Nursing Practice: Ethical Situations In Nursing

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Ethical Situations in Nursing Practice
Nurses are committed to providing quality nursing care for all their clients. However, nurses must know that quality nursing care also needs to be validated from the perspective of the care recipient. While some define quality nursing care as reaching maximal patient outcomes, others define quality care as meeting the patient’s needs (Dekeyser Ganz & Berkovitz, 2012). This is the case with Mr. David who has found himself with wants and needs that differ from that of the healthcare team. Thus, this paper will expatiate on the writer’s personal feelings regarding this case, the ethical issues surrounding the case, positions of people involved, ethical principles, legal concepts and issues, values and responsibility
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If the healthcare team sanction a discharge knowing full well that the patient cannot handle himself then this is wrong. There is a risk that the patient might fall and get injured or use oxygen while smoking which could negatively affect his health outcomes. Thus, the healthcare team must also not compromise patient safety by sanctioning an unsafe discharge. The healthcare team needs to weigh the patient’s safety with the patient’s independence in this case. All these ethical problems must be tackled by the healthcare team and the patient to reach a healthy decision. The biggest issue in this scenario is what the right thing to do is in this situation, to ensure that the patient is receiving adequate quality care and his health remains at optimal …show more content…
Respect for persons is a norm that obliges us to respect the decisions of individuals who have the decision-making capacity to make such decisions (Jahn, 2011). The individual must be driven by intentionality, understanding of the situation and absence of controlling influence (Jahn, 2011). Before obtaining consent to diagnostic or treatment interventions, health care providers should determine whether their patients have the clinical decision-making capacity to understand and act voluntarily on relevant medical information (Horner, Modayil, Chanpman & Dinh, 2016). Only after answering this question affirmatively may health care professionals engage patients in the informed consent process (Horner et., al, 2016). In this situation, Mr. David is clearly driven, although the healthcare team thinks he doesn’t have a full understanding of the situation and is not medically stable enough to return to his home. He also thinks on his own and there is an absence of influence on him to go home. In the event that this case goes to court, a legal determination will be made by the court regarding Mr. David’s autonomy. The final judgment of the scope of legal incapacity requires appointment by the court of a guardian, conservator, or attorney (Daughen,

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