Ethical Dilemmas In Nursing
This reflective account will discuss an ethical dilemma which arose during a placement within a community setting. To assist the reflection process, the Gibbs (1988) Reflective Cycle which encompasses 6 stages; description, thoughts and feelings, evaluation, analysis, conclusion and action plan will be used which will improve and strengthen my nursing skills by continuously learning from both good and bad experiences, and develop my self confidence in relation to caring for others (Siviter 2008). To comply with the Nursing and Midwifery Code of Conduct (NMC) (2008) and maintain confidentiality all names have been changed and therefore for the purpose of this reflection the patient will be referred to as Bob.
Bob is a forty four year old man …show more content…
Alexander et al (2001) state that it is not unusual for relatives to ask a Consultant to withhold information. Kenworthy et al (2002) say that these requests are made out of compassion and love. However, Rumbold (2002) disagrees and suggests it is often the relatives who are unable to cope and have difficulty in coming to terms with the impending prognosis. Dimond (2005) agrees and adds that withholding the truth can be harmful or lead to a conspiracy of silence but may be justifiable if it is in the patient’s best interest not to know. Buckman (1988) also appears to agree pointing out receiving ‘bad news’ can have a negative and drastic effect on a patient’s view of their …show more content…
Rumbold (2002) identifies that health professionals should act according to the principles of beneficence and non-malifience, and states that withholding information or telling a lie is unethical and denies the individual autonomy. Rumbold (2002) argues that autonomy enables the individual to think, decide, and make decisions freely and independently based on information given. Nevertheless I felt that Bob could not be autonomous when he did not know the truth regarding his diagnosis and thus denying him the right to make informed decisions surrounding his death.
Although my values and beliefs differed from the Consultants, I was aware that I had to uphold his decision. Essentially, the consultant has clinical responsibility for patients Rumbold (2002). However, Kenworthy, Snowley and Gilling (2002) state that professionals who override an individual’s autonomy for ‘doing good’ a dilemma
Bob is a forty four year old man …show more content…
Alexander et al (2001) state that it is not unusual for relatives to ask a Consultant to withhold information. Kenworthy et al (2002) say that these requests are made out of compassion and love. However, Rumbold (2002) disagrees and suggests it is often the relatives who are unable to cope and have difficulty in coming to terms with the impending prognosis. Dimond (2005) agrees and adds that withholding the truth can be harmful or lead to a conspiracy of silence but may be justifiable if it is in the patient’s best interest not to know. Buckman (1988) also appears to agree pointing out receiving ‘bad news’ can have a negative and drastic effect on a patient’s view of their …show more content…
Rumbold (2002) identifies that health professionals should act according to the principles of beneficence and non-malifience, and states that withholding information or telling a lie is unethical and denies the individual autonomy. Rumbold (2002) argues that autonomy enables the individual to think, decide, and make decisions freely and independently based on information given. Nevertheless I felt that Bob could not be autonomous when he did not know the truth regarding his diagnosis and thus denying him the right to make informed decisions surrounding his death.
Although my values and beliefs differed from the Consultants, I was aware that I had to uphold his decision. Essentially, the consultant has clinical responsibility for patients Rumbold (2002). However, Kenworthy, Snowley and Gilling (2002) state that professionals who override an individual’s autonomy for ‘doing good’ a dilemma