Contexualism In Nursing

In the first scenario, the family of a 55-year-old patient is requesting information from the nurse. The first key point to ethical decision making is to identify the problem (Hood, 2013, p. 70). The conflict is what can the nurse say in a situation where the information is correct for the patient, but the family did not get the accurate information relayed to them. As the nurse, I would look at the morally relevant facts, which is to identify that the provider and the patient’s family are the key players in this situation (Hood, 2013, p. 70). Being a nurse, I am aware that I have a legal right to speak in confidence to the patient in regards to their health but not to their family, unless the patient wishes their information to be shared. …show more content…
As mentioned before, I as the nurse need to protect the patient’s rights in confidentiality but speak with the physician to understand why the information was not given accurately to the patient’s family. The framework contexualism, is an important factor by analyzing the situation and find the best approach for it (Hood, 2013, p.68). I will then choose and act. I would first inform the patient’s family that the physician would be best to answer these questions to prevent scrutiny of the physician or the nurse of not giving accurate information and questioning the care the patient is receiving. I would then speak with the physician, and inform him to clarify the information or explain why the information was not delivered appropriately if it was due to confidentiality of the patient’s diagnosis. The last step, is to evaluate and modify the plan (Hood, 2013, p.70). As the nurse, I would need to reflect on the current situation and see if there were any other options to put the patient’s families mind at ease while still respecting the patient’s medical …show more content…
The second component is identifying the morally relevant facts which include the key players, the newly hired nurse, the senior member of the nursing staff, and the patient. There are also legal and medical implications in this scenario. As the nurse, I would evaluate the ethical problem, by examining the dilemma and knowing what is right for the patient by using the key principle of justice and nonmaleficence (Hood, 2013, p.72). As a nurse, being taught a way that promotes patient safety is always of priority, although having conflict within the workplace could potentially hurt my career. I would then need to identify and analyze the action alternatives and determine if with the path I choose, what could be the potential outcome (Hood, 2013, p.70). This situation uses the framework of principalism and doing what is right due to the situation at hand (Hood, 2013, p.68). As the nurse, I would choose and act based on my own moral values and the legal and institutional implications that could occur. In this situation, I would advocate for the patient using the principle of autonomy and not administer the medication per the discretion of the nurse. The nurse is not only holding her license liable in doing this type of dangerous

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