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Use Kerridge, Lowe and McPhee’s ethical decision-making framework Essay Assignment Paper
Use the Kerridge, Lowe and McPhee’s (2005) modified ethical decision-making framework (below) to examine the facts from this case study in light of their ethical and legal issues.
? Identify all the issues (facts) within the context of the case study and distinguish between
o ethical
o legal issues and
o any other clinical problems such as health/medical, risk, social, cultural, linguistic, gender.
? Explore the meaning in any value-laden terms identified.
? Identify the facts that support or refute the issues, you can include these in your discussions above.
? What else would you like to know about or consider i.e. further information which may be helpful?
Legal Issues Facts supporting / refuting Further information which needs consideration
• NFR order……• • Nurses…… • Why did the nurses not follow up….?
Consider and explore the fundamental ethical principles and their meanings and whether they were upheld or breached (you will also have to consider whether or not they apply in the case study circumstance)
? Autonomy: how was this approached from the patient’s perspective?
? Beneficence: what benefits were / were not obtained for the patient?
? Non-maleficence: what are the risks / harms and how can they be avoided?
? Confidentiality /Privacy: what information is private and does confidentiality need to be limited or breached? Is it an issue in the case study?
? Veracity: has the patient and their family been honestly informed and is there any reason the patient cannot know the truth?
? Advocacy: what (if any) are the issues from the scenario?
Autonomy
• (definition given) The scenario reveals Jazi’s autonomy (upheld or breached)….. Clearly in not communicating……..
? Identify relevant legal principles and laws and nursing standards that indicate unlawful/unprofessional behaviour. Here you need to research both the law and professional nursing standards, and make comment about where there are problems/ breaches and give examples to highlight your argument from the case study.
Consider how the problem would look from another perspective
Consider a range of the following:
? Who are the relevant stakeholders? (e.g. patient, hospital, nurses, doctors)
? What is their interest?
? What do they have to lose?
? How significant are their interests?
? How powerful are they? How legitimate are they?
? How urgent are the problems?
? How would the problem look from an alternative ethical position (e.g. deontological / teleological)?
? Are there any ethical conflicts (e.g. between nurse/s, patient, treatment options) in the scenario? Can you explain why the conflicts have occurred and how they may be resolved?
? Identify the relevant ethical concepts and how they might guide management
? Identify relevant legal concepts and laws and how they might guide management
? What decision needs to be made, specify how guiding principles were balanced and why
? Outline how you would communicate the decision and assist relevant stakeholders to determine an action plan
state ethico-legal decisions, and need to incorporate the guiding principles in some way. See the Q Health website (sentinel events / clinical incident reporting).
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