Create a nursing situation (must be original; meaning there should not be any two presented in class that are the same as any other student) which illustrates moral distress related to a clinical problem that an advanced practice nurse is likely to encounter in practice. Ensure to define and explain how the scenario meets the definition of moral distress and that the problem as identified in the nursing situation is supported by evidence-based literature.
Describe the personal, professional and organizational factors that are the causes of moral distress within the case scenario from the perspective of the APN. Analyze current interventions and strategies to address the identified issue of moral distress in the created nursing situation at the personal, professional and organizational level. Differentiate moral distress from other common responses to ethical situations encountered in practice (moral uncertainty, dilemma, conflict and residue).
CRITERION | STRONG | AVERAGE | WEAK |
Nursing situation clearly describes and explores moral distress related to an ethical practice issue from the perspective of an advanced practice nurse (15%)
|
10-15 pts
Nursing situation identifies, describes and demonstrates a sophisticated understanding of moral distress as an ethical practice issue and dilemma from the perspective of an advanced practice nurse (APN). |
5-9 pts
Nursing situation identifies, describes, and demonstrates a somewhat accomplished understanding of moral distress as an ethical practice issue and dilemma from the perspective of an advanced practice nurse (APN).
|
0-4 pts
Nursing situation identifies, describes, and demonstrates an unclear understanding of moral distress as an ethical practice issue and dilemma from the perspective of an advanced practice nurse (APN).
|
Analysis and Evaluation of Ethical Dilemma
15% |
10-15 pts
Presents an insightful and thorough analysis of moral distress using a clinical practice issue that is well supported with best practice and current research which relates specifically to the role of APN versus a bedside nurse is illustrated using the nursing situation. |
5-9 pts
Presents a somewhat thorough analysis of moral distress using a clinical practice issue that is somewhat but not clearly supported with best practice and current research and somewhat relates to the role of APN versus a bedside nurse. |
0-4 pts
Little to no analysis of moral distress using a clinical practice issue that is not well supported with best practice and current research and fails to show a specific link to the role of APN versus a bedside nurse. |
Personal, professional, and organizational causes of moral distress are explained and clearly illustrated using the nursing situation (15%) | 10-15 pts
Exceptional exploration of personal, professional and organizational causes of moral distress is presented and illustrated using the identified nursing situation. |
5-9 pts
Appropriate but somewhat vague exploration of personal, professional and organizational causes of moral distress is presented and illustrated using the identified nursing situation. |
0-4 pts
Little to no exploration of personal, professional and organizational causes of moral distress is presented and illustrated using the identified nursing situation. |
Recommendations on effective interventions
Solutions/Strategies from a personal, professional and organizational perspective are demonstrated and explained using the nursing situation (15%) |
10-15 pts
Sophisticated explanation of effective interventions and strategies from a personal, professional and organizational perspective are provided to address moral distress as illustrated in the nursing situation which are clearly linked and supported by evidence based best practice and literature. |
5-9 pts
Appropriate explanation of effective interventions and strategies from a personal, professional and organizational perspective are provided to address moral distress as illustrated in the nursing situation which are somewhat linked and supported by evidence based best practice and literature. |
0-4 pts
Limited explanation of effective interventions and strategies from a personal, professional and organizational perspective are provided to address moral distress as illustrated in the nursing situation which are not clearly linked and/or supported by evidence based best practice and literature |
Explores the differences between moral distress and moral uncertainty, dilemma, conflict and residue from the perspective of the advanced practice nurse.
(15%) |
10-15 pts
Integrated and full descriptions of how moral distress differs from the other ethical responses of moral uncertainty, moral dilemma, moral conflict and moral residue from the perspective of the advanced practice nurse. |
5-9 pts
Somewhat integrated but not full description of how moral distress differs from the other ethical responses of moral uncertainty, moral dilemma, moral conflict and moral residue from the perspective of the advanced practice nurse |
0-4 pts
Limited to no description of how moral distress differs from the other ethical responses of moral uncertainty, moral dilemma, moral conflict and moral residue from the perspective of the advanced practice nurse |
Links ethical dilemma of moral distress to Course Readings and Additional Literature & Research (15%) | 10-15 pts
Makes appropriate connections between identified ethical and moral issues from both sides; supplements presentation with relevant and thoughtful research and documents all sources of information. |
5-9 pts
Makes appropriate but somewhat vague connections between identified ethical and moral issues from both sides; supplements presentation with some relevant and thoughtful research and documents all sources of information. |
0-4 pts
Makes inappropriate or little connections between identified ethical and moral issues from both sides; supplements presentation with some relevant and thoughtful research and documents all sources of information. |
Writing Mechanics and Formatting Guidelines including correct references and APA formatting
(10%) |
8-10 pts
Demonstrates clarity, conciseness and correctness; no paragraphs to read on slides; utilizes notes on each slide to expand; APA formatting is appropriate and writing is free of grammar and spelling errors |
4-7 pts
Occasional grammar or spelling errors, but still a clear presentation of ideas; lacks organization. Slides contain too much text to read |
0-3 pts
Many deficiencies on grammar, spelling, or APA formatting. Slides have paragraphs to read and are not concise or notes on each slide are not utilized. |
Total 100 pts |
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