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Apply Ethnical Framework Essay

955 words - 4 pages

Applying Ethical Frameworks in Practice
In an episode of ER in 2000, a nurse named Carol Hathaway makes promises to two 14 year old girls who enter the ER and are hesitant to allow care for themselves. Nurse Hathaway tells the girls that she will not disclose any information to their parents or anyone else if they will agree to care. One of the girls Andrea is tested positive for Human Papillomavirus (HPV) an extremely common Sexually transmitted disease (STD) although later is diagnosed with cervical cancer. Nurse Hathaway speaks to the ER physician who told her that she needs to report these diagnoses to Andrea’s parents and to her school because the girls were involved in sex parties ...view middle of the document...

Ethical theories and principles are important in the health care world for resolving ethnical conflicts fairly. Both ethical theories and principle approaches provide you with the framework for diagnosis communication and problem solving ethnical questions you encounter in your clinical practice (Purtilo & Doherty, 2011, p. 67). Beneficence is a particular principle that guides the ethnical theory to do good, Nurse Hathaway was trying to do good for patient and knew that not involving her parents and her being a minor would only cause harm to the patient.
Ethnical theories and principles bring significant characteristics to the decision making process (The American Nurses Association, 2012, p. 4). Uustal’s model could be used in this ethical dilemma because it follows the nursing process and has the framework to aid in ethical decision making. The biggest ethical dilemma I see in this case is if Nurse Hathaway should inform the girl’s school about the diagnosis. In this episode Nurse Hathaway does inform the school of the diagnosis of Andrea, but was that the right thing to do? Using the Uustal’s model to identify another alternative would be significant because, HPV is not a mandatory reportable disease and informing the school does not benefit the patient. Uustal’s model follows steps to help the decision making process for this dilemma first identify the problem which is the question if the nurse should breach confidentiality or not. The next few steps involve understanding the important values and examining the alternatives. If Nurse Hathaway did not tell Andrea’s parents of the findings how would a minor deal with such devastating news alone or seek treatment is she decided to? The model next step is predicting all possible outcomes and to develop a plan, what would happen to Andrea if...

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