Think about the MORAL model. After reviewing your peers’ comments, has your thinking about the issue changed? Why or why not. My opinion has not changed with Erin’s dilemma. I firmly believe that all health care providers must act by the law within their moral conscious. The nurse going to the clinic to help Erin would not have been supported by her employer and is not in the scope of her job title which exposes her to a list of liabilities. She needs to practice following her state and local restrictions and never deviate especially with a minor. She should have stopped Erin midsentence with the confession and advised her of her legal obligations and boundaries to assist. I understand that there are times one is tempted to not follow …show more content…
The nurse went to the clinic, then gets pulled inside, and the issues continue. Now the nurse is pulled deeper into a sticky situation she may not be able to extricate herself from. What if Erin’s parents find out and Erin tells them she was there in a panic? They will no doubt lodge a complaint with the hospital, and the problems continue. I know it sounds cowardly but a preceptor from me early medic career counseled me about staking your whole career on one patient, “heroics will not feed your family and save you, future patients.” I have lived by that advice for my entire career.
How can you apply the MORAL model to this case?
M- Massage the dilemma- The dilemma is that the hospital and maybe the state laws do not allow a nurse to keep Erin’s matters private. Erin has requested personal assistance away from the hospital which is not covered within the nurse /patient relationship.
O- Outline the options. Work within the scope of practice and establish a firm boundary or violate numerous laws and policies to help one patient.
R- Resolve the dilemma. Advise Erin of your inability to assist her and refer her to those who can and establish firm patient / provider boundaries.
A- Act by applying chose options. Stand your ground and stay within the scope of practice and
Is this clearly a case when the call should be passed on to one of the registered nurses or the medical social worker?
Assist the patent and family, as appropriate, in coming to a consensus regarding the options that best meet the patient’s goal for care.
3. There will be events when the essential advisor will be debilitated, out of town, or generally occupied to give emergency service Another person will rely on upon the outline to make clinical decisions. Satisfactory records can guarantee suitable mediation and progression of consideration as coordinated by the ACA Code of Ethics.
Is this clearly a case when the call should be passed on to one of the registered nurses or the medical social worker?
B) According to the “ Journal of Medical Ethics” it may not be that simple to assist with
In the Code of Ethics for Nurses provision 4 states “The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care.” This was not done, there was no regard for human life. The patients in the hospital were treated as a burden. A meeting was held where the doctors agreed that
Pros: Proponents point out that it is a crime and should be punished by law. It recognizes that the individual is responsible for their own choices. Treatment uses clergy and moral persuasion.
According to the ANA (American Nurses Association), it is the duty of nurse to protect the patient’s rights, safety, health and advocate for the patient. By treating the patient in an open area, invades their privacy, can cause embarrassment and most of all jeopardize trust between the patient and care giver. This negligent care could also lead to legal ramifications in the future against the hospital. By breaking this trust, the patient may also omit valuable information that could affect their treatment ultimately causing them harm. Some patients may become noncompliant with their prescribed treatment. It is essential that effective communication between patient and care provider occurs at all times. . Healthcare providers are obligated to give safe and effective care.
Lori, I as read through your ethical dilemma situation, I cannot help but shudder as to what the little baby girl is going through, the state of mind of her mother, and her level of understanding as someone with mentally delayed condition. It is a tough situation that even parents with full mental capacity will have difficulty accepting, coming to terms with the decision and doing the right thing. Family support is exactly what is required and with the help of the expert team, I am glad the little girl was spared any further painful intervention. This situation was definitely challenging, ethically and morally, and required careful consideration and support. The ethical principle of nonmaleficence, do no harm comes to mind and the mental anguish of the nurses taking care of this little care. As stated by Sundean and McGrath (2013), the principle of nonmaleficence is careful considered when treatment is pointless, which applies to the case in your ethical dilemma.
Nurses are subject to a plethora of legal, ethical, and professional duties which can be very challenging on a day to day basis. Some of these duties include respecting a patient 's confidentiality and autonomy, and to recognize the duty of care that is owed to all patients. As nurses our duties are always professional; however there are legal implications if these duties are breached. We also must consider when it is okay as nurses to breach these duties and therefore ethical issues arise. As nurses one of our main priorities is to advocate for our patients, without our own personal feelings on the matter taking over.
Nurses are faced with ethical dilemmas every day. There are a lot of different beliefs surrounding ethics and the code of ethics. Ethics and ethical issues have always existed, that is why they have put in place the code of ethics. The American Nursing Association (ANA) Code of Ethics isa guideline to help nurses determine which course of action to pursue. Every minute many ethical decisions are made, some may not comply with guidelines and others the patient’s will never understand. In this case study the nurse is put in an uncomfortable position and has two find a way to comply with the family, the patient, and the doctor’s orders.How can she report to the doctor the information the daughter has told her? How she approached
A. Minor Point 1: Many patients can’t decide for themselves and it is not fair for family members to decide for them.
I would need to do some soul searching to figure out if I could remain objective. If possible, I would err on the side of referring the patient to another provider. However, such as in Della’s situation, sometimes referring a patient out is not always feasible as it might significantly extended time to get care (Kenyon, 1999, p. 63). That would be a prime situation to evaluate does that patient consent to having you as a part of their care plan and can you as the provider remain objective. Knowing your limitations is salient and this reigns especially true in having
My thinking is if you are feeling concerned about a patient it is best to talk to someone whether it is the charge nurse or the doctor. We as nurses spend the most time with our patient, and it’s our job to be an advocate for the patients. We must work together with the whole team to provide the best of the patient. Had the nurse talked to her team she would have found out that some of the team members are feeling the same way and may have been able to come to a arrangement that would give the patient information he need to make a decision for himself.
If you speak to the patient and she indicates that she does not wish to pursue the matter, should the issue be dropped? Why or why not?