that in many different ways, ethical values for nursing research are an expansion of moral values for nursing practice (Heale & Shorten, 2016). Whether organizing or analyzing research, comprehending and using ethical values is a critical part of guaranteeing the highest class evidence for nursing practice. When conducting research, nurses should seek to reduce harm, obtain informed consent, protect anonymity, and maintain the confidentiality of research subjects (Resnik, 2020). Adhering to ethics helps nurses promote the intentions of the study. Ethical guideline fosters the values that are important to collaborative work (Resnik, 2020). Ethical norms also guarantee that investigators can be held responsible (Resnik, 2020). 

References

Heale, R., & Shorten, A. (2016). Ethical context of nursing research. Evidence Based Nursing, 20(1), 7-7.  https://doi.org/10.1136/eb-2016-102514 (Links to an external site.)

Resnik, D. B. (2020, December 23). What is ethics in research & why is it important? National Institute of Environmental Health Sciences.  https://www.niehs.nih.gov/research/resources/bioethics/whatis/index.cfm

 

Based on “Case Study: Fetal Abnormality”. And the required topic study materials. Write a 750-1,000-word reflection that answers the following questions:

1. What is the Christian view of the nature of human persons. And which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
2. Which theory or theories are being used by Jessica, Marco, Maria. And Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
3. How does the theory determine or influence each of their recommendations for action?
4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected. And documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

AttachmentsPHI-413V-RS-T2CaseStudyFetalAbnormality.docx

1) Minimum 3 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per part.

            Part 1,2, 3: Minimum 1 page

 

 

    Submit 1 document per part

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraph

          Bulleted responses are not accepted

          Don’t write in the first person 

Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1, 2.doc 

 

__________________________________________________________________________________

Part 1:Capstone

Transformational leaders influence those around them and therefore have the potential to alter the culture of a unit or organization. Please address the following topics:

1. Summarize your general beliefs of what makes a good leader.

2. Regarding the transformational leadership skills discussed in our required article reading, how do you think your leadership style is perceived by others?

3. What values do you think would most benefit your work environment if adopted?

Part 2: Capstone

 

The Centers for Disease Control and Prevention, Division of Informatics and Surveillance website contains a number of resources nurses could innovatively incorporate in care delivery. The CDC Wonder site could be utilized by nurses in a number of ways. https://wonder.cdc.gov/ (Links to an external site.)

1. Identify one of the resources at the CDC Wonder site above and describe how a nurse might use this information in practice.¿

2. How might nurses utilizing telehealth benefit from these resources?

3. Address what you find innovative about the link.

4. Describe and share some of your nursing innovation ideas

Part 3: Capstone

 

Now that each one of you is very close to completing this major accomplishment in your nursing career, please share your professional development plans to keep up to date in your chosen specialty and nursing in general.

1. In what professional nursing organizations do you currently participate?

2. What organizations might you think about participating in for the future?

3. What nursing certifications are you considering?

4. How might consideration of continuing your education to pursue a graduate degree fit into your future plans?

Revisit the goals and objectives from your Practicum Experience Plan. See below for goals and objectives.

 

1. Explain the degree to which you achieved each during the practicum experience.

 

2. Reflect on the 3 most challenging patients you encountered during the practicum experience. What was most challenging about each?

 

3. What did you learn from this experience?

 

4. What resources were available?

 

5. What evidence-based practice did you use for the patients?

 

6. What would you do differently?

 

7. How are you managing patient flow and volume?  How can you apply your growing skillset to be a social change agent within your community?

 

Goals and objectives from the Practicum Experience Plan

Objective 1: Improve my skills in performing comprehensive history, and psychosocial assessment including functional assessment on patients.

 

Planned Activities: identification of potential mental and behavioral disorders

 

PRAC Course Outcome(s) Addressed:

 

· Continue with comprehensive mental assessment on all patient encounters

· interprets results of mental status exam, be comfortable in asking open ended questions with patients why maintaining eye contact and professionalism and be non-judgmental

 

Objective 2: Brush up selection of Pharmacotherapeutic skills with patients.

 

Planned Activities: use evidence based clinical practice guidelines for selecting appropriate medication for individualized mental health disorders and use my preceptor as a guide

PRAC Course Outcome(s) Addressed:

 

· Educate patient regarding their diagnosis and medication regimen effectiveness

· Inform patients about potential side effects and dietary awareness or restrictions, Schedule follow up laboratory work up needed for specific medications

 

Objective 3: Develop good diagnostic reasoning and selecting appropriate differential diagnosis

 

 

Planned Activities: Appertain advanced assessment skills with psychiatric differential diagnosis.

 

PRAC Course Outcome(s) Addressed:

 

· prioritize the correct diagnosis through assessment and using evidence-based practice guidelines such as the DSM-V.

· order vital laboratory tests in developing the right differential diagnosis.