Family Nurse Practitioner (FNP) track, your ethics case analysis should relate to primary care or critical care situations that involve real ethical dilemmas. Here are a few strong, relevant topics you can choose from—each meets
Family Nurse Practitioner (FNP) track, your ethics case analysis should relate to primary care or critical care situations that involve real ethical dilemmas. Here are a few strong, relevant topics you can choose from—each meets the criteria for an ethical conflict and ties into your specialty:
2. Parental Refusal of Life-Saving Treatment for a Child (e.g., Jehovah’s Witness refusing blood transfusion)
- Ethical Conflict: Parental rights vs. provider’s duty to save life.
- Why it fits: Choosing to honor religious beliefs may result in the child’s death; overriding the parents may violate cultural/religious freedom.
- Stakeholders: Child, parents, healthcare provider, legal system, ethics board.
3. Treating Undocumented Immigrants Who Cannot Pay
- Ethical Conflict: Justice (fair resource distribution) vs. beneficence (providing care).
- Why it fits: You must choose between providing care despite lack of payment or refusing to help due to limited resources.
- Stakeholders: Patient, provider, hospital administration, other patients, community.
4. Prescribing Opioids for Chronic Pain vs. Risk of Addiction
- Ethical Conflict: Beneficence (relieving pain) vs. nonmaleficence (risk of harm).
- Why it fits: FNP must weigh risk of addiction against patient’s suffering.
- Stakeholders: Patient, provider, pharmacy, regulatory bodies, family.
5. End-of-Life Decision: DNR in a Confused or Intubated Patient Without a Proxy
- Ethical Conflict: Autonomy vs. beneficence/nonmaleficence.
- Why it fits: When the patient cannot speak and there’s no decision-maker, you must decide whether to continue aggressive treatment.
- Stakeholders: Patient, provider, ethics committee, staff, legal system.
case analysis provides you with the opportunity to critically analyze a situation of ethical conflict related to APN practice. This assignment requires you to begin to incorporate pieces of the Ethics Toolbox (moral theories and ethical principles) in your analysis to articulate different ways to think about the case. (We will add provisions of the ANA Code of Ethics in a later assignment). The analysis includes an unambiguous statement of the ethically correct action. The case analysis is worth 100 points and 20% of the course grade. The grading rubric is provided. APA format is required.
Select a Topic
The following are possible topics for your Ethics Case Analysis. You may choose another topic not on this list as long as it meets the definition of a situation of ethical conflict. You do not need to obtain instructor approval for a topic.
- Pediatrics—Autonomy, Advocacy. Decision-making for children, Refusal of medical intervention, Interventions with questionable medical indication, Care of extremely premature neonates.
- OB/Gyn—Family planning, Reproductive health for adolescents, Elective c-sections on request, Sterilization (of persons with diminished capacity), Prenatal testing, Substance and alcohol abuse, Home births, Assisted reproductive technologies, Fertility treatment (transgender, experimental, unconventional).
- Mental Health—Involuntary commitment, Suicidal patients, Those who are dangerous to others, Refusal of treatment.
- Acute Care—Refusal of treatment, Organ transplantation (living and cadaveric organs, recipient selection).
- Public Health—Emergencies (anthrax, SARS, TB, Ebola), Refusal of public health interventions, Requests for interventions that are not recommended, Vaccinations (childhood, outbreak, HPV), Access to health care for undocumented immigrants.
- Genomic Testing—Disclosure of results, Genetic discrimination, Genetic enhancement.
- End of Life—Insistence on life-sustaining interventions… by patients or physicians, Advanced directives, Surrogate decision-making, Compassionate use of experimental drugs prior to FDA approval.
Choose something that you are interested in, as you will carry this topic through Assignment 7.1, Activity 9.1, and Discussion 10.1.
Also, this list of ideas can be used for your Current Topics presentation in Week 12; however, the topics must be different from your original Ethics Case Analysis and be related to the specialty track that you are in.
Format
Write concisely and in a scholarly manner. Do not exceed five double-spaced pages (excluding Title Page and References). The instructor will stop reading at the bottom of page five. APA, 7th edition, professional paper formatLinks to an external site. is required for the title page, citations, references, and headings (no author’s note and abstract are required). Organize your paper under the following headings. Use the suggested page allocations below as a guide.
The Ethics Case Analysis contains four sections:
- Situation of ethical conflict (1/2 page)
- Briefly, identify the topic you chose for this assignment and explain why the topic meets the definition of a situation of ethical conflict. (The Oxford English Dictionary defines an ethical conflict as “a situation in which a person must choose between two courses of action of (apparent) equal moral importance so that the choice necessarily entails the transgression of an important moral principle.” In other words, each of the two actions is problematic and may lead to undesirable outcomes.)
- Concisely describe some undesirable outcomes with both actions to illustrate why your topic meets the definition of ethical conflict.
- Stakeholders (1 page)
- Identify the stakeholders. (The Merriam-Webster Dictionary defines a stakeholder as “one who is involved in or affected by a course of action.”)
- Discuss possible values, beliefs, and interests that may influence the perceptions of the stakeholders about the ethical conflict. For example, depending on your topic, factors that may influence how a stakeholder views the situation may include religion, culture, professional identity, institutional values, and societal norms or beliefs.
- Critical analysis (includes alternative ways of thinking about the issue) (3 pages)
- This is the most substantive section of the assignment. Analyze the situation of ethical conflict identified in the first section using moral theories and ethical principles relevant to your topic. Organize this section using these headings:
- Moral theories (consequentialist, deontology, virtue ethics, rights theory)
- Ethical principles (autonomy, beneficence, nonmaleficence, justice)
- You are expected to effectively utilize all of the moral theories and ethical principles in a well-developed and scholarly analysis of the situation of ethical conflict that illustrates how the elements of the Ethics Toolbox provide guidance in the situation.
- Be sure and articulate how proponents and opponents can use the same moral theories and ethical principles to support their perspectives.
- This is the most substantive section of the assignment. Analyze the situation of ethical conflict identified in the first section using moral theories and ethical principles relevant to your topic. Organize this section using these headings:
- Conclusion (1/2 page)
- Begin this section by unequivocally stating the ethically correct action in one sentence.
- Then, summarize the moral theories and ethical principles that were most persuasive to you in arriving at the ethically correct action for your topic (e.g., why they made the strongest case for whether the practice is ethical or not ethical).
- Do not re-state the entire case you made in the analysis section.
Exemplars
In this course, you will not be graded on the decision you make as to whether an action is ethical or unethical. You will be graded on showing the depth of your understanding of the moral theories and ethical principles presented in this course, and how each side can use these same concepts to support their stance. Two exemplars demonstrating this are provided here for you, which should help you but also means that you cannot choose this topic [abortion, includes termination of any pregnancy, at any point, for any reason] for this course.
Example 1
case analysis provides you with the opportunity to critically analyze a situation of ethical conflict related to APN practice. This assignment requires you to begin to incorporate pieces of the Ethics Toolbox (moral theories and ethical principles) in your analysis to articulate different ways to think about the case. (We will add provisions of the ANA Code of Ethics in a later assignment). The analysis includes an unambiguous statement of the ethically correct action. The case analysis is worth 100 points and 20% of the course grade. The grading rubric is provided. APA format is required.
Select a Topic
The following are possible topics for your Ethics Case Analysis. You may choose another topic not on this list as long as it meets the definition of a situation of ethical conflict. You do not need to obtain instructor approval for a topic.
- Pediatrics—Autonomy, Advocacy. Decision-making for children, Refusal of medical intervention, Interventions with questionable medical indication, Care of extremely premature neonates.
- OB/Gyn—Family planning, Reproductive health for adolescents, Elective c-sections on request, Sterilization (of persons with diminished capacity), Prenatal testing, Substance and alcohol abuse, Home births, Assisted reproductive technologies, Fertility treatment (transgender, experimental, unconventional).
- Mental Health—Involuntary commitment, Suicidal patients, Those who are dangerous to others, Refusal of treatment.
- Acute Care—Refusal of treatment, Organ transplantation (living and cadaveric organs, recipient selection).
- Public Health—Emergencies (anthrax, SARS, TB, Ebola), Refusal of public health interventions, Requests for interventions that are not recommended, Vaccinations (childhood, outbreak, HPV), Access to health care for undocumented immigrants.
- Genomic Testing—Disclosure of results, Genetic discrimination, Genetic enhancement.
- End of Life—Insistence on life-sustaining interventions… by patients or physicians, Advanced directives, Surrogate decision-making, Compassionate use of experimental drugs prior to FDA approval.
Choose something that you are interested in, as you will carry this topic through Assignment 7.1, Activity 9.1, and Discussion 10.1.
Also, this list of ideas can be used for your Current Topics presentation in Week 12; however, the topics must be different from your original Ethics Case Analysis and be related to the specialty track that you are in.
Format
Write concisely and in a scholarly manner. Do not exceed five double-spaced pages (excluding Title Page and References). The instructor will stop reading at the bottom of page five. APA, 7th edition, professional paper formatLinks to an external site. is required for the title page, citations, references, and headings (no author’s note and abstract are required). Organize your paper under the following headings. Use the suggested page allocations below as a guide.
The Ethics Case Analysis contains four sections:
- Situation of ethical conflict (1/2 page)
- Briefly, identify the topic you chose for this assignment and explain why the topic meets the definition of a situation of ethical conflict. (The Oxford English Dictionary defines an ethical conflict as “a situation in which a person must choose between two courses of action of (apparent) equal moral importance so that the choice necessarily entails the transgression of an important moral principle.” In other words, each of the two actions is problematic and may lead to undesirable outcomes.)
- Concisely describe some undesirable outcomes with both actions to illustrate why your topic meets the definition of ethical conflict.
- Stakeholders (1 page)
- Identify the stakeholders. (The Merriam-Webster Dictionary defines a stakeholder as “one who is involved in or affected by a course of action.”)
- Discuss possible values, beliefs, and interests that may influence the perceptions of the stakeholders about the ethical conflict. For example, depending on your topic, factors that may influence how a stakeholder views the situation may include religion, culture, professional identity, institutional values, and societal norms or beliefs.
- Critical analysis (includes alternative ways of thinking about the issue) (3 pages)
- This is the most substantive section of the assignment. Analyze the situation of ethical conflict identified in the first section using moral theories and ethical principles relevant to your topic. Organize this section using these headings:
- Moral theories (consequentialist, deontology, virtue ethics, rights theory)
- Ethical principles (autonomy, beneficence, nonmaleficence, justice)
- You are expected to effectively utilize all of the moral theories and ethical principles in a well-developed and scholarly analysis of the situation of ethical conflict that illustrates how the elements of the Ethics Toolbox provide guidance in the situation.
- Be sure and articulate how proponents and opponents can use the same moral theories and ethical principles to support their perspectives.
- This is the most substantive section of the assignment. Analyze the situation of ethical conflict identified in the first section using moral theories and ethical principles relevant to your topic. Organize this section using these headings:
- Conclusion (1/2 page)
- Begin this section by unequivocally stating the ethically correct action in one sentence.
- Then, summarize the moral theories and ethical principles that were most persuasive to you in arriving at the ethically correct action for your topic (e.g., why they made the strongest case for whether the practice is ethical or not ethical).
- Do not re-state the entire case you made in the analysis section.
Exemplars
In this course, you will not be graded on the decision you make as to whether an action is ethical or unethical. You will be graded on showing the depth of your understanding of the moral theories and ethical principles presented in this course, and how each side can use these same concepts to support their stance. Two exemplars demonstrating this are provided here for you, which should help you but also means that you cannot choose this topic [abortion, includes termination of any pregnancy, at any point, for any reason] for this course.
case analysis provides you with the opportunity to critically analyze a situation of ethical conflict related to APN practice. This assignment requires you to begin to incorporate pieces of the Ethics Toolbox (moral theories and ethical principles) in your analysis to articulate different ways to think about the case. (We will add provisions of the ANA Code of Ethics in a later assignment). The analysis includes an unambiguous statement of the ethically correct action. The case analysis is worth 100 points and 20% of the course grade. The grading rubric is provided. APA format is required.
Select a Topic
The following are possible topics for your Ethics Case Analysis. You may choose another topic not on this list as long as it meets the definition of a situation of ethical conflict. You do not need to obtain instructor approval for a topic.
- Pediatrics—Autonomy, Advocacy. Decision-making for children, Refusal of medical intervention, Interventions with questionable medical indication, Care of extremely premature neonates.
- OB/Gyn—Family planning, Reproductive health for adolescents, Elective c-sections on request, Sterilization (of persons with diminished capacity), Prenatal testing, Substance and alcohol abuse, Home births, Assisted reproductive technologies, Fertility treatment (transgender, experimental, unconventional).
- Mental Health—Involuntary commitment, Suicidal patients, Those who are dangerous to others, Refusal of treatment.
- Acute Care—Refusal of treatment, Organ transplantation (living and cadaveric organs, recipient selection).
- Public Health—Emergencies (anthrax, SARS, TB, Ebola), Refusal of public health interventions, Requests for interventions that are not recommended, Vaccinations (childhood, outbreak, HPV), Access to health care for undocumented immigrants.
- Genomic Testing—Disclosure of results, Genetic discrimination, Genetic enhancement.
- End of Life—Insistence on life-sustaining interventions… by patients or physicians, Advanced directives, Surrogate decision-making, Compassionate use of experimental drugs prior to FDA approval.
Choose something that you are interested in, as you will carry this topic through Assignment 7.1, Activity 9.1, and Discussion 10.1.
Also, this list of ideas can be used for your Current Topics presentation in Week 12; however, the topics must be different from your original Ethics Case Analysis and be related to the specialty track that you are in.
Format
Write concisely and in a scholarly manner. Do not exceed five double-spaced pages (excluding Title Page and References). The instructor will stop reading at the bottom of page five. APA, 7th edition, professional paper formatLinks to an external site. is required for the title page, citations, references, and headings (no author’s note and abstract are required). Organize your paper under the following headings. Use the suggested page allocations below as a guide.
The Ethics Case Analysis contains four sections:
- Situation of ethical conflict (1/2 page)
- Briefly, identify the topic you chose for this assignment and explain why the topic meets the definition of a situation of ethical conflict. (The Oxford English Dictionary defines an ethical conflict as “a situation in which a person must choose between two courses of action of (apparent) equal moral importance so that the choice necessarily entails the transgression of an important moral principle.” In other words, each of the two actions is problematic and may lead to undesirable outcomes.)
- Concisely describe some undesirable outcomes with both actions to illustrate why your topic meets the definition of ethical conflict.
- Stakeholders (1 page)
- Identify the stakeholders. (The Merriam-Webster Dictionary defines a stakeholder as “one who is involved in or affected by a course of action.”)
- Discuss possible values, beliefs, and interests that may influence the perceptions of the stakeholders about the ethical conflict. For example, depending on your topic, factors that may influence how a stakeholder views the situation may include religion, culture, professional identity, institutional values, and societal norms or beliefs.
- Critical analysis (includes alternative ways of thinking about the issue) (3 pages)
- This is the most substantive section of the assignment. Analyze the situation of ethical conflict identified in the first section using moral theories and ethical principles relevant to your topic. Organize this section using these headings:
- Moral theories (consequentialist, deontology, virtue ethics, rights theory)
- Ethical principles (autonomy, beneficence, nonmaleficence, justice)
- You are expected to effectively utilize all of the moral theories and ethical principles in a well-developed and scholarly analysis of the situation of ethical conflict that illustrates how the elements of the Ethics Toolbox provide guidance in the situation.
- Be sure and articulate how proponents and opponents can use the same moral theories and ethical principles to support their perspectives.
- This is the most substantive section of the assignment. Analyze the situation of ethical conflict identified in the first section using moral theories and ethical principles relevant to your topic. Organize this section using these headings:
- Conclusion (1/2 page)
- Begin this section by unequivocally stating the ethically correct action in one sentence.
- Then, summarize the moral theories and ethical principles that were most persuasive to you in arriving at the ethically correct action for your topic (e.g., why they made the strongest case for whether the practice is ethical or not ethical).
- Do not re-state the entire case you made in the analysis section.
Exemplars
In this course, you will not be graded on the decision you make as to whether an action is ethical or unethical. You will be graded on showing the depth of your understanding of the moral theories and ethical principles presented in this course, and how each side can use these same concepts to support their stance. Two exemplars demonstrating this are provided here for you, which should help you but also means that you cannot choose this topic [abortion, includes termination of any pregnancy, at any point, for any reason] for this course.
Example
Posted also
Rubric
NUR6272:
Ethics Case Analysis Grading Rubric |
||
Criteria |
Ratings |
Pts |
Description
of situation of ethical conflict (10 points) |
10
to >9.2 pts Noteworthy Situation
of ethical conflict is succinctly described, and why it meets the definition
for a situation of ethical conflict is clear. Identifies “undesirable
outcomes” that could occur with both actions to resolve the conflict. 9.2
to >8 pts Meets
Expectations Situation
of ethical conflict is adequately described, but some potential “undesirable
outcomes” that make it a situation of ethical conflict are omitted. 8 to
>0 pts Needs
Improvement Description
of situation of ethical conflict does not reflect the definition of a
situation of ethical conflict. |
/ 10
pts |
Stakeholders
& contextual factors (15 points) |
15
to >13.9 pts Noteworthy Identifies
all stakeholders and briefly addresses how they may view the situation.
Addresses if religion, culture, values, beliefs, professional identity, or
institutional, societal, or political factors may influence stakeholders'
views. 13.9
to >12.1 pts Meets
Expectations Stakeholders
are identified (one stakeholder may be missing). Analysis of how stakeholders
may view the situation is adequate but may omit a contextual factor. 12.1
to >0 pts Needs
Improvement 2 or
more stakeholders are missing and how stakeholders may view the situation is
not adequately addressed. |
/ 15
pts |
Analysis
1 (20 points) |
20
to >18.5 pts Noteworthy Effectively
utilizes all four moral theories and all four ethical principles in a
well-developed analysis of one perspective related to the situation of
ethical conflict. 18.5
to >16.1 pts Meets
Expectations Adequately
uses moral theories and ethical principles to analyze the situation of
ethical conflict but some theories or principles are missing or the argument
could be stronger. 16.1
to >0 pts Needs
Improvement Scant
or ineffective use of moral theories and ethical principles in the analysis. |
/ 20
pts |
Analysis
2 (20 points) |
20
to >18.5 pts Noteworthy Effectively
utilizes all four moral theories and all four ethical principles in a
well-developed analysis on the alternative perspective related to the situation
of ethical conflict. 18.5
to >16.1 pts Meets
Expectations Alternative
ways of looking at the situation are explained, but an important alternative
perspective is missing. 16.1
to >0 pts Needs
Improvement Alternative
ways of looking at the situation are only vaguely addressed or left out
completely. |
/ 20
pts |
Ethically
correct action (5 points) |
5 to
>4.6 pts Noteworthy Clear,
succinct, and unambiguous statement of the ethically correct action. 4.6
to >4 pts Meets
Expectations Statement
of the ethically correct action may leave room for other action. 4 to
>0 pts Needs
Improvement The
ethically correct action is not stated. |
/ 5
pts |
Conclusion
(10 points) |
10
to >9.2 pts Noteworthy Concise
summary of the theories and principles on which the position for the
ethically correct action rests, clearly linked to the previous analysis. 9.2
to >8 pts Meets
Expectations Rationale
for the ethically correct action adequately reflects the moral theories and
ethical principles in the analysis, but based on the preceding analysis, a
theory or principle appears to be missing. 8 to
>0 pts Needs
Improvement This
section of the analysis discusses moral theories and ethical principles
unrelated or only vaguely related to the previous analysis. |
/ 10
pts |
APA format
(10 points) |
10
to >9.2 pts Noteworthy No or
minimal (1–2) errors in grammar, punctuation, and spelling. Consistent use of
correct APA format for citations. Reference list utilizes correct APA format
and contains all references in the paper. 9.2
to >8 pts Meets
Expectations Some
(3–5) errors in grammar, punctuation, and spelling. Some instances of
incorrect APA format for citations. Some incorrect APA format in references. 8 to
>0 pts Needs
Improvement Numerous
errors in grammar, punctuation, and spelling. Citations are missing or there
are numerous instances of incorrect APA format for citations. Contains
missing references or numerous incorrect APA format for references. |
/ 10
pts |
Supporting
evidence (10 points) |
10
to >9.2 pts Noteworthy References
six (6) or more relevant peer-reviewed journals, not a part of the assigned
reading articles in the post, and incorporates assigned reading. 9.2
to >8 pts Meets
Expectations References
three to five (3–5) or more relevant peer-reviewed journal articles in post
not a part of the assigned reading, and incorporates assigned reading. 8 to
>0 pts Needs
Improvement References
less than three (3) relevant peer-reviewed journal article in post, or
assigned reading is not included. |
/ 10
pts |
Total
Points: 0 |