The ethical situation in question is a culmination of intolerance, ignorance, cultural insensitivity, and failure to follow hospital protocols and procedures. The location of the facility in which the ethical dilemma took place is a small, rural hospital in the Midwest of the United States of America. A new male patient has been admitted and he is currently a practicing Muslim. The facility does not have a large Muslim population and does not have any cultural protocols in place to accommodate the Muslim religion. The Muslim faith believe that illness and disease are penance for something they may have done or to test the strength of their faith. As in many other religious beliefs there are beliefs and practices that must be adhered to …show more content…
582). Ethical decision making is defined as “The process of choosing between actions based on a system of beliefs and values” (Black, 2014, p. 347). The nurse handling the ethical problem must first identify that there is in fact a problem. The second step is to acquire all of the required information related to the current situation. The third step is to come up with multiple choices and options to solve the ethical problem. The fourth step is to actually pick one of the choices utilizing sound ethical judgement. The fifth step would be to enact the made decision. The final step in the process is to reassess your decision and look for effectiveness and …show more content…
Provision 2 of the ANA code of ethics for nurses “The nurse’s primary commitment is to the patient, whether an individual, family, group, or community”(Black, 2014, p. 387). I believe that a nurse must care for the patient and their healthcare needs no matter the patient’s ethnicity of affiliations. Provision 3 of the ANA code of ethics for nurses “The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient” (Black, 2014, p. 387). The nurse must be the voice of the patient when they do not have one, they must be safety net that protects the patient when all other measures
This essay will take inspiration from a theoretical character named Sam (see appendix 1).Sam is a minor aged fifteen who, after a head injury whilst watching a game of football attends her local accident and emergency department. Whilst in the company of her mother she initially denies the possibility of a pregnancy but when taken to for an x-ray and separated from her mother admits that she could be pregnant. Sam’s case highlights issues of confidentiality, consent and disclosure of information.
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
During week 4, we became familiar with the application of ethics in the nursing practice settings. We learned about ethical theories and principles, which are crucial when practicing in any clinical settings during ethical decision-making and while facing one or multiple ethical dilemmas. Also, we were introduced to the MORAL model used in ethical decision – making progress. The MORAL model is the easiest model to use in the everyday clinical practice, for instance at bedside nursing. This model can be applyed in any clinical settings and its acronyms assist
Planning included reaching out to other health organizations, objectives, and goals of health fair were established. The implementation includes getting volunteers, set up for the health fair. The evaluation of the process occurred throughout the implementation and changes were made as needed. The evaluation will be completed by gathering information from health booth to determine the number of participants. Review vendor and participant evaluations about the health fair including how they heard about the health fair, ratings of booths and suggestions for improvements. Record everything to determine changes. Reflection on past experiences and what worked and did not work.
This paper will focus on two BNUR leaner outcomes (University of Calgary, 2013) relevant to my learned understanding of nurses as ethical decision makers. I will outline the ways that I have seen ethics used and not used in practice, what I learned about ethics and its use in my theory courses and throughout my practicums, and I will reflect on how this understanding will translate into my professional practice moving forward.
Since ethical dilemmas are not always easily answered through the use of The Code of Ethics, ethical decision-making models are effective tools that can assist nurses in dealing with ethical issues. Ethical decision-making models provide a framework for working through difficult choices. They seek to define the limits of what is morally acceptable and help clarify the guidelines for making those difficult decisions. Ethical decision making models assist nurses in analyzing situations by focusing on understanding the patient needs, need for responsiveness to circumstantial considerations, and recognizing the uniqueness of each situation.
According to the American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the health, safety and rights of the patient” (p. 6). Nursing responsibilities should be acted upon at the highest standard and must be based on legal and ethical obligations. Healthcare provider’s perception and judgment of the patient’s well being, as well as taking into account the rights of the patient in every action, is one of the key elements in nursing practice. International Council of Nurses (ICN) (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3).
During my employment as a LPN in a rural hospital I have witnessed several episodes related to the ethical dilemma of workplace bullying. This behavior is unacceptable based upon the professional standards of nursing. The objective of this paper will be to focus on the controversial topic of how to deal with a workplace bully. The purpose is to highlight accountability of all involved personnel: bully, victim and management.
According to Chaloner (2007) states that Ethics is about good and bad, where nurses are fully trained to provide quality care to the patient and raises the value of ethics by being medical centred and having emotional impact in treatment and sometimes the patient refuses nursing care resulting as bad (p22-46). To relate ethics successfully, nurse’s thinking abilities and beliefs that support ethical enquiry such as autonomy, non-maleficence and beneficence makes care plan on ways for decision making in patient care. Example, the moral values which we gain from childhood like honesty, mutual trust, respecting, and treating others fairly are used in having therapeutic nurse to client relationship.
The method of ethical decision making which was developed by Dr. Cathryn A. Baird presented two components contained in all ethical decisions which are; The Four ethical Lenses and the 4+1 Decision process. The Four Ethical Lenses issue claims that different ethical theories and the means in which we tend to approach the situations which form part of our ethical traditions are looked at in four different perspectives. From each perspective there are different values on which to decide whether the action taken is either ethical or not and each lens also lays emphasis on determining whether the decision made is of ethical requirement. In the 4+1 Decision Process, people who are responsible for making final decisions in an organization do it using four specific decision making steps and eventually will end up with one extra decision which gives a chance to reflect. The 4+1 decision process allows the decision makers to give solutions when faced with complicated ethical issues (John Muir Institute for Environmental Studies, 2000).
Husted, J, & Husted, G. (2008). Ethical decision making in nursing and health care. New York: Springer Publishing Company .
The nursing code of ethics has a very standard definition. It is the base on how nurses should guide themselves in conduct by making the right decision regarding ethical issues. According to the National Student Nurses Association “students of nursing have a responsibility to society in learning the academic theory and clinical skills needed to provide nursing care” (2003). In the clinical setting nurses have a lot of responsibilities while caring for an ill patient, they have the obligation to practice their profession with compassion, love, and respect the uniqueness of each patient, as nurses we are not supposed to deny care to a patient because of their economic status, their skin color, race, or the nature of health problems, we are here to help the people in need in particular those of susceptible populations. The NSNA states that the code of conduct is based on an understanding that to practice nursing as a student is an agreement that trust and honesty is depended on us by society. The announcement of the code provided direction for the nursing student in the personal development of an ethical foundation and not limited to the academic or clinical environment but can assist in the holistic development of a person. (National Student Nurses Association, 2003)
In conclusion, there are numerous legal and ethical issues apparent in the nursing practice. Nurses should study and be as informed as they can with ethics and legality within their field in order to ensure no mistakes occur. Ethical issues vary based on patient’s views, religion, and environment. Nurses are influenced by these same views, but most of the time they are not the same as the patients. As a nurse we must learn to put the care of our patients and their beliefs, rights, and wishes before our own personal
Practicing nurses encounter various ethical questions and dilemmas in their everyday work life. The world is so diverse, nurses come in contact with people from different cultures and beliefs. Studying ethics teaches nurses compassionate nursing, patient advocacy and why it is important. It also teaches nurses that even though the understandings of ethics differ from person to person because of their culture, communities and ethnic/religious backgrounds; it is imperative to set a side one’s own beliefs to ensure quality health care.
The following five-step model can help employees make appropriate decisions when faced with an ethical dilemma. The first step is to recognize the issue. Knowing what is the root cause and the main issue can help determine what ethical issue is at hand. The next step is to get the facts of the situation. Eliminating bias opinions and knowing the information source can increase the chances of making a good decision.