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Everything you are going to need is in the attachment with all the instructions and don’t forget to do as it asks. Topic “Should children be removed from their homes due to parental drug addiction?” I need two pages. 

I need two slides PowerPoint on part D. Resources to resolve the dilemma: Describes resources to resolve the dilemma and describes how each resource could help to resolve the dilemma. Supports ideas with scholarly literature.

NR328 Pediatric Nursing
RUA: Ethical Dilemma Assignment Guidelines

NR328 Ethical Dilemma Guidelines V6.docx Revised: 3/2020
1

Purpose

For this assignment, you will examine an ethical dilemma that exists in pediatric settings with a group of your peers. 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 Ethics 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). Your team will then present this information in class with a poster grounded in scholarly sources. You will also
submit individual speaker notes describing your assigned part and 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) A template for the poster will be made available.
3) Although you may not agree with one of the positions, reflect on your views, respect other perspectives, and

examine scholarly literature on both positions.
4) Form a group of 5‐6 students.
5) Each student is responsible for an assigned part:

a. Team Leader
• Prepares and submits the poster on behalf of the group. The poster must clearly indicate the specific part

that each team member completed. Describes statistical significance to pediatric nursing grounded in
scholarly literature. Collates utilized references and summarizes key points.

b. Description of the dilemma
• Performs preliminary research on the assigned ethical dilemma and describes the dilemma. Clearly

identifies both positions grounded in scholarly literature. Disseminates information found to all group
members.

c. Ethical Principles and ANA Code of Ethics Provisions (2)
• Determines the ethical principles that apply to each position, possible conflicts in principles, and

components of the ANA Code of Ethics that apply using three (3) Provisions. Disseminates information
found to all group members. Supports ideas with scholarly literature.

d. Resources to resolve the dilemma
• Describes resources to resolve the dilemma and describes how each resource could help to resolve the

dilemma. Supports ideas with scholarly literature.
e. Possible outcomes and plan for resolving the issue

• Discusses possible outcomes of both positions. Presents a plan for resolving the issue (for patient, family
and the nurse). Supports ideas with scholarly literature.

6) Each team member will provide their part of the poster to the team leader including citations and references.

NR328 Pediatric Nursing
RUA: Ethical Dilemma Assignment Guidelines

NR328 Ethical Dilemma Guidelines V6.docx Revised: 3/2020
2

7) Each team member will complete and submit speaker notes of their assigned part and a reflection of own values
and morals as it relates to the ethical dilemma. The title page must clearly indicate the specific part that the team
member completed. Can be bullet points, listed, or written out.

8) Practice as a group how you will present this issue. Make notes for your reference during the presentation and be
prepared to discuss your scholarly literature.

9) Each team member will present their assigned part of the poster to the class. The presentation will last no more
than 15 minutes.

10) 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.nursingworld.org/practice‐
policy/nursing‐excellence/ethics/code‐of‐ethics‐for‐nurses/

11) For APA, formatting, or grammar assistance visit the APA Citation and Writing page in the online library.
12) Include the following sections (detailed criteria listed below and in the Grading Rubric):

a. Professionalism ‐5 points/5%
• Team members are professionally dressed.
• Team is introduced and assigned roles are identified prior to starting the presentation.
• Full group participation.
• Respectful and professional language is used throughout the presentation.
• Adhere to the time limit of 15 minutes.

b. Team Presentation ‐50 points/50%
• Description of the dilemma is clear and includes statistical significance to Pediatric nursing.
• Both positions of the dilemma are presented crediting supporting scholarly sources.
• Appropriate ethical principle(s) to support each position are used.
• Consideration of which, if any, ethical principles are in conflict with the opposing positions.
• Three (3) provisions of the ANA Code of Ethics that apply to the ethical dilemma are used.
• Present all pertinent resources available to resolve the dilemma.
• Explain how resources could help in resolving the dilemma.
• Discuss possible outcomes of each position.
• Present a plan for resolving the issue.

c. Team Poster ‐ 15 points/15%
• Full names of all team members included and team member initials are present in the assigned sections.
• Content is presented clearly and scholarly.
• Citations included for each section.
• Poster includes sections for:

o Title
o Dilemma description
o Statistical significance
o Ethical principles
o Applicable ANA Code of Ethics Provisions
o Resources to resolve dilemma
o Potential outcomes of the dilemma
o Plan for resolving the dilemma
o Key Points
o References

d. Speaker Notes and Reflection‐ 20 points/20%
• APA Title page with assigned individual part identified.
• Ideas presented clearly.
• APA citations throughout.

NR328 Pediatric Nursing
RUA: Ethical Dilemma Assignment Guidelines

NR328 Ethical Dilemma Guidelines V6.docx Revised: 3/2020
3

• At least two (2) nursing, peer reviewed, primary sources from the last 5 years, excluding the textbook
used to support work.

• APA reference page.
• Reflection of own values and morals.

e. Poster APA Style and Organization – 10 points/10%
• References are submitted with assignment.
• Uses current APA format and is free of errors.
• Grammar and mechanics are free of errors.
• At least three (3) scholarly, nursing, 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 and each position must be supported

by a scholarly source.

NR328 Pediatric Nursing
RUA: Ethical Dilemma Assignment Guidelines

NR328 Ethical Dilemma Guidelines V6.docx

Revised: 3/2020
4

Grading Rubric
Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

Assignment Section and Required
Criteria

(Points possible/% of total points available)

Highest Level
of

Performance

High Level of
Performance

Satisfactory
Level of

Performanc

Unsatisfacto
ry Level of

Performanc

Section
not

present

Professionalism
(5 points/5%)

5 points 4 points 3 points 2 points 0 points

Required criteria
1. Team members are professionally dressed.
2. Team is introduced and assigned roles are identified prior

to starting the presentation.
3. Full group participation.
4. Respectful and professional language is used throughout

the presentation.
5. Adhere to the time limit of 15 minutes.

Includes no fewer
than 5
requirements for
section.

Includes no fewer
than 4
requirements for
section.

Includes no less
than 3 requirement
for section.

Includes no
less than 2
requirement
for section.

Includes 1 or no
requirements
for section.

Team Presentation
(50 points/50%)

50 points 40 points 30 points 20 points 0 points

Required criteria
1. Description of the dilemma is clear and includes statistical

significance to Pediatric nursing.
2. Both positions of the dilemma are presented crediting

supporting scholarly sources.
3. Appropriate ethical principle(s) to support each position

are used.
4. Consideration of which, if any, ethical principles are in

conflict with the opposing positions.
5. Three (3) provisions of the ANA Code of Ethics that apply to

the ethical dilemma are used.
6. Present all pertinent resources available to resolve the

dilemma.
7. Explain how resources could help in resolving the dilemma.
8. Discuss possible outcomes of each position.
9. Present a plan for resolving the issue.

Includes no fewer
than 9
requirements for
section.

Includes no fewer
than 8
requirements for
section.

Includes no fewer
than 7 requirements
for section.

Includes no
fewer than 6
requirements for
section.

Includes 5 or
fewer
requirements
for section.

NR328 Pediatric Nursing
RUA: Ethical Dilemma Assignment Guidelines

NR328 Ethical Dilemma Guidelines V6.docx

Revised: 3/2020
5

Team Poster
(15 points/15%)

15 points 10 points 7 points 5 points 0 points

Required criteria
1. Full names of all team members included and team

member initials are present in the assigned sections.
2. Content is presented clearly and scholarly.
3. Citations included for each section.
4. Poster includes sections for title, dilemma description,

Statistical significance, Ethical principles, Applicable
ANA Code of Ethics Provisions, Resources to resolve
dilemma, Potential outcomes of the dilemma, Plan for
resolving the dilemma, Key Points, and References.

Includes no fewer
than 4
requirements for
section.

Includes no fewer
than 3
requirements for
section.

Includes no fewer
than 2 requirements
for section.

Includes no less
than 1
requirements for
section.

No
requirements
for this section
presented.

Speaker Notes and Reflection
(20 points/20%)

20 points 15 points 10 points 5 points 0 points

Required criteria
1. Title page with assigned individual part identified.
2. Citations throughout.
3. Ideas presented clearly.
4. At least two (2) sources used to support work.
5. Reference page.
6. Reflection of own values and morals.

Includes no fewer
than 6
requirements for
section.

Includes no fewer
than 5
requirements for
section.

Includes no fewer
than 4 requirements
for section.

Includes no fewer
than 3
requirements for
section.

Includes 2 or
fewer
requirements
for section.

Poster APA Style and Organization
(10 points/10%)

10 points 8 points 6 points 4 points 0 points

1. References are submitted with assignment.
2. Uses current APA format and is free of errors.
3. Grammar and mechanics are free of errors.
4. At least three (3) scholarly, peer reviewed, primary

sources from the last 5 years, excluding the textbook,
are provided

5. One (1) scholarly source must be the ANA Code of Ethics
and each position must be supported by a scholarly
source.

Includes no fewer
than 5
requirements for
section.

Includes no fewer
than 4
requirements for
section.

Includes no fewer
than 3 requirements
for section.

Includes 1‐2
requirements for
section.

No
requirements
for this section
presented.

Total Points Possible = 100

  • Purpose
  • Preparing the assignment

RUA: Ethical
Dilemma
By: Stephanie Zepeda, Taylor Brown, Kelsey Dauzat,
Tyleisha Bowser

Dilemma Description

● Blood transfusion is an increased risk
procedure

● It requires a written consent which can
be refused

● Generates medical and ethical concerns
● Understanding patients beliefs and

practices are important
● Jehovah’s Witnesses firmly oppose to

blood transfusions

S.Z.

(Jakubowska, 2018) .

Dilemma Description

● This situation can be difficult
especially when dealing with
pediatric patients.

● What if the child could make this
decision?
○ Case of Jehovah witness

S.Z

(Conti, 2018) (Cobb,
1994).

Pro Position
● Four capacities have been described

for medical decision-making
1. Communicating a choice
2. Understanding
3. Reasoning
4. Appreciation

● Fully developed by age 12
● Countries such as the Netherlands

involve children in decision making
● Parents may not always know what is

best

S.Z

(Grootens, wiegers, 2017).

Con Position
● Decision making can be affected by

various factors
○ Mental capacity
○ Stress
○ Peer Pressure
○ Easily persuaded

● It can cause a divide in families

S.Z

(Grootens, wiegers, 2017).

Ethical

Principles

❏ Autonomy
❏ Beneficence
❏ Nonmaleficenc

e
❏ Justice
❏ Veracity
❏ Fidelity

T.Brown

(Elarousy and AlNajjar, 2017)

Ethical Principles

Are there special circumstances in which minors can be legally allowed to make
autonomous health care decisions?

The mature minor

“In circumstances in which a minor wishes to make an autonomous decision contrary to the
wishes of parents or medical professionals, courts may grant the minor total or partial

emancipation (mature minor status) to make decisions. Such judicial actions are based on existing
case law, state statutes, or common law practices, and will therefore be determined on a case-by-
case basis. Courts often consider the patient’s prior experience with his or her medical condition,

intelligence, and general evidence of maturity in making these determinations”

T.Brown

(Frader and Flanagan, 2017)

Applicable ANA Code of Ethics

Provisions

Provision 1. The nurse
practices with
compassion and respect
for the inherent dignity,
worth, and unique
attributes of every
person.

T.Brown

(Haddad, 2020)

Applicable ANA Code of Ethics

Provisions

Provision 2. The nurse’s
primary commitment is
to the patient, whether
an individual, family,
group, community, or
population.

T.
Brown

(Haddad, 2020)

Applicable ANA Code of Ethics

Provisions

Provision 3. The nurse
promotes, advocates for, and
protects the rights, health,
and safety of the patient.

T.
Brown

(Haddad, 2020)

Resources to resolve dilemma

❏ The American Academy of

Pedatrics
❏ Consult with anaesthetists,

surgeon, parents, and child (if old

enough to understand)
❏ Assure Confidentially

T.Bowser

(Chand, Subramanya, & Rao, 2014)

Potential outcomes of the

dilemma

❏ The healthcare provider can administer a blood

transfusion to a child without constant of the parent.
❏ The can be temporarily removed from home for child

neglect.
❏ The Court can make a decision to have constant or refusal

blood transfusion if there is no emergency.
❏ Accept receiving blood plasma fractions or the reinfusion

of their own blood
❏ Parents can be okay with healthcare team consulting on

child’s behalf

T.Bowser

(Chand, Subramanya, & Rao, 2014)

Plan for resolving the dilemma
● Respect the child’s and family’s religious beliefs and

practices.
● Consider the child’s development when talking about

spiritual concerns.
● Contact the institution’s chaplaincy department for patients

and families who have symptoms of spiritual distress or ask
for specific religious rituals.

● Become knowledgeable about the religious worldviews of
cultural groups found in the patients you care for.

● Encourage visitation with family members, members of the
patient’s spiritual community, and spiritual leaders.

● Allow children and families to teach you about the specifics
of their religious beliefs.

● Develop awareness of your own spiritual perspective.
● Listen for understanding rather than agreement or

disagreement.

K.D.

(Hockenberry and Wilson,
2018)

Plan for resolving the dilemma

● Establish a therapeutic relationship with the child and family.
● Assess your own personal beliefs about the ethical delimma.
● Educate the child and family of the benefits, risks of blood

transfusions.
● Assess the child’s cognitive ability in making medical decisions for

themselves.
● Evaluate and educate on the possible outcomes of treatment vs.

not having the treatment.
● Allow the child and family to make educated desicions for

treatment.
● Respect the desicions made and advocate for their rights.

K.D.

(Levy, 2018)

Key Points

● Religions, such as
Jahovah Witness,
revokes blood
transfusion treatments.

● Parents typically have
the legal right to make
the decision regarding
treatment.

● There are other
avenues to treatment.

● The child may have the
ability to counteract
this decision if deemed
appropriate.

K.D

Key Points

● Provide advocacy and
autonomy to your
patients’ care.

● Be sure to assess your
own values and morals
in order to make a clear
thought out plan.

● Education is important
in order for the child
and family to make an
informed decision.

K.D

References
Chand, N. K., Subramanya, H. B., & Rao, G. V. (2014). Management of patients who refuse blood transfusion. Indian journal of anaesthesia,
58(5), 658–664. https://doi.org/10.4103/0019-5049.144680

Conti, A. et. al. (2018). Blood transfusion in children: The refusal of Jehovah’s witness parents’. Open Medicine. Vol 13. doi: 10.1515/med-
2018-0016

Grootens-Wiegers, P. et al. (2017). Medical decision-making in children and adolescents: developmental and neuroscientific aspects. V 17:
12. doi: 10.1186/s12887-017-0869-x

El-Arousy, Wafa, and Casestudies Journal. “Ethical Considerations in Pediatric Nursing.” Academia.edu, 10 Oct. 2017,
www.academia.edu/36947190/Ethical_considerations_in_pediatric_nursing.

Frader, Joel E, and Erin Flanagan. Minors as Decision-Makers. American Academy of Pediatrics Bioethics Resident Curriculum: Case-Based
Teaching Guides, 2017, www.aap.org/en-us/Documents/Bioethics-MinorsAsDecisionMakers.pdf.

Haddad LM, Geiger RA. Nursing Ethical Considerations. [Updated 2020 Sep 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls
Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526054/

Hockenberry, M. J., & Wilson, D. (2019). Wong’s nursing care of infants and children (11th ed.). Mosby.
Jakubowska, K. et. al (2018). Opinions of pediatric nurses about Jehovah’s witnesses refusal of blood transfusion for their child. DOI:
10.2478/pielxxiw-2018-0028

Levy, N. Shibboleth Authentication Request, 12 Jan. 2018,
eds-b-ebscohost-com.chamberlainuniversity.idm.oclc.org/eds/detail/detail?vid=2&sid=d303c3ae-1955-4cc8-888f-fade96c83b01
%40pdc-v-sessmgr04&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3D%3D#AN=T705106&db=nup.

  • Slide 1
  • Dilemma Description
  • Dilemma Description
  • Pro Position
  • Con Position
  • Ethical Principles
  • Ethical Principles
  • Applicable ANA Code of Ethics Provisions
  • Applicable ANA Code of Ethics Provisions
  • Applicable ANA Code of Ethics Provisions
  • Resources to resolve dilemma
  • Potential outcomes of the dilemma
  • Plan for resolving the dilemma
  • Plan for resolving the dilemma
  • Key Points
  • Key Points
  • References
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