Respect For Autonomy: Ethical Dilemmas In Nursing

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a) What are the ethical issues?
This scenario exemplifies an ethical issue where there is an ethical dilemma between respect for autonomy and beneficence and non-maleficence
Respect for Autonomy
Autonomy can be defined as the person right to make an informed decision about the treatment and other decision in regards to their care. In this scenario, the hospitalized patient wants his partner to be involved in his care. Although this decision may have serious consequences ( such as an increased risk of spreading the infection), it is the duty of the nurse to educate patient about the risk and benefits of their decision thereby promoting their autonomy and informed decision making. Nurses need to be sensitive to the decision of their patients even when they feel that it goes against their values, the nurse should explore the culture of the patient in regards to the importance of family/loved ones in order to provide a more culturally congruent care. For example, for this patient the presence of his family member/partner in the room may help him recover faster from this infection or it may help improve his emotional well being, hence, by promoting the client’s choices the nurse is providing culturally congruent care. The concept of autonomy as moral self-evaluation
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Leininger’s model for providing a cultural congruent care serves as a guide to nurses in caring and decision making in order to provide a culturally congruent for their clients. There are 3 main components of providing culturally congruent care
Cultural care preservation: Cultural care preservation is integrating the patient’s cultural preference int the plan of care for the patient.
Cultural care repatterning: Cultural care repatterning is a form of culturally congruent care where the nurse works closely with the patient to develop new patterns that may extend beyond the patient’s culture while still respecting their cultural beliefs and

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