NTI 2016 Moral Courage
NTI 2016 has so many sessions. Hard to chose just a few. So little time. This one on moral decisions though just resonates with so much of what we do....
We attended an NTI session this morning about moral courage and ethics for the APRN. This is applicable to many nursing specialties The lecture was Sarah Delgado ACNP Clinical Practice Specialist from San Viejo. She brought up some excellent points regarding "ethical creativity" and the ability to troubleshoot very troubling ethical decisions. Utilizing case studies she provided steps to solve complex ethical issues involving withdrawing care from a pediatric patient, discussing DNR status of an elderly ICU patient with multiple comorbidities and general ethical dilemmas.
Critical care is an arena where ethical decisions are often found. As critical care nurses, having a toolbox of skills to add to our arsenal helps to meet our patient care goals
She broke down the decision-making process into a path with several different directions. Looking at practical alternatives she provided a clear solution to even very complex issues.
She pointed out out common pitfalls as well as potential resolutions. Ms Delgado also brought up a team approach in order to provide a united front. Social workers, risk managers, unit managers, nursing staff, families and providers must all be in agreement in order to provide the best solution.
Some of the tips she provided to solve ethical issues:
- Know elements that promote ethical dialogue
- Advertise and use your ethics resources
- Utilize interdisciplinary teams
- Mentor and collaborate as a unit
- Voice conflicting views in calm voice
- Open body language
These tips are not all inclusive. Ethics issues are by their nature sometimes quite fluid without a definite answer.
Instead take a proactive approach...
Work toward preventive ethic by being open with staff, patient and families. Work thru the emotion of the situation. Accept your responsibility for resolving the situation before it becomes a problem.
Being proactive is better than being reactive.
How have you handled an ethical situation recently? Have you used any of these techniques?
What resources did you use?
AACN Ethical GuidelinesLast edit by traumaRUs on Jun 15, '18
About traumaRUs, MSN, APRN, CNS Admin
Joined: Apr '00; Posts: 52,872; Likes: 25,611
allnurses Asst Community Manager, APRN; from US
Specialty: 25 year(s) of experience in Nephrology, Cardiology, ER, ICUMay 16, '16This sounds like an excellent session with some helpful guidelines as we face situations as a team.May 23, '16This was an excellent session and very informative.
The presenter was kind enough to share the link to her slide presentation with us.