Ethical Dilemmas in Nursing
- Application of Course Knowledge:
- Describe an ethical dilemma from your nursing practice.
- Identify the key stakeholders.
- Describe how the situation impacts the key stakeholders.
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Ethical Dilemmas in Nursing
Ethical Dilemma in Nursing Practice
An ethical dilemma was encountered when a terminally ill patient refused further life-sustaining treatment. The medical team believed that continuing treatment would prolong life, while the patient expressed a desire for comfort care only. This conflict created tension between respecting patient autonomy and the duty to preserve life. The family was deeply divided, with some members supporting the patient’s decision and others insisting on continued intervention. The healthcare team faced difficulty in balancing ethical principles while maintaining professional integrity.
Furthermore, the patient’s declining condition required urgent decisions. Legal implications were considered because the refusal was documented in an advance directive. The emotional strain on the staff increased as the disagreement persisted. Communication barriers between the family and the care team delayed consensus. Professional guidelines and hospital policies were consulted to ensure compliance with ethical standards. Ultimately, a multidisciplinary meeting was arranged to facilitate dialogue.
Impact on Key Stakeholders
The primary stakeholder was the patient, whose wishes were at the center of the dilemma. Emotional distress was experienced due to the conflict between personal values and medical recommendations. The family was affected by feelings of grief, guilt, and helplessness. Divided opinions among relatives strained relationships and complicated decision-making.
Healthcare providers were impacted through emotional fatigue and moral distress. Prolonged exposure to ethical conflict risked burnout and reduced job satisfaction.
Through open communication, gradual consensus was achieved. Respect for the patient’s autonomy was maintained while offering compassionate support to the family. The case reinforced the importance of ethical awareness, timely intervention, and collaborative decision-making in nursing practice.This experience……………………………..
