Essay 3 by Elaine Briones ‘Submission date: 16-Nov-2021 09:47PM (UTC-0600) Submission 1D: 1705225493 File name: Essay 3_Draft_1.docx (25.29) Word count: 1889 Character count: 10324Briones 1 Elaine Briones Professor William Nolen ENGL 1301 123 ‘5 November 2021 Essay 3: Radiology Nursing Eshies Nursing has played a huge roe in the work over the decades, starting back in ancient history in 300 AD. Along with nursing, nursing ethies played an important role which builds the ‘whole purpose ofa prophecy called Hippocratic Oath. The basis of what the Hippocratic Oath is, is that this oath is a sacred promise g made by any medical field worker that, to the best of their ability, they will provide the best care for their patients as well as providing them with privacy rights; a promise that the patient wouldn't be put in harm's way| Although every healthcare worker swears by this oath, there has been a history within radiology nurses not holding to their pledge. The article, “Radiology Nursing Ethics and Moral Distress”, written by Lisa Haddad, overviews the struggles throughout the years within radiology nursing ethics and how it can put patients under radiology care through dangerous treatments. The author, Lisa Haddad, makes a claim to which radiology nurses feeling the need to stride away from knowing they can make the right decisions but take the opposite direction (also known as Moral Distress), and with the evidence that is provided, er claims were proven affirmative. The way that Haddad goes about this is providing multiple sources from researchers, as well as listing events from the past that ea the currently refined ideals behind bioethics, and even ling the protocols hat nurses swear to follow when treating patients.Briones 2 Lisa Haddad’s layout for this article is that she frst gives a brief rundown on “Ethics and bioethics”, this section explains that the word ethics comes from the origin Greek meaning. “character” and the role that ethics plays is that from the person's distinctions, they should be able to signify the differences between right and wrong with their profession (contextual examination of motives, attitudes, and relationships) (Guido, 2014). Its also explained that bioethics covers the science area to which patients are intended to be treated with great care by healthcare professionals and subjects of research (Campbell, 2017) |. Moving on, the author then begins to explain the history behind how bioethics began, and ‘more specifically how it accelerated after World War Il. After World War Il, the Nuremberg Code of 1947 came into effect. What this code did was “established fundamental principles for the protection of human subject research, namely that human subjects should be fully informed and provide their consent before participating in medical research [..J” (Haddad 1). ‘The Nuremberg Code connects with bioethics by conducting experiments with consenting patients to determine what is appropriate for future patients to undergo. By subjects undergoing through the experiments, it would help jumpstart for more research to identify specifically five ‘ways to understand ifa patient is going through unethical treatments. These five categories are as follows: “(1) known effective treatment was withheld; (2) medication was given even though no discase was present; (3) physiologic studies wherein harmful agents were introduced to study their effects: (4) artificial induction of disease; and (5) new methods of medical techniques being trialed in otherwise healthy patients” (Beccher,1966). These five categories of unethical treatment, helps form biocthies to confirm the patient's safety and avoid tolerating inappropriate ministrations.Briones 3 Continuing on, relational ethics are incorporated into the medical industry to which i “involves a relationship of empathy and honoring emotions between patient and provider,” (Haddad 2) This simply means that ear providers sympathize over patet"fand their emotions from what they are experiencing. Care providers give sympathy by interacting with patients and their families about the thought process that is made through their decision making in addition to considering the “diversity, incorporating culture and language,” (Haddad 2) Along with bioethics and relational ethics, nursing ethies play a part by allowing nurses to interact with patients a specific way. For instance, nurses must be professional when treating, their patients by the way they interact with them, Multiple works for nursing ethics were published back around the 1890's that included “words as codes, conduct, duty, ethics, and tone,” (Fowler 2016, 20174). Iti explained that principles weren't fitted as appropriate in terms of medical practice when it comes to the practice of nursing, as medical practice was more for nonmaleficence while nursing was focused on beneficence. Lisa Haddad then begins to talk about how the previously talked about ethics, play a role in moral distress. We know this by Haddad explaining that there had been effects upon nurses that experienced CF. or compassion fatigue, bumouts (exhaustion, frustration, anger, and depression), and traumatic stress and suffering, and with that, it goes to show that due to the stressonjnurges acquire it cam take int effet to ther patient's ere This argument was proven by a study conducted by Toby Bressler (vice president in Oncology Nursing), Debra R. Hanna (an associate professor at Molloy College, Rockville Centre, New York) and Elizabeth Smith (a clinical nurse specialist) that covers over nurses giving medical care to victims involved in the Jewish Holocaust diagnosed with a chronic ventilator-dependent respiratory failure. The nurses that developed moral distress from providing care {0 the Holocaust patients, resulted in theBriones 4 workers making careless dvisions and sess reactions wee observe the mse poor performances were caused by depression, powerlessness, guilt that led to improper quality care and lack of patient satisfaction (Bressler eta. 2017) Mas also concluded thatthe mora dis fess was originated from concerns with retention as well as deficiency in workers. (Buston & Tuckett, 2012), Soon after, a tool was created to measure out the moral distress among healthcare providers along with “the perception of a positive elimate” by Ann Baille Hamric, Todd Borchers and Blizabeth Gingell Epstein] Wit his too, it was consted 1 measure out the ‘moral distress and it came upon the result that moral distress occurred when patients were undergoing procedures that were seen as, “futile, nonbeneficial, or potentially inappropriate” (Haddad 5). Futile care was known as the care provided to patients who had no hope in recovering from their circumstances or chances of a survival rate, meaning thatthe care that is being received is defying its purpose. Haddad puts attention to this detail to prove that in order to help future radiology nurses from going through moral distress, they use the tool to measure out the typeof distress that the nurses were going through at that time to help manage mora iste, radiology nurses go through now. This is where radiology nursing comes into play. Radiology nurses follow a protocol made by Association for Radiologic and Imaging| Nursing Association (ARIN). Back in 2018, ARIN addressed some discussion matters that included patient safety, sterile technique, nurse staffing, bariatric, and mursing leadership. As the topics were discussed, the clinical guidelines ‘were also updated and applied to the following: moderate sedation and analgesia, extravasation of contrast media, capnography, and dealing with chemotherapy/eytotoxic medications. (ARIN, 2020). Haddad believes that new position statements should be incorporated into ARIN in terms ofhow radiology nurses can communicate the gol-of ae wih the pen ptent anesBriones 5 about potentially inappropriate treatments that ean be done. So, ifa nurse comes into a predicament, not only can they use biomedical principles, components of relational ethics, the ANA Code of Ethics, the PC team, and an ethics committee (used for consultation) as a guide, but along with updated ARIN position statements in order for ARIN to prove what they stand for in patient care. For instance, the example that is used in the article is a nurse handling a patient undergoing at the interventional radiology, nurses come into a problem of knowing whether or nurses run into are “If this gastric tube is placed, will it prolong the patient’ life or lead to ration pneumonia just a dysphagia would? If the biopsy results are positive, will this person undergo curative treatment, and if so, will it cause them to suffer?” (Haddad 6) and leads the nurse to second guessing their care as well as their development for moral distress. With this evidence it shows that ethos being portrayed by Haddad displaying a situation that can be played out in the nursing world that takes eof ne sed gag Moc con take a toll on their actions |. Another act that could potentially come into play within a nurse's profession is an elder ‘man sustaining Vertebroplasty, a procedure where a fractured vertebra is injected with a special cement (to relieve spinal pain), while using practically no sedation due to the man’s age and the less like probability being monitored lying face down. With this pressure and power inthe scenario ths pus the nus int stress from trying to maintain a procedre that will consist of intolerable pain to their patient, which leaves the nurse ina case that they wouldn't want the patient to go through with the procedure in fear of the patient feeling pain, However, one way the nurse can prevent from experiencing moral distress is that they can receive consultation from a PC team (personal consultation). PC teams are usually consulted when a nurse is questioningBriones 6 whethera nephrostomy tue placement should be eanductd fo ss nyolying a patient's ‘malignancy-related ureteral obstruction (diseased that contain abnormal cells dividing uncontrollably and invade sues ner the abnormal ell ka cane), but the onstl a proceeded afterall the procedures have been finalized. Unless the patient themselves contemplates the placement of the tubing, which then the PC team involving other healtheare ‘workers such as nurses, social Workers, nurse practitioners and physicians come in and converse wih the patient “before the procedure his or her priorties/goals of eare and any poor prognostic factors” (Alawneh etal, 2016; Cordeiro et al, 2012). The discussion that takes place is other options the patient can consider than having to undergo unethical procedures, such as having concem about displacement, trouble sleeping, and limitations with regular day today actiities. By this going imo effect, radiology nurses can consult a PC Team resulting fo reducing moral distress in radiology nurses, in addition to patients/patients. Frame being beter ‘and properly. informed by a PC team to make wiser decisions. ‘The way that Lisa Haddad presents her argument, she covers the history of bioethics, relational ethics and nursing ethies as well as moral distress and how it takes an impact on radiology nurses. The istry af isin nursing aks pat by her audience understand the history that does go into moral distress and without knowing the background oxhistory, ethics wouldn't make much sense in the present time. She also explains how radiology nurses can cope with moral dises by taking action to contact the PC team to help decide what choices should be made regarding the patients protection. With Haddad supporting her argument with br points, sei luming that adiology nurses end to go through mora nse though hee patient's cases and to exploit to others how it can be managed with the right help,Briones 7 Works Cited “About Us.” ARIN, hitps://www.aringoldengatechapter.org/about- usb:~:text=The%20A ssociation%20for%20Radiologic%20and,body%2C%20and%20Dia gnostic%20imasine20modalities. Haddad, Lisa, and Sharon Bigger. “Radiology Nursing Ethics and Moral Distress.” Joumal of Radiology Nu ing, vol. 39, no. 4, 2020, pp. 278-285. doi: 10.1016) jradnu.2020.06.003,Essay 3 ‘ORIGINALITY REPORT 6. 1 5x 1s SIMILARITY INDEX INTERNET SOURCES PUBLICATIONS, STUDENT PAPERS PRIMARY SOURCES: Lisa Haddad, Sharon Bigger. "Radiology Nursing Ethics and Moral Distress", Journal of Radiology Nursing, 2020 Publication Submitted to CSU, San Jose State University Student Paper insights.ovid.com Internet Source "Corrigendum", AJOB Primary Research, 2013 Publication 4» Exclude quotes On Exclude matches <3 words Exclude bibliography OnEssay 3 ‘GRADEMARK REPORT FINAL GRADE GENERAL COMMENTS Instructor W A voice comment was left for this paper. PAGE P/V You have used the passive voice in thi: active voice. sentence. You may want to revise it using the Confused You have used either an imprecise word or an incorrect word. P/V You have used the passive voice in ti active voice. sentence. You may want to revise it using the Possessive Possessive Review the rules for possessive nouns. P/V You have used the passive voice in this active voice. sentence. You may want to revise it using the Possessive Review the rules for possessive nouns. P/V You have used the passive voice in this sentence. You may want to revise it using the active voice.% @ @8 PAGES % 9999 9@ P/V You have used the passive voice in this sentence. You may want to revise it using the active voice. Article Error You may need to use an article before this word. Con: the, ler using the article Article Error You may need to use an article before this word. Consider using the article the, Possessive Review the rules for possessive nouns. Article Error You may need to use an article before this word. Article Error You may need to use an article before this word. Possessive Review the rules for possessive nouns. Missing "," Review the rules for using punctuation marks. sing " Review the rules for using punctuation marks. P/V You have used the passive voice in this sentence. You may want to revise it using the active voice. Prep. You may be using the wrong preposition. PAGE 6 es Article Error You may need to use an article before this word. TS) Word Error pid you type the instead of they, or have you left out a word? @) Prep. You may be using the wrong preposition. eS) Proofread This part of the sentence contains an error or misspelling that makes your meaning unclear. eS) Article Error You may need to remove this article. Gal Prep. You may be using the wrong preposition.PAGE 7 Prep. You may be using the wrong preposition. Article Error You may need to use an article before this word. Consider using the article the. Article Error You may need to use an article before this word. Consider using the article the.RUBRIC: RHETORICAL ANALYSIS NEW 14/20 CONTR. IDEA (20%) 15/20 ABOVE AVERAGE (20) AVERAGE as) BELOW AVERAGE (10) EVIDENCE (20%) Text presents a revelatory controlling idea that guides the text, supported with the use of relevant sub-claims that further the author's purpose/ intended meaning of the text Text presents a controlling idea, though it may not be revelatory or clear and is somewhat supported with sub-claims, though some may seem tangential. Text presents ideas, but the ideas do not further the author's purpose. Text does not present a controlling idea, nor does the text present sub-claims that are connected to the claim. Author has simply reported information. 15/20 ABOVE AVERAGE (2) AVERAGE a5) BELOW AVERAGE (10) DESCRIPTION (20%) Text presents evidence in a logical manner and has been chosen based on relevance to the controlling idea and ability to further the controlling idea/author's, purpose. Text presents evidence for the controlling idea, though not all the selected evidence furthers the author's purpose or it is unclear how the evidence works to do so. Some tangents present Text either does not present any evidence for the controlling idea or the evidence does not further the author's purpose and is tangential. 10/20 ABOVE AVERAGE Text presents a clear understanding of the concept of rhetorical analysis. Text also (20) presents evidence that demonstrates this understanding. AVERAGE Text presents an understanding of the concept of rhetorical analysis, although it is 15) clear that that the author stumbles to fully comprehend. Text presents some evidence to demonstrate the understanding, BELOW AVERAGE _Text presents a clear lack of understanding the concept of rhetorical analysis and (19) presents evidence to demonstrate such. GENRE COMPET (20%) 10/20 ABOVE AVERAGE (20) AVERAGE as) Text presents a clear understanding of the rhetorical analysis genre of an essay and the intended audience. Text clearly understands his/her purpose and uses the genre as such. Text seems confused about the purpose of the rhetorical analysis genre of an essay, though the purpose is accomplished. Evidence of a misunderstanding of audience and how the genre works for the author's purpose.BELOW AVERAGE (19) GRAMMAR (20%) Text does not present a clear understanding of the intention of the rhetorical analysis genre of an essay, including the conventions required of the audience and purpose of the genre. 20/20 ‘ABOVE AVERAGE (20) AVERAGE as) BELOW AVERAGE (10) Style and grammar are mostly appropriate for the assigned genre and audience. Text appears to have benefitted from proofreading and editing. The essay is organized around the controlling idea, and transitions are used to guide the audience. Style and grammar are somewhat appropriate for the assigned genre and audience. Text appears to have not benefitted from proofreading and editing. The essay is somewhat organized around the controlling idea, and transitions are used to guide the audience, although some confusion persists. Style and grammar are mostly inappropriate for the assigned genre and audience. Text appears not to have been proofread or edited. The essay is not organized around the controlling idea, and transitions are not used to guide the audience.