Ethical Leadership Decision Making Education-Myassignmenthelp.Com

Question: Discuss About The Ethical Leadership Decision Making Education? Answer: Introducation Ethics is a set of principles and moral values that helps people to lead a life with moral principles and take decisions that will further help the society. Ethics possess higher importance in the life of nurses, as it is important for them to understand ethical consideration of their practice more than the states law. Ethically incorporated nursing practice helps them to take effective decisions for patient safety, security and autonomy (Sellman, 2017). This assignment discusses about an ethical situation in which a patient W have phobia of cancer and therefore her family did not want her to know about her critical situation and palliative care. As a nurse to patient W, I am very close to her, and according to her words, she can accept the truth, regardless of its harshness, from my mouth. This assignment will provide the answers to this ethical dilemma of and will provide the course of action of such situation, in the light of ethical principles and ethical theories. Further, this assignment will include the reason due to which, I will not inform her about her deteriorated health condition and considering non-maleficence and beneficence over autonomy, justice and veracity. The ethical principles of nursing care are autonomy, beneficence, non-maleficence, justice and veracity. These principles are of much importance, as while facing any ethical dilemma, nurses need to think of these principles to take any further step (Ellis, 2017). In the mentioned case study, my relationship with the patient was the prime reason for the ethical dilemma, as I was very close to the patient. As a result, as I came back from two days off, the patient shared all her speculations about her health condition to me and asked me to reveal the truth about her health. In such situation, the course of action should be according to the ethical principles and laws (Goethals, Dierckx de Casterl Gastmans, 2012). The first principle talks about the autonomy of the individual and states that every individual under care provision has the right for self-determination, independence and freedom to take his or her own decisions. Therefore, it is important for the clinicians and nursing staf f in the clinical settings to respect the autonomy of the patient and create situations to take care of the autonomy of the patient. This includes examples such as allowing the patient to check his/her, medical documents and seek assistance to understand their health condition. Further, it is the duty of the healthcare worker to make the patient understand the risk associated with the health condition (Goethals, Dierckx de Casterl Gastmans, 2012). However, according to the principles of ethics related to autonomy, if the clinician or the family of the patient thinks that the knowledge about the disease can affect the mental condition of the patient then they possess the right to hide the information from the patient as per the ethics of beneficence (Johnstone, 2015). The second and third principle beneficence and non-maleficence tells that nurses should utilize every step to make the patient healthy again and in this course of action, they should not hurt the patient intentionally or unintentionally. Beneficence and non-maleficence are ethical principles to save the patients from causal harming. It allows the clinicians to take decisions for the welfare of the patient and provide them with possible benefits instead of possible risks. Whereas the non-maleficence involves protecting the rights and patients as well as their families and involves norms to help people who are in danger or want clinicians support to achieve health (Johnstone, 2015). Further, the principle of justice and veracity determines that patient has the right of equality, fairness and impartiality and veracity seeks the nurses to be truthful and honest to the patients (Krishna, Watkinson Beng, 2015). Hence, the principle of justice determine the equal distribution of available resources among each patients, who can recover using that resource and makes the healthcare process more consistent and transparent. On the other hand, veracity wants the healthcare professionals to be truthful to the hospital authority, patient and the families so that while taking decisions about surgery or harsh medical treatments, the patient and the families can trust upon the healthcare facility (Krishna, Watkinson Beng, 2015). While providing care to patient W, I realized that she tensed about her physical condition and speculating that her family and doctors are hiding any important fact from her. In such situation, the truth about her health can affect her mental state and degrade her health condition. (Singapore Nursing Board, 2018) Therefore, I will not disclose the truth about her health condition. According to the principle of beneficence and non-maleficence, she will be provided with best possible care while in palliative care and disclosure of such facts can affect h er mentally. Therefore, in the case of W, the principle of beneficence and non-maleficence overrules the principles of justice, veracity and autonomy. Hence, the patient will not be informed about her actual health condition (SINGAPORE NURSING BOARD, 2018). However, while finalizing the further course of action, the nursing ethical theories should also be taken into account. These theories are utilitarianism and deontology. According to the theory of utilitarianism, if any action provides better outcome of the entire population in course of action, then it is morally right (Lowry Peterson, 2012). This theory determines greatest good as more important than individual rights and laws. Therefore, in this situation, the patient should not be informed about her health condition as her individual right was less important than her palliative care that can make her family members happy. On the other hand, the theory of deontology determines that core fundamental rights should be provided to every individual, irrespective of the consequences it brings to their lives (Crossan, Mazutis Seijts, 2013). These rights are right for privacy, truth and fulfilment of promises. This theory helps to decide the right and wrong of any given situation withou t thinking about the consequences. This theory provides a contradictory opinion and determines the action of hiding facts from W as wrong and allows me to state truth in front of the patient. However, I will not disclose her health condition as, according to the utilitarianism theory, and principles of beneficence and non-maleficence, she should be provided with best care while in palliative care and disclosure of her health condition can affect her mentally (Lachman, 2012). Hence, the course of action to deal with this dilemma should be consoling the patient and clearing her doubts about her husband and the physician hiding truth of her physical state. I will be choosing appropriate words to make the patient stress free and positive about her health (Shapiro Stefkovich, 2016). Further, I will try to communicate few of health conditions as during palliative care, she might develop symptoms that can affect her mental health. Under-communication of her state can lead to adverse situations and to prevent that, I will try to communicate the reason of her health condition eventually. I will try to maintain the relationship with her so that she can state all of her problems to me without any hesitation, which can further help me to take necessary interventions (Aguinis Bradley, 2014). Finally, I will ask her family member to talk to her and resolve her confusion so that she can get over the feeling of being uninformed about the health condition. It is very important for any health care provider to take care of every ethical aspect of care process and provide the patients with their rights. In this discussed case study, the family members of the W kept her uninformed about her serous health condition and as I was close to the patient, she wanted me to disclose her health condition to her. However, in this dilemma, the principles and theories of nursing ethics helped me to understand the fact that the theory of utilitarianism and principles of non- maleficence and beneficence overshadows the principles of autonomy and justice as the patient can loss her mental strength. The theories and principles of nursing ethics helped me to prepare the course of action for this situation. References Aguinis, H., Bradley, K. J. (2014). Best practice recommendations for designing and implementing experimental vignette methodology studies.Organizational Research Methods,17(4), 351-371. Crossan, M., Mazutis, D., Seijts, G. (2013). In search of virtue: The role of virtues, values and character strengths in ethical decision making.Journal of Business Ethics,113(4), 567-581. Ellis, P. (2017).Understanding Ethics for Nursing Students, 2nd Edn, pp. 234-245, Learning Matters. https://books.google.co.in/books?hl=enlr=id=SiElDwAAQBAJoi=fndpg=PP1dq=what+is+ethics+in+nursingots=tGfnRFDCWjsig=oSr3CPBmZSP_9CdStrti6WdRmUQ Goethals, S., Dierckx de Casterl, B., Gastmans, C. (2012). Nurses decision?making in cases of physical restraint: a synthesis of qualitative evidence.Journal of advanced nursing,68(6), 1198-1210. Johnstone, M. J. (2015).Bioethics: a nursing perspective, 6th Edn, pp. 123-129, Elsevier Health Sciences. https://books.google.co.in/books?hl=enlr=id=4dRQCgAAQBAJoi=fndpg=PP1dq=nursing+ethical+principles+singaporeots=YEtKUZzJbksig=mhCvm04iCa81ftKJzw4u_8dqdg0#v=onepageq=nursing%20ethical%20principles%20singaporef=false Krishna, L. K. R., Watkinson, D. S., Beng, N. L. (2015). Limits to relational autonomyThe Singaporean experience.Nursing ethics,22(3), 331-340. Lachman, V. D. (2012). Applying the ethics of care to your nursing practice.Medsurg Nursing,21(2), 112. Lowry, R., Peterson, M. (2012). Cost-benefit analysis and non-utilitarian ethics.Politics, Philosophy Economics,11(3), 258-279. Sellman, D. (2017). Virtue Ethics and Nursing Practice. InKey Concepts and Issues in Nursing Ethics(pp. 43-54). Springer, Cham. Shapiro, J. P., Stefkovich, J. A. (2016).Ethical leadership and decision making in education: Applying theoretical perspectives to complex dilemmas, 4th Edn, pp. 129-156, Routledge. https://books.google.co.in/books?hl=enlr=id=4L5YCwAAQBAJoi=fndpg=PP1dq=ways+to+overcome+ethical+dilemma+ots=aX2YwCY9WEsig=mPz6fddj4--zf0VQ4rjWGYzz4UM SINGAPORE NURSING BOARD. (2018).CODE OF ETHICS AND PROFESSIONAL CONDUCT.Healthprofessionals.gov.sg. Retrieved from https://www.healthprofessionals.gov.sg/content/dam/hprof/snb/docs/publications/Code%20of%20Ethics%20and%20Professional%20Conduct%20(15%20Mar%201999).pdf Singapore Nursing Board. (2018).Nursing Guidelines and Standards | SNB.Healthprofessionals.gov.sg. 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