Ethical Case Studies for Advanced Practice Nurses

Book excerpt: “This book is an excellent tool to guide APRNs and their collaborators in healthcare education into conversations about ethical action within the complex challenges of their work.” –Daniel McGinty, EdD Dundon-Berchtold Institute for Moral Formation & Applied Ethics University of Portland “What a wonderful way to see advanced practice nursing as neither black nor white but instead as a myriad of colors in which to hone principled and just care as our Code of Nursing intends.” –Laurel Hallock-Koppelman, DNP, APRN, FNP-C Assistant Professor, School of Medicine Oregon Health and Science University “Infused with wisdom and clarity, this textbook is a must-read for APRNs of all practice environments and levels of experience. As a clinical ethicist, I was deeply impressed by how much I learned within the pages of this book.” –Kayla Tabari-House, MBE, RN, HEC-C Clinical Ethicist, Providence St. Joseph Health Healthcare delivery can present ethical conflicts and dilemmas for advanced practice registered nurses (APRNs)—nurses who already have a myriad of responsibilities in caring for patients. Ethical Case Studies for Advanced Practice Nurses improves APRNs’ agility to resolve ethical quandaries encountered in primary care, hospital-based, higher education, and administration beyond community settings. Through case studies examining various types of ethical conflicts, the authors empower APRNs and students with the critical knowledge and skills they need to handle even the most complex dilemmas in their practice. By applying a set of criteria and framework, this book guides APRNs to use critical thinking to make ethically sound decisions. TABLE OF CONTENTS Case Study #1: Defensive Medicine Case Study #2: STI Confidentiality Case Study #3: Substance Use in Pregnancy Case Study #4: HPV Vaccine Refusal Case Study #5: Abortion Case Study #6: Prostate Cancer Screening with Prostate-Specific Antigen Case Study #7: Administration of Long-Acting Injectable Antipsychotics Case Study #8: Depression Screening in Adolescents Case Study #9: Treatment of Resistant Anxiety Case Study #10: COVID-19 Vaccine in Adolescence Case Study #11: Medical Emancipation Versus Confidentiality in Transgender and Gender-Nonconforming People Case Study #12: Childhood Obesity Case Study #13: Dementia and Stopping Driving Case Study #14: When to Transition to Palliative Care Case Study #15: Prescription Refill Dilemma for Patient and Spouse in Financial Straits Case Study #16: CRNA Labor and Delivery Epidural Pain Management With a Language Barrier Case Study #17: Violence, Suicide, and Family Dynamics With Medical Complexity Case Study #18: Psychiatric Acute Concerns and Fall Risks Case Study #19: Telehealth Case Study #20: Guiding a School of Nursing Through COVID-19 Focusing on Clinical Placements Case Study #21: Emergency Department Closure Decision-Making: Health System and Community Impact Case Study #22: Ethical Dilemmas in School of Nursing Leadership Pre-COVID-19