NHS FPX 4000 Developing a Health Care Perspective Example Essay

Assignment: NHS-FPX400 Developing a Health Care Perspective Assessment 3Assignment: NHS-FPX400 Developing a Health Care Perspective Assessment 3

NHS FPX 4000 Developing a Health Care Perspective Assignment Brief

Course: NHS FPX 4000 Developing a Health Care Perspective

Assignment Title: Assessment 3: Analyze a Current Health Care Problem or Issue

Assignment Overview:

In this assignment, you are tasked with conducting a comprehensive analysis of a current problem or issue in health care, proposing a viable solution, and exploring the potential ethical implications associated with the proposed resolution. The goal is to apply information literacy, critical thinking, and ethical principles to address a real-world healthcare problem.

The Student’s Role:

You are a healthcare professional facing a complex problem that demands a thoughtful solution. Your role involves:

  1. Selecting a Health Care Problem or Issue: Choose a problem or issue related to healthcare that you find compelling or have encountered in your professional context.
  2. Conducting Research: Utilize information literacy and research skills to explore your chosen topic. Identify at least three scholarly peer-reviewed journal articles to support your analysis.
  3. Applying the Socratic Problem-Solving Approach: Use the first four steps of the Socratic Problem-Solving Approach introduced in Assessment 2 to aid your critical thinking. This includes identifying possible causes for the problem.
  4. Analyzing the Health Care Problem: Provide a detailed analysis of the selected health care problem or issue. Describe the setting, explain its importance, and identify groups of people affected. Use examples to support your analysis.
  5. Proposing Solutions: Discuss potential solutions for the health care problem, describing what would be required for implementation. Provide pros and cons for one of the proposed solutions.
  6. Exploring Ethical Implications: Analyze the ethical implications of the potential solution you discussed earlier. Discuss the pros and cons from an ethical standpoint, providing examples from the literature to support your analysis.

NHS FPX 4000 Developing a Health Care Perspective Example Essay

Introduction

The healthcare landscape is often fraught with ethical dilemmas that demand careful consideration and resolution. The paper focuses on a prominent ethical issue regarding pediatric vaccination. The case revolves around Jenna and Chris Smith, parents who oppose vaccinating their newborn, Ana, based on their beliefs and concerns. They’re all about exclusive breastfeeding and homemade organic baby food. But here’s the twist – they adamantly oppose vaccinating Ana, fearing potential harms like an unproven link to autism. On the flip side is Dr. Angela Kerr, their pediatrician, who strongly advocates for vaccination. Dr. Kerr backs her stance with solid arguments, citing historical successes, current safety data, and the ethical need for herd immunity.

Despite Dr. Kerr’s compelling case, the Smiths stand firm in their decision not to vaccinate Ana. It’s important to note that both parties have good intentions, but they rely on different information and ethics, creating a clash between individual parental autonomy and collective public health responsibilities. This paper aims to explore the ethical dimensions of this case, propose a potential solution, and discuss the associated ethical implications.

Ethical Evaluation of the Case Study

The case revolves around Jenna and Chris Smith, parents who oppose vaccinating their newborn, Ana, based on their personal beliefs and concerns. Dr. Angela Kerr, their pediatrician, strongly supports vaccination based on medical expertise. The broader public and children with weakened immune systems are also impacted due to the potential risk of lacking herd immunity. Here’s a breakdown of the ethical factors leading to the dilemma:

Misinformation

The Smiths’ decision is influenced by unverified blogs spreading vaccine misinformation. Research shows that exposure to differing views on social media can shape opinions, impacting health choices (Larson et al., 2022). This evidence highlights the challenge for healthcare providers in advocating for evidence-based practices when misinformation plays a significant role. In our case, misinformation not only sways the Smiths’ decision but also reinforces their existing biases against vaccines (Capella University, 2023).

Social Beliefs

Societal norms and increasing skepticism about vaccinations in certain communities also sway the Smiths. Studies indicate that public trust significantly affects vaccination rates (Miras et al., 2023). This study underscores how societal beliefs create barriers to effective healthcare interventions. These cultural and social beliefs compound the ethical problem by providing a broader environment supporting the Smiths’ decision, making medical intervention challenging. The Smiths’ choice is shaped by wider social forces, adding complexity to the ethical medical practice (Capella University, 2023).

Professional Ethics

Dr. Kerr faces a complex ethical dilemma as she balances obligations to the individual patient and the larger public. Medical ethics guide this balance, emphasizing principles like beneficence and non-maleficence. Studies show healthcare providers find it challenging when patients’ personal beliefs conflict with established medical advice (Simpson-Tirone et al., 2022).

The paper emphasizes the ethical challenges healthcare providers face when patients’ beliefs clash with medical advice, adding complexity for Dr. Kerr. Her predicament layers complexity because she must consider both the Smiths’ wishes and the potential public health risks of an unvaccinated child. This ethical tension makes it challenging for Dr. Kerr to make a decision fully aligned with medical ethics, contributing to the broader ethical problem (Capella University, 2023).

Analyzing the Context and Importance

The setting for this issue is within the pediatric care provided by Dr. Angela Kerr. The problem is crucial because it involves the health and well-being of a newborn, Ana, and has broader implications for public health due to the concept of herd immunity. The decision not to vaccinate Ana is not isolated but influenced by wider social forces, challenging ethical medical practice. The importance of addressing vaccine hesitancy is underscored by its potential impact on individual health, public health, and the ethical responsibilities of healthcare professionals.

Communication Effectiveness in the Case Study

In the case study, Dr. Angela Kerr used a communication style grounded in facts, presenting scientific data, ethical arguments, and statistics, even referencing credible sources like the Vaccine Adverse Event Reporting System (VAERS). This method is good for making informed decisions and is crucial when talking to patients and their families (Capella University, 2023). While Dr. Kerr’s approach was scientifically strong and ethically guided, research on vaccine hesitancy suggests that relying on facts alone might not be enough. Studies indicate that personalized communication, addressing parents’ concerns with empathy, tends to be more effective in changing vaccination behavior (Christou-Ergos et al., 2022).

Dr. Kerr’s approach, although accurate and comprehensive, could benefit from a more empathetic style of communication that addresses both the rational and emotional concerns of parents, such as the Smiths. In cases like Ana’s, effective communication should combine scientific accuracy with emotional sensitivity. Dr. Kerr could improve interactions by listening empathetically and engaging in personalized discussions, avoiding complex medical terms that might distance the Smiths (Haward et al., 2022). This type of effective communication could potentially sway the Smiths toward vaccinating Ana, benefiting both individual and public health. Conversely, relying solely on medical facts without addressing the Smiths’ concerns might lead to ineffective communication, solidifying their vaccine hesitancy and creating trust issues not only for them but possibly for the broader community, complicating ethical and public health challenges (Baldwin et al., 2023).

Approach to Ethical Practice in the Case Study

  • Moral Awareness: Dr. Kerr demonstrated strong moral awareness by recognizing the clash between parental autonomy and public health concerns regarding Ana’s vaccination. This recognition set the stage for moral judgment.
  • Moral Judgment: Dr. Kerr used moral judgment to evaluate the situation, relying on medical evidence and ethical principles. She presented scientifically-backed arguments in favor of vaccinating Ana. However, a resolution was not reached, indicating a potential limitation in her approach. Studies suggest that incorporating emotional and psychological elements can aid in moral judgment processes (Cameron et al., 2021).
  • Ethical Behavior: Despite being aware of the moral complexities and making a judgment based on medical ethics, Dr. Kerr’s ethical behavior remained incomplete (Choe et al., 2022). While she respected the Smiths’ autonomy, she couldn’t change their stance, leaving the ethical dilemma unresolved.

The consequences of using effective and non-effective approaches in ethical practice can be substantial. If Dr. Kerr incorporates a more holistic and empathetic dialogue into her ethical behavior, she could potentially change the Smiths’ stance on vaccination. Studies indicate that integrating emotional intelligence and ethical considerations can enhance moral judgment and lead to more effective ethical behavior (Cameron et al., 2021). An effective approach could bridge the gap between moral awareness and moral judgment, resulting in ethical behavior that resolves the complex dilemma at hand.

Conversely, if Dr. Kerr continues to rely solely on medical evidence without incorporating a more comprehensive ethical approach, the Smiths’ vaccine hesitancy is likely to remain unchanged. This limitation in ethical behavior can perpetuate the dilemma, making it harder to reach an ethically sound decision (Choe et al., 2022). The ineffective approach could leave Ana unvaccinated, posing a risk to public health by diminishing herd immunity.

Potential Ethical Solutions and Implementation

Considering the impasse between Dr. Angela Kerr and the Smiths, a potential ethical solution would be to involve a diverse ethics committee within the healthcare organization. This committee could consist of medical ethicists, pediatricians, representatives from public health, and even parents who once had concerns about vaccines but changed their minds. The goal would be to specifically review Ana’s case and develop a tailored communication strategy to address the Smiths’ concerns more effectively (Harting et al., 2023). Dr. Kerr can propose this option to the Smiths, highlighting the committee’s role in considering various perspectives.

This approach aligns with the ethical principles of beneficence and justice. Beneficence aims for the best possible health outcome for Ana and the wider public by addressing vaccine hesitancy, and justice seeks to balance individual rights with collective well-being. Additionally, it respects the principle of autonomy by providing the Smiths with a platform for more informed decision-making. The multidisciplinary approach could likely enhance Dr. Kerr’s effectiveness in fostering relationships across different disciplines within her organization.

By involving expertise from various areas, Dr. Kerr demonstrates a willingness to collaboratively approach problems and values the input of other professionals. This could elevate her standing, making her a more trusted and respected figure not only within her immediate pediatric field but also in the broader healthcare environment. Moreover, this solution has a high potential to promote professional collaboration.

Engaging a multidisciplinary team not only initiates ongoing discussions about ethical dilemmas for Dr. Kerr but also for other healthcare professionals. It might even establish a precedent for addressing similar ethical dilemmas in the future, creating a framework for collaboration that can be refined and reused (Simpson-Tirone et al., 2022). In essence, this proposed solution aims to bridge the gap between different ethical principles and involved stakeholders, offering a more nuanced and collaborative approach to resolving the ethical dilemma presented in Ana’s case.

Conclusion

The vaccination dilemma involving Jenna and Chris Smith’s decision not to vaccinate their newborn, Ana, presents a complex ethical challenge for healthcare professionals. Analyzing the context, exploring potential solutions, and considering ethical implications are essential steps in addressing such dilemmas. The proposed solution of engaging a multidisciplinary ethics committee reflects a collaborative approach that aligns with ethical principles and aims to bridge the gap between different stakeholders’ perspectives. Ultimately, finding ethical resolutions to healthcare problems requires a thoughtful consideration of the broader societal, cultural, and individual factors at play.

References:

Baldwin, A. S., Tiro, J. A., & Zimet, G. D. (2023). Broad perspectives in understanding vaccine hesitancy and vaccine confidence: An introduction to the special issue. Journal of Behavioral Medicine, 46(1-2), 1–8. https://doi.org/10.1007/s10865-023-00397-8

Cameron, C. D., Conway, P., & Scheffer, J. A. (2021). Empathy regulation, prosociality, and moral judgment. Current Opinion in Psychology, 44, 188-195. https://doi.org/10.1016/j.copsyc.2021.09.011

Capella University (2023). Ethical Case Studies. Capella Library Online.

Choe, K., Kwon, S., & Kim, S. (2022). How do ethically competent nurses behave in clinical nursing practice? A qualitative study. Journal of Nursing Management, 30(8), 4461-4471. https://doi.org/10.1111/jonm.13884

Christou-Ergos, M., Leask, J., & Wiley, K. E. (2022). How the experience of medical trauma shapes Australian non-vaccinating parents’ vaccine refusal for their children: A qualitative exploration. SSM – Qualitative Research in Health, 100143. https://doi.org/10.1016/j.ssmqr.2022.100143

Harting, M. T., Munson, D., Linebarger, J., Hirshberg, E., Gow, K. W., Malek, M. M., Robbins, A. J., & Turnbull, J. (2023). Ethical considerations in critically ill neonatal and pediatric patients. Journal of Pediatric Surgery. https://doi.org/10.1016/j.jpedsurg.2023.02.009

Haward, M. F., Payot, A., Feudtner, C., & Janvier, A. (2022). Personalized communication with parents of children born at less than 25 weeks: Moving from doctor-driven to parent-personalized discussions. Seminars in Perinatology, 46(2), 151551. https://doi.org/10.1016/j.semperi.2021.151551

Larson, H. J., Lin, L., & Goble, R. (2022). Vaccines and the social amplification of risk. Risk Analysis, 42(7). https://doi.org/10.1111/risa.13942

Miras, A. P., Regencia, Z. J. G., & Baja, E. S. (2023). ‘I was terrified for my child’: understanding the link between the Dengvaxia® controversy and the measles vaccine hesitancy in Pasay City, Philippines. Journal of Public Health, fdad091. https://doi.org/10.1093/pubmed/fdad091

Simpson-Tirone, M., Jansen, S., & Swinton, M. (2022). Medical Assistance in Dying (MAiD) care coordination: Navigating ethics and access in the emergence of a new health profession. HEC Forum. https://doi.org/10.1007/s10730-022-09489-5

Detailed Assessment Instructions for the NHS FPX 4000 Developing a Health Care Perspective Example Essay

Assignment: NHS-FPX400 Developing a Health Care Perspective Assessment 3

Question Description

Write a 4-6 page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.

In your health care career you will be confronted with many problems that demand a solution. By using research skills you can learn what others are doing and saying about similar problems. Then you can analyze the problem and the people and systems it affects. You can examine potential solutions and their ramifications. This assessment allows you to practice this approach with a real world problem.

DEMONSTRATION OF PROFICIENCY

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
    • Use scholarly information to describe and explain a health care problem or issue and identify possible causes for it.
  • Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.
    • Analyze a health care problem or issue by describing the context, explaining why it is important, and identifying populations affected by it.
    • Discuss potential solutions for a health care problem or issue and describe what would be required to implement a solution.
  • Competency 3: Apply ethical principles and academic standards to the study of health care.
    • Analyze the ethical implications if a potential solution to a health care problem or issue was implemented.
  • Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others, and that is consistent with expectations for health care professionals.
    • Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
    • Write following APA style for in-text citations, quotes, and references.

INSTRUCTIONS

  1. Describe the health care problem or issue you selected for use in Assessment 2 (from the Assessment Topic Areas | Transcript media piece) and provide details about it.
  2. To explore your chosen topic, you should use the first four steps of the Socratic Problem-Solving Approach to aid your critical thinking. This approach was introduced in the second assessment.
  3. Identify possible causes for the problem or issue.
  4. Use scholarly information to explain the health care problem or issue.
  5. Identify at least three scholarly or academic peer-reviewed journal articles about the topic.
    • You may use articles you found while working on Assessment 2 or you may search the Capella Library for other articles.
    • You may find the applicable Undergraduate Library Research Guide helpful in your search.
  6. Assess the credibility of the information sources.
  7. Assess the relevance of the information sources.
  8. Analyze the problem or issue.
  1. Describe the setting or context for the problems or issues.
  2. Describe why the problem or issue is important to you.
  3. Identify groups of people affected by the problem or issue.
  1. Discuss potential solutions for the problem or issue.
  1. Compare your opinion with other opinions you find in sources from the Capella Library.
  2. Provide the pros and cons for one of the solutions you are proposing.
  1. Analyze the ethical implications if the potential solution (the one for which you provide pros and cons) were to be implemented.
  1. Discuss the pros and cons of implementing the proposed solution from an ethical principle point of view.
  2. Provide examples from the literature to support the points you are making.
  1. Describe what would be necessary to implement the proposed solution.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Additional Requirements

  1. Length: At least 4–6 typed, double-spaced pages, not including the title page and reference page.
  2. Font and font size: Times New Roman, 12 point.
  3. APA Template: Use the APA Style Paper Template [DOCX] as the paper format and the APA Style Paper Tutorial [DOC] for guidance.
  4. Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
  5. Using outside sources: Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
  6. References: Integrate information from outside sources to include at least three scholarly or academic peer-reviewed journal articles and three in-text citations within the paper.
  7. APA format: Follow current APA guidelines for in-text citations of outside sources in the body of your paper and also on the reference page.

Organize your paper using the following structure and headings:

  • Title page. A separate page.
  • Introduction. A brief one-paragraph statement about the purpose of the paper.
  • Elements of the problem/issue. Identify the elements of the problem or issue or question.
  • Analysis. Analyze, define, and frame the problem or issue.
  • Considering options. Consider solutions, responses, or answers.
  • Solution. Choose a solution, response, or answer.
  • Ethical implications. Ethical implications of implementing the solution.
  • Implementation. Implementation of the potential solution.
  • Conclusion. One paragraph.

 

 

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

 

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

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