The Concept of Ethical Dilemmas Presented by:  Pauline Ansine BSN RN
What is Ethics? <ul><li>The code of conduct  or behavior governing an individual or a group (as the members of the profess...
What is a Dilemma? <ul><li>A difficult problem seemingly incapable of a satisfactory solution. </li></ul><ul><li>A situati...
Definitions 0f Ethical Dilemmas <ul><li>Ethi cal dilemmas are situations involving conflicting morals claims, and give ris...
Ethical Dilemmas in Business <ul><li>Informational and emotional deception in negotiation. </li></ul><ul><li>Managers’ mor...
Ethical Dilemmas in  Social Work <ul><li>Ethical dilemma occurs when social workers must choose between two contradictory ...
Social Workers dilemma <ul><li>Social workers reported that the most common issues were patient competence and confusion b...
<ul><li>Three possible areas of decision making have been Identified: </li></ul><ul><li>Using all possible means to keep t...
Pope Pius XII statement in 1957 <ul><li>– “ One is held to use only ordinary means according  to circumstances of persons,...
Ethical Dilemmas in Nursing <ul><li>The challenge of decision making . </li></ul><ul><li>The sanctity of life vs the quali...
Situation on Truth Telling <ul><li>A Patient’s Right to Know the Truth </li></ul><ul><li>Carolyn , age 21, is dying of leu...
Situation cont. <ul><li>Nurse A wishes to support the patient’s right to know the truth. Nurse B wishes to acquiesce to th...
Nursing Students’ Experiences <ul><li>Resolution of the conflict. </li></ul><ul><li>  </li></ul><ul><li>Rational for resol...
References <ul><li>Aroskar; M.A., Davis, A., Drought, T., Liaschenko, J.(1997). Ethical dilemmas and nursing practice. 4 t...
References <ul><li>Danna, A., Oscar, G. (2002). All that glitters is not gold: Digging deep beneath  the surface of data m...
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Ethical dilemmas presentation

  1. 1. The Concept of Ethical Dilemmas Presented by: Pauline Ansine BSN RN
  2. 2. What is Ethics? <ul><li>The code of conduct or behavior governing an individual or a group (as the members of the profession). </li></ul><ul><li>The complex of ideas, beliefs or standards that characterizes or pervades a group, community or people. </li></ul><ul><li>The Merriam WebstersThesaurus </li></ul>
  3. 3. What is a Dilemma? <ul><li>A difficult problem seemingly incapable of a satisfactory solution. </li></ul><ul><li>A situation involving choice between equally unsatisfactory alternatives. </li></ul><ul><li>Aroskar et al </li></ul><ul><li>Perplexing situation. </li></ul><ul><li>Merriam Webster Dictionary </li></ul>
  4. 4. Definitions 0f Ethical Dilemmas <ul><li>Ethi cal dilemmas are situations involving conflicting morals claims, and give rise in such questions as : </li></ul><ul><ul><li>What ought I to do? </li></ul></ul><ul><ul><li>What harm and benefit result from this decision or actions? </li></ul></ul><ul><ul><li>What is good (virtue) or what is duty (right)? </li></ul></ul><ul><li>Aroskar et al </li></ul>
  5. 5. Ethical Dilemmas in Business <ul><li>Informational and emotional deception in negotiation. </li></ul><ul><li>Managers’ moral reasoning. </li></ul><ul><li>Data mining </li></ul><ul><li>Gender differences </li></ul><ul><li>Managerial and technical work </li></ul><ul><li>Information technology </li></ul>
  6. 6. Ethical Dilemmas in Social Work <ul><li>Ethical dilemma occurs when social workers must choose between two contradictory ethical principles or directives. </li></ul><ul><li>Conflict may arise between patients, families, agency staffs, and government regulations. </li></ul><ul><li>Tensions may arise in homecare. </li></ul><ul><li>National Association of Social Workers </li></ul>
  7. 7. Social Workers dilemma <ul><li>Social workers reported that the most common issues were patient competence and confusion because of the lack of advance directives. </li></ul>
  8. 8. <ul><li>Three possible areas of decision making have been Identified: </li></ul><ul><li>Using all possible means to keep the patients alive (ordinary & extraordinary means). </li></ul><ul><li>2. Surgeons experience ethical dilemmas in deciding the right treatment in different situations. </li></ul><ul><li>3.Taking some “positive” steps to hasten individual’s death. </li></ul>Ethical Dilemmas Physicians Faced
  9. 9. Pope Pius XII statement in 1957 <ul><li>– “ 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.” </li></ul>
  10. 10. Ethical Dilemmas in Nursing <ul><li>The challenge of decision making . </li></ul><ul><li>The sanctity of life vs the quality of life. </li></ul><ul><li>Informed consent </li></ul><ul><li>Truth-telling – the question “am I going to die? This raises important issues about truth telling. </li></ul>
  11. 11. Situation on Truth Telling <ul><li>A Patient’s Right to Know the Truth </li></ul><ul><li>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. </li></ul>
  12. 12. Situation cont. <ul><li>Nurse A wishes to support the patient’s right to know the truth. Nurse B wishes to acquiesce to the mothers wishes. </li></ul><ul><li>As a professional nurse, what would you do in this situation?? </li></ul>
  13. 13. Nursing Students’ Experiences <ul><li>Resolution of the conflict. </li></ul><ul><li> </li></ul><ul><li>Rational for resolution. </li></ul><ul><li>Conflict about the right thing to do. </li></ul><ul><li>Unethical attitudes and behaviors of practicing nurses and doctors . </li></ul>
  14. 14. References <ul><li>Aroskar; M.A., Davis, A., Drought, T., Liaschenko, J.(1997). Ethical dilemmas and nursing practice. 4 th .ed. Appleton & Lange Stamford, Connecticut. </li></ul><ul><li>Bandman b., Bandman, E. (2002). Nursing ethics through the life span. 4 th ed. Prentice Hall, New Jersey. </li></ul><ul><li>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. </li></ul><ul><li>Cameron, M., Hyeroun, A., Schaffer, M. (2001). Nursing students’ experience of ethical problems and use of ethical decision-making models. Nursing ethics. 8 (5). </li></ul><ul><li>Calluzzo, V., Cante. (2004). Ethics in information technology and software use. Journal of business ethics. 51: 301-312, Kluwer academic publishers. </li></ul><ul><li>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. </li></ul>
  15. 15. References <ul><li>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. </li></ul><ul><li>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. </li></ul><ul><li>Erdil, F., Korkmaz, F. (2009). Ethical problems observed by student nurse. Nursing ethics . 16 (5). </li></ul><ul><li>Egan, M., Kadushin, G. (2001). Ethical dilemmas in homecare: A social work perspective. National association of social workers . 26 (3). </li></ul><ul><li>Hunt, G. (1994). Ethical issues in nursing. London and New York. Rutledge. </li></ul><ul><li>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. </li></ul>
  16. 16. Questions

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