BASED ON YOUR CLINICAL PRACTICE AS NURSE, IDENTIFY AN ETHICAL DILEMMA/ ISSUE THAT YOU HAVE ECOUNTER?
PLEASE BE ADVISE , THIS SHOULD BE PERSONAL EXPERIENCE AS A NURSE.
Nursing ETHICAL DECISION MAKING FRAMEWORK
1 DATA COLLECTION AND ASSESSMENT OF DATA
Based on your clinical practice, as a NURSE, identify an ethical issue that you have encountered
A SITUATIONAL CONSIDERATIONS
- What situational factors contribute to the ethical dilemma or issue
- How do these situational factors contribute to the ethical dilemma or issue?
B HEALTH TEAM CONSIDERATIONS
- What peoples are most involved in the situation?
- What are the relevant background, [eg] educational level, value orientation]
of the people involved?
- what people are most affected by the outcome of the decision?
C ORGANIZATIONAL CONSIDERATIONS
- What is the nature and mission of the organization?
- What are organization’s values, polocies, and procadures relevant to the
situation?
11] PROBLEM IDENTIFICATION
A, ETHICAL CONSIDERATION;
- What are the ethical considerations related to the problem?
- WEhich of these ethical considerations take priority?
- NON-ETHICAL CONSIDERATION
- What are the non-ethical considerations related to the problem[eg]; medical,
legal, or factual consideration.
- How do the non- ethical considerations relate to the ethical considerations?
111] CONSIDERATION OF POSSIBLE ACTIONS
- UTILITARIAN THINKING
- How is the principle of utility being defined [eg]; happiness, pleasure, health, ]?
- What are viable action?
- What are predicted consequences of the actions for persons affected by the decision?
- What possible actions produce the best consequences overall for happiness, pleasure, health, e,t,c, and the least unhappiness, disvalue, displeasure, for people affeted, or most affected by the decision?
- DEONTOLOGICAL THINKINHG
- What ethical rules and principles are in conflict?
- What duties emerge from theseethical rules and principles?
- Which of these duties are in conflict with equal or stronger duties?
- If a conflict exists, which duties derived from moral rules and principlese produce the greatest balnce of rightness over wrongness?
1V] DECISION AND SELECTIONS OF COURSE OF ACTION
- CONTRIBUTION OF INTERNAL / GROUP FACTORS
- For whom is the decision being made?
- Who should decide?
- What biases/ values of peoples involved in the situation affect the decision?
- CONTRIBUTION OF EXTERNAL FACTORS;
- What institutional factors are affecting the decision and selected course of action?
- What legal factors are affecting the decision and selected course of action
- What social factors are affecting the decision and selected course of action?
- QUALITY OF DECISION AND COURSE OF ACTION;
- What decision is being made?
- What course of action on implement the decision id being made?
- In light of the preceding factors are the decision being made and the course of action to taken ones that call still be morally justified?
- If not, how can the decision being made and the course of action to be taken be altered so that they are morally justified?
- Is the selected course of action based on the decision implemented?
- Identified the relationship between the decision and the ” AMERICAN NURSES ASSOCIATION” interpretive statement Code for NURSES.
- REFLECTION OF DECISION
- Was the decision that was made the one that was actually acted upon? IF NOT,WHY?
- Did the decision that was made accomplish its intended purpose? IF NOT, WHY?
- In retrospect, do you believe the decision that was made was morally good ot right?
Why? Why not?
NOTE; APA formate must be followed, Sources must be cited throuhout the paper and reference page.
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