NR411 Nursing


Guidance recommends infants to be placed “back to sleep” from birth, in order to reduce the likelihood of them falling asleep.sudden infant death.

Babies with severe breathing difficulties are exempt from this rule.

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However, lateral positioning could be recommended. There are other conditions that can affect the effectiveness of lateral positioning.

Upper airway structures like the cleft tongue and cleft palate.

This paper is a research report on (i), current advice regarding sleep.

The UK provides positioning for parents of infants who have a cleft palate.

Parents of babies with cleft lips and palates are advised by clinical nurse professionals. A qualitative descriptive

This study used data gathered from a national survey, which was conducted with clinical nurses specialists from 12 regional centers for cleft.

UK to investigate current practice.

Semi-structured telephone interviews were used for data collection

This data was analysed with content analysis.

Over half of regional centers used lateral sleep positioning.

Based on the clinician’s assessment of the infants’ respiratory effort and obstruction.

Assessment relied

Clinical judgement, augmented by a range clinical indicators like oxygen levels

Saturation, heart rate and respiration.

Answer to Question: NR411 Nursing

The article review evaluates the ethical dilemmas presented in Davies (2015)’s article on safe sleeping posture practices.

The ethical issue being studied concerns the healthcare practices of nurses in managing infants who have cleft palate.

The ethical dilemma is the way the children sleep, with the aim of reducing respiratory problems.

The study also examines ethical issues and guidelines that govern the ethical dilemma state.

The study has highlighted the moral values that inform nurses’ decision making.

The ethical dilemma

The article presents research-based knowledge regarding infants with cleft palates. This information will inform practices that can be used to reduce infant mortality.

Children with cleft palate often have problems with their airways and respiratory processes.

The paper provides research on the current advice given to parents and caregivers about infant sleep positioning and the recommendations made by clinicians.

One of the ethical dilemmas highlighted in this review is that practitioners are often faced with challenges when recommending supine or lateral sleeping positions.

As health care providers, their sole mission is to provide ethical and individualized care that allows patients to achieve the highest levels of well-being.

These practices are bound be fraught with ethical challenges. The scope of ethical dilemmas is vast. According to Nalwadda et. al (2015), there are many ethical issues in the workplace. This makes it important that we make ethical choices when dealing with these issues.

It is often difficult for nurses to confront ethical problems.

The ethical dilemmas faced by nurses are seldom discussed in the nursing field. However, this ignorance has resulted in a great deal of disagreement within the nursing community.

It has led to many nurses quitting their job.

This is a major issue for the future of health care practice.

Many nurses face ethical dilemmas. They have to be open about how they made the decision to give the care providers the right position for their patients.

They are involved in birth complications as well as end of life issues for vulnerable children.

The ethics of health care can have diverse impacts and nurses must meet unique challenges to provide the best care for patients as well as their families.

Moral Issues in the Nursing Care Dilemma

The ethical distress of the nurse is an example of moral issues underpinning the ethical dilemma.

Expression of this ethical distress can be described as a nurse’s awareness of the moral aspects of care, which include patient vulnerability and the values adopted while following the code for ethics for registered nurses (Numminen & Leino Kilpi 2007, 2007).

Ethical distress for nurses can result in the nurse being awakened to their caring skills.

Insufficient resolution of ethical distress can lead to burnout (Garbarin. Cuomo. Chiorri & Magnavita 2013).

The nursing profession is affected by the emotional and physical aspects of ethical distress.

Canadian Institute for health Information 2001. According to a survey, nurses were the most sickly in Canada. They spent more time being ill.

This phenomenon has been linked with ethical distress.

Ethical difficulties in article review result from the decision to make decisions about whether or not it is right or incorrect.

Nurses are sensitive to ethical issues and can make an ethical decision about advising mothers on the correct sleeping positions.

Minority dilemma is another key issue in the ethical quandary.

Infant care poses a unique ethical dilemma.

Nursing must be sensitive to the needs of the patient and balance that with the caregivers’ values and wishes.

Patients, families, and physicians are often aligned in an ideal world. However in reality ethical moral questions can arise (Oh & Gastamans 2015.

Ethical Principles of The Dilemma

Nursing isn’t without its challenges.

Child care practice is often fraught by heavy work.

The principles of bio medic ethics provide practical guidelines to help you make the right decision.

These ethical principles concern beneficence and not-maleficence. Herring, 2014.

Principle of beneficence refers the nurses’ ability to give the best care possible in any situation.

The issue is making the right decision regarding which sleeping position to recommend for infants.

It is important to follow the recommended back-to back sleeping schedule.

For beneficence nurses need to be skilled and knowledgeable. They must also provide best advice and guidance.

The principle of nonmaleficence means that the nurse must offer care with the intention of doing no harm.

The principle should be a goal that is universally beneficial.

The nurse must inform the infants if the advice given will be detrimental to their ability to sleep in the correct position.

To ensure the infant’s best interest, the nurse must make the decision to maleficence.

Moral Values

Morality, ethics and the pursuit of happiness go hand-in-hand.

Interplay refers to how human beings interact and treat one another in order to foster the mutual development, growth, and harmony that is necessary to achieve good.

Values refer to a set or beliefs about life.

Keyko 2014: Values are the foundation of ethics and morality.

Studying the individual values of life reflects on how it should live.

These values are important in determining goodness and rightness when it comes to the dilemma problem.

Promoting goodness and safety for infant care is crucial. It ensures that no harm or harm is done.

Parental guidance value of honesty, truth telling, and fairness is crucial in providing meaningful communication to benefit best practice care (Soneshein 2007).

What Does It Mean to Apply Moral Values?

Nursing care can present you with many situations that need your attention.

It is based on your moral values that you will find the best way to solve the problems.

Many of these cases and issues require values like honesty, respecting others worth and fairness.

If you are a beginner and need to offer health care to someone in crisis, there may be challenges with your personal values.

It is important to provide health care that is not discriminatory in the nursing profession. Personal values and practices that promote health and well-being need to be addressed.

Our values, culture, family and religion influence us in nursing care to varying degrees.

In order to be able to collaborate with parents and the caregivers in caring for the infants, it is essential that you identify your values.

Many of our values are borrowed from groups, community and cultural events.

These values influence our approach to health care practice (Osingada (2015)).Conclusion:

The article review provided an evaluation of ethical issues in nursing care.

The ethical dilemmas identified in the paper concern the nursing staff’s decision making process regarding sleep positioning for infants born with cleft palates. They also have to consider the potential risks associated with respiratory conditions.

The supine position is the most common, followed by the lateral.

The health care workers have a duty to offer guidance and support in this area.

Management of these issues involves assessing moral distress among patients and helping parents and caregivers make the best decision.

The article also highlights the moral dilemma of offering support to minor patients. It is not easy to ensure the infants’ health in regards to their sleeping position or the occurrences of respiratory airway obstruction.

The principles of maleficence and beneficence are the most important ethical concerns.

They both aim to ensure nursing professionals provide proper care for infants, and that practice is guided by the principle of doing no harm.

Associated moral values are the obligation to provide honest care and be accountable for your actions.

The care nursing profession is heavily influenced by our moral values. Therefore, positive values are important for positive impacts.References:Davies, K., Bruce, I. A., Bannister, P., & Callery, P. (2017).

Safety sleeping positions: policy and practice for babies who have cleft palates.

European Journal of Pediatrics. 176(5). 661-667.Garbarino, S., Cuomo, G., Chiorri, C., & Magnavita, N. (2013).

Special police force unit: Association of work-related stress and mental problems. BMJ open, 3(7), e002791.Herring, J. (2014).

Medical law and ethical.

Oxford University Press USA.Hollingworth, D., & Valentine, S. (2015).

The moderating impact of perceived organizational ethics context on employees’ moral issue recognition and ethical judgements.

Journal of Business Ethics. 128(2). 457-466Keyko, K. (2014). Work engagement in nursing practice: A relational ethics perspective.

Nursing ethics 21(8), 879-889.Numminen, O. H., & Leino-Kilpi, H. (2007).

The literature review: Nursing students’ ethics decision-making

Nurse Education Today 27, 796-807.Oh, Y., & Gastmans, C. (2015).

An analysis of the literature on moral distress among nurses.

Nursing ethics 22(1), 15–31.Osingada, C. P., Nalwadda, G., Ngabirano, T., Wakida, J., Sewankambo, N., & Nakanjako, D. (2015).

Survey of three Ugandan referral hospitals on nurses’ knowledge and attitudes regarding continuing ethics education.

BMC research note, 8(1). 319.

Pink, G. H., Canadian Institute for Health Information, Johnson, L. M.

The financial management in acute care Canada: A review of funding, performance monitoring and reporting.

Canadian Institute for Health Information.Sonenshein, S. (2007). The role of construction, intuition, and justification in responding to ethical issues at work: The sensemaking-intuition model.

Academy of Management Review. 32(4): 1022-1040.Swanson, J. L., & Fouad, N. A. (2014).

Career theory and practice: Learning by case studies.

Sage publications.