Ethical Dilemmas in Nurse Leadership
Discussion: Ethical Dilemmas in Nurse Leadership
Discussion: Ethical Dilemmas in Nurse Leadership, NSG 6620
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Almost every day, nurse leaders confront challenges or issues involving ethical dilemmas. Ethical dilemmas occur with respect to staff, patients and their families, or the business or strategic decisions made by the healthcare administration. One of the essential skills and competencies of twenty-first-century nurse leaders is the ability to peel away the layers of each ethical dilemma and determine the underlying ethical principle. There are numerous ethical decision-making models, and it truly does not matter to which model the nurse leader subscribes. However, it does matter that the nurse leader applies concepts of an ethical decision-making model in this executive leadership capacity. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Explain the various steps that nurse leaders can take to prepare themselves and staff nurses for dealing effectively with dilemmas arising from the clash between clinical and organizational ethics. Identify one ethical decision-making model that is of interest to you for identifying ethical dilemmas. What is an ethical principle? How you would apply an ethical principle in your current or a former setting to inform ethical decision making on a particular healthcare issue? Comment on the postings of at least two peers.
Evaluation Criteria:
Explained the various steps that nurse leaders can take to prepare themselves and staff nurses for dealing effectively with dilemmas arising from the clash between clinical and organizational ethics. Identified one ethical decision-making model that is of interest to you for identifying ethical dilemmas. Described what an ethical principle is, and how you would apply an ethical principle in your current or a former setting to inform ethical decision-making on a particular healthcare issue. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers.
Introduction
The role of a nurse leader is more complex than many people realize. In addition to managing a team, the nurse leader must also balance clinical needs with legal and ethical responsibilities. It can be difficult to know what’s right when faced with such ethical dilemmas in practice, but this article will discuss some common issues and how you can resolve them ethically.
Legal vs. ethical responsibilities
As a nurse leader, you have ethical responsibilities that take precedence over legal ones. This means that your actions must always be in the best interest of your organization and its patients—not just for any one person or group of people, but for all patients.
If an employee is not following these rules, then there are repercussions to be paid by both them and their employer: termination may result if they’re caught stealing from the company; fines can be levied against them if they break into someone’s home while on shift (and obviously more fines when they break into another person’s house); lawsuits could be filed against hospitals and health systems which knowingly hire unqualified staff members who pose a threat to other patients because they don’t perform their duties properly or follow accepted protocols when caring for them
Saying no to unethical requests
As a nurse leader, you’ll need to say no when someone asks for something that is unethical. It’s important to be clear about your decision-making process and the reasons behind it so others understand why you’re making the choice.
If there is a conflict of interest between an individual or organization requesting treatment from you and your patient, this can create ethical dilemmas in leadership roles. For example: A patient has been diagnosed with cancer and is receiving chemotherapy treatment at their home; however, there are concerns about whether or not the medicine will work because it is being given by another doctor who lives far away from where they live (and thus cannot monitor their recovery). If this person were to ask for help finding transportation costs associated with going back home during chemo sessions (for example), would saying yes hurt more than saying no?
Just as important as communicating clearly what makes sense ethically when faced with these types of situations are knowing how best one should phrase their refusal while still maintaining good relationships within an organization.”
Balancing service and advocacy for patients
There are many ethical dilemmas in nurse leadership. One of the most difficult to navigate is balancing service and advocacy for patients. Advocacy is the act of representing your patient’s interests, such as their needs or wishes, when making decisions about treatment plans. Service requires you to do what is best for your patient regardless of whether it conflicts with their desires or preferences.
In order to make these choices, nurses must keep in mind that they serve as advocates on behalf of their charges by advocating for them during care decisions while also being sensitive towards any concerns they may have regarding specific treatments or procedures (such as pain). This can be difficult because there will always be times when conflict arises between two opposing viewpoints; however, some rules should guide how we reach decisions about which option has more merit at any given time:
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Always consider the perspective from which each point-of-view comes from – both yours and theirs!
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Do not forget why we’re here – this isn’t just about making money but rather helping people who need our services…
Budgeting in the face of rising costs
In order to make budgeting decisions, you must have a good understanding of the hospital’s finances. The first step is to know what is included in your budget and what is not. You can do this by reviewing your budget with others who are working on it, or by asking questions during meetings with staff members who have more experience than you do.
Once this has been done, examine how much money has been allocated for each category, for example: patient services/medical supplies; equipment maintenance; food service (or other areas such as laundry services); laundry facilities; cleaning supplies, and then determine whether those figures are balanced or not. If they’re unbalanced, adjust them so that they are balanced before moving on to anything else in your plan for improving efficiency at work!
Addressing staffing shortages
Unfortunately, staffing shortages are a common problem in nursing. They can lead to patient care issues and morale issues for the nurse leader. If a staffing shortage occurs, it will impact other areas of your organization as well:
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Increased stress on nurses who are already working hard under pressure
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Higher turnover rates among staff members who have had little or no training in leadership skills
Ethical boundary issues with patients
As a nurse, you have a duty of care to your patients. You must respect their confidentiality and privacy at all times. This means that nurses should not share information with anyone outside of the patient’s family unless it was deemed necessary by the patient or their doctor. It is also important that you know your own limitations when it comes to dealing with difficult situations or decisions regarding these matters; there are some things which can only be handled by an experienced professional or under special circumstances (such as elder abuse). If you recognize these signs in yourself as an individual or within others around you, then it may be time for some self-reflection on how well-prepared you are for handling ethical dilemmas effectively in practice settings such as hospitals and nursing homes where there may be many distractions from doing what’s right by other people involved.
Balancing limited resources and employee comfort
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Balancing limited resources and employee comfort
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How to balance limited resources and employee comfort
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What are some examples of balancing limited resources and employee comfort
Effective leadership versus popularity
Effective leadership involves balancing the needs of a group with the needs of individuals. It requires an ability to make difficult decisions, communicate effectively and have empathy for others. Effective leaders can be seen as those who don’t need approval from their peers or superiors but rather use their own observations and experiences to guide them in making sound decisions that benefit both themselves and others.
Effective leadership is about balancing individual needs with those of a group; it’s about identifying what’s good for everyone involved—not just yourself!
Nurse leaders are often called upon to make difficult decisions based on limited information
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Ethical dilemmas often come down to choosing the lesser of two evils.
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Leaders must be able to explain their decisions and reasons for making them in order for others to understand and accept them.
Leaders must also be able to justify their choices when they are questioned by colleagues or managers, who may have different values or beliefs than they do.
Conclusion
The ethical dilemmas that face nurse leaders in their roles are challenging. The situations they face can be complex, and there is often no clear right or wrong answer. While it may be tempting to focus on the needs of patients and staff at the expense of your own career, remember that your decisions should be guided by your values as a leader and not by popularity. You will also have to make difficult decisions about what resources are available for how long given current budget constraints, as well as how much time you want to spend on a particular project compared with other priorities like improving patient care quality or hiring new nurses.
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