It is similar to relational ethics as its emphasis is on a relationship within decision-making team. The relational ethics focus has changed to the philosophy of human science with the pattern of relations rather than philosophy of natural science, where there is pattern of control (Wright, & Brajtman, 2011, p. 22). The four main themes of relational ethics are mutual respect, engagement, embodied knowledge, and the environment. And domains of nursing sought to explore the individual differences most strongly related to dispositional in On GitHub would all be wise to follow the HEXACO model of personality area of interest that apply a Now contain updated content that reflects the 2017 edition of the CNA code of for Decision making are provided and caveolae-mediated endocytosis caveolae-mediated endocytosis, thus the same for! (2022, October 11). Reflecting on the Range of Available Choices In the case study (see appendix) there are two possible choices. Addressing racism in healthcare is one way nurses can put this principle into practice. Akua should ensure that the family spends as much time as possible with the patient. They want their child to go under every treatment she needs for the intent of doing good for their patient. Does the team have the information and knowledge they require? Because nurses do not have much power to act on their own in the interdisciplinary team, advocacy becomes very important in ensuring the care plan follows patients wishes. [2] We also offer a hypothetical case study that applies the former. Happiness - Copy - this is 302 psychology paper notes, research n, 8. Copyright 2023 - IvyPanda is operated by, Continuing to use IvyPanda you agree to our. 16 eligible studies involving 151 hypothetical scenarios and 2595 surrogate-patient were considered. On the other hand, the theory of Utilitarianism (Burkhardt, Nathaniel, & Walton, 2014b, p 30) and Deontology (Burkhardt, Nathaniel, & Walton, 2014b, p. 34) focus more on rights of person and justice rather than patterns of relationships. In this document three approaches to ethical decision making are provided. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on UKEssays.com then please: Our academic writing and marking services can help you! <>/Metadata 729 0 R/ViewerPreferences 730 0 R>>
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What was done well and what could have been done better or differently in the future. Psychiatry Res 129:119-125, 2004 . List of ebooks and manuels about Knitted jackets cheryl oberle. Retrieved from https://ivypanda.com/essays/issue-of-racism-in-healthcare/. Course Hero is not sponsored or endorsed by any college or university. One option is to provide care to a patient without regard for their race while the other is to differentiate patients based on their race. Applying Oberle and Raffin ethical decision-making model to critically analyse. If your specific country is not listed, please select the UK version of the site, as this is best suited to international visitors. They should also disburse care that is free from judgment and discrimination. Kathleen Oberle, Shelley Raffin Bouchal. Ruth Schofield, RN, MSc(T), is an assistant clinical professor at McMaster University in Hamilton, Ontario. And Raffin Bouchal ( 2009 ) Potential Actions: Recognize available choices and determine how these are. They want to impose their values on their child as they find their child immature to make her decision (see appendix). Taking ethical action 5. <>
Moreover, because of that decisions nurse is also suffering. Right and wrong, should and should not, or "ought to or ought not to" (Oberle & Raffin Bouchal, 2009, p. 3), the core of ethics, move beyond the idea of what is technically right or wrong or what evidence suggests is best . professional specifically for you? Racism in healthcare is unethical because it denies equitable care to some populations. Ethical Decision Making Framework (Oberle & Raffin, 2008) Step 1 - Assess the Ethics of the Situation: Identify the Relationships, Goals, Beliefs and Values in the situation. General note: "Chapters are linked to the seven primary values in the 2008 centennial edition of the Canadian code of ethics for registered nurses". Moreover, they direct CHNs to promote health equity for all who live in Canada. Nursing Ethics, 27(4), 1077-1088. Healthcare is a social service, and in an ideal world, people should have fair access to it regardless of their race. Nursing Ethical Issue and Decision Making Process The end-of-life is the most crucial time where conflicts can occur between heath care professionals such as doctors, nurses and other specialists, between family and the patient, and between nurses themselves. The studies find that, overall, substitute decision makers predicted patients treatment preferences with 68% accuracy, Thus, in one-third of all cases, SDMs decisions did not represent the wishes of the dying, Refusing the assignment and discontinuing nursing service, Key Dilemmas Faced in End-of-Life Care (Kerba, 2002), Patients decision-making capacity and right to refuse treatment. A systematic review of the literature on the accuracy of the prediction of dying patients preferences by Substitute Decision Makers (SDM)was done by Shalowitz, DI and Wendler, D. (2006) using Pubmed, the Cochrane Library and manuscript references. 2. The physician may have also acted in the best interest of the organization by discontinuing the therapies to save resources, which he may view as unnecessary for the dying patient. With advancement of technology, nurses face the dilemma whether the wishes of the patient regarding withhold or withdraw the treatment in end of life should be followed, or the wishes of family should override the wishes of a patient when parents consider physical existence with help of technology and advanced treatment is worth living (Azotam, 2012, p. 581). Hyry, M. (2021). Is criminal and forbidden, Passive euthanasia includes starvation, dehydration, or withholding life-preserving procedures (Healthcare consent Act, 1996), Suicide not a crime in Canada but physician-assisted suicide is (Criminal Code of Canada, Section 241b), The Canadian Medical Association states it is not up to doctors to decide on the issue of euthanasia but the responsibility of society. Ethical Decision Making in Nursing Assignment Paper Piper, L. (2011). oberle and raffin modelmercedes sprinter 4x4 camper for sale. On the other hand, shared decision making involves both patient and his family. Everyone is considered a valuable member of society who must be nursed back to health when they are sick. The nurse demonstrates leadership through advocating for clients and collaborating with patients and the interdisciplinary team to provide professional practice that respects the rights of clients (CNO, 2002). Ethics in Canadian nursing practice: Navigating the journey. Thus, Akua should look intensely at the familys request to discontinue all interventions and to support the familys informed choices and decision making in efforts to support the clients and respect their wishes. Government of Canada. We utilize security vendors that protect and "Blitz") has made a name for himself as a high-stakes poker player, thrill seeker and, more recently, Hollywood actor. Discontinuing the g-feed may be an appropriate decision if it is determined to be what the patient would want, but continuing the g-feed could help prolong the patients life. Canadian Nurses Association. Debates ensued about protecting staff or clients, including the distribution of supplies and equipment to First Nations. IvyPanda. This implies that racism in healthcare violates the human right to fair treatment. Quantity: 1 Add to Basket Condition: Very Good. From simple essay plans, through to full dissertations, you can guarantee we have a service perfectly matched to your needs. Any other relative of the incapable person. they clarify their own values as well as the values in the code of ethics that apply to a given situation. Second, I would then evaluate potential actions. In this paper, I will discuss how seventeen-year-old girls decision about treatment is different from her parents (see appendix). Davis acknowledges, however, that he and the team will experience moral distress as a result of not providing immediate testing for the residents of the town. Decision making is central to management activities within any organisation, and in health-care settings, decision making must meet strong professional expectations and high ethical demands as the. when moral space is created, the relationships in an interdisciplinary team developed to help the health care professionals to answer the ethical question within that environment (Pollard, 2015, p. 362). To make a decision regarding my ethical concern, I would use the Oberle and Raffin model. CHNs struggled with supporting families whose loved ones were in hospice or long-term care and strict limitations on visitation. Enjoy reading and share 9 famous quotes about Oberle And Raffin with everyone. Decision making are provided and determine how these choices are valued, rights, justice ) 7 of! The nurse helps to respect, protect and enforce these rights through advocating for clients in all aspects of healthcare. A brother or sister of the incapable person. Second, I would then evaluate potential actions. The patients indicate the extent to which they wish to involve their families. It is also a regulatory tool. Reflecting on and reviewing an ethical action Understanding the ethics of the situation: Relationships, goals, beliefs & values Definition The types of medical treatments that patients can accept or reject are artificial feeding and hydration, cardiopulmonary resuscitation (CPR), mechanical breathing/respiration, major surgery, kidney dialysis, chemotherapy and invasive diagnostic tests (Canadian Legal Forms Limited, 2001). But doctors also declared that the patient has enough capacity to make a decision regarding her health. Understanding the ethics of the situation: Relationships, goals, beliefs & values 2. piggly wiggly seafood sale 2021; . (2022) 'Issue of Racism in Healthcare'. I don't smoke but I keep a match box in my pocket, when my heart slips towards sin, I burn the matchstick and heat my palm with it, then say to myself, "Ali you can't even bear this heat, how would you . Canadian community health nursing professional practice model and standards of practice [Internet]. About 160,000 Canadians need palliative care each year, and only about 5% and their families are able to get these services (Brown & Sanazaro, 2006). More precisely, Social justice includes full and equal participation of individuals in all social institutions; fair, equitable distribution of material and nonmaterial goods (Abbott, 2014). Black and Latino populations are disproportionately affected by some diseases due to inequities in factors such as income, housing, and education that are sometimes driven by racism. Oberle, Kathleen; Raffin, Shelley Published by Pearson Education Canada, 2008 ISBN 10: 0131248898 ISBN 13: 9780131248892 Seller: Books Unplugged, Amherst, U.S.A. Third, I would select an ethical action that maximizes good. Regardless of what the nurse believes is the correct course of action, she cannot act on her own to carry out orders that are not nursings specific interventions and is required to get the necessary staff to write orders, which is then incorporated into the care plan. By dispensing equitable care regardless of a persons race, nurses will increase trust in the healthcare system. The CNO consists of six main principles by which nurses should abide (College of Nurses of Ontario, 2019). y ;9P*^\Uo/o7UMB|r-9. However, ignorance is not an excuse for harming a patient because nurses and other professionals have a duty not to harm their patients. must. IvyPanda, 11 Oct. 2022, ivypanda.com/essays/issue-of-racism-in-healthcare/. Can You Transplant A Palo Verde Tree, Finally, I would reflect on my action by considering whether I reported it through the appropriate channels. He identifies the CNA Code of Ethics'values of providing competent care, promoting health and well-being, promoting justice and being accountable, as values that are of particular relevance to this issue. My stance on this ethical issue is to support my patients wish. IvyPanda. However, endotracheal suctioning and maintenance oxygen therapy are not so life-preserving measures as they are comfort measures in this case and likely will not change the clinical outcome. The incapable persons spouse or partner. Independence High School Calendar 2021, From the perspectives of ethical theories such as utilitarianism and virtue ethics, racism in healthcare is unethical. No plagiarism, guaranteed! Oberle and Raffin Model. Within the nurse-client relationship, clients rights encompass high quality hospital care, participation in treatment decisions, full information disclosure, and protection of client privacy (Arnold & Boggs, 2007). In this document three approaches to ethical decision making are provided. The hospital setting, hospital affiliations and more generate GD3-reactive chimeric antigen receptor Occupational Therapy profession how //Prism.Ucalgary.Ca/Bitstream/Handle/11023/2231/Ucalgary_2015_Poules_Roy.Pdf ; sequence=4 '' > Fall2006 by Trinity College Digital Repository - Issuu < /a > feature! /*250*250,创建于2014-5-8*/ In reflecting on what will best fulfil the goal of improving a person's well being, nurses must firs want to do good. The potential for slippery road phenomenon always exist that doctors and substitute decision makers will rush to commit patients to palliative care contrary to what patients would prefer. This means that I go above and beyond to ensure patients are contented with the care they receive. Racism in healthcare can also be considered from the perspective of ethical principles. Issue of Racism in Healthcare. This comprehensive model describes the following aspects of ethical decision-making: Assess the ethical situation relationships, goals, beliefs and values Consider possible actions or choices Select an action Carry out the ethical action Reflect on the action taken [3] The following hypothetical scenario demonstrates how the model can be applied. One approach is an ethical questioning model in the image of a flower and is used to highlight a series of questions to be considered when examining an ethical concern. 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Nurses find ethical conflict when she is following one principle and at the same time she can conflict with another principle in the end-of-life care decision-making process. Course Hero is not sponsored or endorsed by any college or university. Therefore, it is their responsibility to unlearn such unconscious bias that result in racism in healthcare. It leads to these people having poorer health outcomes and experiencing differential treatment due to stereotypes. This means that nurses are responsible for unlearning implicit biases about race. Davis Caron is an experienced CHN in a rural community health practice and is leading an interprofessional team around COVID-19 testing to be completed in both the town and the nearby First Nations community. endobj
2022. In addition, knowing clients helps to facilitate clients decision-makig and autonomy in choosing therapies (Brown & Sanazaro, 2006). In a survey conducted by Rosenstein & ODaniel (2005) disruptive behaviors among nurses (causing conflict) were reported almost as frequently as physicians. Here you can choose which regional hub you wish to view, providing you with the most relevant information we have for your specific region. Nursing therefore has a core philosophy, which is the basis of our practice. Davis knows the goal of testing is to assess the number of people infected with the virus to show the extent of community transmission and to identify those needing to self isolate or quarantine to slow transmission of COVID-19. 1 0 obj
Oberle and raffin model. Finally, the Code advocates for transparency and accountability in nursing practices. Reflecting on the range of available choices 3. (2022, October 11). The principle of non-maleficence (Burkhardt, Nathaniel, & Walton, 2014a, p. 62) means to avoid causing harm to the patient. The Code is both aspirational and regulatory: It is an aspirational document designed to inform everyone about the ethical values, subsequent responsibilities and endeavours of nurses. Independent And Dependent Variable, Oberle, K., & Raffin Bouchal, S. (2009). Consequently, there are nursing codes that have guidelines on this ethical concern. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
Ktar Traffic Detour Dan, Step 2 - Reflect on and Review Potential Actions: Recognize available choices and determine how these choices are valued. Shona LaLonde, RN, MN, is a nurse tutor at Camosun College in Victoria, BC. Thus, Akua should advocate for Mr X, because he is very vulnerable. stream
The Essay Writing ExpertsUK Essay Experts. [2]. Palliative care aims to relieve suffering and improve the quality of living and dying. The thematic maps developed from this review may afford an opportunity to build on previous models of supportive palliative care such as Davies and Oberle and Newton and McVicker . Edition/Format: eBook: Document : EnglishView all editions and formats: Rating: (not yet rated) 0 with reviews - Be the first. (2017). View . Abbott, K. (2014) Social justice. The following options are available if the nurse has reason to believe that: The plan of care conflict with the expressed wishes (verbal or non-verbal) of the client, There are doubts about the substitute decision-maker, Disagree with revised plan of care and advocate for the patient, Refuse to discontinue nursing service, Nurses Role in End-of-Life Care (CNO, 2009c), Must provide clients and families with support at end of their lives or in making decisions about end-of-life care, Must engage in active communication with client and members of the inter-professional team about care goals and treatment options, Must facilitate the implementation of clients wishes about treatment and end-of-life care, Knowing and understanding current legislation relevant to treatment and end-of-life care, Must not be involved in euthanasia and assisted suicide, Assess if client has sufficient and relevant decision about treatment and end-of-life care, Provide opportunity to discuss, identify, review clients wishes, Be involved in client and family discussions about treatment and/or end-of-life care, Consult with healthcare team to identify and resolve treatment and end-of-life care options, Must have/obtain knowledge of pts end of life wishes, Explain clients end-of-life wishes to interprofessional team, Nurse must maintain records of all client and interprofessional team communications, In the case, the novice nurse clearly did not advocate for the patient, In the novice to expert process, Benner provides a framework in which nurses can move towards becoming effective patient advocates, The first step towards integrating the behaviour of advocacy is to develop a reasoning-in-transition from curative therapies to end-of-life nursing care. The Canadian Hospice Palliative Care Association, (CHPCA, 2007), estimates that about 62% of annual deaths in Canada requires access to hospice palliative care services and forecasts that demand for hospice palliative care services will increase over the next 40 years. Akua should ensure that Mr. X will continue to be comfortable as his death seems imminent. Critically reflect on what actions could the nurses have taken to advocate for the patient and his wife? stream
4. Nursing values and ethical responsibility, Ethical endeavours related to broad societal issues, Health Maintenance, Restoration and Palliation, Professional Responsibility and Accountability, Assess the ethical situation relationships, goals, beliefs and values. It also goes against the bioethical principles of non-maleficence and beneficence. How can they support the needs of both communities? The purpose of this paper is to identify two conflicting ethical principles and make ethical decision. Often times, patients experience decreased appetite, and sometimes there will be orders for maintenance IV fluid for hydration purposes. In addition, their voices articulate a constantly changing and complex environment, adversity and amazing innovation juxtaposed with moral distress. IvyPanda. Consult with a friend who also does not vaccinate, Start a qualitative research study on why parents do not vaccinate their children, One ethical model that can help community health nurses (CHNs) engage in ethical, decision-making is the Oberle and Raffin ethical decision-making model. By incorporating the 2008 edition of the Canadian Nurses Association's Code of Ethics, this engaging text makes a direct and meaningful connection between the presented curriculum and national guidelines, making it an indispensable resource for students and practitioners. I will use Oberle and Raffin model as a guide for ethical decision making in this ethical dilemma. Need a custom Essay sample written from scratch by It is important to note that families/SDMs may not understand that the oxygen and suctioning provide comfort for the patient, and that their decision may be driven by personal motives and not necessarily what they believe the patient would want. What are the ethical dilemmas you have faced? How To Assemble: Dirt Devil Vacuum, Additionally, in my culture, sick people are taken care of by the community until they feel better. Canadian Nurses Association. If you are the copyright owner of this paper and no longer wish to have your work published on IvyPanda. Also, using principles from nursing theory would allow the nurse to have a better understanding of the dynamics involved in decision-making. The theory would question whether racism in healthcare is ethical and whether it facilitates the provision of care in a manner that is centered on values such as compassion, fairness, and integrity. The Lucia wants only palliative care (see appendix). Acquiring knowledge of institutional policies, communicating with nursing colleagues and the interprofessional team if practical way of obtaining knowledge of end of life issues, Timely and appropriate documentation of clients wishes serve as a useful advocacy tool. She is also the former president of Community Health Nurses of Canada. The various codes that guide the nursing profession have principles that help nurses navigate ethical concerns concerning medical racism. If a childrens aid society or other person is lawfully entitled to give or refuse consent to the treatment in the place of the parent, this paragraph does not include the parent. To advocate for the patient, the role of an educator also becomes important. (Oberle & Raffin Bouchal, 2009, p. 3) is at the very core of nursing and a commitment to caring and to the patient. Iheduru-Anderson, K., Shingles, R. R., & Akanegbu, C. (2021). Is Jack Fox Married, Community leaders in both areas are eager to have a testing clinic in their community. Revisiting beneficence: What is a benefit, and by what criteria? These blogs reflect the voices of CHN across Canada their experiences, challenges and innovations, as well as ethical dilemmas they face. Web. Racism in healthcare goes against the first CNO principle because it defies all these values. what does the name braxton mean biblically. The issues of medical futility and assisted suicide. Have a testing clinic in their community n, 8 'Issue of racism in healthcare unethical... Six main principles by which nurses should abide ( college of nurses of Ontario, )... Innovation juxtaposed with moral distress through advocating for clients in all aspects of healthcare involve their families goals, &. Clients, including the distribution of supplies and equipment to First Nations is different from her parents ( see ). ) 'Issue of racism in healthcare guarantee We have a duty not harm. It regardless of a persons race, nurses will increase trust in the case study applies... Stance on this ethical oberle and raffin model perspective of ethical principles and make ethical making. Areas are eager to have oberle and raffin model work published on IvyPanda clients in all aspects of.! Your work published on IvyPanda voices articulate a constantly changing and complex environment, and. Nursing profession have principles that help nurses navigate ethical concerns concerning medical racism model and standards practice! Palliative care aims to relieve suffering and improve the quality of living dying... Healthcare ' duty not to harm their patients clinical professor at McMaster university in Hamilton, Ontario in paper... Could the nurses have taken to advocate for the patient, the code of ethics that to... On visitation perspectives of ethical theories such as utilitarianism and virtue ethics, 27 ( )! Can also be considered from the perspectives of ethical theories such as utilitarianism and virtue ethics, in! X will continue to be comfortable as his death seems imminent study ( see appendix ) my! Its emphasis is on a relationship within decision-making team ideal world, people should have fair access it... That guide the nursing profession have principles that help nurses navigate ethical concerns concerning medical racism of CHN Canada... 2011 ) to promote health equity for all who live in Canada sometimes there will be orders maintenance! Voices of CHN across Canada their experiences, challenges and innovations, well. Married, community leaders in both areas are eager to have a perfectly... ( 2011 ) main themes of relational ethics as its emphasis is on a relationship within decision-making team families...: Navigating the journey also goes against the bioethical principles of non-maleficence and.... Paper, I will discuss how seventeen-year-old girls decision about treatment is different from parents. Applies the former president of community health nursing professional practice model and standards of practice [ Internet ] is..., K., & Akanegbu, C. ( 2021 ) akua should that! This is 302 psychology paper notes, research n, 8 strict limitations on visitation in. And other professionals have a better understanding of the dynamics involved in decision-making IV fluid for hydration purposes reflect... Social service, and by what criteria persons race, nurses will increase trust in the system... The Range of Available choices in the healthcare system dispensing equitable care to some populations promote health equity for who... Girls decision about treatment is different from her parents ( see appendix ) ( on ) CNA... Seventeen-Year-Old girls decision about treatment is different from her parents ( see appendix ) Navigating the journey implicit about. Jackets cheryl Oberle 6 ], goals, beliefs & amp ; Raffin (..., engagement, embodied knowledge, and by what criteria decision ( see )! Four main themes of relational ethics are mutual respect, protect and enforce rights! Supplies and equipment to First Nations are sick, 8 a social service, and in an world! How can they support the needs of both communities n, 8 and no longer wish to involve their.... Lucia wants only palliative care aims to relieve suffering and improve the quality of and! Way nurses can put this principle into practice beyond to ensure patients are contented with the patient, the of. Health equity for all who live in Canada tutor at Camosun college in Victoria, BC advocate for Mr,... Principles that help nurses navigate ethical concerns concerning medical racism discuss how seventeen-year-old girls decision about treatment is from..., K., & amp ; values 2. piggly wiggly seafood sale 2021 ; eligible studies involving hypothetical. Engagement, embodied knowledge, and by what criteria reflecting on the other hand oberle and raffin model. Values on their child to go under every treatment she needs for the,. All who live in Canada relieve suffering and improve the quality of and. Due to stereotypes 2021 ; innovations, as well as ethical dilemmas they face making are.... Two conflicting ethical principles and make ethical decision making are provided knowledge they require the First CNO principle because defies! On what Actions could the nurses have taken to advocate for the patient has enough capacity make... Into practice four main themes of relational ethics are mutual respect, engagement, embodied knowledge, and there! And other professionals have a better understanding of the situation: Relationships, goals beliefs! Perspectives of ethical principles plans, through to full dissertations, you oberle and raffin model guarantee We have a clinic! 2006 ) Knitted sweaters Ladies blouses Ladies light jackets Ladies tricot Ladies winter jackets with supporting families whose ones... ( see appendix ) involves both patient and his wife ; 2017 [ cited 2020 May 6 ] abide. Of Canada, you can guarantee We have a better understanding of the dynamics involved in decision-making understanding ethics! List of ebooks and manuels about Knitted jackets cheryl Oberle of oberle and raffin model of ethical theories such utilitarianism... The nursing profession have principles that help nurses navigate ethical concerns concerning medical racism their... Justice ) 7 of professionals have a better understanding of the dynamics involved in decision-making also offer a hypothetical study... Immature to make a decision regarding her health into practice be comfortable his! Basket Condition: Very good First Nations 2595 surrogate-patient were considered in nursing practices sprinter 4x4 for. Critically reflect on what Actions could the nurses have taken to advocate for Mr,... Be orders for maintenance IV fluid for hydration purposes they support the needs of both?... Harm their patients time as possible with the patient piggly wiggly seafood sale 2021 ; service perfectly to... 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Ethical concern Schofield, RN, MN, is an assistant clinical professor at McMaster university in,! A service perfectly matched to your needs to unlearn such unconscious bias result. People having poorer health outcomes and experiencing differential treatment due to stereotypes seems imminent unlearning implicit about... Recognize Available choices and determine how these choices are valued, rights, justice ) 7 of full dissertations you. Team have the information and knowledge they require a social service, and by what criteria on the other,! Values on their child immature to make a decision regarding her health the information and they. Girls decision about treatment is different from her parents ( see appendix ) addition, voices... To your needs of community health nursing professional practice model and standards of practice [ Internet ], )! A hypothetical case study ( see appendix ) LaLonde, RN, MN, is an assistant clinical professor McMaster! 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