Reflection Of The Different Frameworks Of Ethical Dilemmas In Nursing

Decent Essays
Ethics Ethics can be described as the study of what is wrong and what is right and can stem from the moral beliefs of the individual (Marquis & Huston, 2015). Many nurses take the Florence Nightingale pledge at their pinning ceremonies or nursing school graduations. New nurses promise to uphold the ethical practice of giving quality care to patients with pure intentions. My personal morals have helped shape my ethical decision making. Nurses need to reflect on their inherent beliefs, their morals, and past experiences involving ethical questions. Our views may change as healthcare evolves, as we grow older, as we or our families become patients, and as policies change. It is important to reevaluate our principles and to see that our …show more content…
It was noted that nurses should frequently reflect upon their own moral belief systems and evaluate how they compare to those of their organization. To help with this, Woods (2014) suggests that managers and charge nurses mentor other nurses on the floor to help them identify their own moral and ethical dilemmas and brainstorm ways to help decrease any distress in these situations. Next, the paper gave a portrayal of the different frameworks of ethical constructs. I then described a personal ethical dilemma I faced as an oncology nurse. This ethical dilemma involved an elderly man whose family decided on enrolling him in hospice, but requested that we not tell him the truth. I used my guardian leadership style and the intuitionist ethical framework to evaluate the situation. I believed in the patient’s right to truth and my duty to keep him safe and at peace. The goal of the situation was that the patient and family were happy with the decision regarding his care and that he was able to be comfortable and die with dignity. After discussing the situation in more depth with the family, we all spoke very calmly with the patient during a period he seemed oriented. In the end, the patient was grateful for his family’s decision, the family felt content, and I felt that I was able to protect my patient and his family. It is important for nurses to regularly assess their level of moral distress and self-reflect on their own ethical and moral beliefs in order to be an effective and ethical decision maker. Ethical decision making is a necessary skill of an excellent

Related Documents

  • Improved Essays

    Participants The participants were randomly selected and derived from licensing lists from four states. Total of 1000 nurses, 250 nurses selected from each of the four different states, and census regions in the United State of America (Maryland, Massachusetts, California and Ohio), basically to describe and assess the type, frequency, occurring rate of stress of ethical dilemmas encountered by nurses in their everyday practice, (Ulrich, 2010). The second article, a group was selected from teaching hospital in Tabriz in Iran, 345 were nurses, and in-patients were 500, selected to assess knowledge and performance about nursing ethic codes, professional ethical care from nurses' to patients' perspective.…

    • 353 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    A professional is an expert in their field. While observing the nurse student for her three week evaluation, their appeared to be some complaints and concerns regarding her professionalism on the job. She arrives late, scrubs are wrinkled and have odor of tobacco smoke, and staff says she's not a team player. These issues are very concerning when working with the health field. Being late to work shows lack of commitment to the job, and laziness.…

    • 272 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Ethics is a topic that every nurse comes in contact with on a daily basis. It determines how nurses carry out the duties of the job and how the public perceives the profession as a whole. The College of Nurses of Ontario (further referred to as CNO) has outlined the ethical standard of nursing and has created a document that all nurses can rely on to build the foundation of their ethics in the workplace. Ethics in nursing has developed and changed over the course of the existence of nursing. This evolution is important to note as it highlights how the ethics in nursing developed from physician oriented to patient oriented and how different views may be held by the patients for the role of a nurse in their healthcare.…

    • 1324 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Nurses often face challenges known as ethical dilemmas, which may impact them and their patients. An ethical dilemma is a situation in which an individual is required to determine the best decision between two moral actions. The mandates of the influenza vaccination amongst health care worker have appeared to become an ethical issue over the years. Beneficence requires health care worker to act in patients’ best interest, as well as, avoiding harm towards the patient.…

    • 75 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Nurse leaders work under very stressful situations and these stressful situations can lead to ethical dilemmas which can create the potential for moral distress. Inadequate nurse leaders often fail to address ethical dilemmas which can put patients and their staff members in danger. True nurse leaders will have the courage to challenge people when they see healthcare violations. They are the ones that are able to see in ways that are out of the norm and then find solutions to help resolve these challenges. They must not be afraid to take the first steps in being a role model or help develop and practice moral courage in the nursing profession.…

    • 130 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Applying Ethical Frameworks in Practice Ethical dilemmas are the circumstances, where there will be a conflict between moral imperatives, principles and values. Nurses face ethical dilemmas on a daily basis. Many factors are involved in the ethical behavior. Every person may have a different perspective about the ethical behavior. While doing the patient care nurses are required to make ethical decisions.…

    • 1627 Words
    • 7 Pages
    Improved Essays
  • Great Essays

    Clinical Ethics Case Study

    • 4835 Words
    • 20 Pages

    Teaching Clinical Ethics Using a Case Study: Family Presence During Cardiopulmonary Resuscitation Ainslie T. Nibert Crit Care Nurse 2005;25:38-44 © 2005 American Association of Critical-Care Nurses Published online http://www.cconline.org Personal use only. For copyright permission information: http://ccn.aacnjournals.org/cgi/external_ref?link_type=PERMISSIONDIRECT Subscription Information http://ccn.aacnjournals.org/subscriptions/ Information for authors http://ccn.aacnjournals.org/misc/ifora.shtml Submit a manuscript http://www.editorialmanager.com/ccn Email alerts http://ccn.aacnjournals.org/subscriptions/etoc.shtml Critical Care Nurse is the official peer-reviewed clinical journal of the American Association of Critical-Care Nurses,…

    • 4835 Words
    • 20 Pages
    Great Essays
  • Improved Essays

    A potential ethical dilemma that I could face in my chosen advanced nurse practice role as a family nurse practitioner is a large family that disagrees amongst themselves over whether to continue their mothers care. The situation is this: A mother of five children, divorced for over fifteen years, enters the hospital after suffering a massive stroke, was found unresponsive yet breathing in her yard by a neighbor. EMS was called and she was brought into the hospital and placed on advanced life support. The primary ICU physician and neurosurgeon are in agreement that the patient will not regain a significant amount of brain function. It has been a catastrophic injury without hope of recovery.…

    • 725 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    RN-BSN Experience

    • 778 Words
    • 4 Pages

    The values and ethics of the profession give direction and meaning to its members, guides attitudes, and is instrumental in clinical decision-making and also influences how nurses think about themselves (Masters, 2014, p.…

    • 778 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Ethical Dilemma This case study shows an issue that sadly occurs in the health care field almost every day. This includes patient negligence from inadequate nurses providing unsafe patient quality care to nurses not receiving the support they deserve to allow them to provide the safe quality care that patients require. In this case, the health facility failed the nurses, the 40 patients, and Shirley especially.…

    • 986 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Ethical Issues In Nursing

    • 1349 Words
    • 6 Pages

    Pamela Warrick once said, “The difference between moral dilemmas and ethical ones, philosophers say, is that in moral issues, the choice is between right and wrong. In ethics, the choice is between two rights.” In today’s world with much technological advancement in technology and medicine, nurses are faced with many key issues and problems in the course of their practice that have the prospective to significantly influence their career. A major issue that most nurses and other healthcare givers in general irrespective of department or unit encounter is ethical issues. These ethical issues, even though may sometimes attract vague scrutiny, nurses faced with problems such as ethics, no matter how little, often times feel uneasy, troubled, and…

    • 1349 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Many nurses are faced with ethical and legal dilemmas constantly in the health care setting. We as nurses need to understand the laws that pertain to our scope of practice and respect our patient’s decisions whether they interfere with our own personal views. Ethical dilemmas become more problematic when you take into consideration that each nurse has their own personal set of ethics depending on what they see as wrong and right. Nurses spend a lot of time with the patient and it allows them to have a deep connection which makes it hard to not get involved. We become our patients advocate so much that it can also be our greatest weakness because we do not know when to let go.…

    • 1056 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Moral Model In Nursing

    • 855 Words
    • 4 Pages

    In situations where ethical decisions needs to be made, nurses will require combining every elements of the moral model to resolve the clinical problems. The moral model includes five steps: (1) massage the dilemma, (2) outline the options, (3) resolve the dilemma, (4) act by applying the chosen option, and (5) look back and evaluate the entire process (Guido, 2014). Applying the MORAL model of ethical decision making to the clinical dilemma of the under insured/uninsured not frequently receiving the care they need, a nurse like myself can advocate for standard care for the patients. The first step in the MORAL decision making model helps to explain all areas of the ethical dilemma.…

    • 855 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Nurses are faced with many ethical and moral issues on day by day basis. Moral, ethical, and legal issues are common in the work environment and vary from patient to patient. As a nurse leader, one must be able to take leadership responsibility to address the ethical issues that nurses face. Determining the framework to assist nursing in dealing with ethical issues is important. It is important to remember that ethical frameworks are intended to help leaders solve ethical dilemmas by clarifying personal values and beliefs (Marquis & Huston, 2015).…

    • 1266 Words
    • 6 Pages
    Great Essays
  • Superior Essays

    Moral Issues In Nursing

    • 967 Words
    • 4 Pages

    Moral distress is one of the issues that can cause a nurse to experience feelings of powerlessness. In such a situation, the nurse knows the ethically right action to do but feels immobilized to perform the deed (Manoljovich, 2007). An example is when a nurse places a patient on life support for a long time even though ethically it does not benefit the patient. Another instance is when the nurse gives false hopes to patients and their families. If the moral distress is unresolved even after explaining the situation to the head of the emergency department or administrators, it can cause staff turnover.…

    • 967 Words
    • 4 Pages
    Superior Essays

Related Topics