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

1298 words - 6 pages

Professional conduct is necessary in routine nursing. RN Jane’s professional demeanour has been compromised due to her relationship with RN John. Jane believes she is supporting John in his cause to support third world countries, even though she has a legal obligation to report John to hospital management for his unethical conduct (Nursing et al., 2008). Jane has been dishonest and exploited patients causing physical and emotional harm.
Conduct statement number (2) of the codes of professional conduct for nurses (2008) states:
Nurses are responsible for ensuring the standard of their practice conforms to professional standards developed and agreed by the profession, with the object of ...view middle of the document...

, 2008).

Ms Day breaches value statement 1 by not respecting her role as Director of Nursing. She has legal and moral obligations to value the quality of care for her patients and her staff (Nursing et al., 2008).
Value statement 2 discusses respect and kindness for colleagues. Ms Day certainly does not have any respect for herself or for any of her colleagues. She has manipulated RN Jane and acted morally unacceptable (Nursing et al., 2008).
The decisions that Ms Day has made in relation to RN Jane were not ethical or professional. Ms Day has misled hospital management with the expectation that the problem of the stolen property will just go away and thus in turn so does the bribing account.

According to the Code of Professional Conduct for Nurses in Australia (2008), Ms Day does not hold up a professional standard of care. Her standard of care towards her work colleagues is dishonourable and in the events of her knowing of any corruption, would she report it? The evidence towards her in this particular situation points to no she would not. Ms Days professionalism is not maintained and her unlawful actions have caused serious rippled reactions towards patients being harmed (Nursing et al., 2008). She does not set a good standard for being a Director of nursing.

Deontological, teleological and virtuous ethical perspectives differ greatly for each person involved. All three colleagues should have principle, rights and duty priorities and be able to morally justify these actions truthfully and honourably.

RN John behaves with an ‘it is ok to steal’ type of attitude as he knows the forceps and scissors are going to those in need (Togelius, 2011). His actions portray a person who is trying to do good for others. John has the integrity and duty of care to his patients to uphold and to disregard this would result in unsafe implications for his clients (Giarchi, 2012). In supplying these countries with the stolen goods RN John behaved in a morally justifiable manner which was also an illegally unacceptable act towards the hospital regulations.

Rn Jane has an ethical responsibility to ensure that she has the courage to speak up and the actions that she takes are professional and appropriate (Gallagher, 2010). Her actions were those of a person in love. She was protecting her fiancé from humiliation and so she also behaved with good intentions, to no avail (Gallagher, 2010). Due to her unethical and unlawful behaviour towards her patients and to herself RN Jane has jeopardized her trust with her patients and colleagues (Dinç & Gastmans, 2012).
Ms Day however only had her own interests at heart. A bottle of wine can only bring a short time of happiness. Ms Day’s actions would possibly leave her with feelings of guilt and discontent. As the DON of the ward Ms Day needs to address the importance of a trusting relationship with her colleagues. She should be instilling a trustworthy atmosphere in the workplace (Dinç & Gastmans, 2012).
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