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Assessment 1: Applying Ethical Principles

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Capella University

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Course Name

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Prof Name
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Navigating Ethical Principles
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In the realm of healthcare, professionals routinely confront ethical quandaries that
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demand decisions rooted in moral beliefs and values. Autonomy, beneficence,
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non-maleficence, and justice form the cornerstone principles that guide healthcare

practitioners in making morally sound choices. The concept of prima facie,

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introduced by English philosopher W. D. Ross, posits that a moral principle remains

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valid unless conflicting with another, necessitating a thoughtful decision-making

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process (Othman & Hamid, 2018).

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Overview of the Case Study

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E.L Straight, recently appointed as the head of medical practitioners, has

implemented various policies aimed at improving patient care. Despite positive

outcomes, longstanding senior staff surgeons at Hopewell remain unimpressed. E.L

Straight finds himself in an ethical dilemma when Dr. Cutrite inadvertently leaves a

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needle protector inside a patient during surgery, downplaying its severity. This

incident prompts concerns about the clash between the hospital's interests and

patient well-being (NURS FPX4000 Assessment 1: Navigating Ethical Principles).

Analysis of Ethical Issues in the Case Study

E.L Straight grapples with the ethical dilemma of balancing the hospital's reputation

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against the well-being of the patient. Despite facing resistance from other medical

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personnel, E.L Straight prioritizes the patient's health, deeming the situation unethical

(Darr et al., 2017).

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Application of Ethical Principles
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The International Patient Decision Aid Standards (IPDAS) are employed to assess
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primary and secondary outcomes in decision-making processes in geriatric care,
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providing insights into addressing complaints and offering solutions for the care of

elderly patients (Stacey et al., 2018).

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The decision-making model in medical practice encompasses moral awareness,

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moral judgment, and ethical behavior. Moral awareness evaluates actions based on
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their overall impact, while moral judgment emphasizes patient involvement in care

planning. Ethical behavior assesses a situation's compliance with laws and fairness
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to determine its ethical nature (Doherty, 2020; Price & Cohen, 2019).
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In E.L Straight's case, the ethical dilemma arises from conflicting principles of

non-maleficence and justice, underscoring the imperative to prioritize patient health

(Morley et al., 2020).

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Communication Effectiveness

Effective communication is crucial in resolving ethical dilemmas. The nurse

supervisor effectively communicated the surgical error, but communication

breakdowns within the hospital hierarchy and Dr. Cutrite's reluctance indicate a lack

of effective communication skills (Stacey et al., 2018; Doherty, 2020).

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Resolution Strategies

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To address the ethical dilemma, healthcare organizations like UNICEF or WHO could

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be involved to align actions with ethical standards and regulations (Morley et al.,

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2020).

Conclusion
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In healthcare, ethical decision-making relies on principles such as autonomy,
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beneficence, non-maleficence, and justice. E.L Straight's dilemma emphasizes the

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importance of adhering to these principles to navigate the conflict between patient

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rights and the hospital's reputation (Doherty, 2020).

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References

Darr, K., Farnsworth, T. J., & Myrtle, R. C. (2017). Cases in health services

management.

Doherty, R. F. (2020). Ethical Dimensions in the Health Professions-E-Book. Elsevier

Health Sciences.

Morley, J., Machado, C., Burr, C., Cowls, J., Joshi, I., Taddeo, M., & Floridi, L. (2020).

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The ethics of AI in health care: A mapping review. Social Science & Medicine, 260,

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113172.

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Othman, Z., & Hamid, F. Z. A. (2018). Dealing with an (expected) ethical dilemma:

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Experience from the field. The Qualitative Report, 23(4), 733-741.

Price, W. N., & Cohen, I. G. (2019). Privacy in the age of medical big data. Nature
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Medicine, 25(1), 37-43.
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Stacey, D., Légaré, F., Lewis, K., Barry, M. J., Bennett, C. L., Eden, K. B., … & Trevena, L.

(2018). Decision aids for people facing health treatment or screening decisions. The
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Cochrane database of systematic reviews, 4(4), CD001431.

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