NURS 6053 Interprofessional Organizational and Systems. Inter-professional and organizational leadership:Application:Taking a Stand

Inter-professional and organizational leadership: application: taking a stand
Name
Walden University
NURS 6053 Interprofessional Organizational and Systems 
Date
Instructor 
 Inter-professional and organizational leadership: application
Leaders have, power, influence, and authority to affect change, and especially when they are charismatic and support open communication. In nurse practice settings implementing changes may be necessary to address the moral, ethical, and legal requirements while improving patient outcomes, and the quality of care. At other times, nurses face moral dilemmas on choosing the right solution, among alternatives that are contradictory.   This paper will discuss the rights based (deontological) conceptual framework,   the moral dilemma of dealing with patient autonomy, the moral, ethical and legal implications of the dilemma in practice environments, as well as the role of a nurse as a moral agent and my leadership style.
Conceptual Framework
  Ethics standards are a set of ethical norms that form part of the professional conscience, and ethical commitment to act within the profession standards. The “four of the most commonly used ethical frameworks are utilitarianism, duty-based reasoning rights-based reasoning, and intuitionism” (Marquis & Huston, 2017).   The duty-based (deontological) ethical framework highlights the importance of duties including doing duties refraining from acting in certain ways. On the other hand, the rights based (deontological) focuses on the need to uphold the basic inherent rights, which are not interfered with (Marquis & Huston, 2017). The impact of managed medicine has influenced changes in health care where direct patient care has decreased, but there has been increase in care burden.
At times there are conflicting interpretations and possibilities, which affect the way nurses make decisions and  how to choose the right course of action and especially when there are both internal and external constraints (Woods, 2014). The rights based (deontological) framework is of great interest in nursing practice, as nurses have responsibilities to individual patients, families and communities, while they need to seek a balance between moral character and a high level of professionalism.  As such, nurses are expected to incorporate an ethical conscience in professional settings. In their daily work, while sharing and discussing with colleagues ensures that the ethical sense of daily practice is present.  Pollard (2015) highlighted that the deontological perspective is useful since professionals act based on certain principles and precepts and people are held accountable for the consequences of their deeds
Work Environment
  A dilemma is a situation, which reflects positions or and arguments in conflict that presents two or more inconsistent courses of action.  The principle of autonomy requires that the health practitioners respect the patient right of choice or responsibility of their choices when making decisions on their current health situation. Nurses are expected to use evidence to improve outcomes practice, while dealing with the nursing process in practice settings (Woods, 2014).  Patient autonomy is an ethical dilemma and one of the issues in  patient autonomy is when  patients refuse  the recommended  treatment  and nurses also have to consider how  informed chosen influences clinical decision making
Patient autonomy is the basis of informed consent is based, which is essential in the prevention of the legal risks in cases of medical practice. Ideally, members of the health team ought   to evaluate whether the patient is competent enough to support patient autonomy and whether they can utilize the relevant and necessary information. However, if there is right of self-determination nurses are not obliged to provide information to the patient to aid their decision making, but if the patients have access to relevant information it is more likely that they will make informe...