¶ … employ the 6-step model described by Wagner and Toren in their article, for evaluating a particular healthcare scenario. Managers are in charge of ensuring and fostering an ethical and secure work atmosphere wherein nurses can deliver quality patient care. It is often stated in the nursing profession that the key duties of managers include taking care of patient needs and upholding their right to be delivered quality healthcare. This 6-step model provides a means to conflict resolution via a model of ethical decision-making. A number of conditions and steps are proposed for examining and solving ethical quandaries.
• Definition of ethical issue;
• Clarification of professional and personal values, regulations and ethical tenets involved;
• Identification of alternative courses of action;
• Selection of a particular course of action;
• Initiation of discussions on unsolved problems;
• Solution generalization to similar problems.
Definition of Ethical Issue
A child, aged six, is diagnosed with meningitis, and the clinic requests her parents' permission to begin treatment. The parents are divorced, with the mother (not a biological parent) enjoying primary custody of the child. Being a follower of Christian Science, she cites religious reasons for deciding against seeking medical treatment for the child. On the other hand, her (biological) father, a resident of another state, is firm on the opinion that the child should be administered necessary treatment. He seeks another doctor's independent consultation.
What is the course of action a healthcare provider must pursue in the face of such a situation, wherein one of the patient's parents opposes the recommended treatment? The healthcare provider bears the child's best interests in mind when recommending the treatment. Is the opposition of treatment recommendation by a parent to be regarded as a 'problem'? Just like a majority of medical ethics issues, the 'problem' will typically be one of perspective. In simple words, the doctor as well as the child's parent (non-biological mother, in this case) has the child's best interest in mind. After recognizing the above fundamental aspect, the healthcare provider must attempt to ascertain the reason for opposition to treatment (Muirhead, 2004).
Clarification of professional and personal values, regulations and ethical tenets involved
Healthcare providers' conduct must honor...
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