Ethics In Decision-Making: Clinical Practice Roles

Improved Essays
Ethics in decision making
Course: Clinical Practice Roles
In this class, we discussed several ethical issues such as end-of-life decision making, advance directives, insurance reimbursement and interdisciplinary conflict. It is always hard to make decision when health care providers encounter ethical issues. There are several principles can guide us in our decision making. For example: Principle-Based Model is one of principle, which include autonomy, nonmaleficence, beneficence, justice, veracity, fidelity, and privacy.

System-specific resources to implement ethical decisions (e.g. hospice care, palliative care)
Course: Research in Nursing
In this course, we had group critical appraisal paper. A critical appraisal of the evidence was conducted

Related Documents

  • Improved Essays

    Moral Model In Nursing

    • 855 Words
    • 4 Pages

    In situations where ethical decisions needs to be made, nurses will require combining every elements of the moral model to resolve the clinical problems. The moral model includes five steps: (1) massage the dilemma, (2) outline the options, (3) resolve the dilemma, (4) act by applying the chosen option, and (5) look back and evaluate the entire process (Guido, 2014). Applying the MORAL model of ethical decision making to the clinical dilemma of the under insured/uninsured not frequently receiving the care they need, a nurse like myself can advocate for standard care for the patients. The first step in the MORAL decision making model helps to explain all areas of the ethical dilemma.…

    • 855 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    In the case, “It’s Over, Debbie.” The case raises a lot of ethical concerns. Autonomy, Beneficence, Nonmaleficence, and Role fidelity, are the four ethical principles involving in this case. Each of these principles was neglected or used by the physician handling the patient’s treatment. Autonomy is defined as the capacity to be one’s own person and make one’s own decision without being manipulated by external forces.…

    • 465 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    Medical Ethics Case Study

    • 1721 Words
    • 7 Pages

    A mother Chelsea Reed and her son Justin were rushed into the hospital after they were injured in a car accident. Mrs. Reed has a head laceration and a fractured wrist. Her son is suffering from internal bleeding and needs to have emergency surgery to stop the bleeding. The doctor informs Mrs. Reed that Justin has lost thirty percent of blood volume and will be transfused before going into surgery to make sure he does not bleed out on the operation table. As a single mother, Mrs. Reed solely responsible for informing the doctor that she does not want blood to be used to increase the blood volume in her son.…

    • 1721 Words
    • 7 Pages
    Superior Essays
  • Great Essays

    Ethical principles are not laws, but guiding principles about what is good and what is bad, that should direct doctors and other health care professionals in their work and decision making. Issues arising over end-of-life care involving decisions that affect the nature and timing of an individual's death raise difficult ethical conflicts for all concerned and can be a source of discord between health professionals within a team, health professionals and family members, or between different family members. Ethical dilemmas arise when there is a perceived conflicting duty to the patient, such as a conflict between a duty to preserve life and a duty to act in a patient's best interests, or when an ethical principle such as respect for autonomy conflicts with a duty not to…

    • 3174 Words
    • 13 Pages
    Great Essays
  • Improved Essays

    For many, doctors and scientists are revered, their hospitals places where people can trust they will be cared for, where they can recover and heal. Scientists are heroes that spend their lives combating a seemingly infinite list of diseases and conditions, all for making a brighter, healthier future. Hospitals are places of hope. Through the basic description of their occupations, it seems as though such medical professionals can only be described as good citizens, so how is it that families like Henrietta Lacks ', a black woman who died of cervical cancer in 1951, have such horrendous impressions of these doctors and scientists? The answer is simple: researchers walk a fine line of morality every day, and they sometimes stray from that line.…

    • 1209 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    The only behavior and choices that one can control is one’s own (Haigh and Neville 3213). In health care, it is thought to be a fundamental ethical principle to respect a patient’s autonomy (Haigh and Neville 3213). When the principle of the right to autonomy conflicts with others, it should almost always come first and take precedence over other principles (Angell). One principle, or basis for a system of belief or behavior, that the right to autonomy could possibly come in conflict is the principle that all physicians and medical professionals should always care for the ill and keep them alive (Angell). Although nurses pledge to do no harm to their patients, it is ultimately the patient’s decision to decide what is best for them in the event that they may not have many other options (Angell).…

    • 1442 Words
    • 6 Pages
    Improved Essays
  • Great Essays

    Right To Die Ethical

    • 934 Words
    • 4 Pages

    However it is a compassionate response to unbearable suffering that results from terminal illness. The four basic principles to bioethicists are Autonomy, Justice, Beneficence, and Non-maleficence. Autonomy requires that the patient have autonomy of thought, intention, and action when making decisions regarding health care procedures. Therefore, the patient must be of sound mind and be able to make a fully informed decision without coercion or coaxing. Justice is the tricky part, a physician has the obligation to obey established legislation.…

    • 934 Words
    • 4 Pages
    Great Essays
  • Improved Essays

    Ethical Issues In Nursing

    • 1349 Words
    • 6 Pages

    It is with no much doubt that the health care industry, above any other shows a high degree of concern for issues encompassing the wellness of their clients (patients). Ethical quandaries in health care are often times enthralling and exacting because it puts the health care worker in a position to come up with decision(s) that attempts to balance two or maybe more diverse opinions, both of which have their own ethical excellence. Every day, doctors, nurses and other health professionals are forced to make ethical decisions that abide by the code of ethics set by ethical committees in the health sector. The purpose of the codes is to guide healthcare givers towards identifying, understanding, and resolving tough ethical decisions that involves patients and their families. However, each ethical quandary demands a tradeoff of…

    • 1349 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    In the wake of many recent ethical issues in healthcare, it has become a heated topic for doctors, scientists, and activists to bring up to the debate table. It is unethical when it comes down to abortions, medical marijuana legalization, euthanasia and assisted suicide. Ethical issues in healthcare are not always clear to discuss in terms of right or wrong. As an illustration, even if something is considered ethically wrong or simply disagreed with, it could still be permissible on a legal viewpoint. This left each individual healthcare practitioners to create a boundary for themselves.…

    • 433 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    However, beneficence is also one of the four principles of health care ethics, and it states that “health care providers must do all they can to benefit the patient in each situation” (Saint Joseph’s University, 2017). In an end-of-life healthcare decision, this obviously presents a complex ethical dilemma because each healthcare treatment option supports a different principle of health care ethics. If a patient is allowed to die peacefully, the doctor could be practicing non-maleficence while neglecting beneficence. However, if the physician performs an extraordinary attempt to save the patient’s life, the physician could be practicing beneficence while neglecting…

    • 1158 Words
    • 5 Pages
    Superior Essays
  • Superior Essays

    Physician Assisted Suicide

    • 1457 Words
    • 6 Pages

    The main ethical issues present are two principles. One is the patient’s autonomy, and the other is the doctor’s duty to relieve suffering. The patient’s autonomy is defined as the right of the patients to choose their medical path. Advocates for physician assisted suicide argue that under the liberty provision in the United States Constitution’s due process clause, a terminally ill patient should have the right to choose death (Howard Ball). Those opposed to physician assisted suicide argue that there are limits to autonomy.…

    • 1457 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    “The delegating physician, the practice, and the medical assistant can be sued for negligence if the medical assistant does not perform a duty up to the standard of care of a reasonably competent medical assistant,”(Balasa, JD, NBA, 2015 (UPDATED)). This quote sets the tone of law and ethics in the medical field. Some aspects of our minds we control ; that we are aware of. However, some aspects of it are ticking in normality and we don’t even have to think about them, these are mechanisms of the medulla oblongata, the control center of basic motor functions. All our decisions of right and wrong, our conscious decisions are our ethics, in the medical field we make a promise to ourselves and others to do what's right.…

    • 646 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Since Beauchamp and Childress wrote The Principles of Biomedical Ethics in 1977, patient autonomy, justice, non-maleficence and beneficence have been accepted as the four major medical principles (Murgic, 2015). In my opinion, autonomy is the hardest principle to implement especially in end-of-life care. I am reflecting on the Charlie Gard case where a healthy baby boy was born and it was soon discovered he had a rare genetic mutation that affected his brain, his musculature and most other major organs. The health care team reviewed the potential outcomes for this baby and decided that the best option was to allow him to “die with dignity”, remove life support and not pursue any untested experimental treatment. This could have been the end…

    • 745 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Elderly Ethical Issues

    • 301 Words
    • 2 Pages

    Ethical Issues with an Aging Population Ethical issues are central in the health care industry, especially when working with elderly people. Currently the humanity faces a problem of an aging population and the number of people after their 65 increases dramatically. So, the primary preparation of the health care providers needs to be conducted in order to meet the requirements of older adults. The important point to note is that the development of useful health care policy options is a stable foundation of a future economic reality.…

    • 301 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    Actions that are right or wrong is all a matter of a difference of opinion amongst individuals. What they learn from their family, where they grew up, what institutions they attend, their religious views, and their reflection of themselves and the world around them, all influence their morals and ethical beliefs. New ideas are constantly emerging causing us to consistently review and reconsider our beliefs. One idea that emerged and caused ethical consideration is the goal of keeping ill persons alive. This first came in the nineteenth century and has since given rise to moral questions on the care for patients.…

    • 1465 Words
    • 6 Pages
    Great Essays