Describe a situation of ethical dilemma that you have experienced in practice and how it was resolved?
in regards to emergency department nursing.
Title: Situation of Ethical Dilemma in Emergency Department: A Case Study
Introduction: Emergency department nursing is a demanding and challenging field that often presents healthcare professionals with complex ethical dilemmas. These situations require critical decision-making skills to navigate the ethical, legal, and moral aspects of patient care. This essay aims to describe a specific situation of an ethical dilemma encountered in emergency department nursing and discuss how it was resolved, highlighting the importance of ethical principles and effective communication.
Case Study: In my role as an emergency department nurse, I encountered a significant ethical dilemma involving a patient with a life-threatening condition who refused life-saving treatment. Mr. Johnson, a middle-aged man, was brought to the emergency department with severe chest pain and shortness of breath. Upon assessing him, the medical team diagnosed him with a massive heart attack that required immediate intervention.
The medical team quickly devised a treatment plan that included administering thrombolytic therapy, which could dissolve the blood clot causing the heart attack. However, when we presented the treatment options to Mr. Johnson, he adamantly refused any form of medical intervention. He expressed his beliefs that his condition was a punishment from a higher power and that he preferred to accept the outcome without interference.
Ethical Dilemma: This situation presented a significant ethical dilemma as it clashed with the core principle of beneficence, which promotes acting in the patient’s best interest to preserve life and alleviate suffering. It was apparent that Mr. Johnson’s decision could potentially result in irreversible harm or even death. Balancing respect for patient autonomy and ensuring the best possible outcome for the patient became a challenging task.
Resolution: Resolving this ethical dilemma required a collaborative approach involving the healthcare team, Mr. Johnson, and his family. Firstly, it was crucial to ensure a comprehensive understanding of Mr. Johnson’s decision and the reasons behind it. We engaged in active listening and empathetic communication to explore his beliefs, values, and fears.
Next, we initiated a series of conversations that involved the medical team, Mr. Johnson, his family, and a hospital ethicist. These discussions focused on providing clear and comprehensive information about his condition, the available treatment options, potential risks, and the consequences of refusing treatment. We also considered the legal and ethical aspects involved, seeking guidance from the hospital’s policies and ethical frameworks.
Throughout these conversations, we recognized the importance of respect for patient autonomy while balancing the principle of beneficence. It became evident that Mr. Johnson’s decision was based on deeply held religious beliefs and a sense of personal autonomy. While the medical team firmly believed that the thrombolytic therapy was essential for his survival, it was crucial to honor his decision.
The resolution to this ethical dilemma involved finding common ground and ensuring Mr. Johnson’s safety to the best extent possible. We collaborated with him and his family to develop a modified care plan that respected his autonomy while still addressing his medical needs. This involved close monitoring, providing adequate pain management, and establishing clear guidelines for immediate intervention should his condition worsen.
Conclusion: Emergency department nursing often presents healthcare professionals with complex ethical dilemmas that require careful consideration and collaboration. In this case study, the ethical dilemma involved a patient’s refusal of life-saving treatment. By engaging in open and respectful communication, understanding the patient’s perspective, and collaborating with the healthcare team, Mr. Johnson’s autonomy was respected while ensuring his safety to the best extent possible.
This case highlights the importance of ethical principles such as autonomy and beneficence, effective communication, and interdisciplinary collaboration in resolving ethical dilemmas in emergency department nursing. By navigating such challenges thoughtfully, healthcare professionals can uphold their commitment to patient-centered care and ensure the best possible outcomes for their patients.