Ethics Case Study: Sensitivity To Care

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Sensitivity to care
The subcategories in this category include sensitivity to all aspects of patient’s condition, emphasis on care issues, and monitoring proper performance.
Sensitivity to all aspects of patient’s condition
According to participants, ethical leaders are sensitive to matters related to patient and constantly monitor all aspects of his/her condition.
One supervisor commented her nursing experience: “In emergency department our head nurse never allowed us to be indifferent to patients condition, and he himself was never indifferent… Also we had to attend to all patients coming there straight away. We were all very sensitive to admission, discharge and all issues of the patient”.
According to participants, ethical leaders even
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The doctor administered interacting medications, and before administering them to the patient I warned the doctor about his mistake, and wanted to correct it. I ask all my colleague to warn even them if they see mistakes are being made. We should not allow any harm to patients”.
A participating nurse: “I always let people know if they are making a mistake, the first chance I get and in a very friendly manner”.
Error prevention
Ethical leaders have error prevention approach. For instance, nurses explained that ethical leaders prevent creation of incorrect routine in the ward or they regularly monitor performance of new staff to prevent their mistakes, or when errors have occurred, they hold group discussions to prevent errors being repeated. They also support people with the same approach to error prevention.
A participating head nurse: “I put a few experienced staff with new staff and distribute patients in such a way that a new staff is always supported by a more experienced one. Chances of error are reduced in this way”.
Correction of
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Proper communication with clients According to participating nurses, the way nurses communicate with patients and their relatives is important to ethical leaders, such that he/she assesses challenging factors in such communications and takes preventive measures to eliminate them.
A participating head nurse: “Large number of relatives accompanying some patients in ICU was a major problem. To prevent any inappropriate contact between nurses and relatives, I announced that the ward nurse usually can be answerable to two of the patient’s first degree relatives, and thus managed to obviate the friction”.
Participating nurses acknowledged that their ethical leader treats patients properly, and considers harsh treatment of patients or their relatives unethical. He/she takes into account feelings of the patient and his/her relatives and tries to calm them and reduce their anxiety.
A participating head nurse: “She interacted so well with patients. I never saw her treating patients or their relatives badly”.
Attention to communication with health team

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