The ethical decision-making model used in scenarios like these, such as in NURS FXP4000 Assessment 3 Applying Ethical Principles, is James Rest’s theoretical framework. This ethical decision-making model has four components that are moral behavior, moral judgment, moral action, and moral motivation. Sensitivity is also important during ethical decision-making as it gives Dr. Angela the ability to recognize that there is an ethical issue in the situation. Moral motivation emphasizes the intention of Dr. Angela to choose a moral option rather than the other choices when making a decision. Moral action is the courage and boldness of the doctor to make a moral decision in such a scenario. The decisions she makes will reflect her moral judgment. As it is mentioned before these four ethical principles must be applied while making a decision:
It is crucial in NURS FXP4000 Assessment 3 Applying Ethical Principles to have enhanced communication with patients and their families. Keeping them informed and involved in decision-making. Active listening must be maintained to hear the concerns and make them feel heard. Informed consent is important when it comes to making ethical decision-making. Getting help for Ana would be violating the rules of informed consent (Loh et al., 2002).
It is important that Dr. Angela Kerr is empathetic when listening to Ana’s parents and shows respect for their beliefs and values. To engage them in an appropriate decision the doctor must present all the studies and information. That are evidence-based to the parents by being respectful of their emotions. The communication should be transparent to not leave anything behind that may cause misunderstanding.
The most important ethical principle in NURS FXP4000 Assessment 3, Applying Ethical Principles, is the code of ethics of the American Nurse Association. The four principles of autonomy, non-maleficence, beneficence, and justice ensure that all the decision being made is fair. Unbiased acts toward the welfare of the patients and involves the patients and family in decision-making by recognizing their rights (Gaines, 2022).
It is difficult for Dr. Angela Kerr as she has to respect the autonomy.B but at the same time make a decision that is appropriate for the child as not vaccinating can cause harm. But also at the same time, there is a need to ensure that the decision to vaccinate does not cause any harm to baby Ana. An ethical equilibrium can be found when making decisions that analyze the contribution towards herd immunity. And also bear the responsibility towards child safety and bear respect towards the parent’s beliefs (Rus & Groselj, 2021).
When facing perplexing decisions, especially in NURS FXP4000 Assessment 3 Applying Ethical Principles, it is crucial to uphold ethical standards. It is important to have efficient communication when explaining information to convince the parents with the help of evidence while respecting their beliefs, listening, and being empathetic towards them.
Damnjanović, K., Graeber, J., Ilić, S., Lam, W. Y., Lep, A., Morales, S., Pulkkinen, T., & Vingerhoets, L. (2018). Parental decision-making on childhood vaccination. Frontiers in Psychology, 9
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