- Autonomy
- Beneficence
- Non-maleficence
- Justice
Category: Nursing Ethics
- Accurate charting
- Medication double-checking
- Patient education
- Family involvement
- Insist on following hospital policy strictly.
- Allow the family to provide all care regardless of policy.
- Collaborate with the family to integrate their cultural practices while ensuring essential medical care and infection control standards are met.
- Document that the family is uncooperative.
- Force conventional treatment as superior.
- Dismiss cultural beliefs as irrelevant.
- Respect cultural beliefs, explore their understanding of illness, and provide education on the benefits of medical treatment while honoring autonomy.
- Tell the patient their beliefs are wrong.
- Parental autonomy
- Veracity
- Non-maleficence (to the child)
- Justice
- Beneficence
- Non-maleficence
- Veracity
- Justice
- Re-enter only the remembered information.
- Guess the missing information.
- Document accurately what is known, indicate any missing information due to system failure, and report the technical issue to IT.
- Use a paper chart for the rest of the shift.
- Autonomy of the patient
- Beneficence of the unit
- Non-maleficence to patients
- Justice in research
- Administer the medication as ordered.
- Refuse to administer the medication without question.
- Express concerns to the physician, provide evidence of potential harm or lack of benefit, and seek clarification or an alternative order, escalating if necessary.
- Administer a reduced dose.
- Autonomy
- Beneficence
- Non-maleficence
- Justice
- Proceed with the procedure, as consent was obtained.
- Document the patient's reluctance and proceed.
- Immediately stop the procedure, inform the physician, and ensure the patient's informed consent is freely and genuinely given.
- Ask the family member to reconfirm consent.
- Force the patient to eat.
- Support the family's desire to feed the patient.
- Facilitate communication between the patient, family, and medical team, advocating for the patient's autonomy while supporting the family's grief.
- Document the patient's refusal and leave.
- Autonomy
- Beneficence
- Justice
- Non-maleficence
- Serve the prescribed diet.
- Inform the patient that their diet is incorrect.
- Temporarily withhold the conflicting food, provide an appropriate alternative, and immediately contact the dietitian and physician for a revised order.
- Just serve a small portion.
- Autonomy
- Veracity
- Beneficence
- Fidelity
- Tell the patient there's nothing more that can be done.
- Document the pain and wait for the next dose time.
- Re-assess the pain, advocate for additional pain management strategies or a change in orders from the physician, and explore non-pharmacological interventions.
- Suggest the patient just try to relax.
- Tell the patient to practice more.
- Provide pre-filled syringes or arrange for home health support to ensure safe and accurate insulin administration.
- Assume the patient will manage.
- Tell the patient that their tremor is a problem.
- Autonomy
- Beneficence
- Non-maleficence
- Justice
