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Pages:
3 pages/≈825 words
Sources:
4 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Research Paper
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
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Topic:

Ethical Dilemma in Pediatric Setting: Vaccination of Minors

Research Paper Instructions:

Purpose
For this assignment, you will examine an ethical dilemma that exists in pediatric settings. You will examine the ethical dilemma from two opposing positions and consider ethical principles, conflict between the principles and the relationship of the ANA Code of Ethic’s provisions in relation to both positions. You will also discuss potential resources, possible outcomes of both positions and develop a plan for resolving the issue (for patient, family and the nurse). You will submit an individual paper grounded in scholarly sources with a reflection on your values.
Course outcomes: This assignment enables the student to meet the following course outcomes:
1. Provides individualized comprehensive care for children and their families with multiple health problems in institutions and community care settings from birth through adolescence. (PO 1)
4. Utilizes critical thinking skills in clinical decision making in the care of pediatric clients. (PO 4)
6. Utilizes legal, ethical, and professional standards and principles, including those related to child abuse recognition and intervention, as a basis for pediatric clinical decision‐making. (PO 6)
8. Utilize research findings as a basis for nursing interventions in pediatric healthcare settings and the development of professional nursing papers. (PO 8)
Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.
Total points possible: 100 points
Preparing the assignment
Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
1) An ethical dilemma with opposing positions will be assigned by your instructor.
2) Although you may not agree with one of the positions, reflect on your views, respect other perspectives, and examine scholarly literature on both positions.
3) When faced with ethical dilemmas, nurses often find conflict or differences in values. It is important for nurses to explore their own values in order to respect other’s values and differences. A section for self‐reflection is included in this assignment as the last page of the paper and it will not be graded for APA style.
4) Write a 3‐5 page paper (not including the title page, reference page, and the reflection) using APA format.
5) Use this link to take you directly to the ANA website to access the Code of Ethics. When prompted, choose “No I do not wish to register at this time. Take me to the Code now.” https://www(dot)nursingworld(dot)org/practice‐ policy/nursing‐excellence/ethics/code‐of‐ethics‐for‐nurses/
6) For APA, formatting, or grammar assistance visit the Writing Center.
7) Include the following sections (detailed criteria listed below and in the Grading Rubric):
a. Introduction ‐10 points/10%
• Description of the dilemma is clear.
• Statistical significance to Pediatric nursing is included.
• Pro and con positions of the dilemma are presented.
• A brief fictional case is used to illustrate the dilemma.
b. Ethical Principles ‐20 points/20%
• Brief description of ethical principles (may cite textbook).
• Applicable ethical principle(s) to support the pro position are used.
• Applicable ethical principle(s) to support the con position are used.
• Discussion of which, if any, ethical principles are in conflict with the opposing positions.
• Discussion supported by scholarly sources.
c. ANA Code of Ethics Provisions‐ 30 points/30%
• Brief description of the ANA Code of Ethics.
• Appropriate three (3) provisions of the ANA Code of Ethics that apply to the ethical dilemma.
• Discussion of how the chosen provisions of the ANA Code of Ethics help guide the nurse in the ethical dilemma.
d. Outcomes and Plan ‐ 20 points/20%
• Discuss possible outcomes of the pro position.
• Discuss possible outcomes of the con position.
• Present resources available in the community to resolve the dilemma (hotlines, shelters, agencies etc.).
• Explain how resources could help in resolving the dilemma.
• Present a plan for resolving the dilemma (for child, family and nurse).
e. APA Style and Organization – 10 points/10%
• References are submitted with paper.
• Uses current APA format and is free of errors.
• Grammar and mechanics are free of errors.
• At least three (3) nursing, scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided.
• One (1) scholarly source must be the ANA Code of Ethics Provisions.
f. Reflection ‐ 10 points/10%
• Last page of the paper after references.
• Reflection of own values and morals as it relates to the ethical dilemma.
• Discussion on possible cultural, social, or religious influences.

Research Paper Sample Content Preview:

Ethical Dilemma in Pediatric Setting
Students Name
Students Number
Institutional Affiliations
Date
Ethical Dilemma in Pediatric Setting
Vaccination of Minors
Vaccination of minors is a pediatric dilemma when the legal guardians refuse to vaccinate the child, and the minor cannot decide. The dilemma arises through respecting parental informed consent and autonomy and the duty of the pediatrician to ensure public health through vaccination mandates. The dilemma is established through various positions.
In recent studies, there has been a rise in cases of preventable diseases, which has put the American Nurse Association(ANA) position of review in consideration of religious beliefs or medical contradictions (Schwartz et al., 2021). The ANA position states that all healthcare personnel must be vaccinated according to current recommendations for immunization and CDC.
Similarly, the code of ethics provides guidelines for healthcare to offer vaccination to children to safeguard community and population health. However, the law states that a parent is the sole guardian to make healthcare decisions on the child's vaccination and can opt not to vaccinate their children. Therefore, enforcing the code of conduct will directly influence the parent's decision. The dilemma remains if the healthcare provider offers the vaccine or respects the parent's wish to abstain from vaccinating their children.
Position 1
Relevance to ANA Code of Ethics.The code of ethics states that the main goal is to ensure vaccines benefit the global community, and the ethical principles of autonomy, beneficence, non-maleficence, and justice must be examined and adhered to in distribution, development, and implementation (Jalilian et al., 2023). Acknowledging individual autonomy and supporting patients' right to decide for their children. When the parent decides against vaccination, it is a dilemma for the pediatrician to execute the code of ethics.
The nurse's primary goal and commitment is to the patient, and they must follow the code of ethics to ensure absolute professionalism. The nurse's interest must align with the community's interest in promoting community health, preventing harm, and the population's well-being. The ANA code of ethics provides the framework the nurses adopt to support their role in promoting and pushing for community welfare (Grace et al., 2023). It also guides safeguarding them and avoiding collision with the dilemma of respecting parents' choices.
Position 2
Parental Autonomy and Informed Consent
Parents maintain the right to decide on their child's health, including treatment and vaccination. They have the right to be fully informed and consent before administering or consulting the child's health. The parent's autonomy is grounded in ethical principles and the principle of justice (Reiss & Karako, 2019). The principle states that the parents are the primary decision makers for children's well-being; therefore, enforcing vaccination infringes this right. The right preserves and supports parents to make informed decisions about their children.
The two positions are the main cause of the dilemma as they oppose each other. That means that when a parent chooses not to receive vaccination for the chil...
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