Applying The D.E.C.I.D.E Model Of Decision Making

1854 words - 7 pages

This paper explores the legal, ethical and moral issues of three healthcare colleagues by applying the D-E-C-I-D-E model as a foundation of decision making as found in Thompson, Melia, and Boyd (2006). Issues explored will be those of the actions of registered nurse (RN) John, his fiancé and also registered nurse (RN) Jane and the Director of Nursing (DON) Ms Day. Specific areas for discussion include the five moral frameworks, autonomy, beneficence, Non – maleficence, justice and veracity in relation with each person involved as supported by Arnold and Boggs (2013) and McPherson (2011). An identification and review of the breached code of ethics and the breached code of conduct in reference with the Nursing, Council, and Federation (2008) will be addressed. Lastly a brief discussion on how the three schools of thought deontology, teleology and virtue had effects on each colleague (McPherson, 2011) .

Registered Nurse John, Registered Nurse Jane and Director of Nursing Ms Day are all entitled to self – determination and to be motivated by their own actions. The actions of John, Jane and Ms Day are their own undertakings even though nurses are not considered autonomous decision makers (Butts, 2013). Nurses are still required by law to follow the instructions given to them by physician authority and to refute this needs a strong case for argument (Arnold & Boggs, 2013). RN John displays a sense of duty of care to protect the weak and vulnerable. An impression of doing the greater good is conveyed by John in his actions of stealing medical supplies. He believes he is not doing any harm to those around him as the supplies were meant for the disposal unit anyway and are meant for a good cause (McPherson, 2011). Rn Jane wants to protect the dignity of her fiancé, however, by following her unethical decision to do so it has jeopardised her career as a Nurse. (Arnold & Boggs, 2013). In maltreating a patient RN Jane has not avoided any action that has caused harm to her patient. Ms Day has harmed her reputation as a Director of Nursing. She has lied to hospital management and threatened staff. In accordance with the ethical principle of justice, there is a duty of universal fairness and equity of distribution of healthcare (Thompson et al., 2006) RN Jane and DON day remain unclear in their views of justice to all countries. It is unclear if the occupants of these countries have been informed of the unsafe recycled supplies which are provided by RN John (Staunton & Chiarella, 2012). RN John appears to conduct himself in a manner that would not intentionally cause any harm to anyone involved in regards to the stolen equipment (Thompson et al., 2006). RN John, RN Jane and DON Day have issues with telling the truth and building trust with each other (McPherson, 2011). Nurses do have an obligation to always tell the truth for not only the patient’s safety but the nurses professional protection (Pergert & Lützén, 2012).

Registered nurse John’s intention...

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