Free Essay

The Application of Ethical Frameworks in Medicinal Practice

In:

Submitted By grandamsabari
Words 1092
Pages 5
The Application of Ethical Frameworks in Medical Practice
Introduction
Identified as two of the most vital qualities regarding professional ethics concerning nursing, confidentiality and trust compose the two essential components of any and all kinds of relationships between patients, colleagues and the general public for a nurse. This essay seeks to analyze the article entitled “Betraying trust or providing good care? When is it okay to break confidentiality?”, written by Nathanson (2000). This chosen article highlights the importance of confidentiality and the possible professional premises in which confidentiality is commonly brought to a breach by professionals. It delves into the ethically evident implications involved in a breach of confidentiality, how different ethical lenses propagated by different theories view the position of the nurse, and mentions some alternatives regarding the approach to problem solving.
Implications of breach of confidentiality
Mutual confidentiality between a patient and medical personnel finds its fulfillment when trust is gained between each other and the patient is assured that the personal matters regarding the lives of each remain within themselves. There is a severe break in confidentiality when any information regarding the patient is publicized without patient approval. It is not only unacceptable professionally, but is also so in regards to ethics, morality and legality. The results of such practice involves the patient not being transparent with medical personnel regarding their health condition, resulting in improper diagnosis and the important information that reveals the health status of the patient not being revealed to the medical personnel. This not only causes inadequate or improper treatment of diseases, but also leads to a deterioration of the overall quality of care given within a medical facility (Nathanson, 2000).
Ethical Theories and Ethical Principles
As one of the cornerstone qualities of nursing, advocacy stands out as a very essential quality for the ideal nurse (Hanks, 2008, p. 469). In the above said article, a 14 year old girl, finding her nurse trustworthy, confessed that she had been involved in sexual activity recently. She also requested Hathaway not to report to her parents this reality of the situation. When Andrea, the girl, was diagnosed with cervical cancer, a disease whose treatment requires consent from her parents, the nurse faces a truly challenging conflict: whether to let Andrea go without treatment fulfilling the mutual promise, or to introduce her parents to the grim reality. The nurse in the above mentioned situation, Hathaway, later disclosed Andrea’s situation to her parents, as she felt that leaving Andrea untreated would not be appropriate. Such a decision would not be deemed “appropriate” under some circumstances, as she can be blamed for crossing the undrawn boundaries of ethics. Andrea, upon finding out this situation, became suicidal and severely depressed.
Reasonable Alternative Option
This may be seen as something ethical when looked at through the utilitarian paradigm of ethics, as the overall result of the actions conducted by the parties involved is positive. There has been a realization from the part of the nurse that the effects of the action are positive for the greater whole of the society, even though the individual rights of one person involved are violated (Burkhardt & Nathaniel, 2008, P. 26). It could have been better fitting for the situation if the school authorities were alerted about the parties that were being conducted by the students that involved sexual contact without revealing Andrea’s identity. The confidentiality concerning a patient was broken here, and this is against the principles regarding ethicality. A set of ethical guidelines being in place can help nurses in similar situations make decisions that can create a positive result. These ethical principles include, but are not limited to: * Generosity involves fostering mercy, compassion and sympathy towards the patient so as to benefit their interests. * Authenticity is the commitment to truthfulness, fostering trust and respect.
A different angle through which this situation can be looked at is using virtue ethics. This philosophy of ethics puts forth the viewpoint that kindness, straightforwardness, and transparency have the capability to deduce the feelings of the patients, thereby helping the medical personnel provide emotional help to the patients, further promoting mutual trust (Burkhardt & Nathaniel, 2008, p. 44). Such an approach would help Andrea get emotional help, thereby helping her better her relationship with parents. In my opinion, along with the caring support and guidance of a nurse, she could have had a greater chance of success, and would have probably succeeded if proper exploitation of accessible resources was also used. This could have greatly helped in the achievement of a positive outcome in Andrea’s case. With the help of an attending physician, Andrea could have been properly educated about her diagnosis.

How an Ethics Committee Might Approach the Dilemma
The needs of Andrea’s parents involved in this situation can more than likely be met with the involvement of a social worker in this situation. The consultation of an ethic committee can also be advised; as such establishments are well-versed when it comes to medical ethics. They are constantly involved in forming, expanding and revising policies regarding the issue of ethics within healthcare. Ethics committees exist to promote patient rights, foster patient welfare and provide the best outcomes for patients regarding care, and serve as a mediating platform between the patients and healthcare personnel, assuring the interests and demands of the patients are met.
Conclusion
Being a nurse advocate, in many instances, can be something very challenging, and there are many risks involved. However, it is a very important part of assuring quality healthcare for patients, and is vital for the reduction of negative outcomes regarding the welfare of patients. Skillful nurse advocates assure that the patient is receiving a quality of care that is acceptable and appropriate. Confidentiality regarding personal health is a right of each patient, and is something vital that must be preserved in order to maintain the trust between the medical personnel and the patient. A break in confidentiality, irrespective of the fact that it was intended or not intended, can result in serious trust issues between the patient and the medical staff, greatly affecting the outcome of the care negatively for the patients.
References
Burkhardt, M. A., & Nathaniel, A. K. (2008). Ethics & issues in contemporary nursing (3rd ed.). Clifton Park, NY: Delmar.
Hanks, R. G. (2008). The lived experience of nursing advocacy. Nursing ethics, 15(4), 468 - 477. Retrieved from
Nathanson, P. G. (2000, February 24). Betraying trust or providing good care? When is it ok to break confidentiality? [Review of the television program NBC’s ER]. Bioethics.net, .

Similar Documents

Premium Essay

Code of Research Conduct

...Code of Research Conduct and Research Ethics Code of Research Conduct and Research Ethics Foreword by Pro-Vice Chancellor Research The University of Nottingham‟s Code of Research Conduct and Research Ethics provides a comprehensive framework for good research conduct and the governance of all research carried out across the University. The Code underpins the University‟s commitment to maintaining the highest standards of integrity, rigour and excellence in all aspects of our research and for all research to be conducted according to the appropriate ethical, legal and professional frameworks and standards. The Code is a fundamental component of the research environment which is characterised by our culture of research integrity, good research practice, and the development and training of researchers at all stages of their careers. The Code outlines the duty of researchers including their responsibilities towards all participants and subjects of research including humans, animals, the environment and cultural materials, and it provides a basis for the transparent and appropriate communication and dissemination of research findings. The University welcomes the national framework for good research conduct and governance published as the Concordat to Support Research Integrity and endorses the Concordat as a recipient of public funding for research. This Code has been reviewed to be consistent with the commitments and aims of the Concordat and is the basis for applying...

Words: 8954 - Pages: 36

Premium Essay

Community Nurse Prescribing

...This paper aims to explore the role of the V100 nurse prescriber. The development of nurse prescribing will be outlined, followed by a reflective case study in which ethical and legal implications will be discussed and finally a reflective conclusion will be drawn. Where appropriate the paper will be written in the first person (Webb 1992). Nurse prescribing was first recommended, by the RCN, in 1980 and became part of the government’s policy agenda in 1986 with the Cumberlege Report (DH 1986). Further, the Crown Report (DH 1989) advocated prescribing by trained community nurses from a limited formulary. Legislation was introduced in 1992 -The Medicinal Products: Prescription By Nurses Act, 1992 followed by secondary legislation, Medicinal Prescriptions By Nurses etc which came into effect in 1994 - providing a legal basis to allow nurses to prescribe (Dimond 2002). Nurse prescribing using the Nurse Prescribers’ Formulary (NPF) was introduced nationally in 1998 following the success of eight demonstration sites set up four years earlier (Luker et al 1998). A second Crown Report (DH 1999) recommended the establishment of two groups of nurse prescribers: independent and supplementary. In 2000 the government announced proposals to extend nurse prescribing further to allow prescribing from an extended formulary following more intensive pharmacological training (DH 2000). In the case study the patient’s name, address, date of birth and gp’s details have been changed...

Words: 2348 - Pages: 10

Premium Essay

Application of Nursing Theory

...Title: Application of Cognitive Continuum theory to decision making by nurse managers Student Name: Institutional Affiliation: 10th October, 2014 Introduction Decision making may in this case be expressed as a route of selecting an alternative that is more likely to facilitate the achievement of organizational or individual goals (Bjork & Hamilton, 2011). The nursing practice has moved towards full evidence-based implementation of care which as a result enhanced the call for proper creation of decision within nursing. However, numerous nursing theories have been developed to support increased rational analysis and decision making in the nursing practice. The theory of cognitive continuum is in this case a vivid middle-range theory developed Hammond. The theory basically shows how judgment situations are linked to cognition. Additionally, six of the decision making modes which are based on the cognition and judgment, are described in the theory (Custers, 2013). The cognitive continue part of the theory shifts from suspicion to examination whereas the judgment varies from worse-planned to well-planned (Dhami & Thomson, 2012). Indeed, this study seeks to launch how the theory of cognitive continuum strategy may be useful in helping nurse managers make critical decisions. The paper includes the following sections: statement of the nurse manager decision making issue; and description of how the theory of cognitive continuum theory may be employed to determine the issue...

Words: 1952 - Pages: 8

Premium Essay

Organizational Behavior in Health Care Management

...Organizational Behavior in Health Care Management Name Institution Date Abstract This paper seeks to look into organizational behavior in health care management and most importantly its impact on health care management and delivery. Organization behavior is crucial in guiding the regulatory activities, the staff activities and the overall culture that directs an organization. Organizational behavior in health care setting is paramount to ensuring patient safety, ethical behavior among the medical practitioners, patient-centered care and effecting change in the facilities which is bound to improve healthcare delivery and patients’ satisfaction. The strategic management of any health care organizations is linked to incorporate effective practices and standards that are obliged to improve health care services delivery and nurture a positive organizational culture to improve the delivery of services and maintain highly qualified and motivated medical personnel that will ensure professionalism and efficiency in the facility. Organizational Behavior in Health Care Management Introduction Organizational behavior refers to the study of personal and group dynamics with relations to relations and interactions within a corporate setting (Borkowski, 2016, p.1). The manner and mode of interactions between individuals and groups of people in an organization affect the way in which an organization...

Words: 3637 - Pages: 15

Premium Essay

Organizational Behavior in Health Care Management

...Organizational Behavior in Health Care Management Name Institution Date Abstract This paper seeks to look into organizational behavior in health care management and most importantly its impact on health care management and delivery. Organization behavior is crucial in guiding the regulatory activities, the staff activities and the overall culture that directs an organization. Organizational behavior in health care setting is paramount to ensuring patient safety, ethical behavior among the medical practitioners, patient-centered care and effecting change in the facilities which is bound to improve healthcare delivery and patients’ satisfaction. The strategic management of any health care organizations is linked to incorporate effective practices and standards that are obliged to improve health care services delivery and nurture a positive organizational culture to improve the delivery of services and maintain highly qualified and motivated medical personnel that will ensure professionalism and efficiency in the facility. Organizational Behavior in Health Care Management Introduction Organizational behavior refers to the study of personal and group dynamics with relations to relations and interactions within a corporate setting (Borkowski, 2016, p.1). The manner and mode of interactions between individuals and groups of people in an organization affect the way in which an organization...

Words: 3637 - Pages: 15

Premium Essay

Personalized Medicine

...available to us and making it possible for medicinal products to become personalized. In this paper I will be explaining how modern genetic technology may lead to personalized medicine; discussing the benefits of personalized medicine; and discussing the drawbacks and limitations of personalized medicine. Explanation of how modern genetic technology may lead to personalized medicine. In order to understand how modern genetic technology may lead to personalized medicine, we need to first understand what personalized medicine is. Personalized medicine is the ability to determine an individual’s unique molecular characteristics and to use those genetic distinctions to diagnose more finely individual’s disease, select treatments that increase the chances of a successful outcome and reduce possible adverse reactions. Personalized medicine is also the ability to predict an individual’s susceptibility to diseases and thus to try to shape steps that may help to avoid or reduce the extent to which an individual will experience a disease. With that being said, the advancement in technology has made it possible for doctors and geneticists use a person’s DNA to find out what kinds of diseases are in their future; thus making it possible for them to make a stepping stone to prevent them. “The completion of the Human Genome Project in 2003 opened the door for better understanding of genetic components of disease that will shape the future practice of medicine. The Human Genome Project detailed...

Words: 887 - Pages: 4

Premium Essay

Herbal Plants

...INTRODUCTION A. Background of the Study Plants had been used for medicinal purposes long before recorded history. For example, ancient Chinese and Egyptian papyrus writings describe medicinal plant uses. Indigenous cultures such as African and Native American used herbs in their healing rituals, while others developed traditional medical systems in which herbal therapies were used systematically. Scientists found that people in different parts of the globe tended to use the same or similar plants for the same purposes. In the early 19th century, when methods of chemical analysis first became available, scientists began extracting and modifying the active ingredients from plants. Later, chemists began making their own version of plant compounds, beginning the transition from raw herbs to synthetic pharmaceuticals. Over time, the use of herbal medicines declined in favor of pharmaceuticals. Long before the introduction of modern medicines and Western curative methods, herbal medicines had been widely used in the Philippines. The use of medicinal plants or herbs has been gaining popularity this past few years in the Philippines and worldwide as more clinical proof emerges that validates many of the age-old alternative medicines used by Filipino folks that has been passed on. The curative effects of the herbs were tested by traditional healers on their patient. The knowledge and skills on the curative application of any given herbal medicine has been handed...

Words: 5006 - Pages: 21

Free Essay

Standard

...their skills and knowledge up to date and uphold the standards of their professional code. • We ensure that midwives are safe to practise by setting rules for their practice and supervision. • We have fair processes to investigate allegations made against nurses and midwives who may not have followed the code. b Standards for medicines management Introduction The Nursing and Midwifery Council (NMC) is the UK regulator for two professions: nursing and midwifery. The primary purpose of the NMC is protection of the public. It does this through maintaining a register of all nurses, midwives and specialist community public health nurses eligible to practise within the UK and by setting standards for their education, training and conduct. One of the most important ways of serving the public interest is through providing advice and guidance to registrants on professional issues. The purpose of this booklet is to set standards for safe practice in the management and administration of medicines by registered nurses, midwives and specialist community public health nurses. Standards for medicine management replace the Guidelines for the administration of medicines 2004, although many of its principles remain relevant today, for example: “The administration of medicines is an important aspect of the professional practice of persons whose names are on the Council’s register. It is not solely a mechanistic task to be performed in strict compliance with the...

Words: 21045 - Pages: 85

Premium Essay

Discharge

...Patient Group Directions December 2009 A practical guide and framework of competencies for all professionals using patient group directions National Prescribing Centre Patient Group Directions 2009 Acknowledgements Editors John Wright Business Manager - Non-Medical Prescribing Department of Health Gillian Arr-Jones National Pharmacy Advisor Care Quality Commission Angela Bussey PGD Website Pharmacist Editor London and South East Medicines Information Service, Guy’s and St Thomas’ NHS Foundation Trust Mary Golding Associate Director Community Health Services East & South East England Specialist Pharmacy Services Sandra Wolper Associate Director Community Health Services East & South East England Specialist Pharmacy Services Liz Mellor Clinical Governance Lead Pharmacist Leeds Teaching Hospitals NHS Trust Anne Fittock Non-Medical Prescribing National Advisor National Prescribing Centre Production Colin Bowers Web and Publications Officer (Corporate) Merissa Bellew Web and Publications Manager Published by: National Prescribing Centre Ground Floor, Building 2000 Vortex Court Enterprise Way Wavertree Technology Park Liverpool L13 1FB Tel No: (0151) 295 8671 Fax No. (0151) 220 4334 Websites: www.npc.co.uk www.npci.org.uk Contributors © National Prescribing Centre National Prescribing Centre Patient Group Directions 2009 Contents 1 Introduction 1.1 Purpose of this document 1.2 Audience for the document 02 03 03 03 06 06 07 07 08 11 11 11 12 12 13 14 15 15 16...

Words: 13439 - Pages: 54

Premium Essay

Development Consultant

...satisfying, which is held by many philosophers to be more important than moral conduct. Simply put, ethics involves learning what is right or wrong, and then doing the right thing -- but "the right thing" is not nearly as straightforward as conveyed in a great deal of business ethics literature. Most ethical dilemmas in the workplace are not simply a matter of "Should Bob steal from Jack?" or "Should Jack lie to his boss?" (Many ethicists assert there's always a right thing to do based on moral principle, and others believe the right thing to do depends on the situation -- ultimately it's up to the individual.) Many philosophers consider ethics to be the "science of conduct." Philosophers have been discussing ethics for at least 2500 years, since the time of Socrates and Plato. Many ethicists consider emerging ethical beliefs to be "state of the art" legal matters, i.e., what becomes an ethical guideline today is often translated to a law, regulation or rule tomorrow. Values which guide how we ought to behave are considered moral values, e.g., values such as respect, honesty, fairness, responsibility, etc. Statements around how these values are applied are sometimes called moral or ethical principles. THREE TYPES OF ETHICS Descriptive Ethics: Descriptive ethics involves describing how people behave and/or the moral standards they claim to follow. Descriptive ethics incorporates research from anthropology, psychology, sociology and history to understand beliefs about moral norms. Atheists...

Words: 7577 - Pages: 31

Premium Essay

Open Innovation

...1. Short History of Sopharma Established as a small manufacturing laboratory with the Bulgarian Pharmaceutical Cooperative Society in 1942, the company grew into Galenus Factory, the first modern pharmaceutical enterprise on the Balkan Peninsula. After its nationalization in 1953, Galenus Factory was renamed to Chemical-Pharmaceutical Plant. After the successful privatization in September 2000, Sopharma has become a private pharmaceutical company with priorities aimed at the establishment of the world standards for quality and efficiency. In 2000, 67% of Sopharma was privatized by Elpharma - a consortium between Unipharma and Electroimpex. Bulgarian pharmaceutical company Unipharma was just privatized by the present CEO of Sopharma Ognian Donev while Electroimpex was owned by Bulgarian businessman and entrepreneur Borislav Dionisev. After Privatization Sopharma modernized and increased its production capabilities. At present Sopharma is the main unit in the structure of the group “Sopharma Industries”. As of September 2009 Sopharma owns 16 subsidiaries - 8 in Bulgaria and 8 abroad. Most of them operate in the field of medicine and produce different types of products for medicine and cosmetics or support the main activity. Some Bulgarian subsidiaries are publicly traded and are listed on the Bulgarian Stock exchange. 2. Environment a. GDP, inflation, exchange rate, current account deficit b. Products and Markets Sopharma is currently active in three areas: •...

Words: 7368 - Pages: 30

Premium Essay

Business

...CHAPTER 13 Indigenous Knowledge Systems and Sustainable Development in Africa: Case Study on Kenya Davis Wekesa Barasa INTRODUCTION OBJECTIVES Indigenous Knowledge System (IKS) is currently drawing special attention of many researchers, institutions of higher learning, pharmaceutical organisations, governments, Non Governmental Organisations (NGOs) etc. than it did just a decade ago. Recently, the World Intellectual Property Organisation (WIPO) has recognised the applications of traditional knowledge (TK) and acknowledged local systems of innovation and intellectual property (Eyzaguirre, 2001). This is a good gesture as it provides a basis on which to protect local systems of innovation through granting them intellectual property rights, whenever such innovations are discovered. But what is the link between Indigenous Knowledge Systems (IKS) and eco-tourism? As discussed in this paper, ecotourism - a fairly new concept emerged in the late 1980s to provide a firm basis for sustainable tourism principles. Indeed the emergence of ecotourism - which is arguably supposed to be sustainable was necessary given that conventional tourism popularly referred to as ‘mass tourism’ was becoming unsustainable and hence leading to high negative impacts/costs than earlier thought. As a result of this the world was begging for sustainable tourism development tourism that can last and benefit future generations the way it has benefited the currents ones. It should be noted here that sustainable...

Words: 8874 - Pages: 36

Free Essay

Job Resume

...A PROJECT REPORT ON ORGANISATIONAL STUDY CONDUCTED AT NAGARJUNA HERBAL CONCENTRATES LTD. THODUPUZHA Submitted to M.G University In partial fulfillment of the requirements for the award of the degree of Master of Business Administration DONE BY NIVEA K MOHAN Jai Bharath Arts & Science College 2008-2010 DECLARATION I, herby declare that this project report entitled “AN ORGANISATIONAL STUDY AT NAGARJUNA HERBAL CONCENTRATES LTD, THODUPUZHA”, submitted to M.G. university, in partial fulfillment of the requirements for the award of the degree of Master of Business Administration is the original work done by me during my period of study 2008-2010 at Jai Bharath Arts & Science College under the guidance of Mr. Varghese K.X. Place: Date: NIVEA K MOHAN ACKNOWLEDGEMENT First of all I would like to express my gratitude to GOD who helped me to complete this project. Then I would like to thank Dr. K.R Baburaj, Director, Jai Bharath Arts & science College, who gave me an opportunity to do the project. I am also thankful to Mr. Varghese K X, Faculty, Jai Bharath Arts & Science College, for his meticulous guidance and constant encouragement throughout my project. I express my sincere thanks to Mr. Devadas Namboothirippadu, managing director, Nagarjuna Herbal Concentrates Ltd, Thodupuzha...

Words: 8332 - Pages: 34

Premium Essay

Astrazeneca

...EXPANDING THE FRONTIERS OF ABUSE OF DOMINANCE THE ASTRAZENECA CASE AND ITS IMPLICATIONS FOR SOUTH AFRICA Neil Mackenzie and Stephen Langbridge1 On 6 December 2012 the European Court of Justice decided the case of AstraZeneca v Commission2. The ECJ upheld the European Commission’s finding of a novel abuse of dominance - by strategic misuse of regulatory procedures, AstraZeneca impeded the entry by marketers of generic pharmaceutical products into various European markets. The company was found to have made misleading representations to patent regulatory agencies in order to procure unwarranted extensions to existing patents, and to have strategically withdrawn the market authorisations ordinarily relied upon by generic producers to sell their products. What is novel about this? Abuse of dominance laws are typically applied to what might be described as conduct in the market. What we mean by this is the manner in which the dominant firm provides its goods or services to the market, and engages with its suppliers, customers and competitors. The AstraZeneca case applies abuse of dominance law to ‘non-market’ conduct in this case conduct in the course of engaging with regulatory authorities. This previously unchartered species of anti-competitive behaviour could be described as a ‘regulatory abuse’. This case appears, therefore, to have expanded the frontiers of European abuse of dominance law. Its implications may well be profound for the enforcement activities of competition authorities...

Words: 12015 - Pages: 49

Premium Essay

Cataolog

...ork2012 - 2013 Catalog A Message from the President “Sullivan University is truly a unique and student success focused institution.” I have shared that statement with numerous groups and it simply summarizes my basic philosophy of what Sullivan is all about. When I say that Sullivan is “student success focused,” I feel as President that I owe a definition of this statement to all who are considering Sullivan University. First, Sullivan is unique among institutions of higher education with its innovative, career-first curriculum. You can earn a career diploma or certificate in a year or less and then accept employment while still being able to complete your associate, bachelor’s, master’s or doctoral degree by attending during the day, evenings, weekends, or online. Business and industry do not expand or hire new employees only in May or June each year. Yet most institutions of higher education operate on a nine-month school year with almost everyone graduating in May. We remained focused on your success and education, and continue to offer our students the opportunity to begin classes or to graduate four times a year with our flexible, year-round full-time schedule of classes. If you really want to attend a school where your needs (your real needs) come first, consider Sullivan University. I believe we can help you exceed your expectations. Since words cannot fully describe the atmosphere at Sullivan University, please accept my personal invitation to visit and experience...

Words: 103133 - Pages: 413