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Example of clinical decision making
Case study, ethical dilemma in nursing
Case study, ethical dilemma in nursing
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In the nursing profession, practitioners are faced with complex situations that necessitate a scuffle between conforming the essentials of ethics while contravening the other. As such, nurses are required to learn cases and design plans to face the morals issues for ethical decision-making. Ethics guide health care professionals on what should be done based on principles. The two common models of clinical decision making include intuitive-humanist model and information-processing model although a third model, multidimensional model exists to guide nurses in resolving dilemmas when they arise.
Ethical Dilemma in the Case
An ethical dilemma occurs when there is a conflict of values, principles, or moral imperatives within a situation. In the
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The model utilizes a scientific and hypothetical deduction to assist the medical diagnosis reasoning. Nurses use decision trees to numerically assess potential outcomes. Moreover, analytical decision making is also employed to help practitioners in diagnostic reasoning. The physician’s thought process should follow rational logic subject to study until a decision can be made. During such decision-making process, the physician’s experience as well as their ability to recognize situations that impact the process are taken into …show more content…
The father of the child seeks independent consultation from another physician, who has specific competence to validate the patient care situation. The model also urges nurses to act independently by thinking ahead of situations and adopting preventive strategies to anticipate circumstances although intervention decisions and the recognition of similar scenarios are necessary. Such activities correspond with the hypothetico-deductive or rationalistic analytical model of clinical decision-making. Therefore, using the information-processing model would assist the physician to make informed clinical decision without difficulties in explaining their conclusions.
Resolving the Dilemma Using the Information-Processing Model
In the case, the mother of the child is under the influence of her religion to refuse medical treatment to the child. The father, on the other hand, contradicts the mother’s decision and insists that the child should get medical treatment for meningitis. The physician through clinical knowledge should let the mother know that stewardship entails the responsibility to seek the best interest of the child, which is to undergo a medical treatment because there is no alternative scientifically-proven method that care sure meningitis. The nurse should apply the information gained in the practice regarding the principle of beneficence, which mandates
During week 4, we became familiar with the application of ethics in the nursing practice settings. We learned about ethical theories and principles, which are crucial when practicing in any clinical settings during ethical decision-making and while facing one or multiple ethical dilemmas. Also, we were introduced to the MORAL model used in ethical decision – making progress. The MORAL model is the easiest model to use in the everyday clinical practice, for instance at bedside nursing. This model can be applyed in any clinical settings and its acronyms assist
An ethical dilemma is defined as a moral issue, where a situation has two equivalent undesirable alternatives and neither choice will resolve the ethical predicament.
The case study addresses the rights of the parents to decline further medical treatment for their son and his rights as the patient to refuse further treatment. The authority to...
In the medical profession, doctors and nurses run into ethical dilemmas every day whether it be a mother who wants to abort her baby or a patient who has decided they want to stop cancer treatment. It is important for the nurse to know where they stand with their own moral code, but to make sure they are not being biased when educating the patient. Nurses are patient advocates, it is in the job description, so although the nurse may not agree with the patient on their decisions, the nurse to needs to advocate for the patient regardless.
Ethics has been a popular topic in nursing for a long time. Nurses are expected to demonstrate ethical decision-making as well as professionalism. I believe that in order to accomplish this, they need to use the ANA Code of Ethics as framework for their decision-making. It is also imperative for nurses to have a strong understanding of ethics, because they will be faced with many difficult ethical decisions that do not always have a straightforward solution.
The Lasater Clinical Judgement Rubric (LCJR) (Lasater, 2007) based on the Tanner Model of Clinical Judgment is an essential tool that utilizes critical thinking and clinical reasoning skills. This is necessary for a nurse to reach a conclusion and provide quality efficient nursing care. The purpose of this paper is to analyze how I used the clinical judgement model and the skills incorporated in it to provide care for Mr. Patience when presented with incontinence and being “not quite right”. The original presenting information led me to plan care for assessing a possible urinary tract infection (UTI). However, the scenario was more complicated than anticipated and new information was discovered that required me to shift my focus to potential
This paper will focus on two BNUR leaner outcomes (University of Calgary, 2013) relevant to my learned understanding of nurses as ethical decision makers. I will outline the ways that I have seen ethics used and not used in practice, what I learned about ethics and its use in my theory courses and throughout my practicums, and I will reflect on how this understanding will translate into my professional practice moving forward.
Since ethical dilemmas are not always easily answered through the use of The Code of Ethics, ethical decision-making models are effective tools that can assist nurses in dealing with ethical issues. Ethical decision-making models provide a framework for working through difficult choices. They seek to define the limits of what is morally acceptable and help clarify the guidelines for making those difficult decisions. Ethical decision making models assist nurses in analyzing situations by focusing on understanding the patient needs, need for responsiveness to circumstantial considerations, and recognizing the uniqueness of each situation.
In critical and complicating medical cases, family members often find it tedious to decide as to what mode or procedure of treatment is idyllic for the recovery of their patient. In such cases, well-qualified and medically educated can play a pivotal role in deciding the kind of treatment that should be given to the patient to enhance its recovery. In a contrary situation a nurse may know that administering a particular drug may improve the patient’s condition, but may be refrained from conducting the required action due to doctor’s absence or non-permission. There are numerous cases through which ethical dilemmas in the profession of nursing can be discussed. Nurses in order to remain within the defined boundaries ...
Deontology is an ethical theory concerned with duties and rights. The founder of deontological ethics was a German philosopher named Immanuel Kant. Kant’s deontological perspective implies people are sensitive to moral duties that require or prohibit certain behaviors, irrespective of the consequences (Tanner, Medin, & Iliev, 2008). The main focus of deontology is duty: deontology is derived from the Greek word deon, meaning duty. A duty is morally mandated action, for instance, the duty never to lie and always to keep your word. Based on Kant, even when individuals do not want to act on duty they are ethically obligated to do so (Rich, 2008).
Pearson (2013) clarifies “clinical decision making is essential to every aspect of care delivered to a patient” (p. 214). It is the ability to blend information and make decisions that will later be implemented in the situation. Evidence-based decision making involves choosing from a variety of possibilities and combining the knowledge through research and the scientific evaluation of one’s practice. The purpose of this paper is to analyze my decision of administering ativan by advocating for the patient and anticipating her change prior to confirming signs; which provided a therapeutic response.
In conclusion, there are numerous legal and ethical issues apparent in the nursing practice. Nurses should study and be as informed as they can with ethics and legality within their field in order to ensure no mistakes occur. Ethical issues vary based on patient’s views, religion, and environment. Nurses are influenced by these same views, but most of the time they are not the same as the patients. As a nurse we must learn to put the care of our patients and their beliefs, rights, and wishes before our own personal
An ethical dilemma is a form of problem facing an individual, which includes complex and often conflicting principles of ethical behaviour. A typical example of an ethical dilemma is a salesman; when selling a certain type of product he may face the dilemma of telling the truth about a product and end up losing a sale and his commission. However, he may feel that being truthful reveals he wants the best for the customers and is being more considerate about them. It all depends on how you deal and understand a situation.
Clinical decision making is a vital skill which a nurse will hone over time and experience. There are a number of differing theories on the clinical decision making process; indeed it is an area in which there has been considerable seminal research performed in the past. There is much room for future research possibilities in this area. The ability to make effective nursing decisions is one which begins in the student phase of the nurse’s career, and continues throughout their development post-graduation into competent practitioners.
[2] An Ethical dilemma is defined as “a situation that arises when all alternative choices or behaviours have been deemed undesirable because of potentially negative ethical consequences, making it difficult to distinguish right from wrong” (Samson and Daft, 2005, p.158)