APNs are required to follow regulations and policies whether they agree with them or not. Ethical conflicts may result when laws and policies are perceived as unfair or biased, and moral distress may result.

1. Watch Episode 3 videoLinks to an external site..
2. Submit a 3- to 4-page paper in which you address the following:
   • Ethical Competency:
     • Analyze the ethical issue(s) in the scenario to recognize the required ethical decision,
     • Choose an ethics theory (ies) or model(s) and present how the gist of the theory is relevant to the ethical issue in the scenario,
     • Apply ethical perspectives/concepts to articulate your ethical reasoning and decision, o Integrate evidence-based interventions to mitigate moral distress
   • Advocacy Competency:
     • Describe and reflect on the main issue in the scenario,
     • Make a convincing advocacy argument for a particular solution to the issue in the scenario
     • Analyze the shortcomings of other solutions.
   • Financial Management Competency:
     • Compare and contrast different payment and reimbursement models (e.g., value-based model, fee-for-service model, etc.),
     • Select the payment model that you think would achieve justice to the patients, providers, practitioners, and insurer.

Solution 

Looking at the healthcare sector, APNs always face ethical dilemmas that pose challenges to their professional integrity and their moral judgment (Abbasinia et al., 2020). An example is in this scenario that involved John who is a hospital patient and has exhausted his insurance-covered hospital stay. Even though the nurse opines that he is in a stable condition, they face a dilemma of being discharged without home care support hence raising concerns among the nurses who are concerned about his safety and wellbeing. This scenario underscores the complexity of healthcare decision-making as it pertains to ethical, advocacy, and financial considerations. In this paper, analysis is made on the ethical issues that are at play, and the role of advocacy in resolving the dilemma, and it also evaluates the different payment and reimbursement models to come up with a just and effective solution. The analysis highlights the importance of ethical competency, advocacy, and financial management.

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