Ethics Case #1
1. I would first make sure that there was someone to cover the cash register. I would then ask Sidney to talk with me in my office. We would cover the school and food service center guidelines and the Dietetics’ Code of Ethics. I would then follow through with what is the appropriate discipline for this action, per the guideline with the school and foodservice center. I would let her know that I do understand that it is hard to see a friend in need. However, there are other ways to help than to do something that goes against the guidelines and code of ethics. I would then give her information on community, city, and state programs that will best to help her friend.
2. A. I believe that this situation is a personal, educational,
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A. This situation relates to all five principles of the Code of Ethics. Fundamental Principles number one clearly states, “The dietetics practitioner conducts himself/herself with honesty, integrity and fairness.” (Palacio 163). Number two states that a dietetic professional must promote high standards of professionalism (Palacio 164). These two Codes of Ethics should be enough to explain why this situation needs to be addressed. However, in Responsibility to the Public number three points out that inappropriate behavior must be reported. Number four states that laws and regulations must be followed. Number five says the professional needs to be objective to the unquiet needs of the individual. Number six says not to engage in misleading or false practices. In Responsivities of the Clients number eight points out that when a professional is not qualified the must seek help from those who are. Number eleven clearly states that when working in service all Codes of Ethics must be followed. In Responsibilities to the Professional number eight clear states that the professional should not accept of give gives or incentives. In responsibilities to Colleagues and Other Professionals number nineteen that the professional is to demonstrate respect for the values of other professionals (Palacio 1664-166). B. Other polices, personnel manuals, guidelines that may apply maybe, the schools, food service center, city, county, state, and/or federal. These may apply because the offence
I thought your discussion post this week was great. After looking at exercise 4-4 I completely agree with you that using PRN nurses and working with float nurses is such a smart idea. Decreasing discharge teaching time like the manager wants to do on the unit is unsafe and unethical to patients. The nurses on the unit are doing their part by providing excellent patient care, but reducing education can lead to dangerous outcomes for patients in the long run. Provision 3 of the ANA Code of Ethics (ANA, 2015) states that nurses should promote, advocate, and protect the rights, health, and safety of every patient. By implementing your proposed thoughts I really do believe wait times and patient satisfaction could certainly improve. There are always
There are many resources than can be used in this scenario to alleviate the ethical dilemma presented near the end of the scenario. The patient is Jewish and therefore has a strict diet of Kosher foods. The diet order was originally placed correctly, but the patient was served only partially correct as he did not receive a Kosher meal, but the other aspects of his diet were followed. Diet orders should be checked before bringing patients their food and again with the patient at the bedside. However, the staff never should have tried to “cover it up” and do not understand the implications of the patient eating non-Kosher foods. There are many resources than can
Canada is a multicultural country. Healthcare providers, therefore, face certain challenges associated with this. The CMA Code of Ethics recommends that âphysicians provide patients with whatever information that will, from the patient's perspective, have a bearing on medical care decision-making and communicate that information in a way that is comprehensible to the patient.â [1]. This statement has a very important message, which implies that the truth telling is not a mandatory burden that every patient must endure but rather a stage-like process delivered by a healthcare provider and guided by the patient.
c. There are several resources I could use to resolve the ethical issue. I would schedule a consult with dietary to find a solution to insure patients receive the correct food tray. Collaboration with the education department to retrain staff to round on patients at meal time, checking that proper food trays are given, while performing safety and comfort checks on each patient, could greatly improve patient satisfaction and outcomes. Staff cannot rely on patients to confirm or recognize whether they are given the correct tray, especially in this case were the patient is demented. In the case described, the patient received the wrong tray which was not a medical issue but a cultural issue, equally as important. The mistake warrants an immediately apology to the patient and family. The best approach to this apology may be to have the Patient Advocate present during the conversation, along with the Nurse Manager. I would also privately speak to the nurse and educate her on proper communication techniques that were more appropriate in this instance. I would have the education department create an education assignment for all staff to
In the field of nursing, the ANA Code of Ethics is designed to provide specific bylaws that will influence the practices of health care professionals inside the industry. However, there are different advocacy campaigns that will have an impact on how it is interpreted and applied. In the case of advocacy for population health, these issues mean that there could be moral dilemmas faced in the process (most notably: lifestyle choices and their impact on the individual). (Butts, 2012)
The main points of provision five of the ANA code of ethics are as follows: section 5.1, which is moral self-respect, suggests that nurses must care for themselves as much as they care for their patients. Nurses must do their best to maintain professional respect to themselves in regards of their competence and moral character. Section 5.2, which is professional growth and maintenance of competence, suggests that nurses must continue to self and peer evaluate themselves throughout their careers. Nurses must continue to learn current, up to date nursing practices through self, peer, and higher education. Section 5.3, which is wholeness of character, suggests that nurses must develop and take into consideration their own
The American Nurses Association (ANA) has the Code of Ethics which holds Nurses to the codes or provisions of these documents. I summarized Provision 1 of the ANA 's Code of Ethics. I give a scenario where this provision is broken by the nursing staff and consequences of doing so. Provision 1: Provision 1 reads as follows “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” (American Nurses Association 2001). Provision 1 is divided into five subdivisions. Provision 1.1 is titled “Respect for human dignity"(ANA 2001). The nurse always needs to place value on their patient as a unique individual. Provision 1.2 is titled “Relationships to patients” (ANA 2001). As a nurse you need to leave all prejudice, personal beliefs, and convictions out of the care of your patient. The patient’s self-worth and value is not defined by their religious choice, culture, lifestyle, hygiene, financial status, sex, and race. The nurse needs to form or follow an individual treatment plan that fits your patient’s personal preferences, religious beliefs, and requests. Provision 1.3 reads as follows “The nature of health problems” (ANA 2001). A nurse is not to judge or look down upon a patient by their "The disease, disability, or functional status “(ANA 2001).The nurse needs
Ethics also plays a huge part in making a decision that yields a more positive outcome. Ethical Codes provides a framework and guidance for maintaining obligations to different stakeholders (Follari, 81).NAEYC and NEA both created a code of ethics. The national education association (NEA) code of ethics has two main principles: commitment to the student and commitment to the profession. NAEYC also developed a code of ethics with the intent to “give practitioners a research-based framework for making sound decisions in their work, especially when faced with ethical dilemmas” (Follari , 72). NAEYC code set a framework of professional responsibilities in four sections that address professional relationships that include: children, families, colleagues, and community and society; and in which each section is divided into ideal and principles. (NAECY 2011, pg 2)
After reading the ANA code of ethics there are various aspects that can relate back to nursing informatics. However, the main sections I would like to discuss would be; provisions two, three, seven, eight and nine.
Holly Forester-Miller, Ph.D. Thomas Davis, Ph.D. Copyright © 1996, American Counseling Association. A free publication of the American Counseling Association promoting ethical counseling practice in service to the public. -- Printed and bound copies may be purchased in quantity for a nominal fee from the Online Resource Catalog or by calling the ACA Distribution Center at 800.422.2648. ACA grants reproduction rights to libraries, researchers and teachers who wish to copy all or part of the contents of this document for scholarly purposes provided that no fee for the use or possession of such copies is charged to the ultimate consumer of the copies. Proper citation to ACA must be given.
At this point as a student, I believe I have a firm grasp on the foundations of the ACA Code of Ethics. The ACA Code of Ethics is organized for several valuable reasons. The ACA Code of Ethics serves the community, the members of the ACA, and helping professionals (CASEBOOK). The ACA Code of Ethics was created to protect and promote the wellness of the community, educate members of the helping profession and community, improve the practice of helping professionals, and protect the clients and the practitioners (LEGAL). The approach the ACA Code of Ethics uses is holding health professionals accountable for their clients. This allows clients to be protected and to be counseled in a safe and non-judgmental environment. There are five core values the ACA holds for all helping professionals. The first is enhancing growth and development for clients. The second core value is brining awareness to diversity and multicultural views. Third value is to promote social justice. Fourth value is building integrity and trust with the client. The last core value is practicing in an ethical manner (CASEBOOK). I understand the reason behind the ACA Code of Ethics, however I hope this class will teach me more about the individual codes.
Step one: collecting useful data. Find out exactly what is going on in that patient’s life. The patient’s relationship with the parents. If the patient is in abusive home environment? Step two: identifying the type of ethical problem. The ethical dilemma in this case is whether this nurse to keep promise made to the patient or to break in order to make sure patient receive adequate care. Step three: Using ethical theories to examine the problem. The use of ethical analysis will help the nurse to move toward resolution and to take action that are compatible with caring response (Purtilo & Doherty, 2011). Step four: Evaluate the practical alternatives: The nurse should list all alternatives. She can discuss the alternatives with one of her colleague whom she trust and share this type of situation without breaching patient’s confidentiality. Step five: Complete the action: The nurse require courage and strength to act, bearing in mind that there may be some risks (Purtilo & Doherty, 2011). Step six: Evaluating the process and outcome. The nurse determine what she did well, why she think is appropriate intervention, the most challenging part of the situation and what the patient and her family, and others said about the action taken (Purtilo & Doherty,
The patient has not taken his prescribe medication and his eating habits are also noncompliant. The patient is dealing with the death of his wife and the patient’s daughter believes he is acting this way on purpose and is unable to care for him properly. The daughter does not want to tell the doctor about the patient seeing a Curandero,but wants her father to be admitted into a nursing home in order for him to receive the proper care he needs.The nurse would need to consult with the Code of ethics book on the nursing floor to proceed with the best possible solution to the problem.The code of Ethic for Nurses is a guide for carrying out nursing responsibilities in a consistent manner with a certain quality in nursing care(American Nursing Association, 2001).There are ethical principles that a nurse should learn to apply to each situation that they feel an ethical decision will need to be made.
In 1886, three brothers, James, Edward, and Robert Johnson, started a multinational healthcare business in New Brunswick, New Jersey. Johnson & Johnson, one of the world’s largest American company, provides diverse healthcare products across the nation. Johnson & Johnson has gained a competitive advantage over most of its competitors because of its leadership in diverse healthcare products. This company offers a plethora of products such as baby care, oral care, skin care, wound care, women health, medical devices, and pharmaceuticals. Robert Wood Johnson crafted the company’s credo, a statement of in which he expresses the company mission of “caring for the world, one person at a time.” (Johnson & Johnson 2015). The company’s credo is very well-structured and very detailed about claiming full responsibility for its employees, doctors, nurses, and patients and also developing a positive business relationship amongst its stakeholders (Johnson & Johnson 2015). Johnson & Johnson is well known for its caring and fair culture to society and corporate environment, however, this company has faced multiple ethical dilemmas which have jeopardized their brand.
"Our results indicate that the informal methods ("manager sets an example" or "social norms of the organization") are likely to yield greater commitment with respect to both employee attitudes than formal methods ("training courses on the subject of ethics") (Adam, et al, 2004).