2. An ethical decision-making principle that came into play in my clinical experience involved a competent patient refusing a blood transfusion because he was Jehovah Witness. This patient was actually a physician himself and the ethical dilemma it raised was that it conflicted with my nurse and I’s commitment to provide beneficial care while avoiding harm. While we could advise our patients our own views on why they should receive this blood transfusion we had to make sure we avoided coercion, and deception that could deny our patients autonomy. Out patient ended up changing their mind and agreeing to the blood transfusion, but we still had to make sure the change wasn 't a consequence of illness impairing the patient to decide and that the patient was basing their decision on facts. The ANA code of ethics states the right to self-determination. Self-determination is also called autonomy and forms the basis for informed consent within the health care system. The patient has the right to make his healthcare decision. Knowing this had an impact because ultimately a signed blood refusal card is equally and ethically equivalent as a component patient with an advance directive. Knowing this I had to treat the patient according to his wishes.
5. The healthcare delivery system in the United States consists of both public and private healthcare systems. My clinical agency is a public healthcare delivery system that demonstrates acute care. I would say that the organizational
In the case where the patient makes their strong religious beliefs verbal to the healthcare provider they have an obligation to make certain there is no documented religious preference in their previous records or if the patient has a Living Will on file. The recent admission documentation may have been entered incorrectly or the patients religious preference many have not been transcribed. If this was my patient and he expressed his strong objections to a blood transfusion. I would have documented this and brought this to the attention of his doctor prior to the procedure. Also, I would exhaust every avenue to insure that this patient had no documents on file. The healthcare provider should feel an obligation to check all prior admission documentation available in unique situations. I believe this is incumbent that personnel make the best choice possible in sensitive cases. Also, contacting the patient’s primary care physician may offer some missed documentation concerning the patient’s religious preference. If no religious preference past or present has been documented. I would ethically have a problem with the blood transfusion based on my conversation with the
An ethical dilemma is an incident that causes us to question how we should react based on our beliefs. A decision needs to be made between right and wrong. I have experienced many ethical dilemmas in my lifetime, so I know that there is no such thing as an ethical dilemma that only affects one person. I also know that some ethical dilemmas are easier to resolve than others are. The easy ones are the ones in which we can make decisions on the spot. For example, if a cashier gives me too much change, I can immediately make a decision to either return the money or keep it. Based on Kant’s, categorical imperative there are two criteria for determining moral right and wrong. First, there is universalizability, which states, “the person’s
The ethical decision making process is based on moral rules and unchanging principles that are derived from reason and can be applied universally. These universal rules and principles must be considered separate from the consequences or the facts of a particular situation. (McWay, 2014). Health care workers face ethical issues and have to use the ethical decision making process to determine what is best for their patients.
What are the relevant facts of the case? What facts are not known? Can I learn more about the situation? Do I know enough to make a decision?
The first step of the Ethical Decision-Making Procedure is stated as, “1.0 Become Aware of Dilemma” (McNamara). According to the given case scenario, the dilemma is clearly stated. It reads that the client (mother) does not believe in rewards or support the use of them for her son. The mother is going against what the BCBA believes in and stands for, thus causing a direct dilemma. Removing reinforcers is not feasible for the professional BCBA, and this must be properly addressed with the client. Situations like these are where the Ethical Compliance Code comes into place for the sake of the clients and professionals involved.
In making ethical principles, decision and applying them in this case study scenarios; there are approaches to ethical analysis in addition to ethical systems and principles that will need to be considered especially where power and authority become the main issue and principle. John Rawls (1957) presented an abstract procedure for deciding moral issues. He stated that “moral principles can be developed through inductive logic which is through moral judgments such as common sense, open mind, personal emotions and sympathetic knowledge of humans”. Looking at police abuse of power, (Pollock 2012) described “this as the actions where an officer physically injured or offends a citizen’s sense of dignity. (p.225). When a police officer become corrupt, the citizen’s dignity becomes shattered. Marsh (2006) also stated that power in capitalist societies is not just about formal and institutionalized control and includes the ability to influence the way people think through controlling knowledge and ideas”. (p.121)
In today's business and personal world, ethical decisions are made on a daily basis. Most of these decisions are based on company ground rules. The others are based on personal ground rules. All decisions can have a number of ground rules that help us determine whether our decision is ethical or unethical. Each decision whether it is based on company or personal ground rules will have its own set of implications. In the following paragraphs I will discuss the impacts of ethics on decision-making, discuss the elements of an ethically defensible decision, define what the ground rules are; what they could be and what they should be, discuss
Moral issues are those that arouse conscience, are concerned with important values and norms. The use of a tool such as the Ethical Decision-Making Algorithm in appendix A, can help the nurse resolve an ethical dilemma more efficiently and competently. Furthermore, the use of a nursing codes of ethics, which are formal statements standard for professional actions can help guild a nurses decisions. Nurses have multiple obligations to balance in moral situation. The Ethical Decision-Making Algorithm will be used to find the best action and outcome for a case study.
Within the nursing industry, many complications can arise. Along with the task to make tough decisions to be able respect and adequately care for patients correctly, which potentially is one of the hardest aspects of pursuing this career (Hawking, 2000). In this particular case, the ethical dilemma evident is whether or not the nurse in the emergency department should give the Jehovah’s Witness patient the 3 units of blood as his girlfriend is emotionally upset that she may loose Mark if he does not have the blood transfusion. However Mark has presented the nurse with a refusal of treatment document meaning that the nurse cannot present Mark with the 3 units of
Throughtout this written assignment there will be a discussion on ethical decision making about making a decision on possible ethical consequences that may be placed in your life, and what ethical consequences will be dealt with in the mental health professional field. Decisions could possibility pertain your conduct such as an ethical dilemma that will required a serious decision to be solved by your action as an leader. Even though a leader may not have caused the problem, they do not have a choice but to respond to the issues at the workplace. The key is how would a leader react to the issue and how their reputation and career standards will interfear afterwards. An early recognition could prevent many ethical issues from increasing in the mental health field and work environment. Ethical dilemmas could happen in many different ways, such professionals do have any act of acknowledge by knowing they have allowed themselves to be placed in a predictment without any knowing about it. This assignment will also discuss the scenario, what the reactions were from the team leader, what consequences should take place, the code of ethics and what were the results from decision making.
The word “ethics” comes from Greek ethikas meaning character. Today, we use ethics to describe the normative standard of behavior. The history of philosophical ethics has been broken up into five rational methods: Virtue, Traditional, Modern, and Post-Modern Ethics. Within these periods, the philosophy of ethics changed along with the changes being made within society.
All employees (including the company executives) should be guided by moral principles and ethical values when making decisions (Balc & Simionescu, 2012). The ability of executives to make ethical decisions can be influenced by their cognitive bias (Zeni, Buckley, Mumford & Griffith, 2015). Utilitarianism is one of the frameworks that can be used to address ethical dilemmas. Utilitarianism holds that decision makers should take alternatives that maximize the happiness of the majority of the stakeholders (Choe & Min, 2011 and Marques, 2015). This presentation will discuss how the 8-step ethical decision making process can be applied when addressing a dilemma using the utilitarianism framework. The presentation will also guide the executives of Toyota on how to address the negative publicity associated with the production of cars with faulty acceleration system.
Nurses often encountered various ethical dilemmas in the practice setting. Both virtue ethics and caring ethics support good ethical decision making for nurses (Park, 2012, p. 149) but these are inadequate to assist in solving an ethical dilemma (Park, 2012, p. 149). For that reason an ethical decision making tool is helpful for the nurses or clinicians to come up with an ethical decision (Kelly, 2012, p. 571) that allows them to gather information, identify any gap of understanding on the issue or the disagreements between the involved parties through a clear communication (Park, 2012, p. 140). Several authors presented an ethical decision making processes (Park, 2012, p. 141), here presented the two processes that can be applied in resolving an ethical dilemma. One example of ethical decision making process is the DECIDE model by Thompson, Melia & Boyd (Allen, Chapman, Francis, & O’Connor, 2008, p. 5) and the Integrated ethical decision-making model which was derived from the combination of the different ethical decision-making models strengths (Park, 2012, p. 140). These two ethical decision-making model steps are identical to each but differ on the detailed instruction on how the steps are to be done or used in actual case. By comparing the two models the integrated ethical decision-making model have a detailed instruction. The
Recognize moral issue: The issues in Fresh Taste NZ Ltd. are rude behaviour of employer with employees, ignorance of basic ethical practices by workers and providing less salary to the workers etc. All these things create ethical disputes at workplace.
Everyday we are tested as individuals to make the right choice. How we view ourselves as individuals and how others view us are directly correlated to our moral decision-making. But morals are somewhat misleading. What might be a wrong decision for one person might be a solution to another. So how do we define morals? Do we follow Gods’ moral rules because to do so would increase out likelihood of obtaining salvation in the afterlife? Or is it simpler than that. Is God going to deny our entrance into heaven because we have run a stop sign here and there? No. I believe our moral values are much simpler than that. I believe that our moral decision-making comes from our upbringing of what is right or wrong. Our parents and