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Running head: MILESTONE ONE: TOPIC PROPOSAL1Topic Proposal: Death with Dignity and Ethical Issues for NursesNUR-440: Research and Evidenced-Based PracticeSouthern New Hampshire UniversityMay 12, 2019
MILESTONE ONE: TOPIC PROPOSAL2Identify TopicThe Death with Dignity Act first passed in 1994 in the state of Oregon, and was finalized in 1997. In 2009 Washington State was the second state in the Pacific Northwest to follow suit, passing the same laws (Oregon Death with Dignity, 2018). . When the laws began to come to fruition, there were few considerations addressed for the ethical issues nurses may encounter when being faced with Patient Assisted Suicide, especially when it may be a hospice patient. Therole of a hospice or palliative care nurse is to ensure a patients symptoms are manage. Nurses feel it is essential to do so to the degree that patients do not feel this option is necessary (Ingebretsen, & Sagbakken, 2016). Nurses sometimes feel they have failed their patients when they prefer Death with Dignity as their option over continuing with hospice. The American Nurses Association (ANA) developed a position statement in 2013 which discusses their stance on a nurse’s involvement, however, it fails to speak to the innumerable emotions and feelings nurses encounter in this situation (Euthanasia, Assisted Suicide, and Aid in Dying, 2013). As well, dealing with end of life, and patients who choose Death with Dignity, a nurse’s likelihood of experiencing burnout, compassion fatigue, or other emotional issues are impacted. Explain InterestAs an assistant nurse manager with hospice, nurses face ethical issues when dealing with patient who opt for Death with Dignity. They struggle with losses of their patients daily, and often with meeting patients where they are at, and hoping they can encourage them to look at alternatives or options related to living circumstances or other concerns. We have had several