...Running head: APPLYING ETHICAL FRAMEWORK IN PRACTICE Applying Ethical Framework in Practice Jaclyn Hughes Grand Canyon University: NRS-437V August 21, 2011 Applying Ethical Framework in Practice Patient confidentiality is one thing that cannot be breached nor as a patient that you would want to be breached. In this day and age as healthcare professionals it is a very fine line of what breaching confidentiality is. We all want to know that when we are sick and in the hospital, the one thing that we can keep personal is our privacy which would include our health information. It is hard to imagine that in a state of vulnerability that some things must be disclosed to certain departments regardless of your desire to keep it private and confidential; some examples include: domestic violence, child abuse, rape, psychiatric evaluations, and communicable diseases. These situations if not taken care of could cause more harm to the patient. Knowing your ethical principles and nursing code of ethics allows for the nurse to make a moral and ethical decision based on the five basic principles without breaching confidentiality and doing what is morally and ethically right for the patient. A patient’s trust is sacred and breaching that information is a violation of the trust between the relationship of the nurse and the patient (Burkhardt & Nathaniel, 2008). An ethical implication of a breach of confidentiality would include: patient confidentiality and informed consent for...
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...Applying Ethical Frameworks In Practice Ellen Kincaid Grand Canyon University NRS-437V-0504 September 5, 2015 Applying Ethical Frameworks In Practice When it comes to ethical dilemmas we can all feel challenged with complex decisions that are difficult to make. Ethical dilemmas refer to problems that arise which usually involve more than one moral correct mode of actions involving the individual responsible and the individual correcting the situation. The individual resolving the situation is often challenged by the fact that in either option he takes, he or she may be right about taking one option but wrong about leaving the other. Ethical dilemmas test our ability to use our morals and values as well as ethical principals that we have learned through out life, and put them into actions by weighing these beliefs and being able to determine the difference between right and wrong. For that reason is imperative that nursing professionals are well aware of their own beliefs, moral and values, so they can make correct ethical decisions especially when it comes to health care delivery. Ethical Dilemma I this case we have a 6 y/o child, which gets very sick while at school. The child presents with elevated temperature, vomiting and convulsing. The child is immediately taken to the closest hospital and is quickly diagnosed with meningitis. The attending physician is now requesting authorization to treat the child from the parents. The child’s parents are divorced and now...
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...describes the student's current workplace is a process model. The company is a process model because the management focuses on who and how when they implement changes. When a company decides to implement mandatory overtime in early January 2014, employees took a study that allowed them a voice in the decision making process for overtime. The final decision made by upper management did reflect on many of the suggestions given from the employee survey responses. Starting in late December company-wide emails that provided an explanation for mandatory overtime and how this would be a positive outcome for the company. The first part of the process giving details explaining that the company had hundreds of new members join the Medicare part D prescription drug plan in 2013. Therefore starting in January those new members will call in with questions on how the plan works and overtime hours are required to give assistant to answer those questions. The company currently share knowledge or involve employees in formulating solutions to problems by holding staff and management town hall meetings that allow the team to voice their opinions or concerns about the plan before implementation. The organization holds focus groups that consist of the staff without the presence of management to provide an open discussion about new procedures or policies. The organization must maintain centralized control while using dispersed decision-making called decentralization (Lombardi & Schermerhorn, 2007)...
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...University: Transcultural HealthCare February 28, 2016 Applying Purnell’s Model What is cultural competence? To be culturally competent healthcare provider one needs to understand their own world outlook and those of their patients, at the same time avoiding stereotyping and their own biases. Cultural competence is obtaining cultural data and then relating that knowledge. Cultural competence is a conscious ongoing process. Cultural awareness allows a healthcare provider to see the entire picture and improves the quality of care and health outcomes. Familiarizing ones self to different cultural beliefs and practices requires flexibility and a respect for others view points. Cultural competence requires the ability to listen to the patient, to learn about the patient’s beliefs of health and illness. The Purnell Model for Cultural Competence is a framework having detailed questions and a format that could be used to assess culture in healthcare setting. The Purnell Model for Cultural Competence in a healthcare setting place an importance on effective communication as well as the need to know the cultural views of patients. Purnell’s definition of cultural competence is, the totality of socially transmitted behavioral patterns, arts, beliefs, values, customs, lifeways, and all other products of human work and thought characteristics of a population of people that guide their worldview and decision making (Purnell, 2002,pg6-7). In other words culture is mainly learned...
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...The purpose of this paper is to submit a case study of a single parent facing health choices with limited resources and apply the Health Psychology four key frameworks. Fatima is the young mother who is making the choice to first feed her family and in the process is not addressing her own health symptoms that may put her at risk for serious consequences. In this paper we will look at options in her decision making that may improve both her health and her children’s and improve the family health future. The strategies will be developed from the text of Dr. Jane Ogden in The Psychology of Health and Illness and the Dr. Robert M Kaplan, “Health Psychology: Where Are We And Where Do We Go From Here?” and with the insightful work by Dr. Gabor Mate in When the Body Says NO: Exploring the Stress-Disease Connection Fatima and Health Challenges of a Single Parent...
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...Applying Ethical Frameworks in Practice Nursing has a renowned history of concern and interest for the welfare of the sick, injured and vulnerable for social justice. Nursing encompasses prevention of illness, decreasing suffering, and the protection, promotion, and restoration of health. Ethics is been an integral part of the foundation of nursing and it is self reflective, enduring and distinctive. In the professional course, a nurse encounters with different types of patients, several types of families and varied situations. Every patient has certain rights and a nurse has to respect them in both legal and ethical aspects. Confidentiality is important to create confidence between nurses and patients. Without promising privacy to their matters, patients will be hesitant to share important information to health care professionals which may be necessary for their care. Respecting patient’s confidentiality is a legal requirement and also a professional, ethical and legal duty. By law, breaching confidentiality may end in unlawful condemnation and punishments The moral consequence when breaking confidentiality is loss of client, loss of reputation, loss of revenue, and breaking of moral, lawful and moral obligations. A credulous bond between nurses and patients will improve patient satisfaction and will help patient to disclose even the most sensitive information which will help in their treatment and care. This will also improve adherence to medical management plans in almost...
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...nursing as a diverse health profession. Using the Jean Watson’s caring theory enables nurses to maintain their perspective on caring for patients when overwhelmed with increased acuity, responsibility and workload. With the increase of patients and their needs, nurses often replace the caring attitude with an attitude of arrogance and hurried tasks, leaving patients and family members with belief that nurses believe they are here just to perform a job. By applying the Watson caring theory in caring for patients, “it allows nurses to practice the art of caring, to provide compassion to ease patients’ and families’ suffering, and to promote their healing and dignity but it can also contribute to expand the nurse’s own actualization” (Cara, 2003, p 2). Watson believes it is crucial that nurses apply caring values to their practice because it is essentially a byproduct in discovering the meaning of the nursing profession (Theory of Human Caring, n.d.). The foundation of this paper is to expound on the caring theory Jean Watson designed “to bring meaning and focus to nursing as a distinct health profession” (Cara, 2003, p 2). Description of the Theorist In the 1940’s, Jean Watson was born in West Virginia in a small town in the Appalachian Mountains. In 1961, graduated from the Lewis Gale School of Nursing, furthering her career at the University of Colorado in Boulder in 1964, received a bachelor’s degree, in 1966 a Master’s degree in psychiatric and mental health nursing and in 1973...
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...Applying Ethical Frameworks in Practice In an episode of ER in 2000, a nurse named Carol Hathaway makes promises to two 14 year old girls who enter the ER and are hesitant to allow care for themselves. Nurse Hathaway tells the girls that she will not disclose any information to their parents or anyone else if they will agree to care. One of the girls Andrea is tested positive for Human Papillomavirus (HPV) an extremely common Sexually transmitted disease (STD) although later is diagnosed with cervical cancer. Nurse Hathaway speaks to the ER physician who told her that she needs to report these diagnoses to Andrea’s parents and to her school because the girls were involved in sex parties with other students at the school. This is where Nurse Hathaway struggles with the ethical dilemma. The purpose of confidentiality between patient and medical staff is to gain trust of the patients and to respect their privacy. Patients need to trust the individuals that are taking care of them so they will not hold back any imperative information that could negatively affect their care. All patients have the right for privacy and keeping as much as possible will only add to the trust that a nurse will receive in return. Any information about a patient should never be passed along to someone else that is not involved in the care of that patient (Purtilo & Doherty, 2011, p. 208). If somebody says something regarding medical care and it is private information is disclosed then this would qualify...
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...Applying Ethical Frameworks in Practice Soniya , RN Grand Canyon University: NRS 437V Professor: Teresa Ortner, RNC, MSNEd December 11, 2012 Applying Ethical Frameworks in Practice When patient seeks for assist and care, professional-patient relationship is established and the promise of confidentiality is incriminated automatically. Respecting confidentiality is the professional commitment. Yet occasionally unavoidable situations bring health care profession to face nothing but the alternative choices which ends up breaching the confidentiality. The author would like to discuss one’s professional position regarding the ethical implications of a breach of confidentiality, ethical theories and principles, identify alternatives, and ethics committee’s approach in resolving ethical dilemma. Ethical Implications of a Breach of Confidentiality The medical profession has an obligation to live up to the patient's expectations of privacy and to earn the trust. By breaching confidentiality, patients no longer disclose honest and full information to medical professionals, or even initiate avoidance of seeking future care. Without trusting medical professionals, it is hard to expect for patients to reveal private and intimate nature of the information which could be vital in treatment decision. It means breaching confidentiality not only denies individual privacy but also prevents the autonomy of patient (Nathanson, 2000). Who would volunteer the info when he or she sees it...
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...professional. On the other hand, an organization employing only a small number of employees may find the use of an HR professional insignificant. The benefit of an HR professional within an organization outweighs the costs. Specifically the HR role is used for the maintenance and organization of processes, procedures, and protection of either or both the employee and the organization. Health care organizations use HR professionals in many of the same ways non health care organizations do, however, there are notable differences. Standard HR activities along with an expanded understanding of the environmental and other organizational factors can assist a health care organization move beyond the levels of growth and into quality standard practices. An organization that can master the balance of HR developed processes and profitability, is an organization that will continually attract highly sought after professionals to join the team. Human resource professionals have bridged the gap between health care and business by integrating techniques such as; including employees in the decision-making process of new processes or procedures needed. An example might relate to the process of admitting patients into a skilled nursing facility. A department leader of either the skilled or non-skilled side of the organization could host a town hall meeting allowing for an open discussion about the process and how it can become more efficient for the staff and maintain comfort for the...
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...Applying Ethical Frameworks in Practice Grand Canyon University Roopneet kaur NRS-437v-o101 August 13, 2014 Applying Ethical Frameworks in Practice Patient confidentiality is essential in developing a trusting relationship between a healthcare worker and the patient. Confidentiality means that the patients personal and medical information that is given to a health care provider will not be disclosed to others unless the patient has given permission for the information to be released ("Confidentiality," 2014). Confidentiality and privacy are two of the fundamental rights of every individual. Protecting these rights with respect to every patient’s personal information is not just ethical but a legal obligation as well. One of the key components of patient and nurse relationship is the assurance that each healthcare workers hold to respect, and that is to value and safeguard every patient’s information and their privacy. But when does the breach of confidentially happen? When is the nurse required to draw the line? An example of these applies on infectious diseases and cases of abuse, where challenges occur that compels the nurse to report the...
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...Executive Summary The following names and some details have been changed for legal reasons. Home Health-care is a non-for-profit organization that focuses on family members in need of assistance with health-care, education awareness and daycare assistance. The services are provided through two of their subsidiaries, Mom‟s Daycare and Healthy For You. Home Health-care who owns and operates both organization functions as a corporate office. Home Health-care has identified a need for both its subsidiaries, Mom‟s Daycare and Healthy for You to consolidate their operations and mission. The goal is to release Home Health-care of total financial obligation in the existing structure of these two affiliates; while fostering the affiliates into an organization that may thrive. Both subsidiaries were in the decline stage of their business. Due to the change of the economy and society, patient flow and customers were declining resulting in a loss of revenue. Because of the decline, Home Health-care has been obligated to cover lost earnings and payroll. The goal is to enhance the existing two affiliate‟s structure into an organization that will achieve both vision and mission, enhance productivity efficiency, and becoming fiscally responsible. The Administrative and Resource Development Consolidation will consist of the reorganization of the board of directors, management and administrative offices both entities, starting with an interim organization. Mom‟s Daycare and Healthy for You...
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...Personal and Professional Health Care Communication Paper HCS/350 August 8, 2011 Personal and Professional Health Care Communication Paper Health communication is defined as any form of human communication that employs the process of assessment, delivery, or evaluation of health care and optimizes individual decision-making processes that affect health (Northouse & Northouse, 1998). It links the fields of health and communication applying concepts and theories that promote personal and public health. In the community, health communication improves the public health information infrastructure and facilitates clinical decision-making while building health skills and knowledge. As an essential component to improve patient understanding, health care communication further establishes a line of communication between health care professionals and patients that influence the outcome of care and health wellbeing (Nelson, 2011). Effective Personal Health Care Communication Effective communication between patients and health professionals is challenged by personal experiences, attitudes, and values, which influence patient comprehension and ability to absorb health-related issues. Whereas ethnic and cultural backgrounds influence personal understanding and expectations, they also generate the increased risk of low health literacy. Poor health knowledge increases the likelihood of noncompliance with medications and treatments furthering the patient’s disadvantage of comprehending...
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...Ethical Decisions Laura Redman Grand Canyon University: Ethical Decision Making in Health Care: NRS 437V May 17, 2015 An ethical dilemma can occur in nursing and medicine daily. The conflicts between religious beliefs and medical science are especially challenging when the beliefs reject medical intervention. This scenario involves a 6 year old boy requiring hospitalization for meningitis. The physician has requested permission to proceed with a specific plan of care. Disagreement on the treatment offered, divorce without shared custody, and religious beliefs create an ethical dilemma. Ethical Dilemma The dilemma consists of medical treatment versus prayer without medical treatment. “Meningitis is a disease caused by the inflammation of the protective membranes covering the brain and spinal cord known as the meninges. The inflammation is usually caused by an infection of the fluid surrounding the brain and spinal cord” (Centers for Disease Control and Intervention, 2014). Meningitis can be caused by bacteria, virus, fungi, parasites, or non-infectious means (CDC, 2014). The ethical dilemma here is whether to allow the mother to deny medical care to her son because of religious beliefs, or to proceed with the plan of care the physician recommends, and the father has agreed with. This dilemma is further complicated by the fact that the biological father is not the custodial parent, and is living in another state. The mother is the custodial...
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...The purpose of this essay is to critically explore and discuss the holistic care and management of a chosen patient from a recent clinical placement. The patient which has been chosen has had an exacerbation of a chronic problem. Management options which are or have been available to the designated nurse will be critically discussed alongside the justification of the plan of care which will or has been implemented. The role of the registered nurse in relation to safe and effective decision making will be explored. A discussion of the decision making process which has been chosen for the patient will be noted and this will be related to known theoretical models of clinical decision making. It will also critically examine the importance of managing risk in health care to enhance the patient care and outcomes and this will be related to the chosen patient and clinical scenario. Finally it will also critically appraise the evidence base that supports the discussion. The chosen patient is a 42 year old male who has been admitted to the current clinical placement, which is the local spinal injuries centre, after numerous complaints of recurrent urinary tract infections. All patient identifiable information has been changed to protect the patients’ identity in accordance with the Nursing and Midwifery (NMC) guidelines regarding confidentiality (NMC, 2004). Mr Scott had previously been an inpatient to the Spinal Unit following a road traffic accident in September 2004, the outcome...
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