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Ethical dilemmas presentation Presentation Transcript

  • 1. The Concept of Ethical Dilemmas Presented by: Pauline Ansine BSN RN
  • 2. 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
  • 3. 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
  • 4. 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
  • 5. Ethical Dilemmas in Business
    • Informational and emotional deception in negotiation.
    • Managers’ moral reasoning.
    • Data mining
    • Gender differences
    • Managerial and technical work
    • Information technology
  • 6. 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
  • 7. Social Workers dilemma
    • Social workers reported that the most common issues were patient competence and confusion because of the lack of advance directives.
  • 8.
    • 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
  • 9. 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.”
  • 10. 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.
  • 11. 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.
  • 12. 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??
  • 13. 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 .
  • 14. 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.
  • 15. 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.
  • 16. Questions