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Write a one-page Peer Review of the discussion below:
Ethical Dilemma in Nursing Practice
During my clinical practice, I encountered an ethical dilemma involving a patient who refused a recommended treatment due to their cultural beliefs. This situation highlighted a conflict between the ethical principles of autonomy, respecting the patient’s right to make informed decisions, and beneficence, which prioritizes the patient’s well-being (American Nurses Association [ANA], n.d.).
The ethical principle of autonomy was initially violated when the clinical team prioritized the patient’s immediate health needs over their expressed wishes, administering the treatment without adequately considering the patient’s perspective. This approach disregarded the patient’s right to make autonomous decisions about their care, as outlined in the ANA Code of Ethics, which emphasizes respect for patient autonomy and culturally competent care (ANA, n.d.). However, the clinical team felt that they were doing what is best for this patient at this time.
Upon reflection, and with the knowledge gained from this week’s readings, I would handle this situation differently by adopting a more patient-centered approach. First, I would engage the patient in an in-depth conversation to understand their beliefs and concerns. I would then explain the treatment’s benefits and risks in detail and explore alternative options if they exist. Through this dialogue, I would encourage shared decision-making, allowing the patient to actively participate in selecting a treatment plan that aligns with their values. This approach aligns with the ANA Code of Ethics, which supports the principles of autonomy and nonmaleficence, advocating for nurses to respect patient rights and provide culturally sensitive care (ANA, n.d.).
References
American Nurses Association. (n.d.). Code of ethics for nurses with interpretive statements. NursingWorld. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/
Kearney-Nunnery, R. (2020). Advancing your career: Concepts of professional nursing (7th ed.). F. A. Davis.
Direction for Peer Responses:
Peer responses must be specific and not simply restate what your peer has said. You do not need to assess the quality of your peer’s work (e.g., good job with your post). Give your peer authentic feedback to engage in a scholarly discussion. Expand on Ideas: Instead of simply rephrasing what your peer said, aim to expand on their ideas. Add depth to the discussion by providing additional information, perspectives, or examples related to the topic. For instance, “Building on your point about [topic], I would like to add…” Offer a Counter Argument: If you have any critiques or suggestions for improvement, provide them in a constructive manner. Be specific about what aspects of their argument or reasoning could be enhanced. For example, “While I agree with your analysis of [topic], I believe considering [alternative perspective or evidence] could strengthen your argument.” Share Personal Experiences or Examples: Draw from your own experiences or clinical practice to illustrate or support your points. This adds authenticity and relevance to your response. For instance, “In my clinical experience, I encountered a similar situation where [describe situation]. This relates to your point about [topic] because…” Pose Thoughtful Questions: Encourage further discussion by posing thoughtful questions to your peer. These questions can help deepen their understanding of the topic or prompt them to consider alternative viewpoints. For example, “I’m curious about your thoughts on [related aspect of the topic]. How do you think [specific factor] influences [topic] in the context of [setting]?” Provide Evidence or References: If applicable, support your points with evidence from scholarly sources or relevant literature. This demonstrates academic rigor and enhances the credibility of your response. For example, “Research by [author] suggests that [fact or finding], which aligns with your argument about [topic].” Encourage Dialogue and Collaboration: Conclude your response by inviting your peer to continue the discussion or collaborate on future projects. This fosters a sense of community and engagement within the academic environment. For instance, “I look forward to hearing your thoughts on [related topic].
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