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EGT1 Task 3

Decent Essays

(Trying to be Heard
Beneficence compounded by nurse-physician communication created ethical problems in this case. Mainly, Joanna’s assessment of Mrs. Kelly being ignored by the resident physician and the nursing supervisor. Joanna worked within the scope and standards of practice, she assessed, evaluated, and monitored her patient’s condition. She then reported her findings to the resident twice, and also sought nursing support from her shift supervisor. After Joanna’s first call to the resident, and her continued concern she needed to advocate in a proactive manner. Continuing her assessment of Mrs. Kelly to include palpation and auscultation could have offered additional clinical information enabling her to articulate the problem to the resident and nursing supervisor. …show more content…

The nurse unable to convince a physician of a patient’s failing health status, can result in harm to the patient. Nurses’ and physicians’ have different styles of communication and gender differences that play a primary role in this constraint (Burkhardt & Nathaniel, 2014). Another constraint would be nursing management’s lack of support for a staff member. The nursing supervisor could have assessed Mrs. Kelly with Joanna and suggested a more detailed assessment, and possibly contacting the house physician. She herself could have called the resident and insisted that he come evaluate Mrs. Kelly’s condition or contacted the house physician. Institutional constraints that may apply here is the hospital’s lack of shared decision making processes that promote and support the nurse as the patient’s advocate. Also, Management that does not support a culture of

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