Question

Important: Interview with a Registered Nurse (supervisor, manager, or director). This assignment is about a true dilemma,

not just a disagreement or a difference in opinion. If you are not able to write about a true dilemma go to second section of the homework.

Please find a charge nurse, nurse manager, or director of nursing for this interview.

Approach this situation with care and respect for privacy. No actual name may be used in this document.

The person you are interviewing must be named “Nurse N”. The person that the interview is going to be about must be named “Person P”.

“Person P” may be a vendor, patient, or a staff member.

Ask “Nurse N” about a specific time that he/she had to deal with a serious ethical decision or dilemma.

What type of person was the ethical issue was concerning?

a) Patient

b) Staff

c) Vendor

d) Other

What was the ethical principle being violated, applied, considered, or discussed?

(You may need to give hints to your interviewee.)

a) _________________

Discuss how the issue was resolved

a) Complete satisfaction

b) Partial satisfaction

c) Referred to another entity for assistance

d) Still unresolved

Submit the interview in a report no more than 400 words with a short introduction and to end with your point of view about the whole issue.

Answer 1

Ethical dilemmas or true dilemmas in nurse practice make a critical situation in decision making intervention. ethical dilemmas cause patient suffering and make nurse into moral stress, that occurs when the nurse know the correct action but it can not be continued due to many situations. patient safety and quality care cause issue and that will be failed with concern. Nurses face many ethical dilemas when in practice. these dilemas profound impact personally and affect patient health and make poor decsion making capacity. It is a complex situation when there is critical action to be followed and continued with action. nurse will be stressful situation which action to be carried out. when responsive of action followed there will be ethical principles will be compromised.
Interviwer: Hello, nurse N"
Nurse N: hello!
Interviewer: how long are you working as a nurse manager in this organization?
Nurse N: About 15years
Interviewer: Good, can you please your experience as a nurse manager in this field?
Nurse N: Our main role as a supervisor to supervising the nurse staff and oversee patient care, etc...
Interviewer: What type of patient do you handle with?
Nurse N: patient we receive from different cultural backgrounds, ethnic groups, different age groups, and different disease conditions...
Interviewer: Can you please share about any ethical dilemma that you face in your experience?
Nurse N: Yes, as a nurse manager we use to face so many ethical dilemmas in day to day practice, recently we had one patient in the oncology unit, name person P, he is just 15years old with brain tumor, and he was almost at the end of the stage, the patient family was very sensitive with patient treatment and no want to withhold the treatment. the patient was receiving many medications and there were many procures was going on for the patient. the patient is just 15 years old, the patient father is very much particular to withhold all the treatment in end of life care. but as a medical professional the provider tries to convince father and mother for continuing treatment with detailed information and the provider explained there is a chance if we continue the treatment for some extension, but the provider was in critical thinking when patient autonomy being compromised.
Interviewer: How did you handle the situation?
Nurse N: The issue was resolved by a proper explanation about patient needs and conditions because patient can sustain life with meaningful existence with a ventilator and feeding tube. providing detailed information about advanced medical treatment during the end of life about benefits, limitations, and disadvantages with the treatment. it needs communication between patients and providers regarding patient treatment and care. It provided complete satisfaction when the family understands the situation.
Interviewer: thank you nurse N!
Point of view:
As a nurse we should speak up to advocate for family and patient, then only their preference will be respected and known, it helps to incorporated with treatment by providing knowledge and adequate treatment plan. ethical principles like autonomy, beneficence, nonmaleficence, and justice assist the nurse with expected behavior and with professional discipline. Rather than focus on only intervention nurses should have their own morals, beliefs, and values about medical treatment and decisions that help patients with treatment benfit.