How might the nurses in this scenario respond to the physician’s request? How would this scenario begin to cause moral distress among the nursing staff and what are the positive actions that the nurses should begin to take to prevent moral distress?

Study 1.

Mrs. R. is a 87-year old patient who is being treated for pneumonia. She is now ventilator-dependent and in hospital. Family members informed the nursing staff that Mrs. R. wouldn’t have desired such care, and she would prefer to be taken off of life support. The primary doctor, Dr. G. has asked the nurses to speak to the family to discuss moving Mrs. R. into a larger medical center to receive more advanced care including physical and rehabilitation.

Guido’s MORAL model provides a framework for ethical decision-making in healthcare. Using this model, the nursing staff can respond to the physician’s request by following these steps:

M – Massage the dilemma: The nursing staff should identify and clarify the problem in the situation. The dilemma is whether to continue Mrs. R.’s life support, as per the physician’s request, or to respect the family’s wishes and discontinue the life support.

O – Outline options: The nursing staff should identify all the possible options available to them, including transferring the patient to another facility or consulting an ethics committee.

R – Resolve the dilemma: The nursing staff should make a decision and implement the best course of action. They should try to find a compromise between the physician’s request and the family’s wishes.

A – Act by applying the chosen option: The nursing staff should implement the decision and communicate it to all parties involved.

L – Look back and evaluate: The nursing staff should reflect on the decision and evaluate its outcome.

If the nursing staff continues to provide life support against the family’s wishes, it can cause moral distress among the staff. The nursing staff has the option to take positive steps, such as seeking out support from chaplains or social workers or consulting an ethics committee. This will help prevent moral distress. Nurses can teach the family and physician about ethical principles such as autonomy, beneficence and justice.

2. Case Study

Tyrell Dueck, a competent 14-year-old boy, was diagnosed with bone cancer and decided to stop further therapy and leave his health in God’s hands, according to his parents’ religious beliefs. Healthcare team tried to force continued medical treatment, and planned an amputation. The court battle ended when Tyrell’s cancer had spread to his lungs.

In this case study, we will focus on three fundamental rights: the right of autonomy and informed consent. Tyrell’s right to determine his medical treatment conflicts with the healthcare team’s duty to provide the best possible medical care. Tyrell’s parents’ religious beliefs conflict with the healthcare team’s obligation to provide evidence-based medical treatment.

The ethical principle of autonomy suggests that Tyrell has the right to make his medical decisions, but as a minor, his parents’ consent is required. The healthcare team has an obligation to provide accurate information to the patient and parents and to ensure that the patient’s decision is informed. However, the healthcare team’s obligation to provide evidence-based medical treatment is important in this case, as the patient’s decision is not based on evidence but on religious beliefs.

If Tyrell’s disease had not intervened, it would have been ethically appropriate to respect his decision and allow him to stop further therapy. Tyrell had to be aware of all the potential risks and benefits, as well as the fact that he gave informed consent.

The organization’s healthcare policy perspective can help it evaluate whether policies are needed to address conflicts between evidence-based treatment and religious beliefs. These can be helped by Malone’s chapter 4 Guido textual framework questions.

How do you place an order?

It takes a few steps to place an order with Us:

  • The first step is to place your order. You will need to provide us with some basic information about your project.
  • Once you have placed your order, you will be taken to our secure payment page.
  • Once we receive your order, we will carefully review it and match you with a writer who has the skills and experience.
  • Stay in contact with the writer and discuss vital details of research.
  • Your completed proposal will be delivered via email within the specified deadline.

You are secure when using our service

It's critical for each client to feel secure. As a result, we at Research Proposal Writing take precautions to secure your data.

Financial security You may securely pay for your purchase using a variety of secure payment methods.
Personal security The personal information of our clients is secure. Nobody else will have access to it.
Academic security We use a specialized program to check every completed paper to ensure that we deliver no-plagiarism samples.
Web security This website is safe from unauthorized breaches. We maintain our privacy management in line with the latest laws and regulations.

You can get help placing your order. If you have any questions about our services, please contact us. Our support staff is accessible 24 hours a day, 7 days a week.

If you're still looking for a way to improve your grades and hire expert writers, we've got you covered. Place an order on our website, and we'll help you with any paperwork you want. We will exceed your expectations.

Order now Get a quote