Ethics of nursing guides the health provider in all manners of decisions, usually complex, to protect the interest of their patients. Ethical considerations remain paramount in the contextual analysis of Doctorate of Nursing Practice (DNP) projects. One of the dimensions that captivate the area of nursing ethics is the ethical dilemmas of resource allocation in DNP projects. From this essay, projects demand many resources for their objectives to be met; thus, for expediency, there requires an allocation of resources to projects observing transparency, fairness, and justice, together with ethical principles that would ensure good patient care is achieved (Turkson‐Ocran et al., 2020).
The Role of Resource Allocation in Healthcare and DNP Projects
In healthcare, resource allocation entails sharing the available scarce resources, including time, finances, and medical supplies, to suit the needs and priorities of the patients. The importance of healthcare resource allocation is based on ensuring equity in providing health services and interventions, efficiency in resource use, and attainment of better patient outcomes (Hinch et al., 2020).
Such limited healthcare resources pose the challenge of meeting patients’ broad and, at times, urgent needs. These are added to other factors like budgetary controls, staff shortfalls, and variations in the level of demand imposed on the institution, among other resource distribution-related issues. Resource allocation remains a particular issue regarding direct questions of feasibility and effectiveness in implementing a project in Doctor of Nursing Practice (DNP) programs (Pagdee & Kawasaki, 2021).
The DNP projects often aim to focus on an urgent healthcare problem: improved patient outcomes, improved care delivery, or implementation of better evidence-based practices.
Special attention is given to resource allocation within DNP projects. It meets the objectives of ensuring that the justification of justice and equity is guided by ethical principles about the principle of beneficence. With accurate resource allocation, nurses can increase their effect in the intervention to improve patient-centric care (Hagle et al., 2020).
Ethical Consideration on Resource Allocation
This is premised on the fact that the justice issue about the fair distribution of resources is proportionate to needs and does not present any discrimination. This requires ensuring that resources are shared so that all patients have equal access to care, irrespective of the diversity of their socioeconomic status and others (Hagle et al., 2020).
The other important principle is justice, recognizing that the people served have differences in needs, and it may require modifying the distribution of resources in ways that can accommodate those differences. Health service providers should be ready to provide whatever will be necessary, including health status differences and cultural backgrounds, among other things the patients will require. Other ethical dilemmas include balancing the needs and priorities of the patient from a resource allocation point of view (Wasserman et al., 2019).
This keeps health organizations still on the front, making them open in two-way communication with stakeholders about processes and decisions on resource allocation. Resource allocation in the health setting is an activity for the common good, serving to meet individual needs and must be operated within professional values of justice, equity, transparency, and accountability in healthcare delivery (Heckert et al., 2020).
Ethical Concerns in Resource Allocation Addressable by DNP Projects
The only area in DNP projects that remains at the forefront regarding ethics is the ethical dilemma of how to distribute the same. The nursing profession within DNP projects will constantly be grappling with a tangle of ethical dilemmas revolving around the distribution of resources. Approaches recommended under this section include all the approaches of applied ethics in DNP projects, from needs assessment and collaboration and stakeholder involvement to using evidence-based practices and case studies (Wall-Haas, 2023).
Approaches to Ethical Resource Allocation
This would detail the community’s or the population’s most critical healthcare needs. The DNP project nurse would need to establish the best level of intervention between the severity level of the problem at hand, available resources, and the best interventions that will make the most difference in affecting patient outcomes. This enables nurses to harness, efficiently and effectively, the resources to address the most critical healthcare problem based on an evaluation of the needs of that population. Working through collaboration and critically bringing on board the Engagement of the stakeholders ensures that decisions on allocating resources are made with an all-round perspective and expertise. It does mean the ways for resource allocation. Hence, it enhances transparency in the decision-making process and takes on more accountability in resource allocation (BRUNO et al., 2021).
Utilization of Evidence-Based Practices
This would be necessary if better resource allocation and the impact in DNP projects were enhanced: evidence-based practice. In their decisions for resource allocation to interventions, nurses should use evidence from research. In evidence-based practices in DNP projects, nurses ensure that the resources are channelled toward the interventions that have already proved effective in bettering patient outcomes or care outcomes (Minnick et al., 2019).
Case Studies and Scenarios
Scenario 1: Limited Funding for Intervention Implementation
In this case, the DNP project budget is very constrained, so full implementation of interventions is possible. The nurse might have to look for alternative funding sources, including grants or partnerships with healthcare organizations, to help implement the intervention. Further, the nurse may need to prioritize interventions by cost-effectiveness and change in patient outcomes (Moran et al., 2024).
Scenario 2: Time Constraints in Patient Care
Time constraints form another critical ethical challenge of all the DNP projects, especially in providing patient care. In inpatient care, nurses should prioritize the patient’s understanding and clinical urgency, ensuring all patients receive timely care. Delegation of activities to interdisciplinary teams and sharing of responsibilities is likely to assist a nurse in dealing with time constraints in delivering and maintaining ethics in patient care (Wood et al., 2019).
Scenario 3: Competition for Medical Supplies
Thus, nurses have to find themselves in a perfect position to establish contingency and Collaborative protocols through which these and similar supplies may be in similar predicaments. Demanding attention and appreciation equally may be fairly distributed. This reduces wastage and ensures the safety of patients (Kahsay & Pitkäjärvi, 2019).
Solutions and Mitigation Strategies
Nurses involved formulate solutions and mitigation measures supporting the ethical concern when questions of resource allocation arise. Some strategies may be pleas for more funding, transparency, and justice in developing protocols for allocating resources, among other quality improvement-related projects that help optimize the most effective use of resources. By proactively dealing with ethical concerns and devising proper strategies, nurses ensure that their DNP projects meet ethical standards and are more likely to realize meaningful results for patients and communities (McAndrew & Hardin, 2020).
Adopting and Maintaining Ethical Principles
Ethical principles establish the guidelines for nursing decisions in all Doctor of Nursing Practice (DNP) projects to ensure that the actions are taken ethically and work for the patient’s good. Establishing and maintaining ethical principles includes several constituents (McNett et al., 2021).
Ethical Decision-Making Framework
The light of complex ethical dilemmas that may be presented during DNP projects requires an organized framework. To the least, the standard framework involves situation assessment, identifying pertinent ethical principles, considering the courses of action at one’s disposal, making the decision, and finally, assessing the outcomes. A systematic approach to ethics in decision-making will guarantee that a nurse’s action is based on ethical consideration, thus upholding the principles of beneficence, non-maleficence, autonomy, and justice (Robichaux et al., 2022).
Integration of Ethical Principles into DNP Project Planning
Ethical principles are to be integrated right from inception to the implementation and evaluation of a project in the DNP. This will mean that nurses consider the ethical implications in setting project objectives and intervention designs, obtaining informed consent from participants, and analyzing data. This way, integration of moral principles into the project planning for the DNP would help the nurse become professionally responsible and, at the same time, accountable for their actions (Harris et al., 2023).
Continuous Evaluation and Adjustment
The DNP project nurses should thus constantly assess emerging from the prevailing situations, solicit stakeholder input, and modify their actions to accommodate the changing ethical issues. This might require changing project protocols, updating the informed consent process, or changing the distribution of resources regarding access to health care services. The nurse can then fulfil ethical principles through an ongoing process of evaluation and adjustment that builds over time, allowing for the moral integrity of DNP projects. To adopt and exercise the principle of ethics in the DNP projects, nurses must use ethical decision-making models and practice ethical consideration while planning projects. By maintaining ethical standards throughout the DNP project process, nurses can ensure that what they do reflects integrity (Verhofstadt et al., 2019).
The Beneficence of Others in DNP Projects
Benevolence, conversely, derives from others and becomes a roadmap to the achievement and ethics in Doctor of Nursing Practice (Djson) programs. The concept involves cooperation, support of patient rights, and fair access to healthcare resources (Kim et al., 2021).
Collaboration and Interprofessional Communication
Not concentrating much on the interdisciplinary teamwork of the health care professionals, it also extends to the collaboration between the multidisciplinary team and community stakeholders in realizing their DNP projects effectively. Open communication and collaboration allow nurses to integrate different perspectives and knowledge, and they will develop the best solutions to complex healthcare problems. It includes delivering services in many healthcare disciplines, guaranteeing the holistic delivery of services and patient outcomes (Kim et al., 2021).
Advocacy for Patient Rights and Well-being
In this regard, a DNP project has a core value in advocating for the rights of the patient and the good of the patient; nurses, in this case, have the obligation of advocating for the rights of the patients to access quality healthcare service, be informed on the process of medication, and participate in decisions concerning the process of drugs. This may ensure that through advocating for his rights and well-being, the patient will be empowered to make decisions concerning the well-being of his health; therefore, the health system ensures they take effect in their actions (Kim et al., 2021).
Ensuring Equitable Access to Healthcare Resources
Moreover, access to healthcare resources becomes essential for realizing health equity and reducing disparities in healthcare service outcomes. In this background, therefore, nurses in DNP projects ought, through their actions, to inspire policies and interventions targeting social determinants of health that would cause equity in health and assure all citizens access to essential healthcare services—advocating for the equitable use of health resources, such as collaboration, increases beneficence for others within the DNP project through the need to advocate for patients’ rights and access to health resources that are commensurate with their care. Besides, collaborating by advocating for patient rights and health equity enhances ethical practice and advances the system to deliver patient-centred care (Kim et al., 2021).
Conclusion
Reflection on the Importance of Ethical Considerations
The Doctor of Nursing Practice (DNP) project discussed gives weighty importance to the ethical considerations involved in ethical decision-making, collaboration, and advocacy about resource allocation and access equitability of healthcare services. Ethical considerations, therefore, are core to ensuring professional standards, patient welfare, and the effective resolution of the healthcare problems within the DNP project. Nurses who adopt the role of planning and making decisions for a project with incorporated ethical principles are prepared to maintain an ethical environment to ensure quality patient outcomes (Chism, 2023).
Future Implications and Recommendations
Nurses involved in DNP projects in the future will need to emphasize more than ever the focus of ethics and the agenda for ethical practice. This will extend to further education and training in making ethical decisions via continued collaboration and advocacy while seeking policy and practice changes to develop honest healthcare delivery. In prioritizing the ethical considerations, nurses will ensure that the DNP projects are ethically viable. Thus, they will promote the development of nursing practice and patient care.
References
Alcaraz, K. I., Wiedt, T. L., Daniels, E. C., Yabroff, K. R., Guerra, C. E., & Wender, R. C. (2019). Understanding and addressing social determinants to advance cancer health equity in the United States: A blueprint for practice, research, and policy. CA: A Cancer Journal for Clinicians, 70(1), 31–46. https://doi.org/10.3322/caac.21586
BRUNO, B., HURWITZ, H. M., MERCER, M., MABEL, H., SANKARY, L., MORLEY, G., FORD, P. J., HORSBURGH, C. C., & ROSE, S. L. (2021). Incorporating stakeholder perspectives on scarce resource allocation: Lessons learned from policymaking during a crisis. Cambridge Quarterly of Healthcare Ethics, 30(2), 390–402. https://doi.org/10.1017/s0963180120000924
Chism, L. A. (2023). The Doctor of nursing practice: A guidebook for role development and professional issues. Jones & Bartlett Learning.
Hagle, M., Dwyer, D., Gettrust, L., Lusk, D., Peterson, K., & Tennies, S. (2020). Development and implementation of a model for research, evidence-based practice, quality improvement, and Innovation. Journal of Nursing Care Quality, 35(2), 102–107. https://doi.org/10.1097/ncq.0000000000000422
Harris, J. L., Roussel, L., Dearman, C., & Thomas, P. L. (2023). Project Planning, implementation, and evaluation: A guide for nurses and interprofessional teams. Jones & Bartlett Learning.
Heckert, A., Forsythe, L. P., Carman, K. L., Frank, L., Hemphill, R., Elstad, E. A., Esmail, L., & Lesch, J. K. (2020). Researchers, patients, and other stakeholders’ perspectives on challenges to and strategies for Engagement. Research Involvement and Engagement, 6(1). https://doi.org/10.1186/s40900-020-00227-0
Hinch, B. K., Livesay, S., Stifter, J., & Brown, F. (2020). Academic-practice partnerships: Building a sustainable model for Doctor of Nursing Practice (DNP) projects. Journal of Professional Nursing, 36(6), 569–578. https://doi.org/10.1016/j.profnurs.2020.08.008
Kahsay, D. T., & Pitkäjärvi, M. (2019). Emergency nurses’ knowledge, attitude and perceived barriers regarding pain management in resource-limited settings: Cross-sectional study. BMC Nursing, 18(1). https://doi.org/10.1186/s12912-019-0380-9
Kim, S., Lee, T. W., Kim, G. S., Cho, E., Jang, Y., Choi, M., Baek, S., Lindsay, D., Chan, S., Lee, R. L., Guo, A., Wong, F. K., Yu, D., Chair, S. Y., Shimpuku, Y., Mashino, S., Lim, G., Bonito, S., Rumsey, M., … Hazarika, I. (2021). Nurses in advanced roles as a strategy for equitable access to healthcare in the western Pacific region: A mixed methods study. Human Resources for Health, 19(1). https://doi.org/10.1186/s12960-021-00555-6
McAndrew, N. S., & Hardin, J. B. (2020). Giving nurses a voice during ethical conflict in the intensive care unit. Nursing Ethics, 27(8), 1631–1644. https://doi.org/10.1177/0969733020934148
McNett, M., Masciola, R., Sievert, D., & Tucker, S. (2021). Advancing evidence‐based practice through Implementation Science: Critical Contributions of Doctor of Nursing Practice‐ and Doctor of Philosophy-prepared nurses. Worldviews on Evidence-Based Nursing, 18(2), 93–101. https://doi.org/10.1111/wvn.12496
Minnick, A. F., Kleinpell, R., & Allison, T. L. (2019). Reports of three organizations’ members about Doctor of Nursing Practice Project Experiences and outcomes. Nursing Outlook, 67(6), 671–679. https://doi.org/10.1016/j.outlook.2019.05.012
Moran, K. J., Burson, R., & Conrad, D. (2024). The Doctor of nursing practice project: A framework for success. Jones & Bartlett Learning.
Pagdee, A., & Kawasaki, J. (2021). The importance of community perceptions and capacity building in ecosystem service payment: A case study at Phu Kao, Thailand. Ecosystem Services, 47, 101224. https://doi.org/10.1016/j.ecoser.2020.101224
Robichaux, C., Grace, P., Bartlett, J., Stokes, F., Saulo Lewis, M., & Turner, M. (2022). Ethics education for Nurses: Foundations for an integrated curriculum. Journal of Nursing Education, 61(3), 123–130. https://doi.org/10.3928/01484834-20220109-02
Turkson‐Ocran, R. N., Spaulding, E. M., Renda, S., Pandian, V., Rittler, H., Davidson, P. M., Nolan, M. T., & D’Aoust, R. (2020). A 10‐year evaluation of projects in a doctor of nursing practice program. Journal of Clinical Nursing, 29(21–22), pp. 4090–4103. https://doi.org/10.1111/jocn.15435
Verhofstadt, M., Van Assche, K., Sterckx, S., Audenaert, K., & Chambaere, K. (2019). Psychiatric patients requesting euthanasia: Guidelines for sound clinical and ethical decision making. International Journal of Law and Psychiatry, 64, 150–161. https://doi.org/10.1016/j.ijlp.2019.04.004
Wall-Haas, C. L. (2023). Content, context, and collaboration: An actionable strategy for structured success in DNP Practice scholarship. Journal of Doctoral Nursing Practice, 16(3), 171–181. https://doi.org/10.1891/jdnp-2023-0016
Wasserman, J., Palmer, R. C., Gomez, M. M., Berzon, R., Ibrahim, S. A., & Ayanian, J. Z. (2019). Advancing health services research to eliminate health care disparities. American Journal of Public Health, 109(S1). https://doi.org/10.2105/ajph.2018.304922
Wood, C., Chaboyer, W., & Carr, P. (2019). How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. International Journal of Nursing Studies, 94, 166–178. https://doi.org/10.1016/j.ijnurstu.2019.03.012
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