The presentation illustrates a case in which a change in the care plan for a patient was made contrary to what a newly-graduated RN thought represented the true wishes of the patient. The doctor said the clients family had given consent to this new plan of treatment. Ethical issues can also arise when family members are unprepared for the decision-making role, and when family members do not understand the biomedical choices and treatments presented to them. IvyPanda, 11 Oct. 2022, ivypanda.com/essays/issue-of-racism-in-healthcare/. You can use them for inspiration, an insight into a particular topic, a handy source of reference, or even just as a template of a certain type of paper. violence/lateral violence Cost containment The 'Self-Sacrificing Nurse' Creating a moral community Oberle & Raffin . stream (Oberle & Raffin Bouchal, 2009, p. 3) is at the very core of nursing and a commitment to caring and to the patient. To advocate for the patient, the role of an educator also becomes important. (2022, October 11). Strangely, nurses are also, in many cases, cut out of the decision-making link, creating a slew of ethical and professional problems for nurses as patients advocates and caregivers. From simple essay plans, through to full dissertations, you can guarantee we have a service perfectly matched to your needs. IvyPanda. Toronto (ON): Pearson Education Canada; c2009. The Canadian Hospice Palliative Care Association, (CHPCA, 2007), estimates that about 62% of annual deaths in Canada requires access to hospice palliative care services and forecasts that demand for hospice palliative care services will increase over the next 40 years. Step 2 - Reflect on and Review Potential Actions: Recognize available choices and determine how these choices are valued. must. Practice standard: Code of conduct. How can they support the needs of both communities? We will write a custom Essay on Issue of Racism in Healthcare specifically for you for only $16.05 $11/page. While bioethics remains an important model for ethical deci-sion-making in health care, criticisms of bioethics include its emphasis on the specific obligation or duty that the physician owes the patient and its failure to fully acknowledge issues related to the relational nature of ethical decision-making (Oberle & Raffin Bouchal, 2009). Ethical Issues Confronting Nurse (Oberle & Raffin, 2008). It is important to note that families/SDMs may not understand that the oxygen and suctioning provide comfort for the patient, and that their decision may be driven by personal motives and not necessarily what they believe the patient would want. Euthanasia knowingly and intentionally participating in ending a persons life to relieve pain and suffering, Canadian Criminal Code distinguishes between active euthanasia and passive euthanasia, Active Euthanasia knowingly and intentionally participating in ending a persons life to relive pain and suffering. National Collaborating Centre for Determinants of Health 2023, Public Health Training for Equitable Systems Change (PHESC), National Collaborating Centre for Determinants of Health, Canadian Nurses Association (CNA) Code of Ethics, Canadian Community Health Nursing Standards of Practice, https://www.canada.ca/content/dam/phac-aspc/documents/services/publications/diseases-conditions/coronavirus/covid-19-vulnerable-populations/covid-19-vulnerable-populations-eng.pdf, https://www.chnc.ca/en/standards-of-practice, https://www.cna-aiic.ca/~/media/cna/page-content/pdf-en/code-of-ethics-2017-edition-secure-interactive. 4) Discuss the above issues in palliative care as it relates to the case in the following link. Retrieved from https://ivypanda.com/essays/issue-of-racism-in-healthcare/. Clean surface for clean world endobj On the other hand, health care providers are respecting the Lucias decision in regards to her health. Consult with a friend who also does not vaccinate, Start a qualitative research study on why parents do not vaccinate their children, One ethical model that can help community health nurses (CHNs) engage in ethical, decision-making is the Oberle and Raffin ethical decision-making model. Registered office: Creative Tower, Fujairah, PO Box 4422, UAE. Additionally, all persons have the right to social service, which includes basic necessities such as food, housing, clothing, security, and medical care. They also talked about the moral distress they experienced as they worked with clients and families who were at increased risk of COVID-19 infection due to them experiencing mental illness, homelessness, poverty, food insecurity and reduced access to health and social services. The issues of medical futility and assisted suicide. (2017). Acquiring knowledge of institutional policies, communicating with nursing colleagues and the interprofessional team if practical way of obtaining knowledge of end of life issues, Timely and appropriate documentation of clients wishes serve as a useful advocacy tool. This implies that racism in healthcare violates the human right to fair treatment. View . 2. Racism in healthcare goes against the first CNO principle because it defies all these values. Our academic experts are ready and waiting to assist with any writing project you may have. Abbott, K. (2014) Social justice. following best describes community health. According to the scenario, Mr Xs family had requested that the PEG feeding and oxygen be disconnected and thus the wishes and autonomy of the family will be respected and duties carried out as deem necessary. Nursing ethics. What should I do? Akua can confirm the types of treatment options patients wish to have when they become incapacitated. Ce cours de Chimie expliquera le modle de Lewis. Nursing -- Standards -- Canada. The Canadian Nurses Association (CNA) echoes the values and principles contained in the CNO. Kaur Pawandeep-PC6 - Detailed solution i submitted to this case study in week 6 of CPA PEP Core 1. "Issue of Racism in Healthcare." However, nurses encounter some challenges while choosing care for their patients. Ktar Traffic Detour Dan, endstream According to the utilitarian ethical theory, an action is ethical if it brings happiness and maximizes utility for the greatest number of people (Hyry, 2020). Is he practicing as a prudent nurse would? First, I would assess the situation as well as relationships, beliefs, goals, and values (Canadian Nurses Association, 2017). The American Journal of Bioethics, 20(3), 75-77. Ethical Decision Making Framework (Oberle & Raffin, 2008). Canadian community health nursing practice model and standards of practice [Internet]. This is IvyPanda's free database of academic paper samples. In this document three approaches to ethical decision making are provided. 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. Finally, I would reflect on my action by considering whether I reported it through the appropriate channels. 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. And Raffin Bouchal ( 2009 ) Potential Actions: Recognize available choices and determine how these are. [3] Oberle K, Raffin Bouchal S. Ethics in Canadian nursing practice: navigating the Journey 1st ed [Internet]. General note: "Chapters are linked to the seven primary values in the 2008 centennial edition of the Canadian code of ethics for registered nurses". Involving nurses at every stage of the end-of-life decision-making process is one of the ways to avoid this slippery road from gaining becoming an issue of notoriety. But Lucia considers this treatment is not worth for her. Step 1 Assess the Ethics of the Situation: Identify the Relationships, Goals, Beliefs and Values in the situation. I will use Oberle and Raffin model as a guide for ethical decision making in this ethical dilemma. \n7UQWS5$?L/.5wEcnt.|0%5u[2wnrKg HBe5mS}:GdM^+79#u&"Y\kGOVVkrHvm`pM yp{aQmG[n*HlTC5Q Aside from the professional codes and legal mandates, my personal beliefs and values are against providing subpar treatment to a person because they are of a certain race. Step 5 Reflecting on and reviewing the ethical action. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Ethical Decision Making in Nursing Assignment Paper Piper, L. (2011). importance to prolong her husbands health. The model outlines a process, that begins with assessing the situation and ends with reflecting and reviewing the ethical, A physician refuses to order pain medication for a person with a substance use disorder who, was severely injured in a car accident. Happiness - Copy - this is 302 psychology paper notes, research n, 8. Canadian Nurses Association. To figure out the author's ethical approach to the case scenario, the author chose Oberle & Raffin model (CNA, 2008). Palliative care can provide an environment of comfort, healing, and affirmation near the end of life, something that is deeply appreciated by patients and their families, as well as the entire health care team. (Clary& Lawson, 2009). All work is written to order. [2]. 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. In the preceding case, the nurse was able to ascertain that the wishes of the client and the orders of the MD were not in sync. Critically reflect on what actions could the nurses have taken to advocate for the patient and his wife? xM/F=dwa".1dak*Wg""SEYnyP8g*R )OO.]>}c2 {jgB[>uu 6VNO71uO iyx}qvy}xt\Z#j09p{R_ 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. 16 eligible studies involving 151 hypothetical scenarios and 2595 surrogate-patient were considered. Ottawa (ON): Government of Canada; 2020 Apr 9 [cited 2020 May 6]. When working with a parent who will not vaccinate their child, what is the best way the. Seller Rating: Contact seller Book Used - Softcover Condition: Very Good US$ 62.18 Convert currency Free shipping Within U.S.A. Link: http://www.youtube.com/watch?v=It22yZ8MYEI? Provide protection against depigmentation Scholar ; Shipley MT research papers relevant to & Who is significant in this care situation supportive cells, including,! Nurses find ethical conflict when she is following one principle and at the same time she can conflict with another principle in the end-of-life care decision-making process. Right and wrong, should and should not, or "ought to or ought not to" (Oberle & Raffin Bouchal, 2009, p. 3), the core of ethics, move beyond the idea of what is technically right or wrong or what evidence suggests is best . To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on UKEssays.com then please: Our academic writing and marking services can help you! Ruth Schofield, RN, MSc(T), is an assistant clinical professor at McMaster University in Hamilton, Ontario. 2 0 obj 8. Therefore, it is their responsibility to unlearn such unconscious bias that result in racism in healthcare. Edition/Format: eBook: Document : EnglishView all editions and formats: Rating: (not yet rated) 0 with reviews - Be the first. Understanding the ethics of the situation: relationships, goals, beliefs and values What are my own values in this situation Kathleen Oberle, Shelley Raffin Bouchal. The physician may have also acted in the best interest of the organization by discontinuing the therapies to save resources, which he may view as unnecessary for the dying patient. A, s. 20 (1)). 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