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NRNP 6665 Ethical and Legal Foundations of PMHNP Care Discussion Paper Example
NRNP 6665 Ethical and Legal Foundations of PMHNP Care Discussion Assignment
NRNP 6665 Ethical and Legal Foundations of PMHNP Care Discussion Assignment Brief
Course: NRNP 6665 – Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan I
Assignment Title: NRNP 6665 Ethical and Legal Foundations of PMHNP Care Discussion Assignment
Assignment Instructions Overview
In this discussion assignment, you will explore a topic that has significant ethical and legal implications for Psychiatric-Mental Health Nurse Practitioner (PMHNP) practice. The aim is to deepen your understanding of these issues and how they influence clinical decision-making for both adult and child/adolescent patients. You will conduct a literature review to identify key ethical and legal considerations related to your chosen topic, and discuss how these considerations apply in your state and to your clinical practice.
Understanding Assignment Objectives
The primary objectives of this assignment are to:
- Analyze critical ethical and legal issues in psychiatric-mental health practice.
- Understand the impact of cultural considerations on ethical and legal decision-making in advanced practice nursing.
- Prepare for the nurse practitioner national certification examination by evaluating your knowledge and application of nurse practitioner principles.
The Student’s Role
As a student, your role is to critically examine a selected topic that intersects ethical and legal dimensions in PMHNP practice. You are expected to:
- Select one of the provided ethical/legal topics.
- Conduct a thorough literature review, locating four relevant scholarly or professional resources.
- Summarize the ethical and legal issues for both adult and child/adolescent patients based on your selected topic.
- Apply this information to your clinical practice, considering specific state regulations.
- Participate in discussions with peers to share insights and cultural considerations related to the ethical and legal issues.
Competencies Measured
This assignment measures the following competencies:
- Critical thinking and analytical skills in evaluating ethical and legal issues.
- Research skills in identifying and synthesizing relevant scholarly resources.
- Application of ethical and legal principles to clinical practice.
- Communication skills in discussing and presenting findings.
- Cultural competence in recognizing and integrating cultural considerations into ethical and legal decision-making.
You Can Also Check Other Related Assessments for the NRNP 6665 – Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan I Course:
NRNP 6665 Comprehensive Integrated Psychiatric Assessment Discussion Assignment Example
NRNP 6665 Ethical and Legal Foundations of PMHNP Care Discussion Paper Example
Discussion: Ethical and Legal Foundations of PMHNP Care
Topic: Restraints
Ethical Considerations of Restraints for Adult Patients
Restraints in psychiatric settings present significant ethical dilemmas. Restraints, whether physical, chemical, or environmental, are typically employed as a last resort to prevent patients from harming themselves or others. However, the use of restraints conflicts with the ethical principle of autonomy, which emphasizes respect for patients’ self-governance. Ethical practice necessitates that restraints be used only when absolutely necessary and that their use is minimized and justified through evidence-based guidelines. Restraints must never be used for the convenience of caregivers or as a punitive measure. Instead, the decision to use restraints should involve thorough professional training, constant reassessment, and a commitment to discontinue their use as soon as it is safe to do so. This approach aligns with the ethical principles of beneficence and non-maleficence, ensuring that the benefits outweigh the risks and potential harm to patients (Salehi et al., 2019).
Legal Considerations for Restraints for Adult Patients
Legally, the use of restraints is heavily regulated to protect patients’ rights and ensure their safety. According to federal regulations, restraints should only be applied when necessary to prevent imminent harm and must be used in the least restrictive manner possible. The attending physician must be consulted promptly, and each restraint order must be reassessed and renewed within specific timeframes (every 4 hours for adults, expiring within 24 hours). Additionally, patients must be monitored continuously, and their rights, such as privacy and protection from abuse, must be upheld. Legal frameworks also mandate that patients and their families are informed about the use of restraints and involved in the decision-making process (Public Health, 2018).
Ethical Considerations of Restraints on Children/Adolescents
The use of restraints on children and adolescents in mental health settings introduces further ethical complexities. Children are particularly vulnerable, and restraints can cause long-lasting psychological trauma. Ethical considerations must include the potential physical and psychological harm and the impact on the therapeutic relationship. Providers must prioritize less restrictive interventions and ensure that any use of restraints is justified, well-documented, and continuously reassessed. The principle of beneficence must guide decisions, ensuring that the use of restraints is always in the best interest of the child or adolescent (Nielson et al., 2021).
Legal Considerations for Restraints on Children/Adolescents
Legally, the use of restraints on minors is subject to strict scrutiny. Federal and state laws aim to provide the highest level of protection for minors. Providers are required to inform parents or legal guardians immediately and obtain written acknowledgment of the restraint policy. The application of restraints must be closely monitored, and any use must be thoroughly documented and justified to prevent claims of improper detention or harm. Legal considerations also emphasize the importance of safeguarding the minor’s rights and ensuring that all actions taken are in their best interest (Neiman et al., 2016).
Application to Clinical Practice
In clinical practice, PMHNPs must navigate the complex interplay of ethical and legal considerations regarding the use of restraints. Understanding and adhering to ethical principles and legal regulations is crucial for ensuring patient safety and upholding professional standards. In my state, regulations closely mirror federal guidelines, emphasizing the protection of patients’ rights and the necessity of using the least restrictive interventions. Continuous education and training on the ethical and legal aspects of restraint use are essential for all healthcare providers to ensure that they can make informed and justifiable decisions in the best interests of their patients.
References
Neiman, E., Pelkey, E., & Holloway, M. (2016). An Analysis of Legal Issues-Child and Adolescent Behavioral Health, Part III: Patient Safety-Identifying and Addressing Legal Issues Involved When Treating Pediatric Patients with Behavioral Health Needs. Teaching Hospitals and In-House Counsel Practice Groups. Link
Nielson, S., Bray, L., Carter, B., & Kiernan, J. (2021). Physical restraint of children and adolescents in mental health inpatient services: A systematic review and narrative synthesis. Journal of Child Health Care, 25(3), 342–367. https://doi.org/10.1177/1367493520937152
Public Health. (2018, October 1). Code of Federal Regulations. Link
Salehi, Z., Najafi Ghezeljeh, T., Hajibabaee, F., & Joolaee, S. (2019). Factors behind ethical dilemmas regarding physical restraint for critical care nurses. Nursing Ethics, 27(2), 598–608. https://doi.org/10.1177/0969733019858711
Detailed Assessment Instructions for the NRNP 6665 Ethical and Legal Foundations of PMHNP Care Discussion Assignment
Week 2: Ethical and Legal Foundations of PMHNP Care Across the Lifespan
In your role as a PMHNP, you will regularly encounter situations that require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidence-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their background or worldview. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action.
Learning Objectives
Students will:
- Analyze salient ethical and legal issues in psychiatric-mental health practice
- Analyze the impact of cultural considerations on ethical/legal decision making in advanced practice nursing
- Evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination*
*Assessed in Week 3 Assignment
Reminder: Keep Your Library of Advanced Practice Nursing Texts at Your Fingertips
Several textbooks are assigned in multiple courses in your program. That is, you will see reading assignments from the books assigned in the Learning Resources of more than one course. You should, however, keep all prior textbooks—not just the ones explicitly assigned—readily accessible. The expectation is that you will independently consult these prior textbooks to synthesize information needed to complete your final courses. This is your time to “put it all together” and to more fully embrace the advanced practice nursing role. Part of the responsibility of advanced practice is developing information literacy skills to know where to locate needed information for your clinical practice.
Discussion: Ethical and Legal Foundations of PMHNP Care
Advanced practice nursing in all specialties is guided by codes of ethics that put the care, rights, duty, health, and safety of the patient first and foremost. PMHNP practice is also guided by ethical codes specifically for psychiatry. These ethical codes are frameworks to guide clinical decision making; they are generally not prescriptive. They also represent the aspirational ideals for the profession. Laws, on the other hand, dictate the requirements that must be followed. In this way, legal codes may be thought to represent the minimum standards of care, and ethics represent the highest goals for care.
Photo Credit: [Hero Images]/[Hero Images]/Getty Images
For this Discussion, you select a topic that has both legal and ethical implications for PMHNP practice and then perform a literature review on the topic. Your goal will be to identify the most salient legal and ethical facets of the issue for PMHNP practice, and also how these facets differ in the care of adult patients versus children. Keep in mind as you research your issue, that laws differ by state and your clinical practice will be dictated by the laws that govern your state.
TO PREPARE
- Select one of the following ethical/legal topics:
- Autonomy
- Beneficence
- Justice
- Fidelity
- Veracity
- Involuntary hospitalization and due process of civil commitment
- Informed assent/consent and capacity
- Duty to warn
- Restraints
- HIPPA
- Child and elder abuse reporting
- Tort law
- Negligence/malpractice
- In the Walden library, locate a total of four scholarly, professional, or legal resources related to this topic. One should address ethical considerations related to this topic for adults, one should be on ethical considerations related to this topic for children/adolescents, one should be on legal considerations related to this topic for adults, and one should be on legal considerations related to this topic for children/adolescents.
By Day 3 of Week 2
Briefly identify the topic you selected. Then, summarize the articles you selected, explaining the most salient ethical and legal issues related to the topic as they concern psychiatric-mental health practice for children/adolescents and for adults. Explain how this information could apply to your clinical practice, including specific implications for practice within your state. Attach the 4 PDFs of your articles.
Read a selection of your colleagues’ responses.
By Day 6 of Week 2
Respond to at least two of your colleagues on 2 different days by sharing cultural considerations that may impact the legal or ethical issues present in their articles.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Learning Resources
Required Readings (click to expand/reduce)
American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. https://www.nursingworld.org/practice-policy/nursi…
American Psychological Association. (2017). Ethical principles of psychologists and diagnostic formulation. http://www.apa.org/ethics/code/
American Academy of Child & Adolescent Psychiatry. (2014). Code of ethics. https://www.aacap.org/App_Themes/AACAP/docs/about_…
American Psychiatric Nurses Association. (2020). APRN psychiatric-mental health nursing practice. https://www.apna.org/i4a/pages/index.cfm?pageID=38…
Anderson, S. L. (2012). Practice parameter on gay, lesbian, or bisexual sexual orientation, gender nonconformity, and gender discordance in children and adolescents. American Academy of Child and Adolescent Psychiatry, 51(9). 957–974. https://www.jaacap.org/action/showPdf?pii=S0890-85…
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
- Chapter 19, “Legal Issues in the Care and Treatment of Children with Mental Health Problems”
Zakhari, R. (2020). The psychiatric-mental health nurse practitioner certification review manual. Springer.
- Chapter 1, “Preparing to Pass the Psychiatric-Mental Health Nurse Practitioner Certification Exam”
Ethical and Legal Foundations of PMHNP Care Submission and Grading Information
Ethical and Legal Foundations of PMHNP Care Grading Criteria
Post by Day 3 of Week 2 and Respond by Day 6 of Week 2
To Participate in this Discussion:
Week 2 Discussion
Name: Ethical and Legal Foundations of PMHNP Care Discussion Rubric
| Ethical and Legal Foundations of PMHNP Care | Excellent
90–100 |
Good
80–89 |
Fair
70–79 |
Poor
0–69 |
| Main Posting:
Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. |
40 (40%) – 44 (44%)
Thoroughly responds to the Discussion question(s). Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. No less than 75% of post has exceptional depth and breadth. Supported by at least three current credible sources. |
35 (35%) – 39 (39%)
Responds to most of the Discussion question(s). Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 50% of the post has exceptional depth and breadth. Supported by at least three credible references. |
31 (31%) – 34 (34%)
Responds to some of the Discussion question(s). One to two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Cited with fewer than two credible references. |
0 (0%) – 30 (30%)
Does not respond to the Discussion question(s). Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible references. |
| Main Posting:
Writing |
6 (6%) – 6 (6%)
Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style. |
5 (5%) – 5 (5%)
Written concisely. May contain one to two grammatical or spelling errors. Adheres to current APA manual writing rules and style. |
4 (4%) – 4 (4%)
Written somewhat concisely. May contain more than two spelling or grammatical errors. Contains some APA formatting errors. |
0 (0%) – 3 (3%)
Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. |
| Main Posting:
Timely and full participation |
9 (9%) – 10 (10%)
Meets requirements for timely, full, and active participation. Posts main Discussion by due date. |
8 (8%) – 8 (8%)
Meets requirements for full participation. Posts main Discussion by due date. |
7 (7%) – 7 (7%)
Posts main Discussion by due date. |
0 (0%) – 6 (6%)
Does not meet requirements for full participation. Does not post main Discussion by due date. |
| First Response:
Post to colleague’s main post that is reflective and justified with credible sources. |
9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. |
8 (8%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting. |
7 (7%) – 7 (7%)
Response is on topic and may have some depth. |
0 (0%) – 6 (6%)
Response may not be on topic and lacks depth. |
| First Response:
Writing |
6 (6%) – 6 (6%)
is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. |
5 (5%) – 5 (5%)
is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources. Response is written in standard, edited English. |
4 (4%) – 4 (4%)
Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited. |
0 (0%) – 3 (3%)
Responses posted in the Discussion lack effective communication. Response to faculty questions are missing. No credible sources are cited. |
| First Response:
Timely and full participation |
5 (5%) – 5 (5%)
Meets requirements for timely, full, and active participation. Posts by due date. |
4 (4%) – 4 (4%)
Meets requirements for full participation. Posts by due date. |
3 (3%) – 3 (3%)
Posts by due date. |
0 (0%) – 2 (2%)
Does not meet requirements for full participation. Does not post by due date. |
| Second Response: Post to colleague’s main post that is reflective and justified with credible sources. |
9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. |
8 (8%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting. |
7 (7%) – 7 (7%)
Response is on topic and may have some depth. |
0 (0%) – 6 (6%)
Response may not be on topic and lacks depth. |
| Second Response: Writing |
6 (6%) – 6 (6%)
is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. |
5 (5%) – 5 (5%)
is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources. Response is written in standard, edited English. |
4 (4%) – 4 (4%)
Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited. |
0 (0%) – 3 (3%)
Responses posted in the Discussion lack effective communication. Response to faculty questions are missing. No credible sources are cited. |
| Second Response: Timely and full participation |
5 (5%) – 5 (5%)
Meets requirements for timely, full, and active participation. Posts by due date. |
4 (4%) – 4 (4%)
Meets requirements for full participation. Posts by due date. |
3 (3%) – 3 (3%)
Posts by due date. |
0 (0%) – 2 (2%)
Does not meet requirements for full participation. Does not post by due date. |
| Total Points: 100 | ||||
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