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Reflection on ethical decision making
Confidentiality and privacy in healthcare
Confidentiality and privacy in healthcare
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Ethical dilemmas are presented to people nearly every day. Ethics is the discipline of dealing with good and bad and with moral duty and obligation (Unknown, 2011). When an ethical decision arises, many times it is not in a black or white area that can be selected. Usually, an ethical issue is in a grey area where what one person feels is right may be what another person feels is wrong. While in this grey area one must come to a conclusion using various additional sources. These sources can include: justice, or fairness; autonomy, the freedom to choose; beneficence, preventing or removing harm or doing or promoting good; nonbeneficence, doing no harm; veracity, telling the truth, and last but not least their morals and values, or their beliefs that guide their right or wrong behavior.
In the case study that will be discussed throughout this essay a nurse was working for a two physician practice. The physicians decided to end their working relationship and the nurse was assigned the task of photocopying the charts of the physician who was relocating. In order to complete the assignment, the nurse decided to come in on a Saturday, when the office was closed, with her children aged eleven and thirteen, to assist her. One of the physicians had also stated he would pay the children for their assistance in photo copying the charts. When the second physician came in the office and saw what was occurring, he stopped the children from photocopying the charts. He then contacted the board of nursing and filed a complaint for violation of patients’ medical confidentiality against the nurse in the office. In turn, the board of nursing brought disciplinary action against the nurse. She in turn filed a lawsuit. Ethical issues to evaluate and...
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...Works Cited
Edwards, M.A., K. (2008). Confidentiality. Ethics in Medicine, retrieved from http://depts.washington.edu/bioethx/topics/confiden.html
Hanson, W. (2011). Making ethical decisions: introduction. Josephson Institute Center for Ethics. Retrieved from http://josephsoninstitute.org/MED/index.html
Unknown. (2011). Merriam-webster dictionary. Retrieved March 14, 2011, from http://www.merriam-webster.com/
Unknown. (2007). Nursing practice act, nursing peer review act, nurse licensure compact, & advanced practice registered nurse compact. Retrieved from http://www.bon.state.tx.us/nursinglaw/pdfs/npa2007.pdf
Unknown. U.S. Department of Health and Human Services. Office of Civil Rights. (2011). Your health information is protected by federal law. Washington, DC: Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html
Ethics is an important proponent when considering any decision. Knowing the difference between right and wrong is something everyone should know. However, the importance of ethics gets minimized when a decision that seems wrong actually has benefits. In the efforts of improving society, often ethics is violated. Sometimes in order for society to be better off as a whole, there has to be little sacrificing of ethical practices along the way to do so.
... Health Information Privacy For Consumers. Retrieved April 22, 2009, from U. S. Department of Health and Human Services: http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html
What is ethics? Ethics are the philosophical principles of good verses bad moral behavior. It is a guideline to help people make decisions or make a judgment calls. There are two main types of ethical principles that will be discussed in this paper, and how they are applied to the decision making process. They are Deontological and Utilitarian. Deontological ethics are based on the righteousness or wrongness of the action-taking place. It does not base itself on the bad or good consequences that come from the action. Immanuel Kant introduced deontological ethics in the 18th century. Kant believed that every decision or action made by a person had to be evaluated by his or her moral duty. He stated that humanity shouldn’t side on its
This case study examines a case of an LPN who became ill while about halfway through her shift and chose to go home. This LPN was assigned to care for five patients in an obstetrical ward, four of which were considered stable. The fifth patient was awaiting an obstetrical consultation when the LPN became ill and vomited. At this time, she notified the other nurses and, subsequently, the charge nurse that she needed to leave due to illness. The charge nurse instructed her to notify her supervisor prior to leaving the facility; however, the LPN chose not to do so and went home. Her reasoning in not notifying her supervisor as she was instructed was that she feared that the supervisor would ask her to go to the emergency room for care. The LPN testified that she did not want to pay for an emergency visit and that she intended to make an appointment with her family doctor early that same day. The facility terminated the LPN’s contract and also reported her to the state board of nursing for patient abandonment. As a judgment, the board of nursing suspended here nursing license pending a psychological examination and fined her $1000 for abandoning her patients. In this paper, we will examine the viewpoints of the LPN, the charge nurse, and the nursing supervisor as they relate to the Nurse Practice Act and the board of nursing.
Slosar, J. P. (2004). Ethical decisions in health care. Health Progress. pp. 38-43. Retrieved from http://www.chausa.org/publications/health-progress/article/january-february-2004/ethical-decisions-in-health-care
Healthcare ethics is defined as a system of moral principles that guide healthcare workers in making choices regarding medical care. At its core lies our attitudes regarding our personal rights and obligations we have to others. When an unprecedented situation comes into play, we rely on medical ethics to help determine an outcome that would be the best case scenario for all involved. In order to appropriately review this case study, we must first identify the key stakeholders, the ethical principles, policy implications at the federal, state, and local levels, financial implications, and a viable resolution for the situation.
The Texas Board of Nursing,(2009). Nursing practice act. Nursing peer review, nurse licensure compact, & advanced practice registered nurse compact. Austin, TX
U.S. Department of Health and Human Services, Office for Civil Rights (2003). Summary of the hipaa privacy rule Washington, DC: Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/understanding/summary/privacysummary.pdf
In everyday experience one is likely to encounter ethical dilemmas. This paper presents one framework for working through any given dilemma. I have chosen to integrate three theories from Ruggerio Vicent, Bernard Lonergan and Robert Kegan. When making a deceison you must collabrate different views to come to a one conclusion. Ruggerio factors in different aspects that will take effect. Depending on which order of conciousness you are in by Kegan we can closely compare this with Ruggerio's theories also. As I continue I will closely describe the three theories with Kegan and how this will compare with Lonerga's theory combining the three. While Family,
At times in a person’s life, they might come across a few situations that leave them with a major decision between two or more options that challenge what they believe or what they might think is wrong or right. These are known as ethical dilemmas. Be it seeing a friend steal something and choosing between being honest and speaking up or letting it go. It can also be getting paid more than you earned and deciding if you’re going to be greedy and keep the money or return it. We run into these situations in our lives, some bigger and more influential on our destiny’s while others are small with no real consequences.
Garrett, T. M., Baillie, H. W., & Garrett, R. M. (2010). Health care ethics: Principles and problems (5thed.). Upper Saddle River, NJ: Prentice Hall.
An ethical dilemma is only examined in a situation which has the following conditions; the first condition takes place in a situation, when an individual has to make a decision on which course of action is best. The second condition is there must be more than one course of action to choose from. The third action is no matter what course of action is taken, certain ethical principles are conceded. In other terms, there is no perfect result. When defining what forms an ethical dilemma, it is important to make a division between ethics, morals, values, laws and policies.
When it comes to making an ethical decision everyone, has their steps and processes to reach their best moral decision. My purpose for this essay to show you how I reach the best ethical decision. I have selected five steps from several of the class readings that coincide with what I believe to be ethical and moral. I have used Baker’s model and his interpretation of Kidder’s model, Josephson’ Model and Patterson and Wilkins examples. That best works with my ethical and moral principles and me. By the end of this essay, you will be able to see my process and understand my reasons for following these step.
Everyone in this world has experienced an ethical dilemma in different situations and this may arise between one or more individuals. Ethical dilemma is a situation where people have to make complex decisions and are influenced based on personal interests, social environment or norms, and religious beliefs (“Strategic Leadership”, n.d.). Leaders and managers in the company should set guidelines to ensure employees are aware and have a better chance to solve and make ethical decisions. Employees are also responsible for understanding their ethical obligations in order to maintain a positive work environment. The purpose of this case study is to identify the dilemma and analyze different decisions to find ways on how a person should act ethically when left with an ethical dilemma.
McGee, Glenn and Arthur L. Caplan. "Medical Ethics." Microsoft® Encarta® 98 Encyclopedia. © 1993-1997: Microsoft Corporation. CD-ROM.