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Ethical dilemmas presentation
 

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    Ethical dilemmas presentation Ethical dilemmas presentation Presentation Transcript

    • The Concept of Ethical Dilemmas Presented by: Pauline Ansine BSN RN
    • What is Ethics?
      • The code of conduct or behavior governing an individual or a group (as the members of the profession).
      • The complex of ideas, beliefs or standards that characterizes or pervades a group, community or people.
      • The Merriam WebstersThesaurus
    • What is a Dilemma?
      • A difficult problem seemingly incapable of a satisfactory solution.
      • A situation involving choice between equally unsatisfactory alternatives.
      • Aroskar et al
      • Perplexing situation.
      • Merriam Webster Dictionary
    • Definitions 0f Ethical Dilemmas
      • Ethi cal dilemmas are situations involving conflicting morals claims, and give rise in such questions as :
        • What ought I to do?
        • What harm and benefit result from this decision or actions?
        • What is good (virtue) or what is duty (right)?
      • Aroskar et al
    • Ethical Dilemmas in Business
      • Informational and emotional deception in negotiation.
      • Managers’ moral reasoning.
      • Data mining
      • Gender differences
      • Managerial and technical work
      • Information technology
    • Ethical Dilemmas in Social Work
      • Ethical dilemma occurs when social workers must choose between two contradictory ethical principles or directives.
      • Conflict may arise between patients, families, agency staffs, and government regulations.
      • Tensions may arise in homecare.
      • National Association of Social Workers
    • Social Workers dilemma
      • Social workers reported that the most common issues were patient competence and confusion because of the lack of advance directives.
      • Three possible areas of decision making have been Identified:
      • Using all possible means to keep the patients alive (ordinary & extraordinary means).
      • 2. Surgeons experience ethical dilemmas in deciding the right treatment in different situations.
      • 3.Taking some “positive” steps to hasten individual’s death.
      Ethical Dilemmas Physicians Faced
    • Pope Pius XII statement in 1957
      • – “ One is held to use only ordinary means according to circumstances of persons, places, times and culture – means that do not involve any grave burden to oneself or another.”
    • Ethical Dilemmas in Nursing
      • The challenge of decision making .
      • The sanctity of life vs the quality of life.
      • Informed consent
      • Truth-telling – the question “am I going to die? This raises important issues about truth telling.
    • Situation on Truth Telling
      • A Patient’s Right to Know the Truth
      • Carolyn , age 21, is dying of leukemia. She wants to know what is happening to her. However, her devoted mother believes in shielding Carolyn from this prognosis. Nurse A believes client, who repeatedly ask about her worsening signs and symptoms, has a right to know the truth. Carolyn’s mother , a wealthy, influential woman, threatens to sue the hospital if her daughter finds out that she is dying.
    • Situation cont.
      • Nurse A wishes to support the patient’s right to know the truth. Nurse B wishes to acquiesce to the mothers wishes.
      • As a professional nurse, what would you do in this situation??
    • Nursing Students’ Experiences
      • Resolution of the conflict.
      • Rational for resolution.
      • Conflict about the right thing to do.
      • Unethical attitudes and behaviors of practicing nurses and doctors .
    • References
      • Aroskar; M.A., Davis, A., Drought, T., Liaschenko, J.(1997). Ethical dilemmas and nursing practice. 4 th .ed. Appleton & Lange Stamford, Connecticut.
      • Bandman b., Bandman, E. (2002). Nursing ethics through the life span. 4 th ed. Prentice Hall, New Jersey.
      • Barry, B., Fulmar, I., Long, D. (2009). Lying and smiling: Informational and emotional deception in negotiation. Journal of business ethics . 88:691-709 DOI 10.1007/s10551-008-9975-x.
      • Cameron, M., Hyeroun, A., Schaffer, M. (2001). Nursing students’ experience of ethical problems and use of ethical decision-making models. Nursing ethics. 8 (5).
      • Calluzzo, V., Cante. (2004). Ethics in information technology and software use. Journal of business ethics. 51: 301-312, Kluwer academic publishers.
      • Crow n, D,. Franke, D,, Franke., G., spake, D. (1997). Gender differences in ethical perceptions of business practices: A social role theory. Journal of applied psychology.. Vol. 62. no 6, 920934.
    • References
      • Danna, A., Oscar, G. (2002). All that glitters is not gold: Digging deep beneath the surface of data mining. Journal of business ethics . 40: 373-386. Kluwer academic publisher.
      • Monga, M. (2007). Managers’ moral reasoning: Evidence from large Indian manufacturing organization. Journal of business ethics . 71:179-194 DOI 10.1007/s10551-006-9133-2.
      • Erdil, F., Korkmaz, F. (2009). Ethical problems observed by student nurse. Nursing ethics . 16 (5).
      • Egan, M., Kadushin, G. (2001). Ethical dilemmas in homecare: A social work perspective. National association of social workers . 26 (3).
      • Hunt, G. (1994). Ethical issues in nursing. London and New York. Rutledge.
      • Nordam, A., Torjuul, K., Venke, S. (2005). Action ethical dilemmas in surgery: an interview study of practicing surgeons . BMC Medical ethics. 6: 7 doi: 10. 1186/1472-1472-6939-6-7.
    • Questions