NURS 6221 Discussion Incident in the ER

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NURS 6221 Discussion Incident in the ER

NURS 6221 Discussion Incident in the ER


A nurse executive’s leadership in ethical decision making is vital. This is true across the board but never more so than in situations where competing voices and priorities and a sense that timing is critical converge in ways that may be detrimental for a patient and staff.

This Discussion is based on a dramatic scenario that offers two takes on the same emergency room.

m case. As you watch and listen, consider how this Discussion can offer valuable preparation and perspective for high stakes decision making, as well as analyzing factors that influence the decisions of others.

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To Prepare:

Review the readings and videos in the Learning Resources on responding to legal and ethical issues in a healthcare setting.

The focus of your Discussion is the two-part video, Incident in the ER, in the Learning Resources. Follow this approach to viewing and reflecting on each part:

View Part 1. Consider the events portrayed, the particular influences and pressures on the healthcare team, their responses and decision-making process, and your insights on the organizational culture from those actions.

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View Part 2. Consider the alternative scenario presented. Apply the same process as you followed in Part 1 to analyze the decision-making process, and consider what can explain the different outcome from Part 1.

Reflect on the legal and ethical issues illustrated in these two scenarios. As a nurse executive, what principles can you garner from this comparison to guide your legal and ethical decision making in a healthcare setting? How would you use your leadership role to guide others in positions of power and decision making on patient care and team interaction?

By Day 3 of Week 10

Post the following:

A brief explanation of the issues and considerations at work in the Incident in the ER scenarios. Explain the lesson(s) you see illustrated in this comparison and the principle(s) that you would identify to guide legal and ethical decision making in healthcare settings. From a leadership perspective, explain your recommendations for nurse executives on safeguards to avoid “incidents” like that portrayed in Part 1 and responses to ensure the outcome in Part 2. Support your post with Learning Resources or current literature.

Read a selection of your colleagues’ responses.

By Day 6 of Week 10

Respond to at least two of your colleagues on two different days by agreeing or disagreeing with their interpretation of the scenarios and providing alternative recommendations for responses and actions as nurse executive. Support your ideas with Learning Resources or current literature.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link, and then select Create Thread to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

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