These are the types of moral conflicts, If you could take five minutes of your time and answer the 5 questions below it would GREATLY help me write my paper in Nursing Ethics class!
moral uncertainty-Sense a moral problem exists but unsure what values or principles apply or what the problem is.
moral dilemma-State in which two or more values or principles are applicable but support mutually exclusive courses of action.
moral distress -State in which one is clear as to the right choice but external constraints make one unable to act in accord with that choice.
moral outrage-Situation in which another person engages in an action the nurse believes to be morally wrong. (The nurse is not involved in the situation)
2.Please describe an ethical conflict situation in nursing practice that you have encountered.
3.How did you deal with that ethical conflict?how it was resolved? and what personal values were involved?
4. Were you satisfied with how the ethical conflict was resolved?
5. Did you refer to the Code of Ethics for Nurses in dealing with the conflict?
Here's a good one... You'll have to decide which type of ethical situation it is though...
I work weekends, and I've noticed that so much stuff stays on hold over those two days. We get a lot of admissions who sit until Monday... usually doctors (that aren't working for the hospital) don't have even a report on the patient they are covering... Now throw in some consulted doctors covering for the md that has been following them over the following week days... The communication and continuum of care in these cases don't usually exist.. These doctors are rushing through so they can enjoy the rest of their day, only check vital signs and labs... no new orders. The progress notes are nearly unreadable and they never seek out the nurse for information.
I had a patient that I had taken care of for three weeks, when I left her the weekend before we were preparing her for discharge. During that work week, something bad happened and noone could tell me what. She was now responsive only to pain and third spacing fluid... so swollen she was seeping from her skin. Full code with when I walked in, I was shocked at her change. I started early that saturday with inquiries/hunting down mds. Admitted with sepsis/pneumonia she had a lung specialist covering for her during my care... He keep with orders that were no longer relevant to her care... The consulted doctors that I knew would give me an order at a time... and ask me to call back the admitting.. By the end of the second day, that admitting doctor said I was going to make him retire early... but ordered some tests. Her body was in such advanced failure at this point (due to liver) that she was rushed to ICU. I notified the family and reported to the ICU nurse everything I knew. She died two days later as a DNR and on palliative/comfort care....
I felt so horrible that second 12-14 hour shift with her crashing that I wrote up a case study and have no idea what to do with it... Something has to change on weekends/nights/holidays... I think that these doctors should be more liable and accountable for the patients they are covering. I think that communication between physicians about the plan of care and status changes is an ethical dilemma. If hadn't known her, I would've never known how bad off she was... I exhausted myself between her and my other five patients that day...
Good luck in school, enjoy this time to think about things like this... its what I will always remain the most passionate about... I also reviewed my state practice act that night to figure out what I could do to have a little more authority... I'm heading back to school! Nurse practitioners scopes are different in every state, and mine is not very good, but I have a feeling that will change soon because of situations like this!
Why not look at blood transfusions for patients who need them, but their religious values/beliefs do not allow them to recieve transfusions or blood products :)
It is truly sad and depressing to see how student nurses are treated on this site sometimes. If you are unwilling to help, then keep it to yourself!!!! OP please PM me.
I am a nursing student and was just suggesting ways the OP could find information. When I have research assignments I read through nursing journals and usually can find some good information. Just my 2 cents
Iheartadvice
31 Posts
I remember what its like!
Here's a good one... You'll have to decide which type of ethical situation it is though...
I work weekends, and I've noticed that so much stuff stays on hold over those two days. We get a lot of admissions who sit until Monday... usually doctors (that aren't working for the hospital) don't have even a report on the patient they are covering... Now throw in some consulted doctors covering for the md that has been following them over the following week days... The communication and continuum of care in these cases don't usually exist.. These doctors are rushing through so they can enjoy the rest of their day, only check vital signs and labs... no new orders. The progress notes are nearly unreadable and they never seek out the nurse for information.
I had a patient that I had taken care of for three weeks, when I left her the weekend before we were preparing her for discharge. During that work week, something bad happened and noone could tell me what. She was now responsive only to pain and third spacing fluid... so swollen she was seeping from her skin. Full code with when I walked in, I was shocked at her change. I started early that saturday with inquiries/hunting down mds. Admitted with sepsis/pneumonia she had a lung specialist covering for her during my care... He keep with orders that were no longer relevant to her care... The consulted doctors that I knew would give me an order at a time... and ask me to call back the admitting.. By the end of the second day, that admitting doctor said I was going to make him retire early... but ordered some tests. Her body was in such advanced failure at this point (due to liver) that she was rushed to ICU. I notified the family and reported to the ICU nurse everything I knew. She died two days later as a DNR and on palliative/comfort care....
I felt so horrible that second 12-14 hour shift with her crashing that I wrote up a case study and have no idea what to do with it... Something has to change on weekends/nights/holidays... I think that these doctors should be more liable and accountable for the patients they are covering. I think that communication between physicians about the plan of care and status changes is an ethical dilemma. If hadn't known her, I would've never known how bad off she was... I exhausted myself between her and my other five patients that day...
Good luck in school, enjoy this time to think about things like this... its what I will always remain the most passionate about... I also reviewed my state practice act that night to figure out what I could do to have a little more authority... I'm heading back to school! Nurse practitioners scopes are different in every state, and mine is not very good, but I have a feeling that will change soon because of situations like this!