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You are likely already upholding ethics in nursing and healthcare delivery in your current nursing practice experience. As mentioned in the introduction for this week, a patient-focused approach that promotes the delivery of safe, quality, and cost-effective healthcare for promoting positive patient outcomes represents a fundamental alignment to ethical principles for the delivery of healthcare. In your journey toward becoming a DNP-prepared nurse, you will continue to uphold ethical principles in your nursing practice and will likely continue to serve as an advocate for adhering to these principles in all you do.

For this Discussion, reflect on the case studies/scenarios related to ethical challenges presented in this week’s Learning Resources. Think about how these ethical challenges may mirror your own experiences in nursing practice. Consider what other ethical challenges may arise in your own nursing practice or as you continue your program of study.

Post an explanation of at least two significant ethical issues relevant to the DNP-prepared nurse. Then explain how these issues might compare to the types of issues you have encountered in your practice. Be specific and provide examples.

Required Readings

• Pavlish, C. L., Henriksen, J., Brown-Saltzman, K., Robinson, E. M., Warda, U. S., Farra, C., Chen, B., & Jakel, P. (2020). A team-based early action protocol to address ethical concerns in the intensive care unit. American Journal of Critical Care, 29(1), 49–61. https://doi.org/10.4037/ajcc2020915
• Phelan, P. S. (2020). Organizational ethics for US health care today. AMA Journal of Ethics, 22(3), 183–186. https://doi.org/10.1001/amajethics.2020.183
• Rejno, A., Ternestedt, B.-M., Nordenfelt, L., Silfverberg, G., & Godskesen, T. E. (2020). Dignity at stake: Caring for persons with impaired autonomy. Nursing Ethics, 27(1), 104–115. https://doi.org/10.1177/0969733019845128
• Torkaman, M., Heydari, N., & Torabizadeh, C. (2020). Nurses’ perspectives regarding the relationship between professional ethics and organizational commitment in healthcare organizations. Journal of Medical Ethics and History of Medicine, 13(17), 1–10. https://doi.org/10.18502/jmehm.v13i17.4658
• Vermeesch, A., Cox, P. H., Baca, S., & Simmons, D. (2018).Strategies for strengthening ethics education in a DNP program. Nursing Education Perspectives, 39(5), 309–311. https://doi.org/10.1097/01.NEP.0000000000000383

 The development of nursing knowledge is an ongoing process. Discuss the case for the ongoing development and use of nursing grand theories and conversely, make a case for the obsolescence of nursing grand theories for today’s practice and research. 

What role does the nurse play in COVID vaccination mandate, telemedicine, and prescription drug pricing as advocates in the healthcare system?

 During the COVID-19 pandemic, people saw major disruptions to supply lines throughout the country. Nowhere was this more evident than in the healthcare industry. Among the biggest impact was the disruption in supply lines related to personal protective equipment (PPE) and patient care needs (e.g., beds, ventilators, and medications). Use your text as a resource to complete the following assignment as well as one other resource from the library. Please cite your sources.

• Describe the concept of supply and demand and how it relates to the provision of healthcare.
• Once the concept of supply and demand has been explained as it relates to healthcare explain how the pandemic contributed to major shortages of needed supplies and equipment.
• Imagine yourself as a leader of a provider group of some type (e.g., surgery center, orthopedic group, general practitioner’s office). Indicate some of the supply shortages that your group may see in a similar scenario in the future. How can these be offset or averted?
• Identify, evaluate, and present a strategy that healthcare leaders can implement to avoid real-world supply chain disruption in the future.