Hospital management is urging nursing staff to be more proactive

A hospital leaves it up to individual nurses to initiate palliative care decisions.
An increase in hostility and horizontal violence among staff.
ER staff is experiencing moral distress related to administrative decisions involving staffing levels and experience.
Hospital management is urging nursing staff to be more proactive in encouraging the use of advance directives.

For this assignment, construct a scholarly paper in which you:

Describe the situation you will address.
Analyze the ethical challenge presented by this situation.
Analyze implications for patient outcomes and safety.
Analyze the stakeholders that have an interest in this issue and discuss each stakeholder’s frame of reference. Be aware of the politics or sociodynamics of diverse groups with their own sets of needs and agendas.
Analyze other theories and models from biopsychosocial, public health, and other disciplines other than nursing to address the ethical question.
Review the literature for sources that can help illuminate this issue for you, and incorporate these insights into your analysis. Cite at least five sources, current within the last 5 years.

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Hospital management is urging nursing staff to be more proactive
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