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Ethical Principles For Clinical Decisions And Practices (Essay Sample)



The purpose of this task is to explore how nursing ethics, self-advocacy, and professional accountability can be applied in clinical practice. Using the provided case scenario, you will be required to think about how ethical concepts can be used to make clinical decisions and explore the differences in personal and professional beliefs. You will develop personalized stress management plans that rely on the use of adaptive coping strategies to ensure personal health and well-being.


You have been working as a nurse in the adult oncology unit for the past year. You have developed a close relationship with many of your patients, but Mr. Newcomb has a special place in your heart. He has been diagnosed with stage 4 pancreatic cancer and has undergone aggressive chemotherapy. Each day his wife has come to the unit to be with her husband. They have been married for over 40 years and share a deep love.

Mr. and Mrs. Newcomb have made the decision to no longer continue with treatment and have decided that hospice care is needed. Over the past few days, you have watched Mr. Newcomb’s health decline, and you can tell from your experience that he does not have much time left to live. Mr. Newcomb has been very open about discussing his death, and you have had the opportunity to learn about his life and the legacy he will leave behind.

While you are completing your rounds, you stop in Mr. Newcomb’s room to see how he is doing. You ask, “Is there anything else I can do for you?” Mr. Newcomb has rarely asked for anything, but today he has one request. Mr. Newcomb states, “Before I die, I would like to see my mistress one more time. Mrs. Newcomb is always here. Do you think you could tell her that I will be busy for a few hours tomorrow so I can make arrangements to see my mistress one more time?”

Reflect on the following questions before you begin working on this task:

●   What would you do in this scenario?

●   How can your knowledge of ethical principles be utilized to determine your response to Mr. Newcomb?

●   How would this affect you as a nurse and direct provider of care for Mr. Newcomb?


Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

A.  Summarize how the principles of beneficence, non-maleficence, autonomy, and justice apply to the scenario by doing the following:

1.  Describe how you would respond to Mr. Newcomb’s request.

2.  Evaluate how you applied the principles of beneficence, non-maleficence, autonomy, and justice to the scenario.

3.  Examine how personal beliefs and values influenced your response to the scenario.

4.  Describe three strategies to promote self-care.

B.  Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

C.  Demonstrate professional communication in the content and presentation of your submission.


A Case Scenario Analysis on Applying Ethical Principles for Clinical Decisions and Practices
"The biggest problem with healthcare today is not its cost but for all that money, it's not an expression of our humanity"-Jonathan Bush. Patient's safety has been the primary concern of any health care services worldwide. Better health has been pursued in order to secure individual's well-being and happiness through the means of quality services rendered that will equip them with qualified, essential, and innovative personal care assistance as possible. However, as the quote stated, comprehensive facilities and proficiency given by healthcare professionals are not the only necessity required to promote life. Instead, life has been treasured if health and medical care were catered together with a healthy relationship between patients and physicians. Thus, ethical standards and principles played a significant factor to build these opportunities for good medical outputs established with trust, accountability, reciprocated respect, and rational medical care (Elsayed et al, 2009).
Developments in Science and Technology have changed the context in which health care is given resulting in an increasing confrontation with moral issues and dilemmas. This, in turn, exposed the needs for health care professionals in learning how to decide and respond to ethically-challenged clinical practices. In this article, a case scenario will be analyzed to explore how nursing ethics, self-advocacy, and professional accountability can be applied to promote morally-accepted strategies for clinical decisions. A personalized stress management plan will also be developed to generate adaptive coping strategies for personal health and well-being.
The case of Mr. Newcomb leaves a controversial argument between the call of duty or professionalism and the personal belief and values enrichment. It was indeed hard to separate our nature and own perception of what is right or wrong, and what should be done with the projected response we need to undertake for our professional responsibility. There might be various questions that may arise. Is it morally acceptable for a nurse to interfere with her client's personal life, and keep a secret of extramarital affair knowing that the wife has always had the trust on you as a service provider? Or is it ethically correct to decline a patient's request despite its potential greater benefit on his side and impediment of his right to autonomy? As an advocator of life and care, it is necessary for a nurse to have no special justifications for imposing its personal views about ethics on others. Rather, healthcare workers should share a fairly common moral commitment that will always prioritize the general welfare of the people that most likely put them in the profession in the first place. Furthermore, I would agree and grant Mr. Newcomb's request as an ethical decision for clinical practice integrating the principles of beneficence and non-maleficence, autonomy, and justice.
In the context of allowing Mr. Newcomb to meet his mistress one last time is considered to be ethically acceptable since as health care workers, we should be committed in helping others using “first do no harm, benefit only” principle. The time that the nurse ask him of “Is there anything else I can do for you?” and he responded “Before I die, I would like to see my mistress one more time” already leave a duty for the nurse to fulfill as part of her responsibility. Even though the client's request was not directly associated with physical treatment, the closure and inner peace that the perceived meeting would give, by this time, induce cure for emotional and social well-being too. If the nurse failed to engage herself in this call and did not exercised...

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