Ethical and Legal Ethical problem solving and decision making is an arduous process for any nurse or health care worker. As Marquis and Huston, (2015) point out, that ethical decision making takes thinking skills and risk taking abilities to address and solve ethical problems. An ethical dilemma occurred during my charge in the NICU many years ago. A twenty-two week baby was born breathing and crying, it was decided by the team of neonatologists and the parents that no heroic efforts would be made to keep this baby alive. At the time the neonatal resuscitation guidelines for saving a baby were twenty-four weeks. Meanwhile, the baby came to the unit and placed in an isolette while the parents visited and held the baby. After numerous hour of life one of the doctors decided to place the baby on a nasal cannula and place lines in the baby for comfort care, however, no …show more content…
A line for pain management is acceptable, of course. If I had of been the parents, after two days of the baby living, I would have asked for extreme measure knowing what I know. The baby was African American; they have the best pre-term survival rates of all premature babies. After looking at the MORAL Decision-Making model, I can see that numerous steps were used during the above situation. Collecting information and deciding who should be involved to confront the situation was done when the ethical committee and other staff got together for a meeting about the baby. An alternative palliative care option was provided for the baby while a plan of care was implemented for the remainder of the baby’s life. Whenever our unit has a baby that is close to death a committee of healthcare workers including the ethics team congregate to discuss the life and death of the
Nurses rely on personal knowledge and their professional skills to provide ethical care (Creasia & Friberg, 2011). In everyday practice, nurses must balance the needs of their patients against those of the organization, society and themselves. They strive to deliver the highest level of care for patients, but adjusting for limited organizational and personal resources often requires difficult decisions. This paper explores the following scenario suggested by Maville and Huerta: “You are a nurse providing home care to a mother, and you suspect child abuse after observing the mother’s reaction to her child” (as cited by Arizona State University, 2014). When faced with a moral dilemma, a competent nurse incorporates ethical, bioethical and legal considerations. In the proposed story, incorporating the nursing ethics of advocacy, beneficence, nonmaleficence and collaboration will guide the nurse towards an appropriate and legal course of action.
The case of Baby Boy Doe is an ethical dilemma because it’s an occurrence where “decision makers are drawn in two directions by competing course of acting that are based of differing moral frameworks, varying or inconsistent elements of the organizations philosophy, conflicting duties or moral principles, or an ill-defined sense of right and wrong.” (Darr, K. 2011) There were many differing viewpoints as well as moral and ethical choices on this case, the parents, nurses, physicians and hospital as an organization. In regards to the respect for person’s principle, the hospital and physicians allowed the parents to be completely autonomous. The parents were given the
Nurses face ethical dilemmas on a daily basis. As nurses, we must be knowledgeable about the tools we have to help guide our decisions when solving an ethical dilemma. The tools we have are our ethical principles, ethical framework, and the ANA Code of Ethics for nurses. This paper will describe a scenario where nurses were faced with an ethical dilemma regarding a baby. The ethical frameworks and ANA Code of Ethics will be discussed in helping guide a solution to this scenario. Finally, an analysis will be done about this scenario and a decision will be made. As nurses we must use these tools because they will allow us to make better decisions more comfortably.
In the case of Jani McMath, her parents, family, the court, as well as the medical staff, are all faced with the ethical dilemma of whether or not to pull the plug. Who has her best interest in mind? How do we know? We would assume her family because they are the closest ones to her, but the truth is that McMath is incapable of making the decision for herself; therefore, whether her life is preserved or not is left in the hands of others. She could have wanted the plugged pulled; then again, she could have wanted her family to be strong and continue to fight for her life.
Nurses are faced with ethical dilemmas on a daily basis, each situation being unique and requiring the nurse to set aside their own values and beliefs in order to properly care for their patients. Situations requiring nurses to make an ethical decision are diverse and dynamic; the values set out by the College of Nurses of Ontario code of ethics remains the same. Therefore, all decision based on these vales regardless of the setting and circumstances ensure consistent solutions. The scenario involves a woman who was admitted to the NICU due to complications during her sixth month of pregnancy. The patient indicated that no extraordinary measures should be made to save her baby; she became further detached when the baby developed a bleed
Today nurses in all roles participate in ethical decision making arising from mortality, relationships, and conduct issues surrounding patient care and families. This is particularly the situation with ethical issues involving pediatrics and those unable to take their own decisions. While the patients’ interests should come first, there are many other factors that come into play when providing pediatric patient care: parents’ knowledge, cultural and religious practices, and the pediatric patient’s knowledge of their disease. Therefore, it is essential for nurses to follow the American Nurses Association (ANA) code of ethics to carry out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession. In this paper I will discuss the ethical issues that deal with a fourteen year old boy with Cystic Fibrosis (C.F.). He has been faced with the proposition from his pulmonologist that he will not survive another acute respiratory distress attack and will have to intubated if his status deteriorated. However, he and his parents are not agreeing on whether or not he should be intubated if his status deteriorated with his next attack. This poses a huge ethical dilemma because as a nurse we are the patient’s advocate and need to do everything we can to make our patient comfortable as well as having the parents understand and accept the patient wants and desires.
An ethical dilemma is defined as a mental state when the nurse has to make a choice between the options and choices that he or she has at her disposal. The choice is a crucial task as the opting of the step will subsequently determine the health status of the concerned patient, hence it requires a great deal of wisdom along with proper medical and health training before any such step is opted as it is a matter of life and death. Strong emphasis should therefore be on the acquisition of proper knowledge and skills so that nurses do posses the autonomy to interact with patients regarding ethical issues involved in health care affairs and address them efficiently. It is normally argued that nurses are not provided sufficient
The ethical dilemma to be faced in this situation is the one between the ethical principles of beneficence and veracity. Beneficen ce is the ethical nursing principle that defines the concept
Healthcare professionals will be faced with ethical dilemmas throughout their career, particularly in the hospital environment. Having an education regarding professional healthcare ethics will provide some direction in how to best address these dilemmas at a time when either the patient or their family is in need of making decisions for themselves or their family member. It can be difficult for healthcare professionals to weigh professional protocol against their own personal beliefs and ethical understandings when determining critical care for their patient.
The author heard about this pediatric ethical dilemma in this way: My clinical instructor allowed me to attend the NICU. Upon arrival of this unit, I was paired off with a nurse who was taking care of two neonates. I shadowed the nurse and assisted her with caring for the infants, and became aware of this baby’s condition and plan of care.
`Ethics' is defined as ."..the basis on which people...decide that certain actions are right or wrong and whether one ought to do something or has a right to something"(Rumbold, 1986). In relating `ethics' to nursing care, "Nursing decisions affect people... nurses have the power to good or harm to their patients" (Bandman et al, 2002). In this essay, the author will also identify the most important ethical principles and concepts of Evan's case, will outline the different stages of one's approach to ethical decision-making by utilising the "DECIDE Model for Ethical Decision-Making" founded by Thompson et al (2000) and will make a decision on the best course of action to take as a nurse in this
Ethical issues in nursing will always be an ongoing learning process. Nurses are taught in nursing school what should be done and how. Scenarios are given on tests with one right answer. However, there are situations that nurses may encounter that may have multiple answers and it is hard to choose one. “Ethical directives are not always clearly evident and people sometimes disagree about what is right and wrong” (Butts & Rich, 2016). When an ethical decision is made by a nurse, there must be a logical justification and not just emotions.
Since the nurses are taught to resuscitate the patient and save lives, they forget the ethical guidelines of asking the family about the patient wishes and whether or not to resuscitate. It is important for the nurses to realize that ethical issues have difficult solutions. Inadequate experience and education can put a nurse at a high risk for experiencing ethical issues, depression and burnout ((Jiménez-Herrera & Axelsson,
Ethical decisions and issues in neonatal nursing deem conflicting amongst families and the healthcare team since it is unknown if an infant born severely premature, between 22-24 weeks in gestation at 450g, if survival is imminent. Many advancements in treatment, technology, and healthcare perceive feasible, but when a premature infant’s life is compromised, due to severe prematurity, finding the best possible solutions and treatment options may put the healthcare team, caring for the infant, in a conflicting situation. Survival rates amongst premature newborns and severely ill infants have skyrocketed due to the increased advancement and development in nursing, medicine, and treatment plans. Finding the best possible solutions
Throughout the last decade healthcare has had several high profile cases that involved ethics. Currently, a high profile case from England is in the news concerning an infant on life support that has pitted emotion versus judicial review. Of course, these cases test nurses resolve to do good. It is cases like this that requires a nurse to define their own ethics and to develop a plan on how they will decide their ethical decision-making. A nurse must consider his or her own morals, values, and beliefs. The University of Villanova, 2017 website has a nine-provision code of ethics that identifies three participants in providing ethical treatment: the patient, the nurse, and the environment. These three together should have a synergy promoting best outcomes for all three participants. With such sensitive, complex cases that do not have one correct answer in all cases, how does one go about determining the most ethical outcome? Perhaps through a review of several decision-making processes one can find a guide.