Category: Nursing Ethics
- Coercing the patient to participate for the benefit of science.
- Providing only positive information about the drug.
- Explaining the study purpose, risks, benefits, alternatives, and right to withdraw without penalty, ensuring understanding.
- Minimizing the risks to encourage participation.
- Patient privacy
- Competence
- Communication standards
- Resource allocation
- Join the colleague in the practice.
- Ignore the behavior, as it doesn't directly harm patients.
- Report the colleague's time card discrepancies and improper work practices to the charge nurse or human resources.
- Confront the colleague and threaten to report them.
- Autonomy
- Beneficence
- Non-maleficence
- Justice
- Autonomy
- Non-maleficence (of prolonging suffering)
- Justice (of resource use)
- Veracity
- Autonomy
- Veracity
- Beneficence
- Justice
- Non-maleficence
- Veracity
- Fidelity
- Justice
- Administer the medication as dispensed until resolved.
- Correct the dosage manually for each patient without reporting.
- Document the error, notify the prescribing physician, and advocate for immediate correction of the dispensing system issue.
- Inform the patients about the error.
- Autonomy
- Cultural competence
- Professional boundaries
- Veracity
- Persuade the patient until they agree to the surgery.
- Respect the patient's autonomous decision.
- Seek a court order to compel the surgery.
- Administer a sedative to reduce the patient's fear.
- Immediately intervene to protect the patient and report the incident through official channels.
- Ignore the incident to avoid conflict.
- Wait until the colleague finishes and then offer support to the patient.
- Tell other colleagues about what happened.
- Autonomy
- Confidentiality
- Non-maleficence (to the patient)
- Veracity
- Beneficence
- Non-maleficence
- Confidentiality
- Justice
- Confirm the patient is on the placebo to encourage them to withdraw.
- Suggest the patient discuss their concerns with the principal investigator.
- Tell the patient that they are on the active drug to maintain hope.
- Disclose the blinding status if symptoms worsen further.
- Justice
- Beneficence
- Autonomy
- Fidelity
- Quietly complete the delegated tasks to avoid conflict.
- Inform the nursing assistant of the improper delegation.
- Report the improper delegation and potential patient safety issues to the charge nurse or supervisor.
- Confront the senior nurse directly in front of other staff.
- Avoid interfering to prevent embarrassment.
- Offer to complete the colleague's charting.
- Report the technical incompetence to the charge nurse for appropriate training or intervention.
- Provide one-on-one technical training to the colleague during patient care.
- Use the workaround to be efficient and fit in.
- Report the workaround immediately to management.
- Refuse to use the workaround and follow proper policy, while advocating for a safer, more efficient process if possible.
- Only use the workaround when short on time.
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