(PDF) Win–Win Concession Period Determination Methodology
Added on 2021-04-22
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Healthcare and ResearchLanguages and Culture
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Running head: INFORMED CONSSESSION1Informed ConsentStudent’s NameInstitutional Affiliation
INFORMED CONSSESSION2Case Study Analysis: Informed ConsentOn a daily basis, nurses are confronted with the professional reality that they can mitigate in the decision-making process when it comes to safeguarding the rights and well-being of their patients. Regardless, the limits that a nurse possesses on the grounds of authority and capacity to mitigate are emphasized on the same daily basis. Sheila, a nurse at an orthopedic unit, recently experienced a similar incident concerning informed consent violation and she was faced with the dilemma of either intervening for her patient or going, mum. The following paper endeavors to analyze Sheila’s case based on the seven-step model of processing ethical dilemma as crafted by Potter and Perry. 1. Ethical DilemmaLiterature defines ethical dilemma as the decision-making problem between two possible moral imperatives which are either acceptable or not (Enzinger et al., 2017). What this means is that, when trying to make a decision, one aspect will be obeyed while the other will be transgressed. According to Sheila’s case study, the dilemma was either to intervene (Sheila) and translate the information being provided by the surgical doctor in German or protect her professional career and not intervene. The case is a two-faceted take: on one end, the nurse did the right thing by being concerned whether her patient was being provided the correct information. One of the paramount rights of any patient is the right to autonomy and informed consent. As stipulated in the universal consent standards, a patient ought to understand what is being explained by ensuring that the medical professionals provide every medical detail (Potter, Perry, Stockert, & Hall, 2014). On the other end, the nurse was only professional. Sheila only did what any nurse would have done in her position- following orders.
INFORMED CONSSESSION32. Informed ConsentAs the name suggests, informed consent is the voluntary agreement to or acquiescence in what another person proposes. In the medical field, Grady, (2015), the generalized regulation is that a patient ought to provide consent to the doctors before any administration of treatment. To do so, there are several guidelines that doctors and other medical professionals ought to use (Blease, Lilienfeld, & Kelley, 2016) . They include the capacity to consent- a person who can comprehend the nature and the anticipated effect of theproposed medical treatment, as well as alternatives, can be considered to have the capacity to provide valid consent. Nonetheless, there are limitations to the size of a person to provide informed consent. Age of the person heavily depends on the validity which is limited from the age of fourteen (in Canada) and anyone above the age of eighteen with a sound mind and emotional stability (Kim & Miller, 2015). Additionally, Ferrer et al., (2016) indicates that if aperson is unable to decide due to predeterminant factors such as mental capacity, then anotherperson can do so on their behalf Another prominent informed consent detail is the disclosure of information to be considered valid (Hill & Howlett, 2013). An informed consent stipulates that there needs to be the explicit explanation on the medical information a patient ought to be given especially about the nature of their treatment as well as the anticipated outcome (Faden, Beauchamp, & Kass, 2014). The obligation to provide the medical information rests on the physician and never delegated to another medical staff. However, in special circumstances, the data can be disclosed to another physician to get more confident in explaining to the patient. Hence, patient comprehension, another fundamental factor, should be placed in consideration. The patient should be able to ask as many questions as possible (Schatzberg & DeBattista, 2015) .
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