If I were to treat patients differently based on their race, some patients would not be happy with my services. Nursing Ethical Issue and Decision Making Process The end-of-life is the most crucial time where conflicts can occur between heath care professionals such as doctors, nurses and other specialists, between family and the patient, and between nurses themselves. IvyPanda. Understanding the ethics of the situation: Relationships, goals, beliefs & values 2. 49 p. Available from: https://www.cna-aiic.ca/~/media/cna/page-content/pdf-en/code-of-ethics-2017-edition-secure-interactive, [2] Community Health Nurses of Canada. Persons who May Give or Refuse Consent under the Health Care Consent Act, 1996 (1996, c. 2, Sched. General note: Includes the 2008 centennial ed. The incapable persons spouse or partner. Nursing ethics. injuries will build character. Dr. Stevenson & # x27 ; and nurses & # x27 ; and nurses & # x27 ; s number. 4. It contains thousands of paper examples on a wide variety of topics, all donated by helpful students. Critically reflect on what actions could the nurses have taken to advocate for the patient and his wife? Therefore, it is their responsibility to unlearn such unconscious bias that result in racism in healthcare. Which action will provide the maximum good? However, during the COVID-19 pandemic, new ethical challenges arose. Other principles require nurses to provide safe and competent care to gain and maintain patient trust. to verify concern, Discuss with manager to gain support or clarify concern, Follow agency policy to discuss disagreement with plan with identified higher authority, Inform healthcare provider of decision not to implement, Document concerns and steps taken to resolve the issue, Refusing the Assignment and Discontinuing Nursing Service The Challenges (CNO, 2009b), Nurse accountable for providing, facilitating, advocating, and promoting best possible care for clients, Nurses must always put the needs and wishes of clients first, Refusal/discontinuation of assignment may be construed by the CNO as professional misconduct and nurse subject to sanctions, When Can Nurses Refuse an Assignment or Discontinue Service (CNO, 2009c), When nurse does not have the competency for the assigned task, When nurses personal beliefs and values are so pervasive that they preclude nurse from providing safe, competent and ethical care, When the nurse or the client will be subjected to an unacceptable level of risk, When asked to do extra shifts or overtime for which she is not contracted, Before a Nurse can Withdraw Services (CNO, 2009c), Communicate with employer and obtain agreement, Request for alternative or replacement services to be arranged, Give client reasonable opportunity to arrange alternative or replacement services, Nurse must continue providing services until a replacement care provides commences care, Nurse must assist family in the grieving process, Anticipated grieving can be provided by informing family about what to expect as regarding the intensity and unpredictability of grief, Educate family that the grief experience can lead them to question their own mental stability, Encourage family to talk about deceased, Nurse must be afforded time off and other opportunities to grieve. They should also disburse care that is free from judgment and discrimination. Issue of Racism in Healthcare. First, I would assess the situation as well as relationships, beliefs, goals, and values (Canadian Nurses Association, 2017). One approach is an ethical questioning model in the image of a flower and is used to highlight a series of questions to be considered when examining an ethical concern. Akua should provide presence to the patient and his family, therapeutic touch if appropriate and meet their basic needs. Additionally, nurses are advised not to impose their personal biases and beliefs on patients. The theory would question whether racism in healthcare is ethical and whether it facilitates the provision of care in a manner that is centered on values such as compassion, fairness, and integrity. The Essay Writing ExpertsUK Essay Experts. must. Who is best qualified to make resuscitation decisions. The principle of non-maleficence (Burkhardt, Nathaniel, & Walton, 2014a, p. 62) means to avoid causing harm to the patient. the wishes of Danny creating ethical dilemma amongst the health service providers. ensure the integrity of our platform while keeping your private information safe. When competent client and their family make a choice, the nurse assumes the role of supporting the clients autonomy, informed choices and rights. Finally, I would reflect on my action by considering whether I reported it through the appropriate channels. Quantity: 1 Add to Basket Condition: Very Good. Did all involved feel respected and valued? Available from: https://www.canada.ca/content/dam/phac-aspc/documents/services/publications/diseases-conditions/coronavirus/covid-19-vulnerable-populations/covid-19-vulnerable-populations-eng.pdf, Community Health Nurses of Canada. 3. Your privacy is extremely important to us. These conflicts can be created because of different values and beliefs among different people. Assessing the ethics of the situation, relationships, goals, beliefs and values: In the case study, major themes of relational ethics such as mutual respect, engagement, embodiment and environment are central to the care situation of Danny. She is also the former president of Community Health Nurses of Canada. Step 4 Engaging in ethical action: What will I do? And Raffin Bouchal ( 2009 ) Potential Actions: Recognize available choices and determine how these are. October 11, 2022. https://ivypanda.com/essays/issue-of-racism-in-healthcare/. From simple essay plans, through to full dissertations, you can guarantee we have a service perfectly matched to your needs. In Michalos A.C. (ed) Encyclopedia of quality of life and well-being research. Abonne-toi : http://tinyurl.com/kx99x2n Instagram @MathrixVideos (stories & lives) Snapchat MathrixVide. Nogueira Mansion Portugal, 3 0 obj Newly graduated RNs should consider obtaining the CNA Hospice and Palliative Care certification to equip them with the skills to care for palliative care patients. Thus, the nurse is important to advocate for what is in the patients best interest and for bridging any gaps between the clients needs and the care plan. [3] Oberle K, Raffin Bouchal S. Ethics in Canadian nursing practice: navigating the Journey 1st ed [Internet]. In addition, knowing clients helps to facilitate clients decision-makig and autonomy in choosing therapies (Brown & Sanazaro, 2006). The nurse must determine if Canadian laws relating to euthanasia were broken. Discourse of race and racism in nursing: An integrative review of literature. So the novice nurse has to keep emotions in check in order to be an effective patient advocate. Social justice is a concept which asserts that people should have equal access to economic, political, and social services and opportunities. The first principle requires nurses to treat patients with dignity. This implies that racism in healthcare violates the human right to fair treatment. To make a decision regarding my ethical concern, I would use the Oberle and Raffin model. Scriptum: Mathematische Grundlagen MSE.pdf: Download. This comprehensive model describes the following aspects of ethical decision-making: Assess the ethical situation relationships, goals, beliefs and values Consider possible actions or choices Select an action Carry out the ethical action Reflect on the action taken [3] The following hypothetical scenario demonstrates how the model can be applied. What ethical theory is the physician using (or misusing)? The National Collaborating Centre for Determinants of Health is hosted at St. Francis Xavier University in Antigonish, Nova Scotia.We acknowledge that we are located in Mikmaki, the ancestral and unceded territory of the Mikmaq People. Kathleen Oberle, Shelley Raffin Bouchal. Step 2 Reflect on and Review Potential Actions: Recognize available choices and determine how these choices are valued. In this document three approaches to ethical decision making are provided. Ethical Issue: End-of-Life Care Decision Making in Adolescents Nurses work in different types of environment and end of life care is one of the health care facility where nurses inevitably involve in the care of patients. While working to complete the planning, Davis reflects on the following key questions: Once their plan is implemented, Davis and team stepped back and reflected on the following important ethical decision-making consideration: CHNs like Davis Caron are and will play a critical role in the COVID-19 pandemic response and recovery. Palliative care nursing are especially hard on newly graduated nurses, emotionally and physically. Akua knew that the revised plan of care meant a slow death for a patient that looked so much like her father and with whom she had spent lunch breaks reading stories about hope. End of life care is relevant to nursing because nurses are with their patients for most of the time and play a major role in how patients lives will end. Midway through the morning of the fourth day of providing care for Mr. X, a 57-year old male admitted with metastasized rectal cancer, Akua, a newly graduated RN, was informed by the attending physician that the provision of oxygen by nasal prong or face mask was to be discontinued and only oral suctioning using the Yankauer would be allowed. By confirming the patients wishes and/or surrogates decision on Mr. Xs health, Akua will be advocating for the patient best interests. Human Resource Management Lecture notes Full term, Uniform and accelerated motion Laboratory, Strategic Management Case Study Final Exam, P3-5B - These mirror exactly exam questions, Solutions and Test Bank For Fundamentals of Management 10th Edition By Ricky Griffin, 23. More precisely, Social justice includes full and equal participation of individuals in all social institutions; fair, equitable distribution of material and nonmaterial goods (Abbott, 2014). 4 0 obj Davis struggles with how to proceed as both communities need testing and have community members with symptoms of possible infection. Second, I would then evaluate potential actions. The American Journal of Bioethics, 20(3), 75-77. The aim of palliative care is to render comfort, promote the best quality of life, and to relieve suffering. For instance, it emphasizes the importance of safe, competent, compassionate, and ethical care (Canadian Nurses Association, 2017). The issue of racism in healthcare can be evaluated from various ethical theories, including utilitarianism and virtue ethics. 1) In our case scenario, what do you consider as the best course of action for nurse Akua? This is IvyPanda's free database of academic paper samples. In this second blog post, we explore responses to the question about the ethical dilemmas CHNs have encountered during COVID-19. How can they support the needs of both communities? She has the second option to withdraw from transplant and can stay on palliative measures only. Regardless of what the nurse believes is the correct course of action, she cannot act on her own to carry out orders that are not nursings specific interventions and is required to get the necessary staff to write orders, which is then incorporated into the care plan. Within the nurse-client relationship, clients rights encompass high quality hospital care, participation in treatment decisions, full information disclosure, and protection of client privacy (Arnold & Boggs, 2007). "Issue of Racism in Healthcare." Racism in healthcare is unethical because it denies equitable care to some populations. Was harm minimized and benefit maximized? The Code also serves as an ethical basis from which nurses can advocate for quality practice environments that support the delivery of safe, compassionate, competent and ethical care. However, if the nurse feels she is not providing ethical care, she may also be able to withdraw herself from the case as outlined above. A child or parent of the incapable person, or a childrens aid society or other person who is lawfully entitled to give or refuse consent to the treatment in the place of the parent. It leads to these people having poorer health outcomes and experiencing differential treatment due to stereotypes. 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