NUR-513 Re: Topic 2 DQ 2

NUR-513

Re: Topic 2 DQ 2

Compare two different advanced registered nurse roles with regard to ethical guidelines. Are there any differences in the ethical guidelines that govern these roles? What situations might require one role to respond differently, depending on the ethical guidelines?

The desire to add to the welfare of others is often thought to be a virtue. Virtue ethics play a huge role in the health care practice. The Advanced practice registered nurses play a very active role in their clinical education, executing their roles, and different involvements as the influence the medical practice in a clinical role (DeNisco & Barker, 2016, p. 714) APRNs must be able to recognize ethical conflicts and help to resolve them while being resourceful to their patients, families, or other nurses. Ethical issues can and will arise when dealing with complex health issues. Ethics is used to understand the moral life, normal, social customs, and the rules of the world’s views of what is right and what is wrong.Doing a side-by-side comparison of a Certified Nurse-Midwife and a Women's Health Nurse Practitioner. Both work with women to treat acute illnesses and promote overall health, but their specific responsibilities and scopes of practice are distinct. Both generally work with women throughout the course of their reproductive years however, NP are not only concerned with female reproductive needs, they will continue to treat women throughout their lives (adolescence through old age). NP normally do not deliver babies, though they have many similarities in their typical duties ("ETHICAL ISSUES IN ADVANCED PRACTICE NURSING," n.d.).The CNM has a Master's of science in nursing degree. They complete a program accredited by the American College of Nurse-Midwifes. A CNM can deliver babies. Duties for a CNM will consist of monitoring fertility, providing prenatal care and health screenings, developing birth plans, supporting breastfeeding, monitoring postnatal women for signs of depression, offer family planning, complete gynecological exams, prescribing medications (if legal in the state they are working), and promote overall good health in women. CNM can work in hospitals, birthing centers, homes, health departments, clinics, and some have private practices. CNM must pass an exam to obtain a CNM certification, they are required to re-certify every five years. CNM must complete 20 hours of continued education units per certification (Writers, 2019).The Women's Health NP has a Master's of science in nursing. They must gave graduated from a University program that meets National Certification Corporation guidelines. NP cannot deliver babies unless they are also a CNM. Typical duties for a CRNP can be performing gynecological exams, taking medical histories on patients, family planning counseling, prescribing birth control medication, giving prenatal care, diagnosis acute medical problems, promoting overall health for women over their lifetime. CRNP can prescribe medications however; some states may limit what they can write. CRNP work in areas such as community clinics, hospitals, and private practice. The National Certification Corporation does certification for a CRNP. CRNP are required to do continued education, they vary from state to state. CRNP works with women throughout their lifespan (Writers, 2019).One situation that comes to mind when looking at the roles of the CNM and the CRNP are the delivering of an infant. CRNP have not had the appropriate training to carry out this duty where a CNM specializes normal deliveries and what interventions that may be needed in the complex issues of pregnancy and childbirth.

References DeNisco, S., & Barker, A. (2016). Advanced Practice Nursing Essential Knowledge for the Profession (third Ed.).

Burlington, MA: Jones &Bartlett.

ETHICAL ISSUES IN ADVANCED PRACTICE NURSING. (n.d.). Retrieved from

https://ebrary.net/8249/education/ethical_issues_advanced_practice_nursing

Writers, S. (2019, July 30). Certified Nurse-Midwife vs Women's Health NP. Retrieved from

https://www.nursepractitionerschools.com/faq/cnm-vs-whnp/