Question

Apply the framework of The Five R’s approach to ethical nursing practice from this week's reading to answer the questions about values and choices.

What are the limits to personal choice?

Q. Who limits your choices?

Q. Are limits to choices good?

Q. Do you limit other people's choices?

Q. Should the health care organization or the government limit people's choices? If so, how, and under what circumstances?

Answer 1

5Rs	Description	Question no:1	Questionno:2	Question no:3
Reporting	A brief descriptive account of a situation	Caring encompasses empathy for and connection with people Identify the uncertainty	Person’s individual perspective Opinions Human beliefs	Individual perceptive and their values
Responding	Your emotional/ personal response to the situation/ issue	Maintaining human dignity Integrity Autonomy	It should not be unanimous	Act on the choice Act on the pattern
Relating	Personal/ theoretical understanding relevant to the situation/issue	Altruism Identification of the values and choices	Consequences of choice	Choose freely
Reasoning	Your explanation to the situation/issue	Social justice	Reasonable choice	Affirm the choice
Reconstructing	Drawing conclusions and developing a future action plan	Analyze your biases Clarification	Good Decision making	List alternatives Examine possible consequence of choices

Question no:4

Yes, we can limit others choice through decision making, acting firmly on the selected choice and values.

Question no: 5

S.no	5R’s Framework	Description
1.	Relevant to stake holders	Implementation of choice Policy makers Action health plans Patients caring Quality of care Seek continuation, not only translation
2.	Rapid and recursive in application	Rapidly changing health care environment Rapid- learning research systems Routinely collected real-time clinical data Process of scientific discovery Electronic health records Guidelines and clinical decision support Patient engagement Streamline review processes Pose research questions Practice based research networks Allow discoveries within a study to influence the study
3.	Redefines rigor	Limit the range of real- world situations Regard rigor as a property of a series of decisions, observations and relationships rather than of techniques Give attention to both external and internal validity
4.	Reporting on resources	Use of health care resources Alternative health care approach Use a consistent vocabulary for reporting Report on as many of the relevant costs of different interventions as possible and do so in a standard manner
5.	Replicability	Design for sustainable implementation from the start Contextual factors