FXP 4000 2
Case Study Overview
Piper Banks works as a medical director for an organization known as Open Arms. Open
Arms is a non-profit clinic and wellness center that provides its services to the low-income
convalescents in an urban neighborhood. Last summer, the area was affected by a severe
outbreak of measles. Due to the outbreak, many people were affected by the illness, and there
were 78 confirmed cases. Moreover, out of the 78 confirmed measles reports, 73 cases were of
children who had not yet received the vaccine. Furthermore, the children were all located in the
city’s East African immigrant community. The main issue affecting Piper is the fact associates of
the anti-vaccination program were supplying fliers and talking the affected families. This is even
though one of the primary goals of Piper’s organization (Open Arms) is to eradicate fear and
misinformation that the anti-vaccination group has been dispersing in the area for almost ten
years.
Moreover, the information provided by the anti-vaccination specifically promotes the
purported vaccine-autism relation. In a way, the data may seem right to the community because
there is a high incidence of autism in the area. Despite her frustration, Piper is determined to
convince parents to protect their children by letting the clinic administer the measles mump
rubella vaccine.
Using the Ethical Decision-Making Model
According to the ethical decision model nurses should be cautious when implementing
care, "Is the right thing the same decision for everyone? Obviously not. We are all influenced by
multiple factors in our decision-making (McCarthy & Gastmans, 2015)." Now for the case of
Piper Banks, she knows that education is vital to help the affected persons change their mind.
Moreover, Piper Banks should find a way to educate the anti-vaccination group on the

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Ethical Decision-Making Model for Vaccination Program

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