Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Critical Reflection In Practice
Ethics and professionalism in the healthcare field
Ethics and the doctor-patient relationship
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Critical Reflection In Practice
This activity was based on values and ethics. We were divided into groups of four and we had to navigate though a situation based on our teams’ knowledge of values and ethics. Our situation was about a couple that came into the pharmacy wanting to purchase syringes. They where dressed very unprofessional and had Band-Aid’s placed where they shouldn’t be. They acted very sketchy and demanded syringes for their diabetes medication therapy. They did not have their prescription for their insulin and they did not know the pharmacy that they picked their insulin up from. They were also from out of town and demanded syringes immediately. Our team discussed the situation and came to the consensus that we were not going to sell them syringes because …show more content…
they looked and acted as if they were abusing drugs. We did not know them so we denied them the syringe regardless of the threats. My role in the activity was to listen, assess and provided input. I provided them with different options for this situation like calling their previous pharmacy to confirm their diabetes drug. I did not speak too much and insisted that one person speak throughout the situation in order to keep the patients focused. I believed that we were successful in our activity because our feedback was positive and our team worked well together. At the beginning, I felt really nervous because two teams went ahead of us and didn’t do too well with their scenario.
Luckily, our scenario was something that I have encountered at my CVS Pharmacy back home. I thought about how my pharmacist handled the exact same situation and mimicked her actions. When performing the activity, I thought about what excuses or ideas can the patient toss at us and how can we navigate through those excuses. Overall, I thought the team performed really well under the pressure and came up with solid ideas and plans. From this activity, I learned that I only knew how to perform this activity through my previous work experience. Through the IPE Core Competency, I gained the conformation of knowing what I learned though my work experience will correlate with my school experience even through value and ethics …show more content…
situations. Through this IPE Core Competency Activity, I need to improve on my knowledge of pharmacy values and ethics.
I only knew how to answer the patients question and provide them with the correct options through my work experience. If I were to be given the first or second scenario, I would have no clue on how to handle the situation. I will increase my work experience knowledge by first applying for a pharmacy intern position or a volunteering position at a local hospital or retail store. This will help me mimic a pharmacist what will have to deal with value and ethics situations. In the meantime, I will improve my knowledge about different value and ethics situations by reading articles on pharmacy forums to further understand different scenarios that I might not encounter in a pharmacy anytime
soon.
Nurses are required to protect and support their patients if they are to be an efficient patient advocate. Ethically questionable situations are quite common for nurses that conflict with their professionals and personal morals. At times, the patient necessitates the nurse to speak out for them demonstrating
One of the questions were what are the four principles of medical ethics and the answer to that is autonomy, beneficence, non-maleficence, and justice. There are the four most important topics when it comes to ethical issues in the medical field. Medical ethics is a system of moral principles that apply values and judgments to the practice of medicine. One good example of something that is not ethical as a medical assisting is giving family any kind of medication, other than over the counter medication, because a medical assistant is not licensed to do so legally because as a medical assistant, you do not carry the title of a doctor or a physician assistant. It would be considered illegal to do so, and if you steal the medication to give to one of your family members or even any of your friends then you can lose your job and even get in a lot of trouble with the police. It isn’t worth losing your job over so if anyone ever gets into this kind of situation then you should just recommend your family member or friends to just make an appointment if they truly need the medication and their doctor will legally prescribe it to them and no one will get into any
Under the code of ethics for nurses this moral issue is also conflicting because you’re first and foremost obligation is to the patient. Now you also have your institution ethical code conduct that you also has to abide by. Provision 5. The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth (ANA, 2001, p.18). In this case the nurse owes it to herself in making the right moral decision to preserve integrity and safety of patient and
In order behave professionally, first of all, one needs the willingness to learn and be self-aware. Self-awareness would allow the respondent to realise her limitation on “between the flags” policy and be willing to learn and improve her clinical knowledge. If she had done so, she would realise the importance of documentation and the urgent need to arrange medical review for Patient A, preventing her condition from further deteriorating instead of making assumption that urgent medical assistant was unnecessary as long as the continuous administration of antibiotics. Additionally, with a sound professional experience and knowledge, clinical reasoning skills are also essential in professional behaviour. If the respondent had used problem solving, critical thinking and intuitive thinking skills to recognise and respond on Patient A’s deteriorating condition, she would have applied clinical judgement and decision making skill to prioritise the patient’ need to be urgently medical reviewed by the ED doctor even though she may receive some verbal abuse. Once she is confident with her clinical reasoning and judgement, she would take action on arranging urgent medical review, documenting her assessment for further examination and
Lewicki, R., Saunders, D.M., Barry B., (2010) Negotiation: Readings, Exercises, and Cases. 6th Ed. McGraw-Hill Irwin. New York, NY
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.
Ethical dilemmas are the issues that nurses have to encounter everyday regardless of where their workplaces are. These problems significantly impact both health care providers and patients. Patient safety is the most priority in nursing and it can be jeopardized by a slight mistake. Medication errors and reporting medication errors have been major problems in health care. Errors with medications have been found to be the most common cause of adverse drug effects (Brady, Malone, Fleming, 2009). Northwestern Memorial Hospital in Chicago conducted a research in 2012 that approximately forty percent of the hospitalized clients have encountered a medication error (Lahue et al., 2012). A nurse’s role is to identify and report these medication errors immediately in order to stop or minimize any possible harm to the patients. Ethical moral dilemmas arise when reporting the mistakes that have been made by one’s own colleagues, acquaintances, peers, or physicians.
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 ...
An ethically challenging situation in which I spoke up occurred five years. During a weekend trip to Las Vegas, due to age restraints, the young adults were permitted to walking on the “Strip,” the daughter of family friend, Lucie, was experiencing financial issues. Ironically, while walking the illuminating and spectacular strip, I notice a black wallet lying on the glistening sidewalk. I quickly bring it to the groups attention and demand we hand the wallet to a near by Walgreens. Lucie completely disregards my plea and takes one hundred and sixty five dollars.
Another huge ethical topic is the patient’s right to choose autonomy in the refusal of life-saving medicine or treatment. This issue affects a nurse’s standards of care and code of ethics. “The nurse owes the patient a duty of care and must act in accordance with this duty at all times, by respecting and supporting the patient’s right to accept or decline treatment” (Volinsky). In order for a patient to be able make these types of decisions they must first be deemed competent. While the choice of patient’s to refuse life-saving treatment may go against nursing ethical codes and beliefs to attempt and coerce them to get treatment is trespass and would conclude in legal action. “….then refusal of these interventions may be regarded as inappropriate, but in the case of a patient with capacity, the patient must have the ultimate authority to decide” (Volinsky). While my values of the worth of life and importance of action may be different than others, as a nurse I have to learn to set that aside and follow all codes of ethics whether I have a dilemma with them or not. Sometimes with ethics there is no right or wrong, but as a nurse we have to figure out where to draw the line in some cases.
First, arranging moral precepts into ethical systems facilitates understanding of well-defined values, norms, and beliefs adopted by a group. In turn, groups express these beliefs by codifying them through rules, laws, and codes of conduct intended to influence decision-making, especially when a poor decision would lead to corruption, and loss of professional trust. More importantly, ethical systems provide moral justification for activities that appear to defy innate human instincts. Lastly, ethics provide insight into the cause and effect of a potential action or decision, allowing the group to determine what is right (ethical, effective, and efficient) within an established framework. All of these ethical characteristics are important to understand because they can compel an individual or group to act contrary to a universal human
I had an elderly patient that was admitted with broken heart syndrome, due to her husband of sixty years passing the recent month. The family of this patient wanted to fly her to a different state to be close to family; with her husband passing she no longer had family here to help her. This patient’s health started to decline during her admission to the hospital and she was found to have possible gall stones and cholecystitis. On the last evening that I had her she was in a great amount of pain and was getting agitated and restless; due to this the family requested that I give her Ativan, with her NPO status I had to give the Ativan through IM injection. Through the night she declined progressively and went unresponsive, I made multiple phone calls to the physicians and to our rapid response nurses in hopes that I could help her in some way; they all kept telling me that she was unresponsive due to the Ativan and to give it time to wear off. After morning labs were drawn I was called with a critical WBC count of 38 that was up from 11 the day before, I followed protocol and called the physician on call and was told she was already on antibiotics and there was nothing else we could do. At the end of my shift I gave report to the oncoming nurse and left and thought about this patient all day. I found out later that this patient was sent to the ICU that day and later passed away that week. For me this was a very difficult situation, I assessed and reassessed, I advocated, and gave care to the best of my abilities but no one wanted to listen to me that this patient was deteriorating quickly and in the end she died from it. Now I try to look at this as her getting to go be with her husband, but this could have gone a completely different way. Although we follow our scope of practice as a nurse we may not always get the end results that we hope for,
General ethical theories have provided guidance for moral decision making for a few years now. Major theories have been created which emphasize different rules or principles to follow when moral difficulties arise, specifically in the medical context. These major ethical theories like Utilitarianism, Deontology, Natural Law of Ethics, Care Ethics, Virtue Ethics, and the Ethics of Reciprocity, to name a few, stand for different principles which overall formulates the major differences between these theories. However, after deliberating over the man principles and rules of each theory, the ethical theory which resonated most with my own decision making process, is the Ethics of Reciprocity.
Ethical decision making is part of the core competencies for an advanced provider and will contribute to professional development (Thomas et al., 2012). This paper will examine an ethical dilemma and the related laws/regulations. An outline of the decision-making process will be described that can be applied to the dilemma.
"Ethics are personal and, at the same time, a very public display of your attitudes and beliefs. It is because of ethical beliefs that we humans may act differently in different in situations" (University of Phoenix, 2007). Poor ethical choices in the workplace can truly hurt people. Poor ethics can damage their career, happiness, and quality of living. Not only can these actions hurt the individual who has made the bad choices, but also most often it hurts the innocent. This essay will provide two actual case studies; one of positive ethical principles and the other of poor ethical principles.