SMSU Department Of Nursing
NURS 300
Module 5
Ethics: Basic Concepts for Professional Nursing Practice
Description of Module: This module will provide the student with the opportunity to further
reflect on the values that impact professional nursing practice, while also considering morals,
ethics, and bioethics. Students will use the American Nurses Association Code of Ethics for
Nurses to provide direction surrounding an ethical dilemma.
Module Objectives:
1.
2.
3.
4.
Differentiate between values, morals, ethics, and bioethics.
Discuss the relevance of a code of ethics for the profession of nursing
Identify important ethical issues related to patient centered care and/or healthcare.
Reflect on the effect of ethical issues on nurses and other healthcare professionals.
Essentials: I, V, VIII, & IX
QSEN Competencies: Patient-Centered Care
Readings:
Black, B. P. (2020). Professional nursing: Concepts, and challenges (9th ed.). Elsevier.
Read Chapter 7: Ethics: Basic Concepts for Professional Nursing Practice
Callister, L. C., Luthy, K. E., Thompson, P., & Memmott, R. J. (2009). Ethical reasoning in
baccalaureate nursing students. Nursing Ethics, 16(4), 499-510.
doi:10.1177/0969733009104612. Ethical Reasoning in Baccalaureate Nursing Students
Carvalho, S., Reeves, M., & Orford, J. (2012). Relating your values, morals and ethics to nursing
practice. Independent Nurse, 1.
Trossman, S. (2014). Conscientious objection when care collides with nurses’ morals, ethics.
Virginia Nurses Today, 22(4), 16.
van der Hoek, A. (2020). Is political advocacy ethical for nurses? American Nurse Today, 15(7),
7.
Webster, L., & Wocial, L. D. (2020). Ethics in a pandemic. American Nurse Today, 15(9), 18–23.
Video:
Ethical Dilemma Paper Assignment Review Session Video
Resources:
American Nurses Association. (2015). Code of ethics for nurses: With interpretive statements.
ANA (available free through the SMSU McFarland Library e-books:
http://ssuproxy.mnpals.net/login?url=http://search.ebscohost.com/login.aspx?direct=true&db
=nlebk&AN=1021757&scope=site).
Assignments
1) Utilize Readings/Resources
2) Ethical Two Minute Paper Writing Activity (10 points)
This assignment is a freestyle writing assignment. The student creates an initial Ethical Two
Minute Paper, giving rapid feedback on one of the topics below. The student will spend two
minutes writing about one topic of their choice from the following list of questions.
Do you believe that (students will choose one topic):
a. Patients have the right to die or to commit suicide?
b. Abortion is ethical?
c. Medical use of marijuana should be legal?
d. Patients should always be told the truth?
e. Severely impaired newborns should be allowed to die?
f. You should donate your organs after death?
Following the completion of your Ethical Two Minute Paper, reflect on your writing,
thinking about how morals and values guided your response.
Following this time of reflection, add a reflection section to your Ethical Two Minute Paper
and discuss all of the following:
1) any morals that guided your thoughts
2) any values that guided your response
3) how moral reasoning guided your response (pages 144-146 in your Black text may help
you)
4) how the American Nurses Association Code of Ethics for Nursing would guide you
through this question
5) any conflicting feelings you feel regarding the topic you chose
This is a freestyle writing assignment. No references or APA formatting are required.
Suggested Paper Format
Student Name: ______________________________
1. Initial Two Minute Paper Section
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
2. Reflection Section
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Points for Writing Assignment (see Ethical Dilemma Two Minute Paper Grading Rubric in
Appendix C of NURS 300 Syllabus)
5 points for Ethical Two Minute Paper about one topic – paper should demonstrate
which portion of the paper is the Ethical Two Minute Paper.
1 point for discussion of morals guiding the student’s thoughts.
1 point for discussion of values guiding the student’s thoughts.
1 point for how moral reasoning guided the student’s thoughts.
1 points for discussing how the American Nurses Association Code of Ethics would guide
the student through these topics.
1 point for discussing conflicting feelings.
Place this assignment in the NURS 300 Module 5 Ethical Two Minute Paper Writing Assignment
Dropbox.
3) Ethical Dilemma Paper
a.
The Ethical Dilemma Paper due date is on the NURS 300 calendar. Please take
this time to look at the upcoming due date and at the grading rubric for the
paper to think about a topic for this assignment. The grading rubric is available in
the NURS 300 Syllabus – Appendix D. It is also provided below at the bottom of
this module.
b.
I’d be glad to talk to students about their topic selections, if that would be
helpful. An Ethical Dilemma Paper Assignment Review Session Video is available
in this module. Students should review the recording to prepare for this
assignment.
c. Reminder that students have many APA formatting resources available to them.
To name a few:
• APA PowerPoint Presentation and resources in NURS 300 Table of Contents
• RN to BSN Program Information Center (Course listed in student’s D2L
Brightspace Course listings) – go to Materials, Content, and then APA
Format Resources
• SMSU McFarland Library Research Guides, Nursing Program, Citing in APA
Format
•
Please remember that using programs that have citation shortcuts for
students to cut and paste do not assure accurate APA formatting- so please
double check them
4) Resources
Again, as students create their Ethical Dilemma Paper, they have an opportunity for a
draft review of their paper. This is totally optional. If they would like a draft review of
their paper, they need to please place the rough draft of their paper in the Ethical
Dilemma Paper Draft Assignment Dropbox by the due date on the NURS 300 calendar.
Again this is totally optional, but most students who use the draft review resource tend
to be more satisfied with the end result of their paper. The student’s paper does not
have to be fully developed to be submitted. A rough draft may be submitted. Also, the
rough draft of the paper will not be evaluated for APA style or writing quality - as
students may connect with the SMSU Writing Center, or Tutor.com, for that. The draft
review will give students general guidance for the content of their paper. It is optional
for students to request a draft review of their Ethical Dilemma Paper.
5) Again - Upcoming Standards of Professional Nursing Practice Assignment – Opportunity to
Collaborate in Teams for this assignment at the end of the semester.
I will make note of this again this week. Students will have the option to work alone or
collaborate as teams for the Standards of Professional Nursing Practice Assignment that
will be due Week 14 in NURS 300. Students have started to get to know each other over
the past three weeks of NURS 300. They will continue to get to know each other
throughout the remainder of NURS 300. If they would like to collaborate together as a
team, they may start creating teams. I will give them until the end of Week 8 in NURS
300 to create teams for this upcoming assignment.
To learn more about this assignment, and the opportunity to collaborate as teams,
please see the Standards of Professional Nursing Practice Resource Module provided in
the NURS 300 table of contents (between Module 13 and Module 14).
Here is information regarding team creation.
1) Create a team of no more than 5 students (2-5 students).
2) Let faculty member know the members of the team prior to the end of Week 8.
3) View the Mustang Nursing Learning Team Compact Review Video found in the
Standards of Professional Nursing Practice Resource Module provided in the
NURS 300 table of contents (between Module 13 and Module 14).
4) The teams must complete a Mustang Nursing Learning Team Compact form and
provide the faculty member with this form by the end of Week 8 (for
convenience, the Mustang Nursing Learning Team Compact form and
assignment dropbox will be available in the NURS 300 modules each week
through Module 8).
5) These teams will not be changed following submission of team members and the
Mustang Nursing Learning Team Compact.
6) Each member of the team will complete a Mustang Nursing Learning Team
Evaluation form upon completion and submission of the Standards of
Professional Nursing Practice Assignment during Week 14. No grade will be
granted until all members of the team have submitted the Mustang Nursing
Learning Team Evaluation.
Updated 9-14-20
______________________________________________________________________________
Appendix D - Ethical Dilemma Paper
Each student will use the provisions in the American Nurses Association Code of Ethics for Nurses and
write a paper about an ethical dilemma. The paper will begin with an ethical dilemma the nurse has been
part of, witnessed in their practice as a nurse, or learned about through professional literature. After
explaining the ethical dilemma, the student will use ethical provisions and ethical principles to help guide
the decision making surrounding their ethical dilemma. The paper will reflect information literacy by the
student accessing, utilizing, formatting, citing, and documenting relevant resources accurately and
correctly. Pages 156-158 in the Black (2020) text will give the student a suggested format to use in their
paper development, following the Ethical Decision-Making Model. APA Format and editorial style must
be used. Avoid plagiarism by adhering to the rules for paraphrasing, summarizing, and the use of
quotations, as well as the conventions for incorporating information from Internet-based resources.
Objective: Student will examine the American Nurses Association Code of Ethics for Nurses as a guide
for nursing practice. Student will demonstrate critical thinking as a professional nurse through application
of the professional values of human dignity, integrity, autonomy, altruism, and social justice in the care of
clients.
Topic
Excellent
Satisfactory
Unsatisfactory
Ethical Dilemma is
described in 3 parts
a. Complete
identification of an
ethical dilemma where
an individual must
make a decision about
a course action that will
be taken (4 pts)
b. Described different
courses of action to
choose from for ethical
dilemma (more than
one) (4 pts)
c. Described an
understanding that
there is not a perfect
solution to ethical
dilemma (4 pts)
a. Partial identification
of an ethical dilemma
where an individual
must make a decision
about a course action
that will be taken
(2 pts)
b. Described one course
of action for ethical
dilemma (2 pts)
c. Unclear that only one
specific solution will
solve ethical dilemma
(2 pts)
a. No identification of
an ethical dilemma
where an individual
must make a decision
about a course action
that will be taken
(0 pts)
b. No description of
different courses of
action for ethical
dilemma (0 points)
c. Unable to describe
that there is no perfect
solution to ethical
dilemma (0 pts)
Additional data and
Additional data is
gathered and
Additional data is not
thoroughly described
No description of
additional data and no
Topic
Excellent
Satisfactory
Unsatisfactory
legal precedents
thoroughly described,
including legal
precedents related to
the situation. If no legal
precedents pertain to
ethical dilemma, this is
noted in description
(4 pts)
and/or legal precedents
related to the situation
are not described
(2 pts)
description of legal
precedents related to
the situation (0 pts)
Options for solutions
are identified
Multiple options for
solutions are identified
to effectively address
the ethical dilemma,
challenging student’s
own point of view
while recognizing
opposing viewpoints
about the dilemma.
Demonstrates a
willingness to work
through complexities
and frustration inherent
in thinking through
different views on
ethical dilemma (4 pts)
A single option for
solutions is identified
to effectively address
the ethical dilemma
without challenging
student’s own point of
view and recognizing
opposing viewpoints
about the dilemma
(2 pts)
No options for solutions
are identified (0 pts)
Moral reasoning
Identification of moral
reasoning that impacts
decision making
surrounding the ethical
dilemma, specifically
identifying the
person(s) experiencing
this moral reasoning
(4 pts)
Identification of moral
reasoning that impacts
decision making
surrounding the ethical
dilemma does not
specifically identifying
the person(s)
experiencing this moral
reasoning (2 pts)
No identification of
moral reasoning (0 pts)
Ethical theories
Able to justify options
for solutions by
identifying ethical
theories significant to
the ethical dilemma
(4 pts)
Able to justify options
for solutions by
identifying ethical
principles significant to
the ethical dilemma
Identified ethical
theories not significant
to the ethical dilemma
(2 pts)
No ethical theories
identified (0 pts)
Identified ethical
principles not
significant to the
ethical dilemma (2 pts)
No ethical principles
identified (0 pts)
Ethical principles
Topic
Excellent
Satisfactory
Unsatisfactory
(4 pts)
Course of action
Describes how a course
of action is/would be
carried out to address
the ethical dilemma,
including expected
outcomes for the course
of action (4 pts)
Partially describes how
a course of action
is/would be carried out
to address the ethical
dilemma and/or does
not include expected
outcomes for the course
of action (2 pts)
No course of action
described (0 pts)
Professional values of
human dignity,
integrity, autonomy,
altruism, and social
justice
Describes how each of
the professional values
of human dignity,
integrity, autonomy,
altruism, and social
justice are applied by
the civically
responsible
professional nurse
involved in this ethical
dilemma (5 pts)
Describes does not
include each of the
professional values of
human dignity,
integrity, autonomy,
altruism, and social
justice are applied by
the civically
responsible
professional nurse
involved in this ethical
dilemma (1 pt.
deduction for each
value not described)
No professional values
described (0 pts)
Provisions in the
American Nurses
Association (ANA)
Code of Ethics for
Nurses
Describes provisions in
the American Nurses
Association (ANA)
Code of Ethics for
Nurses that could be
violated in this Ethical
Dilemma (4 pts)
Describes provisions in
the American Nurses
Association (ANA)
Code of Ethics for
Nurses without
addressing which
provisions could be
violated in this Ethical
Dilemma (2 pts)
No description of the
Nurses Association
(ANA) Code of Ethics
for Nurses provisions
(0 pts)
Opinions/ assumptions
Describes previous
opinions about ethical
dilemma and hidden
assumptions that are
now recognized (3 pts)
Describes previous
opinions about ethical
dilemma but does not
identify hidden
assumptions (1.5 pts)
Does not describe
opinions or hidden
assumptions (0 pts)
Title page
Title page includes
page number, title,
student name,
institution, course
number and name,
instructor name, and
assignment due date
(2 pts)
Title page includes
some, but not all, of the
following: page
number, title, student
name, institution,
course number and
name, instructor name,
and assignment due
Does not include a title
page (0 pts)
Topic
Excellent
Satisfactory
Unsatisfactory
date (1 pt)
Organization
Organization is clear
and coherent; order and
structure are present;
clear sequencing and
paragraphing; develops
introduction and
conclusion (5 pts)
Organization is
partially clear without
order and structure; no
introduction and
conclusion (2.5 pts)
Lack of organization
throughout paper (0 pts)
APA formatting
Formats, cites, and
documents a reference
list for resources used
with minimal APA
formatting errors
(5 pts)
Lacking citations,
incomplete or no
reference list for
resources used, and/or
several APA formatting
errors (2.5 pts)
No use of APA
formatting (0 pts)
Supporting details
Supporting details are
suitable to the practice
of nursing; references
drawn from external
sources are synthesized
and integrated into the
text. Reasoning is
sound and does not
contain logical fallacies
(3 pts)
Contains rare
punctuation, spelling,
and/or capitalization
errors (3 pts)
Supporting details are
not suitable to the
practice of nursing;
references drawn from
external sources are not
synthesized and
integrated into the text.
Reasoning contains
logical fallacies
(1.5 pts)
Contains several
punctuation, spelling,
and/or capitalization
errors (1.5 pts)
No supporting details
throughout paper (0 pts)
Writing clarity
Writing is clear and
focused. Reader can
easily understand the
main idea. The main
idea is incorporated
into the text in a
manner appropriate for
the practice of nursing
(4 pts)
Writing is lacking
clarity and focus.
Reader cannot easily
understand the main
idea. The main idea is
not incorporated into
the text in a manner
appropriate for the
practice of nursing
(2 pts)
No clarity or focus
(0 pts)
Professional journals
Accesses and uses two
professional journal
articles to demonstrate
information literacy
(5 pts)
Accesses and uses one
professional journal
article to demonstrate
information literacy
(2.5 pts)
Uses no professional
journal articles (0 pts)
American Nurses
Accesses and uses
Uses American Nurses
Does not use Accesses
Writing mechanics
Contains many
punctuation, spelling,
and/or capitalization
errors (0 pts)
Topic
Association Code of
Ethics for Nurses
Black (2020)
Paper length
Total points
Excellent
Satisfactory
Unsatisfactory
American Nurses
Association Code of
Ethics for Nurses as
reference. Material
drawn from this
reference is synthesized
and integrated into the
paper (4 pts)
Accesses and uses
Black (2020) text as
reference. Material
drawn from this
reference is synthesized
and integrated into the
paper (4 pts)
Paper is a minimum of
5 pages in length, not
including the title page
and reference list. No
abstract is necessary
(2 pts)
Association Code of
Ethics for Nurses as
reference but does not
synthesize aptly in
paper (2 pts)
and uses American
Nurses Association
Code of Ethics for
Nurses as reference
(0 pts)
Uses Black (2020) text
as reference. Material
as reference but does
not synthesize aptly in
paper (2 pts)
Does not use Black
(2020) text as reference
(0 pts)
Paper is 2-4 pages in
length, not including
the title page and
reference list. No
abstract is necessary
(1 pts)
Paper is 1 pages in
length, not including
the title page and
reference list (0 pts)
85 points total
References
American Nurses Association (2015). Code of ethics for nurses: With interpretive
statements. ANA.
Black, B. P. (2020). Professional nursing: Concepts and challenges (9th ed.). Elsevier.
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