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Ethics in the medical field
Conflict management strategies in nursing field
Ethics in the medical field
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1. My respond to Mr. Newcomb’s request The nurse often spends more time with the patient, so we are more likely to understand what the patient wants and how the family feels. With Mr. Newcomb, I understand that there’s a reason for his request but that doesn’t necessarily mean I agree with it. This matter becomes even more complicated when you factor in my personal set of ideas that is shaped by religion, upbringing, and personal history. How would I respond to Mr. Newcomb’s request? I would re-enforce to Mr. Newcomb, that he would need to make the arrangement to see his mistress, as stated in the scenario. I would explain to Mrs. Newcomb, that her spouse would need some time to himself to reflect upon and rest. I would honor his …show more content…
It requires us, the nurse, to act in such a manner to avoid harm to the patient. Ask yourself, “ Will this harm your patient?”. One of the most common ethical dilemmas for a nurse, would be trying to balance beneficence (benefits) and non-maleficence (risk) to insure quality patient care. There are many types of harm that ranges from physical to emotional injury, however harm can be very much in the eye of the beholder or the patient’s eyes. Ultimately it is the patient, who decides benefit or risk for their care. How does non-maleficence apply to Mr. Newcomb’s scenario? In Mr Newcomb’s eyes, he felt that no harm will be done to him with his final request. With this situation, the only risk would be Mrs. Newcomb finding out and causing stress upon Mr. Newcomb. The goal is to keep the patient as safe as possible, to insure quality patient …show more content…
That is why self care is important for nurses, we are at risk for both professional fatigue and burnout. Self care strategies can help the nurse when faced with stress. It can also help reduce the physical and emotional impact stress has on us. Three strategies that I chose to promote self-care is: (1) recognizing that you have a problem, (2) be open for help, and (3) keep work and home life separate (Sanford-Brown, 2014). Recognizing that you have a problem or burnout, often is recognized by others before you may realize it (Sanford-Brown, 2014). As a nurse, you must remain truthful with yourself and keep an open mind to criticism. Be open to help, burnout is a well-recognized problems within the nursing profession. Reach out for help by talking with coworkers or your manager. My organization offers access to counseling services to their employee, to assist during stressful times. The key to self-care, is keeping your work and home life separate. This is one major causes of professional fatigue which is losing sight of the boundaries between personal and work life. This can be especially challenging for nurses, that is facing difficult personal stresses. “You and your family deserves at least as much of your attention as you give your patients, but that is impossible if you can't separate the two worlds” (Sanford-Brown,
However, what if the actual patient is unsure what their wants or needs are? Can the nurse educate the patient without persuading them to their point of view? Can the nurse educate the patient without disrespecting the patient’s cultural values? With this being said, what are the consequences for the nurse if they advocate for the patient who is clearly in opposition to the health care professional and the family of the patient (Park, 2003)?
The ethical principle of nonmaleficence demands to first do no harm and in this case protect the patient from harm since she cannot protect. Nurses must be aware in situations such as this, that they are expected to advocate for patients in a right and reasonable way. The dilemma with nonmaleficence is that Mrs. Boswell has no chance of recovery because of her increasing debilitating mental incapability and the obvious harm that outweighs the intended benefits. If the decision were to continue treatment, suffering of the patient and family would be evident. Autonomy is the right to making own decisions and freedom to choose a plan of action. When making decisions regarding treatment of another person, it is important to respect the expressed wishes of the individual. John says that his mother would want to live as long as she could, but questions arise related to her quality of life and perception of prolonged suffering by prolonging the dying process. In BOOK states that quality of life changes throughout one’s life ...
The book To Kill a Mockingbird by Harper Lee is about a black man named Tom Robinson who is being charged with the rape of a white girl named Mayella Ewell. While the lawyers are giving their closing statements, Atticus Finch, the lawyer for Tom Robinson, makes his closing statement using ethos and logos persuasive methods to show that Bob Ewell and Mayella Ewell were lying. The logo is the principle of reason and judgment. Ethos is appealing to somebody's emotions. These persuasion methods were effective because Atticus uses this technique a lot one example of this is when he uses logos and asks Bob Ewell to put his signature on a piece so that he could see what Bob Ewell's dominant hand was because according to heck Tate her right side
To Kill a Mockingbird by Harper Lee has a lot of forma of hypocrisy. Bob Ewell, Mrs.Merriweather, and Miss.Gates display hypocrisy at least once throughout the book.
Throughout the book To Kill a Mockingbird by Harper Lee, situation ethics are raised and are present within many of the actions taken by the people of Maycomb, Alabama. When Atticus’ children, Jem and Scout, were attacked by Bob Ewell and was later found that Boo Radley was the one that killed him, both Sheriff Heck Tate and Atticus lied in order to protect him and they took the law into their own hands. It is also seen that Bob Ewell, an unemployed, drunk man that belongs to one of the poorest families in Maycomb, accuses Tom Robinson, a black man, of raping Mayella and lied at the trial. Bob Ewell’s case differs from Heck Tate and Atticus’ Case since they lied in order to protect Boo Radley and Ewell only lied in order to help himself and in spite.
If you were to look up the word “hypocrisy” in a dictionary, you would find that it is the practice of claiming to have moral standards or beliefs to which the person’s behavior does not follow. You can picture this as a person saying one thing that they believe but turning around and doing something that totally contradicts it. This happens in society a lot of times and we can find examples of this in the book, To Kill a Mockingbird.
Ralph Waldo Emerson once said, “That which we call sin in others is experiment for us.” We constantly criticize others for doing wrong, while in truth, we are doing actions that are equally despicable. In To Kill a Mockingbird by Harper Lee, a historical fiction novel, we are introduced to a six-year old child, Scout, living in Maycomb, Alabama. She experiences hypocrisy in her once believed to be perfect society. Throughout the novel and the court case – in which Tom Robinson is accused of raping Mayella Ewell – Scout sees the severe injustice in her society. Even though Atticus, Scout’s dad, defended Tom well, Tom was still convicted of rape. Later, her and her brother, Jem, were attacked by Bob Ewell because he was mad at the Finches for
As health care providers, nurses strive to instill confidence in their patients and their loved ones. A nurse is respectful to their colleagues as well as their patients. Nurses promote patients’ independence, patients can be confident in the knowledge that a nurse will do what is best for them, respecting their privacy and dignity. This means that a nurse does not share the patient information for personal reasons nor does the nurse get involved in a patients personal relationship if it is not medically relevant (NCSBN, 2011).
Burnout is a highly unusual type of stress disorder that is essentially characterized by emotional exhaustion, lack of empathy with patients, depersonalization, and a reduced sense of personal accomplishments. The nature of the work that healthcare practitioners perform predisposes them to emotional exhaustion. On the other hand, the lack of empathy towards patients is caused by the nurses feeling that they are underpaid and unappreciated. Numerous researches have associated burnout with the increasing rate of nurse turnover. This paper explores the causes of burnouts in nurses as well as what can be done to prevent the them.
Black and white, right and wrong; do decisions that simple and clear even exist? Does a decision ever mean gaining everything without giving anything up? Many characters in To Kill A Mockingbird are forced to make difficult, heart wrenching decisions that have no clear right answer. Harper Lee presents many of these important decisions in To Kill A Mockingbird as ethical dilemmas, or situations that require a choice between two difficult alternatives. Both of these alternatives have unpleasant aspects and question morals and ethics. A person is put in an awkward position, with their mind saying contradicting things. These dilemmas are presented in many different ways. The decisions in the beginning of the book are simple and can be solved quite easily, yet they are symbolic of later decisions. Other dilemmas place adult-like decisions in the lap of a child. One dilemma concerned a man burdened with the strict traditions of the South. Then there are the two biggest dilemmas, Atticus' decision to take the case and Heck Tate's choice between truth and the emotional well being of a man. Lee's ingenious storyline is established by these crucial and mentally arduous choices faced by the characters.
One of the most serious issues in nursing, that can affect a nurses career is nursing burn- out. According to the article “Where have all the nurses gone”, current nurses that are practicing, report high rates of job dissatisfaction (which is part of burn out) and 1 of 5 nurses may quit nursing in the next 5 years (Dworkin, 2002). Burnout is associated with nurses not coming in to work, not feeling satisfied when doing their job, high turnover rates and a lack of commitment to the work (Katisfaraki, 2013). If a nurse becomes burned- out, they may not take care of their patients as well and could make mistakes with medication administration. A study performed in the United States by Dr. Jeannie Cimiottti, shows that hospitals with high burn-out rates among nurses have higher levels UTI’s, and surgical infections (World, 2012). Nursing burnout not only affects the nurse, but it also affects the patient, the nurses’ colleagues, and the nurses’ family; nursing burn out often leads to emotional exhaustion and depression, that can effect relations and communication between the nurse effected and the person they are communicating with. This paper will cover what burn-out is, who is susceptible to burn out, and treatment and prevent nursing burn out.
Since patients feel more comfortable asking the nurse questions and to explain what the doctor said, nurses have the ethical issue about how much they should really say, because what if the doctor left something out on purpose? (Wood). This is where communication has to come in between the nurse and the doctor, to ensure that the patient is getting the right information. Another ethical dilemma is disclosing medical conditions. This dilemma is telling the truth to a patient versus being deceptive (Wood). What is meant by that is, all patients should be told the truth about what is going on with their life, but that doesn’t mean their family needs to know too. Nurses have an obligation to the patient and the ethical principles of non-maleficence and fidelity, which is the obligation to prevent harm and keep a patient’s safety confidential
The CNO commitment that is involved in this case is “maintaining commitments” to her profession and patient, according to CNO Practice standard (CNO, 2009). Even though her friend is involved her commitment is to patient, the patient is her priority (CNO, 2009). The CNA values that are involved in this scenario are; “Privacy and Confidentiality and Health and well-being”. “Providing care and welfare of the patient first foremost at all times”, her job is to care for her patient while maintaining her patient’s information private and confidential, her patient’s information is not to share with no one, except those who are directly involved in care of the patient, (CNA,
In this case, I, the nurse, can convince Marie to change her mind and receive the operation that can ultimately save her life. In doing so, I would breach her trust in me as her caregiver. However, I would decrease her risk of death and increase her family members and the health care team’s happiness. On the contrary, I can respect Marie’s choice of not undertaking the operation. I would honour her wishes and explain her position to her family and the health care team. I believe that the latter action should be chosen in this case. As Marie’s nurse, I have a duty of respecting her wishes and honouring the trust, which is the foundation of the nurse-and-patient relationship. Therefore, I choose to explain Marie’s position to her family members
In Harper Lee's novel To Kill A Mockingbird the protagonist Scout face offenses by others because of her father's justice for defending an African American in court. Scout Finch lives with her brother Jem, and their father Atticus, in the sleepy town of Maycomb during the Great Depression. As Atticus, the father of the protagonist faces the moral dilemma in chapter 29-30 of the incident with Bob Ewell. Atticus moral dilemma will reveal his character and his beliefs. Bob Ewell attempted to hurt Atticus children in order to get revenge on Atticus for defending the African American who was accused of raping his daughter in court. Atticus has a hard time of choosing whether to tell the town that Bob Ewell died of an accident, or his son or Boo Radley killed Bob Ewell. Atticus is a famous lawyer in Maycomb and he believes in legal justice.