What Is Autonomy's Ethical Dilemma

Great Essays
Nurse managers have the right to make sure that patients are safe as well. Hiring qualified, high performing nurses to care for the patients in their time of need, making sure no harm comes to them in the process is a responsibility of the nurse, manager and the facility as a whole. Nurses not able to manage work life balance are a concern. As it is possible at times to rearrange schedules to ensure time off of work for rest needs is given, it at times is not able to accommodate for issues outside of work like juggling home and children needs. As the facility does have a fatigue policy, this was not the case of picking up or mandating extra shifts.
Ethical Dilemma Robin is a 26-year-old mother of three. She recently came back to work
…show more content…
These values are reviewed in this situation and it is believed that Robin’s case, several of them came into play with taking disciplinary action with this individual. Three of them come immediately into concern: autonomy, beneficence, and nonmaleficense.
Autonomy means to allow for freedom of choice, and to display self-determination in making that choice. Although arguments have stemmed in this, as many cases similar, that as an employee, you have the right to do what you want on your breaks/lunches. This may be true, but in the actions in this case, she arrived to work in a fatigued state, complaining of a migraine, and at times resting or sleeping for the next three plus hours. This extends the limits of breaks/lunches offered by the
…show more content…
B. Reinhart Institute for Ethics in Leadership at Viterbo University utilizes the Four-Way Method for ethical decision making. This system places the categories of truth, consequences, fairness, and character to reason, provide argument, or dispute issues regarding ethical decisions made. In Table A you will see a breakdown of the information gathered on the situation with the employee Robin.
Truth is used in terms of the facts of the situation. In this corner we review relevant laws, facts in the situation, system policies, and professional standards such as the Code of Ethics. Consequences or relationships are the next corner. We review the facts regarding motivations and character traits in relationships with co-workers. Is the person just being lazy? Are there questions with their quality of life and that of their patients?
Fairness is thought of as the “Golden Rule”. How would you feel if this was done to you? Are people being treated with the respect and dignity that they deserve? Why is the person behaving this way? Are there some underlying concerns about the individual that we are not aware

Related Documents

  • Improved Essays

    Alabama ISSUES AND TRENDS 2 Roles, Ethical Considerations, and Effectiveness of the Adult Gerontological Acute Care Nurse Practitioner In all healthcare fields the providers are bound by a moral code of ethics that are defined within the ethical principles and serve to guide the care of all individuals. According to Hamric, Hanson, Tracy, and O’Grady (2014) ethical principles are a set of core values that are fundamental obligations that healthcare professionals use to guide all care provided in the medical field. Ethical Principles The Adult Gerontological Acute Care Nurse Practitioner (AGACNP) is guided by a set of ethical principles that help provide the kind of care every individual deserves.…

    • 1256 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    1. Bernard Lonergan was a philosopher who was looking for answers in this everchanging world. Lonergan was a believer that everything is always changing so our best decision is to believe the most current information that we have. As we continue on with life different things change and old situations are no longer true. Everyone is trying to figure out the world and this is because what he called our “unrestricted desire to know”.…

    • 1225 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    Cultural Competence Self-Assessment This paper will examine how to recognize the extent to which a culture’s structures and values may oppress, marginalize, alienate, or create or enhance privilege and power, and how to recognize and manage personal values in a way that allows professional values to guide practice. By using self-assessment tools such as the Cultural Paradigm Survey and the Project Implicit Attitudes Tests (IATs) the author identified the strengths that she wish to enhance, and the improvement opportunities for the weaknesses that she wish to reduce or eliminate. The author is a 44-year-old African American female attending Edinboro University obtaining her master’s degree after completing her bachelor’s degree late in life.…

    • 1579 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    But one of the nurse in recovery unit refused to help her and said that S.D’s husband can help her with the task. On further inquiry, S.D. reports that nurses in recovery unit worked 12 hour shifts compared to the 8 hour shifts that nurses in Labor unit worked. And long work hours increase the risk for reduced job performance, obesity, injuries, and fatigue-related errors could harm patients (Caruso & Claire, 2014, p.19). Fatigued nurses also endanger others during their commute to and from work (Caruso & Claire, 2014,…

    • 527 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    In Ruggiero, chapter seven there are 2 inquiries that I would like to examine for ethical decisional-making to analyze the situation along using the three criteria (consequences, obligations, and morals ideals) started by Errol Harris. Let’s discuss what the 3 criteria are “Consequences are the beneficial or harmful effect that result from an action and affect the people involved, including, of course, the person performing the action and Obligations, restrictions on our behaviors, demands to something or to avoid doing it” (Ruggiero, p.79). Moral ideals, “are aspect of excellence, goals that bring greater harmony within one’s self and between self and other” (Ruggiero, p. 80). Inquiries #18: A young woman is diagnosed with a serious kidney…

    • 1297 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Case Study #7 You are a fieldwork supervisor of an OT student in an acute care hospital. Your student asks you out for drinks after work. The type of problem would be an Ethical Distress since this “Occurs when situations challenge how a practitioner maintains his/her integrity or integrity of profession”( Behm D., Joanna, OT Ethical Standards). (Behm D., Joanna, OT Ethical Standards).…

    • 1668 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Over the next 4 years, we tried to maintain a romantic relationship with one another but it was difficult because of our age. We were fairly young and still needed to identify with our own individual self and also understand and identify ourselves as a couple. The dialectics autonomy-connection was a major obstacle for our relationship. “Autonomy-connection is the contradiction between the “me” and “we” of a relationship.…

    • 293 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Ethics provides health care professionals with a common purpose and gives them shared accountability as ethics have a fundamental role in creating trust towards the patient population (Customwritingtips.com, 2012). A leader must that ethics into consideration when making decisions regarding what he or she thinks how one talks and applies values in relation to the employee one manages and the patients one treats. In leadership and management ethics is vital in forming the type of leader one intends to be or how that leader or manager values and integrity is perceived by the patients and…

    • 1124 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The Registered Nurse Staffing Act (2015) will address all the concerns of the stakeholders, hospitals, patients and registered nurses in regards to safe staffing practices. The Registered Nurse Safe Staffing Act of 2015 amends the title XVII Medicare of Social Security Act to mandate that each hospital funded by Medicare, implements a hospital-wide staffing plan for all nursing services provided by the institution. This plan requires that an appropriate, yet not fixed, number of registered nurses provide direct care on each of the hospital’s unit during each shift. The staffing plan will allow for variation in the number of nurses on each unit/shift based on the characteristics of the patients and the unit. This will result in the delivery of safe quality care.…

    • 966 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Through the interval referral, I developed preconceived notion of the type of family I was working with, however you should never make a judgement on individuals on what you read. (Descartes, 1988) states we should never make a judgement expect thing we know for sure. During a home visit to complete an FCAF assessment, I completed a risk assessment produced by the organisation, to establish there was any risk to the children, parents and my personal safety. A risk assessment can identify the probability of harm or how to the reduce the harm and assess the impact of it on individuals (Hope & Sparks, 200:137) The FCAF assessment helped me to achieve an understanding of the family’s needs and issues that I need to address.…

    • 582 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Abstract Patient safety is the absence of preventable harm to a patient during the process of health care and considered the cornerstone of high-quality health care. Nurses play an important role in that vital care. Nurses need to know what proven techniques and interventions they can use to enhance patient outcomes.…

    • 1151 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Whether it is handing out a prize or punishment, fairness is gratifying people with great virtue, and punishing those who commit wrongdoing. And although deciding fairness appears to be an impossible task,…

    • 1032 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    I am aware of my tendency to over-analyze situations, especially ethical ones, as I search for solutions. As my paper indicated, when the nurse staffing is not appropriate, patient outcomes are poorer. Families are affected when they know their family member is not receiving the best of care. Healthcare works are affected as their stress levels increase which often results in job…

    • 934 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Values are principles which can vary person to person, they are areas of life which are held with high regard, importance and worth. Areas such as dignity, privacy, respect, honesty and trust are just a few values which are vital in the healthcare setting. Within all healthcare settings there are codes of practice which assist health care professionals to provided and maintain adequate and effective levels of care. These codes provide guidance in relation to the values of professional conduct, ethics and performance, amongst many other areas. By adhering to the codes of practise it means that values are never compromised and therefore levels of care never waiver.…

    • 1048 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Why is it important for people to be treated equally? It’s very important to treat people equally because you wouldn’t like people treating you unequally like other people. As a result, you should treat people the same as you treat for your loved ones. When you see a person getting treated unequally, you should either report them or take matters to your own hands and stop the person.…

    • 232 Words
    • 1 Pages
    Decent Essays

Related Topics