For this week’s discussion, read the following article: Presume you are the nurse admitting this patient. Discuss your reactions and your conflicts. Choose one of the first 3 provisions and discuss this article in that context. Please include the provision number in your post subject line. Initial post is to identify the provision and use it to support how you would solve the dilemma in the case study. Each student must then post a substantive reply to two fellow students. !
Provision 1: The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.
In the given article, titled “A Nurse’s Dilemma: Ethical Decision-Making in Pediatrics,” the nurse is faced with a complex situation where the inherent dignity and unique attributes of the patient are at the forefront of the decision-making process. The case study revolves around a 16-year-old patient, Sarah, who was admitted to the hospital with pneumonia. Sarah is a minor and her parents, who are strict religious adherents, have refused a proven medical treatment, antibiotics, due to their personal beliefs.
As a nurse admitting this patient, there are several reactions and conflicts that I would likely experience. First, I might feel empathy for Sarah and concern for her well-being. Pneumonia can be a serious condition, especially for a young person, and not providing appropriate medical treatment could potentially put her life at risk. On the other hand, I would also need to respect the parents’ autonomy in making medical decisions for their child, even if I disagree with their choice.
However, within the framework of Provision 1, the nurse is obligated to practice with compassion and respect for the inherent dignity, worth, and unique attributes of every person. In this case, it requires finding a solution that respects the parents’ religious beliefs while also ensuring the best possible outcome for Sarah.
To address this dilemma, a possible solution could be to engage in open and respectful communication with the parents. In this discussion, the nurse could explain the seriousness of Sarah’s condition and the potential risks of not providing the recommended medical treatment. The nurse could also try to understand the specific religious beliefs and values of the parents that are influencing their decision.
By approaching the situation with compassion and respect, the nurse may be able to establish a rapport and build trust with the parents. This could open up a space for further dialogue and possibly finding a middle ground. For instance, the nurse could explore alternative treatment options that are in line with the parents’ religious beliefs yet still address Sarah’s medical condition adequately.
Additionally, the nurse could involve the hospital’s ethics committee or seek guidance from a spiritual counselor to facilitate a discussion between the healthcare team and the parents. This multidisciplinary approach may uncover alternative perspectives and potential solutions that align with the parents’ religious beliefs while ensuring the provision of appropriate medical care.
In addressing this dilemma, it is crucial to prioritize the well-being and best interests of the patient, Sarah. The nurse must advocate for her rights and ensure that she receives the care she needs. Respecting the inherent dignity, worth, and unique attributes of every person, as outlined in Provision 1, means considering the patient’s perspective as well. If Sarah is capable of understanding her condition and treatment options, her opinion should be taken into account, while acknowledging her age and maturity level.
In conclusion, the nurse in this case study can navigate the dilemma by applying Provision 1 of the American Nurses Association’s Code of Ethics. By practicing with compassion and respect for the inherent dignity, worth, and unique attributes of every person, the nurse can engage in open communication, find common ground with the parents, and prioritize the well-being of the patient. Ultimately, the goal should be to provide the necessary medical care while considering the religious beliefs and values of the parents, as long as they do not compromise Sarah’s health and safety.