(2023-24 FA) NURS 516 A - Lgl & Eth Prin to Hlth Care Ldrshp

Week 8: October 16 - Legal & Ethical Issues Related to Organizations & Staff

• Week 8: October 16 - Legal & Ethical Issues Related to Organizations & Staff

  • Select activity This week we will dig deeper into a leader's role ...

    This week we will dig deeper into a leader's role in creating legal & ethical work cultures. We will especially focus on several specific models for creating better work cultures. We will also examine professional codes of ethics in relation to an ethical culture but more focused on an individual professional's responsibility to foster a legal & ethical environment.
    

    The reading list is a little long today, however, I wanted to provide you with some examples of how nurse leaders have developed programs for creating a more ethical environment. Unfortunately, they are all hospital based but can be applicable with variation in any setting. And could serve as a seed to your MSN capstone project later on. I do recognize that some of the articles are older, but they provide excellent food for thought - and I believe are still excellent models for implementation in 2023.

    Reminder that we meet by Zoom on Thursday, October 26 at 7pm to review another case. I will also talk about Assignment #2 at that zoom session. If you attend the Zoom session I am forgoing the reflective forum for that week.
    

    Week 8 Learning Objectives
    
    

    Readings & Forum for Week 8.

    1. Darr - chapter 7 as well as chapter 4 (codes of ethics),  and applicable codes in Appendix B of Darr: Nursing (page 426); Medicine (pp 414, 422); Administrators (pp. 415-421)
       
    2. Grant & Ballard - chapter 4 (2011) or chapter 10 (2018)
    3. Article by Helft et al., (2009)
    4. Article by Rushton et al., (2021)
    5. Article by Epstein et al (2023)
    6. Watch video on the Hospital of the University of PA program regarding creation of an ethics culture through the shared governance infrastructure. Feel free to skim their article as well.
    7. ANA code of ethics - 2015- document from the California ANA
       
    8. Read Week 8 case that will be explored in our discussion forum.
    9. Participate in forum discussion for this week. Read case study included below.
       

    Week 8 References
    

  • Select activity Week 8 - Legal & Ethical Issues Related to Organizations and Staff

    

    Week 8 - Legal & Ethical Issues Related to Organizations and Staff Forum

    1. Case Study from American Nurse Regarding Staffing
    If you can – forget that you have read the “Case commentary”:

    • First, identify the legal & ethical standards that apply to this case. Use the Grant & Ballard readings for this week as a basis for the legal issues; and readings especially from Week 2 and this week regarding ethical standards. Provide rationale for which ones you choose;

    • Second, based on a central premise by Darr that calls for primary prevention strategies for fostering an ethical culture - which one of the examples of ethics programs found in the readings this week may have prevented this case. Or consider, which one would best be implemented to prevent similar issues in the future.

    2. Creating an Ethical Culture for Staff in Your Organization

    • What structures are in place at your organization to reduce moral distress? If your organization already has something similar to what is found in the readings - how might that program be enhanced further?

    • Could any of the 4 examples found in the journal readings be effectively implemented in your health care organization? Which one? Why or why not?

    • What does your organization do to assure they follow the various legal mandates for the workplace as read about in Grant & Ballard?