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NURS 521 Nursing Workplace Ethics Discussion and Responses
NURS 521 Nursing Workplace Ethics Discussion and Responses
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
NURS 521 Nursing Workplace Ethics Discussion and Responses
Week 6 Discussion 2
Betty, the chief nursing officer, had to make a decision about buying 120 new hospital beds for patient rooms. After she interviewed nurse
mangers at the units where the beds were going to be placed, Betty compiled her findings and decided to contact a well-known equipment
company to obtain prices and contracts. The equipment company’s executive salesperson, Jim, discussed options at length with her and invited
her and her significant other to an upcoming all-expenses-paid lavish retreat at a five-star hotel in Hawaii to see demonstrations of the beds and to
hear a comprehensive sales pitch. Betty thought to herself, “We badly need some relaxation and stress relief. Hawaii would be so much fun. Would
it be wrong for us to go?”
If you were Betty, what would you do? Give your rationale. Justify your answer with an ethical framework—a theory, approach, or principle.
Do you consider this situation a conflict of interest? Why or why not? Give your rationale.
What policies, if any, should be in place regarding a scenario such as this one? Do you have any such policies in place at work for similar
situations? Do such policies impact day-to-day activities in any way? Explain.
response1&2 diss 1
For my week 6 topic I chose to research on Occupational fraud and abuse including healthcare fraud. This is a topic that I’m very interested in
since I’ve heard stories of kickbacks amongst physicians in my area but never witnessed one myself. This topic alone provides a wide array of
data and Im only interested in healthcare fraud since this is the area of my work, and I’d like to narrow the information given to me.
When I began searching for sources for my presentation using google web search, I use the keywords: occupational fraud or healthcare fraud
definition, then I would use occupational fraud and healthcare fraud scholarly articles and peer reviewed articles. I use the Boolean operators, (and
or and not) in my search (WCU, n.d. ). When I’m reading through the articles, I exclude years before 2017 and only use articles 2018 and current
since much information may have changed over the last few years. Moreover, I look for journal articles that are published and has a doi link to it
and or from government sources (.gov).
I also go to the WCU library database and type in my keywords, occupation fraud or healthcare fraud and select full article text, journal articles,
magazines to see if anything yields information I can use for my presentation.
References
WCU. (n.d.). Research basics (top nav): SEARCH TIPS. LibGuides. Retrieved December 5, 2021, from
https://guides.westcoastuniversity.edu/c.php?g=77469&p=500486.
Maria Alvarez
The topic that I chose is occupational fraud and abuse, including conflict of interest and healthcare fraud.
keywords: Occupational fraud, Medicare fraud, Medicare abuse.
The most important search features is to be specific and categorize it by sections instead of researching as a whole. For example, in my topic I
can use a subheading to categorize methods of prevention, another subheading to categorize methods to report it. I found this strategy to be
helpful because it helps me organize my ideas and put them into context in a more concise manner..
Response 1&2 diss 2
In this particular scenario, if I were Betty I would have adhered to the existing ethical dilemmas. I would have thought about the offer in a diverse
perspective. The trip to Hawaii is unethical but it’s appealing. However, it is a bribe because the sales representative of the firm’s equipment is
urging Betty to buy their commodities in exchange for all the expenses she is paid for at the five-star hotel. In this case, there is also a conflict of
interest which is a breach of the code of conduct of the organization. Therefore, no healthcare personnel should accept the offer according to
ethics. Every caregiver should maintain his/ her dignity and integrity in front of the company she for and also her patients (Honkavuo, 2021). On
contrary, the firm’s equipment seems to be swindling Betty which is contrary to the professional code of ethics.
Do you consider this situation a conflict of interest? Why or why not? Give your rationale.
Yes, there exist a conflict of interest. This is simply because the chief officer of the organization is using his position to enrich himself at the
expense of the organization. In this case, Betty’s personal needs for some relaxation are conflicting with her duty to pursue suitable hospital beds.
Moreover, there is a possibility that Betty will not look for another company but she will stick with the company that promised her a trip which is
against the ethics. The safety of the patient may be threatened if she accepts the offer.
What policies, if any, should be in place regarding a scenario such as this one? Do you have any such policies in place at work for similar
situations? Do such policies impact day-to-day activities in any way? Explain.
A policy should be developed to create a committee for monitoring ethical behaviors for healthcare personnel. Everyone needs to be educated on
the importance of ethics. In so doing, patient will obtain quality care. A conflict of interest agreement should be drafted to ensure that members
follows the company’s prohibition on accepting any offer (Finch, 2021). Such policies will stimulate positive reputation, honesty and integrity
among patient and healthcare workers. If one is truthful, there will be no disagree among healthcare personal. In order to govern this acts, policy
of perceived or non-perceived conflict of interest should be executed. This policies are common in many institutions including my work place.
References
Finch, J. (2021). The ethics of ethics committees. British Journal of Neuroscience Nursing, 17(4), 164-
165. https://doi.org/10.12968/bjnn.2021.17.4.164 (Links to an external site.)
Honkavuo, L. (2021). Ethics simulation in nursing education: Nursing students‘ experiences. Nursing Ethics,
096973302199418. https://doi.org/10.1177/0969733021994188
Pozgar (2014) stated, “a conflict of interest involves situations where a person has the opportunity to promote self-interests that could have a
detrimental effect on an organization with which he or she has a special relationship” (p.285). I feel this situation perfectly depicts this statement.
I would not take the gift/trip from the company. I feel gifts such as these can confuse one’s ability to be objective when making a decision. When
making decisions such as the one Betty is making — one that affects many people — it is so important to be as objective as possible. I feel taking
this gift/trip would negatively impact Betty’s ability to remain neutral in this situation. “Making justified ethical decisions requires
healthcare professionals to know themselves and their motives, to ask good questions, to challenge the status quo, and to be continual learners”
(Butts, 2015, p.61). The Four Topics Method of ethical decision making — specifically the contextual features — was a helpful framework to use
when reflecting on this ethical issue (Butts, 2015, p.61).
“Disclosure of potential conflicts of interest should be made so that appropriate action may be taken to ensure that such conflict does not
inappropriately influence important organization and health care decisions” (Pozgar, 2014, p.285). My healthcare system has a detailed policy
outlining the guidelines regarding this situation — specifically, what a nurse can/cannot accept from a patient. Also, our healthcare
leaders complete annual disclosure of potential conflicts statements to ensure potential conflicts do not influence their work. I would recommend
all facilities have transparent policies regarding this issue.
References
Butts, J. B. (2015). Nursing Ethics (4th Edition). Jones & Bartlett Learning.
Pozgar, G. D. (2014). Legal and Ethical Issues for Health Professionals (4th Edition). Jones & Bartlett Learning.
NURS 521 Nursing Workplace Ethics Discussion and Responses
RUBRIC
QUALITY OF RESPONSE
NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
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