Ethical Issues In Health Care

Taylor & Pinczuk (2015) notes the following as ethical issues: problems with human relations, failure to speak up when unethical issues and practices occur, potential injustice to minorities, unjust practices in resource management, and supporting regulations as opposed to doing what is the honest, moral and appropriate for the patients and clients. In this respect, the ethical issues faced by nursing leaders in a health care rationing environment revolve around the fact that nursing care costs must be managed at acceptable levels without compromising medical care.

Internal and external forces impacting your decision making in this environment

The internal and external forces that impact nursing leaders’ decision making

refer to the nursing care stakeholders who include any institution, individual, or group who are either affected or affect the delivery of nursing services. These forces are identified by the nature of their relationships with the medical facility, and how that relationship has been shaped and managed over time. This is based on the understanding that the relationship is critical in ensuring that there is collaboration to facilitate the development and support of relevant and definite nursing goals, principled leadership, excellence standards, recognition, and support, unified commitment, results orientation, and competence. It is essential for a nursing system to know its stakeholders (internal and external forces) and understanding the nature of their relationship, as well as how to manage the relationship and shape it over time so as to ensure that the positive benefits are maximized while the adverse effects are minimized. This is because engaging the forces in a persuasive way can leverage the nurses’ capacity to gain support for their activities, thereby greatly enhancing the ability to report success in nursing programs (Loyd, Mitchelson & Burridge, 2012; Weiss, 2014).