Ethical Discernment Case Study

“A Framework for Ethical Discernment” consists of three larger parts: observing, deliberating, and acting. In the observing stage one must identify the problem, acknowledge feelings, and gather the facts. This should all be unbiased and strictly be the facts that are presented in front of you. For this case study, Tommy is 4-year-old boy that has broken his arm and needs surgery to fix it. The problem in this case is Tommy’s father not signing a consent form to have his sons arm fixed and then wanting to have him discharged the next morning. Some feelings that can come with this case are probably sadness, anxiety, hostility, pain, and hope. Tommy probably has a large mix of emotions that he is going through right now. As his nurse, one should …show more content…
The first one I chose is Provision 2.4, Professional Boundaries, and can be very difficult in this case. Attempting to keep boundaries with a case where a child is in danger can be hard for any nurse. We want to see Tommy go home with a fixed arm and in a good situation, but that may not happen and he needs his nurse to advocate for him. This situation can be extremely dangerous for the nurse because they are more likely to become attached to the patient and be a more vocal advocate. This provision states, “Nurse-patient and nurse-colleague relationships have as their foundation the promotion, protection, and restoration of health and the alleviation of pain and suffering.” (Butts & Rich, 2016, p. 468) It also discusses how stressful life events can contribute to the risk of boundary violations. The patient deserves someone to advocate for them, but the nurse can only do it professionally (Butts & Rich, 2016). There are many emotions that play into this and the nurse should be able to check their actions and emotions and do their job of making sure the child is safe. Giving the child the best chance and also treating him is the best any only option for him. If it ever becomes too much or a huge issue like with this case, asking for assistance from peers or supervisors is always an option. The second provision I chose was 8.4, collaboration for human rights in complex, extreme, or extraordinary practice settings. This explores violations of any human rights and is incredibly tricky with children because their parents are in charge of their care (Butts & Rich, 2016). In situations like this, I think that the health care professionals should be able to step in and say that Tommy needs to be treated. Not allowing someone to help your child and fix them when they are hurt is considered neglect and abuse. All avenues must be explored, nurse’s intention must be evaluated, and they should

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