Ethical Decision-Making Model In Nursing

Ethical decision making model Ethical decision making model has three components namely knowledge, skill, and attitude. When an ethical dilemma is presented to nurse both nursing and ethical knowledge are activated . The initial primary concern of the nurse is to understand the nature of the nursing problem. When the nursing problem is clarified, the nurse proceeds to consider the ethical aspects of the case( Harasym ,2013).
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Figure (3) Harasym ,2013

There are basic steps in the skills component of the model: problem identification and information gathering, decision making, planning for treatment and management and observed clinical behaviors. The last step can be greatly influenced by the individual and context factors as conflicts, nature of family support system and available resources).
Justifications for nursing and ethical decisions are based on a variety of factors as probabilities, theory, principles, law, professional codes, beliefs, values, guidelines, consequences, outcomes of comparable cases, and prior experiences. The model provides a framework to foster understanding of ethical reasoning (Harasym ,2013).

Making the right decision on nursing requires sufficient sensitivity to ethical issues and failure to handle ethical issues in caring may result in neglecting ethical principles and values of nursing . In workplaces where employees constantly receive many different messages, ethical messages can be overlooked and the ethical leader can bring ethics to the attention of employees through frequent contacts and ethical messages (Esmaelzadeh,2016)