A Nagging Uneasiness
Themoral decision-making approach combines the tenet of the nursingprocess and those of bioethics (Marquis & Huston, 2015). Thebioethics approach seeks to find a solution to ethical issues byemploying the principles of justice, non-maleficence, autonomy, andbeneficence (Wilson, 2013). This essay will employ the moraldecision-making model to come up with the most acceptance course ofaction in the case study titled "A nagging uneasiness.”
Thefirst step according to the model is gathering all the relevant dataabout the issue in question (Marquis & Huston, 2015). From thecase scenario, there are concerns that the child was going throughneglect or abuse. This is because the child had been diagnosed withthe same condition six months ago. The other fact that I have managedto gather is that the client’s parents are involved in a custodydispute involving another child aged four years. During the child`sfirst admission, the physician in charge called the child protectiveservices but he was not able to gather any meaningful details thatwould point to her being subjected to abuse or neglect.
Thesecond step calls for the identification of all the interestedparties (Marquis & Huston, 2015). In the “”case study, the crucial stakeholders who must be involved whenresolving the dilemma are the physician, nurse, the supervisor, andthe social work department. The third step in the moraldecision-making process calls for the person facing the dilemma toidentify the values that are involved in the case scenario. For mycase, the values include social justice, autonomy, and human dignity.There is also the call to duty where I am supposed to execute myobligations to my clients irrespective of the repercussions.
Afteridentifying the values involved in the case scenario, the next stepis outlining all the available options. The first alternative is thatI can decide to do nothing. I can also decide to make a call to thesocial work department. Thirdly, I can inform the childrenprotective services. If I decide to take the first options, thepersons involved are the physician and my supervisor. The reason fordoing nothing is because of the warning from my physician and thesupervisor. The most likely effect of my action is the possibilitythat the child will continue being subjected to neglect or abuse. Thesecond decision involves calling the social work department. Thecause of this course of action is because the social work departmentalready has a record of the case in question. This decision may nothelp much since all the parties have exited the hospital’scompound. The third possible decision involves reporting the case tothe children protective services. The child protective services werealso involved during the child’s first hospitalization. This stepinvolves the head of the hospital, social workers, and thesupervisor. The possible consequence is that my supervisor and thehead of the hospital may be angered by the decision.
Afterevaluating all the three options, the most appropriate course ofaction that resonates with my values is for me to call the childprotective services. I will need to consult my supervisor. I knowthat she might not agree with my course of action but since she isalso a registered nurse, I am confident that she will support mesince she understands the organizational rules when it comes to asituation of child abuse. For the physician, he does not have muchinfluence on the course of action that I take since I do not reportto him. I know that all the players will be supportive of my decisionsince it is founded on the tenant of the client’s best interest.
Mycourse of action is inspired by my legal duty as a nurse which is tobe a reporter of any incident that warrants the attention of theauthorities. According to the regulations issued by the state, everynurse who comes across any case of child neglect or abuse shouldreport to the relevant authority which in this case is the childrenprotective services. The last step calls for me to look back andreflect on the decision that I made. I know that it is possible thatmy client was not facing any child abuse or neglect. However, I knowthat the prevailing circumstance gave me enough evidence to thinkthat something was wrong in the child`s life. However, I should havecollected more data before making the decision. For example, I shouldhave asked more probing questions to the child`s father when hecalled.
Inconclusion, according to the moral decision-making theory, I took theright course of action. There was sufficient evidence that my clientwas possibly going through child abuse.
Marquis,B.L. & Huston, C.J. (2015).Leadership roles and management functions in nursing: Theory andapplication (8th ed.).Philadelphia, PA: Lippincott, Williams & Wilkins
Wilson,D. (2013). What can history do for bioethics?. Bioethics,27(4),215-223 9.
No related posts.