Barriers To Ethical Practice In Nursing Case Study

• Choose a potential barrier to ethical practice that you may face in your chosen advanced practice nursing role.
A potential barrier to ethical practice that I may face in the role of a Family Nurse Practitioner (FNP) would be to always respect my patient’s right to self-determination, which is synonymous with patient autonomy, reason for which these terms are used interchangeably. Situations in which an ethical dilemma may occur, could involve discussions over a patient’s immunization record being up-to-date. While many patients may hold a belief that immunizations are compulsory, it is my responsibility to provide the patient with the correct information and to emphasize that while immunizations are recommended by trustworthy authorities, such as the CDC, there are no laws dictating that they must be received.
Certain populations, such as school-aged children, benefit greatly from the immunity acquired through vaccines which may prevent them

While the anti-vaccination movement is based on discredited science and conspiracy theories, it does not negate the validity of my patient’s concerns.
• Describe at least one mechanism to overcome the barrier discussed.
In order to overcome the barrier created by the discrepancy in beliefs and values over immunizations, I would use clear communication as it is one of the key elements of ethical decision-making. According to Hamric et al. (2014), the primary source of discrepancies “in many ethical dilemmas is the erosion of open and honest communication.” (p. 329). I would try to address their concerns and provide the best possible evidence necessary for my patients to make an informed decision. I would respect and support whatever decision my patients make in order to respect their autonomy.
• Examine the potential cost and benefits to this