Apply Guidos MORAL model to resolve the dilemma presented in the case study described in Ethical Scenario 4-3 on p. 48
Assignment Description:
For this week assignment, create a PowerPoint presentation based on the following case studies.
Read the case studies and answer the following questions:
Apply Guido’s MORAL model to resolve the dilemma presented in the case study described in Ethical Scenario 4-3 on p. 48 which is titled, “When Care Appears Medically Inappropriate,” (Guido textbook 7th edition).
- How might the nurses in this scenario respond to the physician’s request?
- How would this scenario begin to cause moral distress among the nursing staff, and what are the positive actions that the nurses might begin to take to prevent moral distress?
Read the following case study and answer the following questions: “You be the Ethicist”, presented at the end of Chapter 3, p. 41, which starts, “Helga Wanglie…” (Guido textbook).
- What are the compelling rights that this case addresses? Whose rights should take precedence?
- Whose rights should take precedence?
- How might the institutions’ organizational ethics policies have impacted the outcome of this case?
- Leaving any legal issues aside, how would you have used ethical principles to decide the outcome of this case, if Helga Wanglie had continued to survive relying on life-sustaining measure?
Now, examine the same Helga Wanglie scenario from the perspective of health care policy.
- How would you begin to evaluate the need for the policy and the possible support or lack of support for the policy from your peers, nursing management, and others who might be affected by the policy?
- Do the 10 framework questions outlined by Malone in chapter 4 (Guido textbook, p. 50) assist in this process?
- Create a process proposal for the organization with possible guidelines, procedures, and policies to address the issues you have identified.
M1 Assignment UMBO – 4
M1 Assignment PLG – 4, 6
M1 Assignment CLO – 3, 4, 5
The following specifications are required for this assignment:
- Length: 10 slides minimum; answers must thoroughly address the questions in a clear, concise manner.
- Structure:
- Title: 1 slide
- Objectives: 1 slide
- Guido’s MORAL model: at least 2 slides
- You be the Ethicist: at least 2 slides
- Perspective of health care policy: at least 2 slides
- Conclusion: 1 slide
- References: 1 slide
- Additionally, because a good presentation has few words on the slides include a script with the verbiage you would say when presenting; script should be a minimum of 50 words per slide.
- References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least two (2) scholarly sources to support your claims.
- Format: Save your assignment as a Microsoft PowerPoint document and a Word document (.pptx) and (.doc or .docx) or Open Office Impress.
- File Name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module1.pptx”).
Verified Answer
Objectives
Using Guido’s Textbook 7th Edition, the presentation will make use of the Guido’s Moral model to analyses the different case studies and offer various insights. To begin with, the first objective of the presentation is to Resolve dilemma in the case studies using the Guido’s Moral model.
The other objectives include the need to respond to the questions from the “You be Ethicist” case and also respond to questions following the assessment of Helga’s case. The resolution of the case study will make the analysis and answers from the healthcare policy perspective.
Guido’s MORAL model
The healthcare sector is based on the different principles of ethics that govern how nurses an other care providers interact with patients. Autonomy is one of the ethical standards and requires that care provider adhere to the wish if the patient. However, the case of Mr. R. indicates how the nurse is at an ethical distress following a conflict between the decision of the physician and the wishes of the family (Silva & Guido, 2020). Despite the challenges, the nurse is junior to the physician and has to follow his commands and decisions regardless of any other conflicting issues.
The case study also depicts different instances where a nurse might experiences moral distress. The conflict between the physician and the patient leaves the nurse at the center of the issues (Pozgar, 2020). As a care provider, the nurse has to be present for the family or patient and at the same time follow the directives of the physician.
The conflict causes moral distress leading to feelings of hopelessness, limited powers, and frustrations (Silva & Guido, 2020). Nurses can overcome the moral distress through communicating with the physician to air their concerns and reservations, and also acknowledging their position and following with the directives of the superior.
You be the Ethicist
The case study focuses on the different rights of the patient and how they impact the outcome of care. Some of the rights addressed within the case include autonomy, beneficence, veracity, justice and non-maleficence (Silva & Guido, 2020).
- Autonomy – personal freedom and self-determination
- Justice – equal and fair treatment for everyone.
- Beneficence – support for good promoting actions.
- Non-maleficence – avoiding doing harm.
- Veracity – only telling the truth (Silva et al., 2018).
These rights are in accordance with the ethical principles bioethics.
The rights of the patient take precedence as they are the receiver of the care.
The ethical guidelines of an organization can have an impact on the outcome of care in different ways. For instance, the policy can be used to determine the decisions of the physician, limit some actions but at the same time create a means within which to educate the family and patient on the policies (Pozgar, 2020). The ethical principles can be used to decide the outcome by respecting the patient’s autonomy, observing beneficence and non-maleficence.
For instance, I would have Respected the patients autonomy by considering Mrs. Wanglie’s possible will if present and the legal guardian Mrs. Wanglie’s will about being on sustained life support. Observed beneficence by considering what would more beneficial to the patient and her family between withdrawing or continued life support (Silva et al., 2018).
Perspective of health care policy
Polices are critical and can be used to change different aspects of care. However, there is need for evaluation and other analyses. To better evaluate the policy, I would Identify of the lack of policy, Clear definition of the people that the policy impacts, and Outline possible solutions. Similalrly, the 10 framework questions assist in the process as they create a guidelines that can help with evaluation. The main problem is the lack of clear policy to help with end-of-life decision-making (Silva & Guido, 2020).
An organization requires an effective proposal to help with possible guidelines, procedures, and policies to addresses issues related with lack of policies with end of life decision-making (Silva & Guido, 2020). The proposal includes the need to acknowledging the role of autonomy for all patients, creating policies to help with end-of-life decision-making, Educate physicians on the importance of the principles of bioethics, Provide occasional guidelines, and education on new changes and developments (Silva et al., 2018).
Conclusion
Nurses are critical in the healthcare sector and form the vast majority care providers. Nurses have to follow the requirements of the physician as they are more superior and higher in rank. Be that as it may, nurses need to now how to handle moral distress effectively when faced with challenges at the work place. There is need to also adhere to the principals of autonomy, beneficence, non-maleficence, justice, and veracity.
References
Silva, T. N. D. & Guido, G. W. (2020). Legal and ethical issues in nursing (7th ed.). Prentice Hall. ISBN: 9780134701233.
Pozgar, G. D. (2020). Legal and ethical issues for health professionals (5th ed.). Jones and Bartlett. ISBN: 9781284144185.
Silva, T. N. D., Freire, M. E. M., Vasconcelos, M. F. D., Silva Junior, S. V. D., Silva, W. J. D. C., Araújo, P. D. S., & Eloy, A. V. A. (2018). Deontological aspects of the nursing profession: understanding the code of ethics. Revista brasileira de enfermagem, 71(1), 3-10. https://doi.org/10.1590/0034-7167-2016-0565
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