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Summative Assessment: Accountability

Nurses are faced with situations where legal and ethical considerations are complex and sometimes dont have a simple or clear solution. Unfortunately, nurses are frequently held accountable in these complex situations, which is why it is important for nurses to understand what they can and cant do, what they will be accountable for, and what they are responsible for. In this assessment, you will analyze a complex topic from an ethical and legal perspective. You should also analyze its impact on nurses and accountability.Select 1 of the following topics, or another topic approved by your instructor. Choose a different topic than in week 3 :Health care as a right or privilege Futile care Whistleblowing Women's reproductive rightsEuthanasia and assisted suicide Clinical uses for illicit substances (e.g., medical marijuana, MDMA for PTSD) Research your selected topic. Analyze a nurses legal responsibilities related to your selected topic.Analyze a nurses ethical responsibilities related to your selected topic.Take a position on the topic and explain your position in detail.Summarize the steps in the ethical decision-making model you employed and the process used to arrive at your position.Discuss how your position affects nurses and how nurses can be held accountable in situations related to your selected topic.Cite at least 3 evidence-based, peer-reviewed sources published within the last 5 years to support your position(s)

Full Answer Section

Jurisdiction: Laws governing abortion and reproductive healthcare vary significantly between states. Nurses must be aware of the legal landscape in their practice area.
Employer Policies: Hospitals and healthcare systems may have specific policies regarding patient access to reproductive healthcare services.
Standards of Practice: Nurses are obligated to adhere to professional standards set by their regulatory bodies, which may include guidelines for providing unbiased information and respecting patient autonomy.

Here are some key legal aspects nurses should consider:

Informed Consent: Nurses play a crucial role in ensuring women have access to accurate information about all their reproductive options, including abortion, before making informed decisions.
Confidentiality: All conversations and patient information related to reproductive health decisions must be kept confidential.
Refusal of Care: While nurses have the right to refuse to participate directly in abortions based on personal beliefs, they cannot obstruct a patient's right to access such care.

Nurse's Ethical Responsibilities:

Patient Autonomy: Nurses have an ethical obligation to respect a woman's right to make autonomous decisions about her body and reproductive health.
Non-Maleficence: Nurses must prioritize the patient's well-being and ensure she receives evidence-based information and safe care, regardless of their personal stance on abortion.
Justice: Nurses should advocate for equitable access to reproductive healthcare services for all women, regardless of socioeconomic status or location.
Professional Advocacy: Nurses can advocate for policies that promote access to comprehensive reproductive healthcare services.

My Position: I believe women have the fundamental right to bodily autonomy and should have access to safe and legal abortion services. This right is grounded in principles of individual liberty and ensures women have control over their reproductive choices. Ethical Decision-Making Model: This analysis employs the Beauchamp & Childress Principles of Biomedical Ethics:

Non-maleficence: Avoid causing harm to the patient.
Beneficence: Act in the patient's best interests and promote their well-being.
Autonomy: Respect the patient's right to make informed decisions about their care.
Justice: Allocate resources fairly and ensure equitable access to healthcare.

Following this model, prioritizing non-maleficence and beneficence necessitates providing women with all available information about their reproductive choices, including abortion, so they can make informed decisions. Respecting autonomy and justice requires upholding a woman's right to choose while advocating for policies that guarantee equitable access to reproductive healthcare services.

Sample Answer

Women's reproductive rights are a highly debated topic, raising complex ethical and legal considerations for nurses. This paper will analyze a nurse's legal and ethical responsibilities regarding women's reproductive rights, explore my position on the issue, and discuss how this position affects nurses and their accountability.

Nurse's Legal Responsibilities:

A nurse's legal responsibilities concerning women's reproductive rights depend on several factors, including: