Nursing Ethics Case Study

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After reading the case study related to this assignment and other related articles and talking to co-workers, I realized there are many around us that ethical principle were somehow violated on them. Despite most nurses’ best efforts to make ethical decisions; they might not be able to make the right decision. As it was mentioned in the case study, nurses might feel their job will be jeopardized if they go against higher authorities’ will. If they lose their job, they cannot be useful for themselves or for other patients. This problem takes me back to the title of section three of doing the right thing, “if we know what is right, can we do it?... in properly ordered soul, reason will be on control and passion will be under control”(n.d.). It…show more content…
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.
Beneficence is defined as “compassion; taking positive action to help others; desire to do good; core principle of our patient advocacy” (Beauchamp & Childress, 2009). In this case, beneficence was violated as second nurse was not able to advocate for patient or she would lose her job if she was not loyal to the
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Their autonomy was violated, their loyalty was questioned, and they were threatened to either accept the situation or they will lose their job. Therefore, I believe provision six of the code of ethics is related to this situation the best. According to ANA, provision six describes “The nurse participates in establishing, maintaining, and improving healthcare environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action” (code of ethics, 2011). Nurses in this case study have to work in an environment that patients’ rights have been violated. Nurses are not able to advocate for their patients. Therefore, it is not a safe environment while even nurses’ attempt to fix it did not make any difference. “Acquiescing and accepting unsafe or inappropriate practices, even if the individual does not participate in the specific practice, is equivalent to condoning unsafe practice. Nurses should not remain employed in facilities that routinely violate patient rights or require nurses to severely and repeatedly compromise standards of practice or personal morality” (code of ethics, 2011). Since in this case nurses might have a hard time finding another hospital in their community, they should find another solution instead of quitting their job in this
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