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Ethical Decision-Making Model

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Ethical Decision-Making Model
Introduction:
Ethical problems that need a person to decide if certain alternatives are right or wrong. Ethical decisions are made by using ethical principles and theories. In this case scenario, the family wanted to hide the diagnosis from the patient, however the patient requested details about her condition from the nurses as she felt that family is hiding something from her. I am using Kerridge, I., Low, M. & McPhee, J 2005 ethical decision making model which is relevant for the nurses’ own practice and to help facilitate patient and family decision making. This model also helps to clarify further issues and assists patients to affirm their rights as decision makers and can enhance trust. A choice not to know can be autonomous and
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A successful relationship between patient and healthcare professionals depends on the establishment of trust with truthful communication (Kazdaglis, G.A., Arnaoutoglou, C., Karypidis, D., Memekidou, G., Spanos, G. & papadopoulos, O. 2010 p. 443). Therefore it is the nurse’s responsibility to encourage the actual diagnosis is told to the patient. As stated in value statement 7 in SNB code of ethics (2006), nurses should support the health, wellbeing and informed decision making of people receiving care.
Problem would look from another theory;
Consequentiality theory determines that the action is right or wrong is based on the actions. By considering the whole team benefit we may not tell the truth to patient as family has mentioned that patient W will go in to depression if she comes to know the diagnosis. It state that “we ought always to produce the greatest possible balance of worth over disvalue for the greatest number of person” (Matzo & Sherman, 2009. P 123)
Ethical
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(2003). Autonomy versus beneficence: An ethical dilemma, 13, 38-41.

Guven,T.(2010). Truth-telling in cancer: Examining the cultural incompatibility argument in Turkey. Nursing Ethics.
Kazdaglis GA,Arnaoutoglou C, Karypidis D, Memekidou G, Spanos G, Papadopoulos O. Disclosing the truth to terminal cancer patients: a discussion of ethical and cultural issues. East. Mediterr. Health J. 2010; 16: 442–447.

Li, J.Y, Liu, C.,Zou, L.Q. &Huang, M.J.(2008). To tell or not tell: attitudes of Chinese oncology nurses towards truth telling of cancer diagnosis. Journal of clinical nursing, 17, 2463-2470.

Matzo, M. & Sherman, D. 2010. Palliative care nursing, quality care to the end of life. 3rd edition. New York: Springer publishing company.

Park, E. 2010. An integrated ethical decision-making model for nurses. Nursing ethics, 19(1) 139-159.Doi: 10.1177/0969733011413491.

Staunton, P., & Chiarella, M. (2008). Nursing and law ( 6th edition., pp.23-37). Sydney: Churchill Livingstone.

Singapore Nursing Boards (SNB). (2006). Code of ethics and professional conduct. Retrieved from http://www.snb.gov.sg on

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