AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |
Back to Blog
Moral decision making model12/31/2023 Ensure the option chosen is right, suitable, and appropriate.Identify a range of options, realizing there may only be “best available” options when possibilities are limited.Establish a goal based on client autonomy.Consider the entire context, including the client, family, health care team, and institutional circumstances.Determine the care context and issues, including areas of agreement and conflict.Document the ethics resources consulted.Analyze the facts and stakeholder values using ethical principles, ethical theories, the ANA Nursing Code of Ethics, or another ethical framework model.What ethics resources exist (such as an organization’s ethics committee)?.What are the stakeholder (client, family, health care team, community) concerns?.What are the facts (health status, pain, treatment)?.Table 6.3b Using the Nursing Process in Ethical Situations See Table 6.3b for suggestions on how to use the nursing process model during an ethical dilemma. The nursing process is a structured problem-solving approach that nurses may apply in ethical decision-making to guide data collection and analysis. When nurses use a structured, systematic approach to resolving ethical dilemmas with appropriate data collection, identification and analysis of options, and inclusion of stakeholders, they have met their legal, ethical, and moral responsibilities, even if the outcome is less than ideal. Many frameworks exist for solving an ethical dilemma, including the nursing process, four-quadrant approach, the MORAL model, and the organization-focused PLUS Ethical Decision-Making model. Systematically working through an ethical dilemma is key to identifying a solution. Read more about self-care strategies to address feelings of burnout in the “ Burnout and Self-Care” chapter. Organizations can assist employees in processing these feelings of moral injury with expanded employee assistance programs or other structured support programs. Health care workers may not have the time or resources to process their feelings of moral injury caused by the pandemic, which can result in burnout. Moral injury refers to the distressing psychological, behavioral, social, and sometimes spiritual aftermath of exposure to events that contradict deeply held moral beliefs and expectations. Moral injury felt by nurses and other health care workers in response to the COVID-19 pandemic has gained recent public attention. For this reason, it is essential for nurses and nursing students to be aware of frameworks for solving ethical dilemmas that consider ethical theories, ethical principles, personal values, societal values, and professionally sanctioned guidelines such as the ANA Nursing Code of Ethics. Nurses may also feel moral outrage when witnessing immoral acts or practices they feel powerless to change. Moral conflict can progress to moral distress when the nurse identifies the correct ethical action but feels constrained by competing values of an organization or other individuals. Nurses may experience moral conflict when they are uncertain about what values or principles should be applied to an ethical issue that arises during patient care. Nurse leaders and organizations can support moral courage by creating environments where nurses feel safe and supported to speak up. Nurses and nursing students must have moral courage to address the conflicts involved in ethical dilemmas with “the willingness to speak out and do what is right in the face of forces that would lead us to act in some other way.” See Figure 6.7 for an illustration of nurses’ moral courage. Motivation and skills to implement an ethical decision.Knowledge of ethical principles and their application to ethical decision-making.An awareness of ethical obligations as mandated in the Code of Ethics for Nurses With Interpretive Statements.Continuous appraisal of personal and professional values and how they may impact interpretation of an issue and decision-making.Read more about Ethics Topics and Articles on the ANA website.Īccording to the American Nurses Association (ANA), a nurse’s ethical competence depends on several factors : Patient refusal of medications or treatments.Full code despite a persistent vegetative state.Discharging clients too soon and expecting family members to provide care.Spending limits on care based on reimbursement codes for medical conditions. Substituting outpatient for inpatient care.Paperwork and administrative task requirements.Violation of client privacy on social media.Floating to other units without appropriate orientation.Practicing beyond one’s scope of practice.
0 Comments
Read More
Leave a Reply. |