When referring to the scenario Mr. Michael Grigio (See Appendix A), the primary issue is that Michael and his family has conflicting emotions towards the results of the test and diagnosis. It is an ethical problem because Amir’s morals conflict with the family’s ethical views. In this situation Amir has to decide whether or not he wants to tell Michael the truth. In order to provide a response we can use relational ethics. The ethical issue at hand is whether the nurse should respect the family’s wishes or disclose the truth to the patient. A nurse’s responsibility is to be professional, stay true to the lawfulness of their profession, and follow the Code of Ethics and hospital’s policy (Punjani, 2013). By telling Michael the truth, Amir will …show more content…
In this scenario, Amir would need to understand Michael’s relationship with his parents, since they are his support system. It includes asking open-ended questions, being present and respectful, actively listening, being non-judgmental, and truthful (Pollard, 2015). Since Michael has stated he would like to know the results of his tests, but he does not want to incur familial dysfunction, Amir should further investigate the reasons behind his insecurities. There should be open-honest communication between the patient and nurse, as well as family members. If Amir withholds information from either side, it will be damaging for the relationship between nurse-patient, patient-family, and nurse-family (College of Nurses of Ontario, 2009). Engagement can resolve ethical conflicts because it combines the views of both patient and nurse by looking at what is good and right (Moore, Engel, & Prentice, 2014). Should Michael choose to tell his parents the truth, Amir should be present and provide support as well as advice or a private place for the conversation. Amir should also be readily prepared with information and resources to help with the next steps. He should reassure the family members that the truth will not affect Michael’s well-being, rather hiding the truth will take away opportunities like formulation of will and last goodbyes with family and friends. Amir should also speak to the family and attempt to determine the justification for being upset with their son if he chooses to find out the
It is unprofessional for Evita to allow the parents to disclose such critical information to her and then have them witness her essentially covering for them to the physician. As a social worker I feel you face many difficult situations where you may feel bad about making your client’s situation worse, but you always need to stay professional and be able to maintain your agreement to the code of
If need be, the nurse should assist Mike attain information about the Mature Minor Doctrine and other relevant information about pediatric patient’s rights. Conclusion When an ethical dilemma arises, a nurse has to consider the outcomes of each choice. In a pediatric situation, it is pertinent to remember that the parents are considered as patients too.
Sissela Bok explores the moral and ethical complexities of lying and deception in her book, Lying: Moral Choice in Public and Private Life. One of the scenarios she considers is the normalization of lying and deception in medical contexts, such as in patient-doctor communication. Bok gives an example scenario of a patient who has just been diagnosed with cancer and has no other treatment options. The physician faces a difficult decision: whether to inform the patient of their diagnosis and the low chance of success with chemotherapy or to lie about the possibility of treatment. The physician chooses to tell the patient their cancer diagnosis but does not inform them of chemotherapy.
As a result, I will focus on the machines on the patient, but also the patients on the machine. Conclusion Ethical decision-making begins with a nurse aspiring to become a nurse leader. A nurse leader cannot provide the best care for a patient without proper communication. Communication allows the patient, nurse, and other healthcare team members to work coherently for the best plan of care.
Nurses are faced with ethical dilemmas related to clinical issues, and disease and treatment decisions daily (Kangasniemi,
If nurses make mistakes, they have to admit it. In addition, Nurses have an ethical responsibility to keep their patients ' medical record confidentiality. Nurses shouldn 't release this confidential data to other persons. Furthermore, Nurses need to be trusted with a great deal of high profile information. A patient counts on a nurse 's professionalism and integrity to keep their medical information confidential.
The article changed my way of thinking as it increases my understating why I need to maintain professional boundaries by keeping the conversation focused on the patient, provide care and support as a nurse, rather than a friend while keeping strict professional limits
So, Dr. Small was kind enough to provide me with two instances where ethical issues have arisen, one from the school setting and the other from the clinical setting. We will begin with the instance from the school setting.
If we as nurses respect the confidentiality of a patient, we should do so for all the patients. However, Griffith (2007) argues that the duty of confidence should not be absolute and nurses should always consider sharing information if required. Though the principle of respecting patient autonomy and their right to confidentiality is broken here, the principle of beneficence and non-maleficence is uphold. Nurses have an obligation to protect patient’s confidentiality but the duty to warn an innocent party of imminent harm is far more critical. Therefore, breaking confidentiality here is potentially doing more good than
Relevant legal and ethical considerations, focusing on the 4 main ethical principles and how each of these apply to this case using research evidence. Focusing on the ethical theory of Beauchamp and Childress, it is considered one of the most fundamental elements for beginning a discussion in the Not for resuscitation (NFR) debate. (Fornari, 2015). The four main ethical principles, autonomy, non-maleficence, beneficence and justice hold the grounding block for issues of this nature. End of life care is an imperative characteristic of acute stroke nursing, as stroke mortality rates remain high, regardless of enhancements in the health care industry.
Military Nurse’s Dilemma Chi Tiet University of Michigan - Flint Nurses are a group of professionals who faces a variety of ethical dilemmas while working. Therefore, these dilemmas cannot only impact on their personalities but also affect their patients. However, ethical dilemmas are argumentative and difficult to deal with, so there is no “right” or “wrong” answer for them. In a military nurse’s dilemma, a military RN is ordered to force feeding a terrorist prisoner while he is undergoing interrogation, and the prisoner is on a hunger strike protesting. The nurse is torn, but fearing of reprisal if orders are disobeyed, so the nurse is appalled at the over-riding a patient’s wish by force feeding him agains his wish.
She is also unsure whether the patient wishes to report this issue. The social worker was presented with the ethical dilemma of choosing between respecting the patient’s confidentiality or intervening to disclose and report the issue to the hospital
The consequence of ethical decision-making rests in the fact that very different ethical issues regarding the same moral dilemmas can be made, resulting in neither a “right nor wrong” decision. Ethics involves doing “good” and causing no harm. Yet how one expresses what is ethical can differ from nurse to nurse. Educating nurses on the principles of nursing ethics give them the appropriate tools to base ethical decisions upon. Nevertheless, this information is then moulded by the values, beliefs and experiences of the nurse.
The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to
Interviewing families provides the nurse with information that can help the patient and their family manage chronic illness. By asking the family questions, the nurse can gain an increased understanding and appreciation of the illness impact on the family and the family’s concerns and hopefully help soften suffering and encourage hope and healing (Wright & Leahey, 2013). Following the conclusion of the interview, the nurse can assess the success of the interview and look for opportunities to improve the next family interaction. This is the fifth installment of the family assessment of two sisters, J.A. and R.C. This final paper will discuss the personal and professional impact that this family interview process had on the interviewer and discuss any opportunities that may have been conducted differently.