In this article review, you will explore ethical issues and discuss their implications.
Step 1 Read the article, Moral Courage and the Nurse Leader Download Moral Courage and the Nurse Leader by Cole Edmonson.
Step 2 Based on the article, answer the following questions:
- What are the sources of ethical dilemmas for nurse leaders?
 - How should nurse leaders handle those issues?
 - Explain the 4As Framework recommended by the Association of Critical Care Nurses (AACN).
 - What are the recommendations that can increase moral courage in nurse leaders?
 
Step 3 Save and submit your assignment.
When you have completed your assignment, save a copy for yourself in an easily accessible place and submit a copy to your instructor.
Cite all sources in APA format.
- Sources of Ethical Dilemmas for Nurse Leaders: Ethical dilemmas for nurse leaders can arise from various sources, including:
- Patient Care: Ensuring the best care for patients while dealing with limited resources, staff shortages, and conflicting treatment options.
 - Staffing and Resource Allocation: Balancing the needs of patients with the limitations of staff and resources.
 - Conflicts of Interest: Navigating situations where personal interests or biases may conflict with the best interests of patients and the healthcare organization.
 - Patient Confidentiality: Protecting patient privacy and confidentiality while providing necessary information to staff and colleagues.
 
 - Handling Ethical Issues: Nurse leaders should address ethical dilemmas by:
- Identifying the Issue: Clearly define the ethical issue and the parties involved.
 - Gathering Information: Collect relevant data and perspectives to make an informed decision.
 - Analyzing the Situation: Weigh the ethical principles involved, such as beneficence, autonomy, justice, and non-maleficence.
 - Making a Decision: Choose a course of action that aligns with ethical principles and organizational values.
 - Implementing and Evaluating: Put the decision into action and assess the outcomes.
 
 - 4As Framework by AACN: The 4As Framework recommended by the Association of Critical Care Nurses (AACN) is a tool to guide ethical decision-making. It includes:
- Ask: Identify the ethical issue and question what should be done.
 - Affirm: Recognize the personal values and beliefs that influence the decision.
 - Assess: Consider the ethical principles and professional standards involved.
 - Act: Choose and implement the most ethical course of action.
 
 - Recommendations to Increase Moral Courage in Nurse Leaders: To enhance moral courage in nurse leaders, consider the following recommendations:
- Education and Training: Provide ongoing education on ethics, ethical decision-making, and moral courage.
 - Supportive Environment: Create a workplace culture that encourages open discussions about ethical issues and supports individuals who speak up.
 - Mentorship: Pair less experienced nurse leaders with mentors who can guide them in navigating ethical challenges.
 - Clear Policies: Develop clear ethical guidelines and policies within the organization.
 - Recognition and Rewards: Acknowledge and reward nurse leaders who demonstrate moral courage in challenging situations.
 
 

