Question one: Which ethical principles are being violated in this scenario according to the ANA Ethics Definitions? According to ANA, autonomy means “agreement to respect another 's right to self-determine a course of action; support of independent decision making” (Beauchamp & Childress, 2009). In this case autonomy of the first nurse was violated as he was not able to administer pain medication when he needed to. The autonomy of the second nurse was jeopardized as she was going to face serious consequences if she advocate for the patient. Also the autonomy of the second patient was jeopardized as she wanted to transfer to another hospital but was misled by false information.
Patients put their lives in the hands of their providers and will lose their respect and trust for the provider to find out that they really did not matter to the provider and did not take the time to share complete information with them about their illness and treatment. In essence the provider has just caused more harm to the patient than good in terms of what they feel now and their outlook towards providers in general. The paper is aimed at Morality within the providers mindset enlightening them to how can affect the patient and lead to negligence on their part by not
A practice commonly used in the medical field, “benevolent deception” is the act of physicians suppressing information about diagnoses in hopes of not causing patients emotional turmoil (Skloot 63). Benevolent deception is a contentious subject because when used, the bioethical principles of respect for autonomy and beneficence can conflict with each other. Respect for autonomy is when physicians acknowledge their patients’ abilities to make voluntary decisions on their own regarding their health care (McCormick 4). Meanwhile, beneficence is the duty of doctors to be of a benefit to patients, while also taking measures to prevent and remove harm from them (McCormick 5). When giving patients diagnoses, physicians need to follow these doctrines by creating a balance between telling the truth and providing hope, which is why some may mistakenly turn to benevolent deception as the answer.
Lastly, utilitarianism which philosopher John Stuart Mill helps nurses understand their actions and outcomes, while posing the question does the ends justify the means. These ethical approaches are important to healthcare because they provide nurses with ethical guidelines to become a morally good nurse. For example, a nurse who studied virtue ethics will understand that it is morally wrong for them to make a medical error and not report it to the patient or their employers. Furthermore, studying Utilitarianism teaches healthcare workers to maximize happiness. In a massive car accident a medical responder would use the resources available to provide care to the greatest number of people, rather than exhausting resources on one individual who is unlikely to
I feel that Dr. Strunk realized that the hospital’s policy was violated his morals and code of ethics. I believe that the hospital’s administration only looked out for themselves. Although no visible harm was done to the patient, the best course of action was to inform the patient of the mistake. One could argue no harm, no foul, but I believe that the hospital should consider the patient’s overall well-being. If the patient found out about the error down the road, the hospital may be in even more trouble.
. But it was Elsie’s right to refuse to get transfer to the hospital which can be supported by the Liberalism which lay stress on that civic life , public policy , and action of state should aim on promoting and respecting the autonomous life of each human being(Harris,2011). As per belief of liberalism , the concept of living a good life is different to every human being as a distinct autonomous being , and life the person values relies on their particular condition and features( Harris 2011). By saying this Elsie’s decision for not being resuscitated should have been respected by the health professionals as it breached her autonomy to make the decision regarding what’s right for her life and also regarding the concept of liberalism(
It could be any actions that prevent harm to patient as well as action that eliminate harm and improve health of others. How do we balance both in providing the most efficient care? What if the patient’s independent choice conflicts with the health care provider duty to look out for the patient? Practitioners and nurses value any treatment that would prolong life. Patients based on their personal beliefs might decide to go against the treatment.
In this case, I, the nurse, can convince Marie to change her mind and receive the operation that can ultimately save her life. In doing so, I would breach her trust in me as her caregiver. However, I would decrease her risk of death and increase her family members and the health care team’s happiness. On the contrary, I can respect Marie’s choice of not undertaking the operation. I would honour her wishes and explain her position to her family and the health care team.
The oncology nurse feels that they have support and has a say in the decision of the intervention. A manager in an oncology unit can create a system of rotation where nurses are rotated in difficult assignment, thus decreasing the burden of moral distress. Leaders or experienced nurses should serve as role models to novice nurses and encourage them to speak out if any sort of moral distress affects them. Leaders can help out their oncology nurses with moral distress by creating education plans in where nurse are taught how to deal with ethics, learn coping strategies, and having them receive the adequate training. Moral distress in oncology unit affects nurses a lot and more studies should be done to consider how to prevent moral distress in an oncology
Another example would be administering a medication outside the specified time frame. This would alert the nurse to hold the medication and investigate further. If the nurse decides to continue giving the medication they must specify their reasoning for giving i... ... middle of paper ... ...p improve systems like CPOE by simply making recommendations for areas of improvement like the unintentional errors stated above. In order for CPOE to meet patient safety standards the patient and the healthcare providers using the system need to be taken into consideration. This will reduce the risk for unintentional errors in the future.