Ethical Dilemmas In Nursing Case Study

Decent Essays
Describe two (2) ethical principles in conflict for the RN in the scenario.

Ethical Conflict arises when an individual is confronted with a general belief system about morality, ethics or justice and their situation. Ethical dilemma, " usually involves a conflict of one individual right with those of another, conflict of one particular obligation with the right another or combined conflict of one group obligations and rights with those of another group."(Catalano, 2015,p.123). The important principles that underlie ethical dilemmas include autonomy, justice, fidelity, beneficence, nonmaleficence,veracity, standard of best interest and obligation."(Catalano,2015,pg.124).

The two ethical principles in conflict for the RN in the scenario
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Regarding the statement, mom didn’t want to be attached to a bunch of machines and the family stating don’t tell anyone she signed forms on the last admission the nurse needs to look for advanced directives which would specify the patient wishes of medical treatment. The nurse should also look for documentation of DNR. If there is a DNR signed this legal document signed by both physician and the patient the nurse should follow the patient wishes for treatment. The patient is the nurse priority and since they are unable to make a competent decision for themselves, the nurse needs to respect human dignity and speak up for the patient and not ignore the statement by the family which allows the nurse to comply with the values and wishes of the patient. The nurse should notify the physician if there is an advanced directive or DNR documentation found in the patient medical record. If unable to resolve the ethical conflict with the family the doctor and nurse can refer to the ethics committees which the healthcare members can use when unable to resolve ethical conflicts on their own.

Refer to the 2015 American Nurses Association (ANA) Code of Ethics to resolve this dilemma. Provide a rationale that goes beyond your personal opinion.

The nurse can use ethical decision-making process tool to resolving an ethical conflict. There are five steps of this process collect, analyze data, state the dilemma, consider the choice of action, analyze the advantage and disadvantage of each course of action, make a decision and act on it.

Provision

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