ethics case study nursing

Question Description

(1) A Scholarly Academic Journal/Article must be used pertaining to healthcare (i.e. nursing, hospital, medical care). However you could type in the search engine: “ethics case study nursing” or “ethics case study healthcare” and etc. (2) Subheadings must be included for each paragraph. Subheading should be titled: Introduction, Intervention/Solution, Possible Interventions/Solutions, Case Outcome, Cultural Issues, Ethical Principle, Conclusion. (3) Plagiarism will be checked through the software turnitin.com. (4) Please read the Rubric and Paper Instructions carefully. One of the criteria is to “Explain at least two ethical principles involved and how the principles apply to the case”

• Explain at least two ethical principles involved (from Ethical Principles in the Ethics folder) and how the principles apply to the case

Autonomy

This principle asserts that individuals have the right to determine their own actions and the freedom to make their own decisions. Autonomous decisions are based on the individual’s values, adequate information, freedom from coercion, and reason and deliberation.

Beneficence

Beneficence is the doing of good, and it is a critical ethical principle in health care. Actions motivated by the principle of beneficence may, however, conflict with other principles, particularly patient autonomy.

Nonmaleficence

This is defined as the duty to do no harm. It is enshrined in the medical profession’s Hippocratic Oath and is likewise critical to the nursing profession. The nurse must not intentionally harm the patient. Chemotherapy is an example of a procedure that does short-term harm to the patient in hopes of producing great long-term good, and illustrates the “double effect principle.” Four conditions must be fulfilled to justify the use of the double effect principle: (1) the action must be good or at least morally indifferent; (2) the health care provider must intend only the good effects; (3) the undesired effects cannot be a means to the end or good effect; (4) there is a favorable balance between desirable and undesirable effects.

Justice

Justice requires that equals should be treated the same, and unequals should be treated differently. In the health care context, this means that patients with the same diagnosis and health care needs should receive the same care, while those with greater or lesser needs should receive care that is appropriate to their needs. Wealth, however, buys better health care regardless of the specific need of the patient. Given vast wealth disparity, it is unclear how the principle of justice can properly be applied. This problem is compounded by systemic wealth disparities that closely track racial and ethnic background, leading to racial and ethnic disparities in health care access, treatment options, and outcomes.

Fidelity

Fidelity refers to honoring one’s commitments or promises. For nurses, this specifically refers to fidelity to their patients. When a nurse is licensed, she or he accepts responsibility to respect all individuals, to uphold the Code of Ethics for Nurses, to practice within the scope of nursing practice, to keep skills current, to abide by an employer’s policies, and to keep promises to patients.

Veracity

This consists in telling the truth. Truth-telling is fundamental to the development and maintenance of trust among people. The nurse-patient relationship assumes that the nurse will deal honestly with his or her patient. Some rare instances provide narrow exceptions to the nurse general duty to tell her or his patient the truth. Deceiving a patient “for their own good” amounts to paternalism, which denies the patient’s autonomy.

Ethics Paper Instructions

2 pages Student will identify an ethical case study and develop a (3) page paper. Students should:

• Find a case study from a current event or personal issue
• Describe the case
• Explain at least two ethical principles involved (from Ethical Principles in the Ethics folder) and how the principles apply to the case
• Identify several possible interventions or solutions that could have been used in this case
• Identify and describe cultural issues that would influence the decision
• Describe the intervention/solution that was used in this case and why it was or was not the best solution
• Describe the outcome of the case

The paper must be in APA format (title page, running head, in-text citations, introduction, conclusion, reference page). An abstract is not required.

Include at least two scholarly references dated within the last 10 years other than the textbook. No Wikipedia.

Points will be deducted for incorrect grammar, spelling, format, and citations.

Plagiarism software will be used to grade these papers.