NR411 Nursing


Guidance recommends that infants are placed ‘back to bed’ as soon as they are born to lower the risk of having to go to sleep.

For babies suffering from severe respiratory difficulties, exceptions are made.

While lateral positioning might be a good idea, there is uncertainty about the impact of other conditions.

Upper airway structures, including the cleft palette.

This paper presents current research on (i) sleep advice.

Parents of infants born with cleft palate in the UK are provided with positioning.

Clinical nurse specialists who advise parents of infants suffering from cleft palate.

The study used data from an international survey with 12 regional cleft centers clinical nurse specialists.

UK to study current practice.

Data were collected through semi-structured telephone interview

These were analysed with content analysis.

Nearly half of the regional centres used lateral positioning based on sleep positioning

Clinical judgement of infants’ breathing effort and obstruction of upper airways.

Assessment relied

Clinical judgment augmented by a variety clinical indicators such oxygen measures

Saturation, heart beat and respiration.


The article review examines the ethical issues in Davies’s (2015) article on safe sleeping positions practices.

The ethical dimension of the nursing practice in caring for infants with cleft lip and palate is being examined.

Ethical dilemmas are based on the child’s sleeping habits and the potential for respiratory problems.

This study also examines the moral dilemmas that can affect nursing and the principles that should guide ethical dilemma states.

This study also focuses on moral values that influence the decision making process of nurses.

Ethical dilemma

This article contains research-based knowledge about infants born with cleft palate disorders.

The respiratory process and airway pathways of infants suffering from cleft palate disorder can be difficult for them.

This paper presents research on current advice for parents and carers of infants regarding their sleep positions and the conclusions made by clinical practitioners.

There are ethical issues in this review. Practitioners often have to choose between lateral and supine positioning.

It is the sole duty of health care practitioners to ensure patients receive ethical and personalized care.

These ethical issues are bound to be apparent in these practices. A study by Nalwadda (2015) found that ethical challenges are common in the workplace, so ethical decisions are pertinent in approaching these issues.

Nursing staff often have to deal with difficult ethical issues.

While ethical problems are not often discussed in the nursing profession, this ignorance has created a firestorm among the nursing community.

Nurses have even quit their jobs because of this.

This has a significant impact on future health care practice and the demand for nursing skills.

Nurses often have to face ethical dilemmas such as sharing information about their decision making in order to help care givers choose the correct sleeping position.

They are connected between end of life concerns for vulnerable people like children and birth complications.

Nursing nurses face unique challenges in providing the best care possible for both the patients and their families.

Moral Issues in The Nursing Care Dilemma

The nurse must confront ethical distress when faced with moral issues.

Emotions of this kind are a sign that the nurse is sensitive to the morals of care (Numminen & Leino Kilpi, 2007).

Ethical distress in nursing can lead to nurses being able to better their care.

The risk of burnout is associated with unresolved ethical distress (Garbarin. Cuomo. Chiorri & Magnavita 2013, 2013).

Ethical distress can have a negative impact on nurses’ lives.

Canadian Institute for health Information, 2001. Nurses are the most sick people in Canada. This is because they spend more time being sick.

This is a sign of ethical distress.

Ethical distresses during article review have occurred because of the choice to make a decision about what it is right and wrong. They play a crucial role in stopping the patient from taking the necessary decision towards completing the action.

Nursing staff are able to recognize ethical issues and make ethical judgments about the actions of advising mothers on the most appropriate sleeping positions.

Minority dilemma is another important issue in the ethical dilemma.

It is difficult to work with infants.

While nurses have to ensure the best interests for the patient, they also need to consider the wishes and values the caregivers.

Although patients, their families, and physicians often agree on the ideal world, there are real ethical issues in the real world. (Oh & Gastamans (2015)

Ethical Principles in the Dilemma

Nursing practice is not without its advantages and disadvantages.

Heavy work is a common problem in child care.

The principles of biomedical ethics offer practical guidelines for making the right decisions.

This ethical principle relates to these situations and concerns beneficence as well as non-maleficence. (Herring, 2014).

Principle of beneficence is about health care nurses giving their best in every situation.

The problem is in making the right choice regarding the correct sleeping position, which doesn’t result in airway obstruction and therefore endangering the infant’s life.

Critical issues include adherence to standard back to rear sleep and the ability to respond to clinical assessment of respiration for infants with cleft palate.

Nurses must be skilled and competent to provide the best care for infants with cleft palate.

The principle of non malignence requires that the nurse provides care with the aim of doing no damage.

The principle is meant to be an end goal for all.

The nurse must explain whether the advice is going to cause harm or help the infants in choosing the best sleeping position.

The nurse must use her intuition to determine if maleficence is best for the infant.

Moral Values

Morality is a part of ethics.

Interplay refers to how humans relate to and treat one another in order to foster mutual cooperation, growth, and harmony.

Values can be described as a collection of beliefs and personal attitudes regarding life.

Keyko, 2014. Values are an initial step towards morality or ethics. This interaction forms on values, morals, ethics and other aspects.

It is important to consider the personal values that are most important in life. This will help us understand how we should treat others.

Considerable considerations should be given to the dilemma question and the values of goodness or righteousness.

It is essential to promote goodness and safety in infant-care, as well as ensuring that it does not cause harm or prevent harm.

Parents should promote honesty and truth telling as a guide value in communicating with their children. This will help them to offer best care knowledge.

Relating Moral Values To Practical Practice

You will be confronted with many issues in nursing care.

Your moral perspective and values will help you deal with these problems.

Many cases and issues will require you to be honest and value the opinions of others.

As a beginner in health care, there are many challenges that must be overcome to find the right solutions and values.

Nursing is a society that must provide non-discriminatory health care. This requires consideration of personal values as well as nursing practices that promote positive health.

We are often influenced in different ways by our culture, family, religions, education, and social networks.

Knowing your values is a great way to communicate with parents and care givers about how you will care for infants.

Our values are largely derived from our community networks, cultural events, and group networks.

These values are a key component of our approach to providing health care (Osingada, et al., 2015).

Critical thinking was required to evaluate the ethical aspects of nursing care.

The paper identifies the ethical dilemma that nurses face in recommending sleep position for infants who have cleft palate, as well as assessing the risks to their respiratory airway condition.

The supine position is the most common, followed by the lateral position.

The health care providers have a duty to be discerning in this regard.

In order to manage these problems morally, it is important to assess the patient’s moral distress and make the right decision for parents and caregivers.

Another moral concern is to offer help to minors. As noted in the article it is challenging to ensure that infants are healthy with respect to their sleeping positions and the occurrences of respiratory airway blockage.

The principles of beneficence (maleficence) are two of the ethical concerns that were highlighted in the review.

These principles aim to ensure that nurses professionals provide the best possible care for infants.

The provision of honest care to the infant and accountability for your actions are associated moral values.

Our moral values have a significant impact on the practice of nursing, and so are positive values.

Policy and practice for safe sleeping positions in babies with cleft palate.

European Journal of Pediatrics 176(5): 661-667.

A special police force unit has seen a link between work-related stress, mental health problems, and stress at work.

Medical ethics and law.

Oxford University Press USA.

The moderating effects of perceived organizational ethics context on employees’ recognition of ethical issues and their ethical judgments.

Journal of Business Ethics 128(2), 457-466

Nursing ethics, 21(8) 879-889.

Review of literature: Nursing students’ ethical decisions-making

Nurse Education Today 27(7), 796-807.

Nursing staff experience moral distress: A quantitative literature review.

Nursing ethics, 22(1). 15-31.

Cross-sectional survey of nurses from three referral hospitals in Uganda: Nurses’ knowledge about ethics and their perceptions on continuing education.

BMC research papers, 8(1): 319.

Pink, G. H., Canadian Institute for Health Information, and Johnson, L. M.

Review of funding, performance monitoring, and reporting practices in financial management for acute care in Canada.

Canadian Institute for Health Information.

Academy of Management Review, 32(4): 1022-1040.

Career theory and practice. Learning from case studies.

Sage publications.