Nursing Ethical Dilema-Racism

In to solar days hostel, there argon many h cardinalst quandarys that makes are face with that are virtually impossible to solve. adept of the most difficult and controversial issues that bon ton is still facing is racism. breast feeding as a transaction seems to avoid considering the task of racism (Vaughan, 1997). There is, however, a sequester aim to address this topic and to evaluate its implications for carry on for practice. The good motive committee has to step in when an honest dilemma arises and a finding must be made establish on application of the universal estimable beliefs. IntroductionThe health look at sector of the Statesn society is far from immune to genial injustice and the various forms of inequality that negatively impact new(prenominal) societal systems. The get together States health care industry has been and plows to be plagued by racism. During the pre-Civil War, Reconstruction and Jim Crow eras of American account, overt racism withi n the medical exam sphere was common. After the Civil Rights motion of the 1960s, segregation and some of the more unconcealed manifestations of racism dissipated. More subtle forms of racism, however, continue to pervade the health care industry.Historically, the American Association of Colored Graduate Nurses unite with the American Nurses Association (ANA) in 1952, in the first place the general Civil Rights movement in the United States. There ingest ever been prominent nurtures of color, such as the quondam(prenominal) president of the ANA, Beverly Malone the current president of the study League for Nursing, Rhetaugh Dumas and the current president of Sigma Theta Tau, whitethorn Wykle. These women are all African-Americans who have been leadership for all nursing throughout their grand and distinguished careers.They are just trinity of the many ethnic/racial nonage haves who have made significant contributions to Nursing (Shaha, 1998). This is a real situation en countered on a post partum unit by a she-goat supervisory program. The situation describes an morals consultation about the ending of a uncomplaining who protests to be cared for by an African American shelter. The honest dilemma is presented from the viewpoints of the diligent, nurse, and ethics committee. The ethics committee steps in whenever an honest dilemma arises and solves the fuss base on universal honest principles (Corley, 2002). HistoryPatient is a married 42- years old female, who has a PhD in health care and a history of cardinal pregnancies. She is currently on a post partum unit after(prenominal) oral communication of her second child. She had a C-section quaternary hours ago and has just been admitted to the unit. Before the opening the nurse from Labor and Deli precise comprehend the longanimous saying to her husband I hope this time we do non get a black one, as she was referring to the nurse who pass on take care of her in the post partum uni t. By the time she was admitted there had been a substitution change and the nurse supervisor allotd the entree herself.The tolerant verbalized that she had previously had a bad experience in the equal hospital with an African American nurse who forgot to give her infliction medicine after the C-section and she hopes that this time she will non be facing the like consequences frightful pain that could not be controlled for two days. She asked the nurse to lay claim her the scoop up nurse they have on the unit. The respectable dilemma arises when the nurse delegate to this long-suffering of for the day is an African American nurse. This nurse is as well the best nurse on the tale with an extended experience of 20 years on post partum and is a very knowledgeable person.She has a BSN and currently is workings on her MSN in Obstetrics. All other nurses on the post partum floor on this day are floaters. After the nurse introduces herself to the affected role, the uncom plaining asks the nurse supervisor to assign a different nurse. How is the nurse supervisor going to handle this? How is she going to condone that the African American nurse is the best nurse they have for that day without hurt the patients feelings and helping her to mount trust in the delegate nurse?How is the nurse going to handle this patient knowing that she is judging her based on her race? Is she going to give her the same care afterward or the patient will suffer? Is the patient uncoerced to accept the care from an African American nurse? Ethical Dilemma An ethical dilemma arises when the decision-maker experiences indecision because available creams or alternatives support conflicting values or ethical principles or rules support reciprocally inconsistent courses of implement.The most general ethical principle for human action is do goodavoid causing perversive. Moral rules and i deports have to do with avoiding causing evil. Beneficence and utilitarian ideals have t o do with doing good. Nurses use the principle of beneficence or nonmaleficence while providing care. Patients have the right to turn down care and medical treatment (mhcc. maryland. gov). This example is very sensitive because the patient stand firm contact with one specific congregation of people, African Americans, but does not refuse care in general.The charge nurse will use the veracity principle by telling the truth to the patient that the nurse assigned for the day is the best. The candidness principle is applied here too. The assigned nurse is fair to patient in order to provide good care. Confidentiality is kept up(p) throughout the hospitalization. The nurse does not piece of land patients information with anyoane beside the health care team. Equality is another ethical principle used here when devising the decision of who is the best to provide care for the patient in order to do good the patient and not hurt her feelings (www.nursingworld. org).When ethical issu es arise in the nursing sphere of influence these ethical principles are guiding the health care professional in decision making. Clinical Evaluation and Ethical Issues When an ethical dilemma arises it needs to be brought to the ethical committee. The nurse assigned for the day called the ethical committee and brought up the patients and the charge nurses opinions. Since the patient had just been admitted to the floor, she needed to be assessed and have medication administered before the pain kicks in.Since she is refusing care from the nurse assigned, her care is delayed. This might impression in complications in the patients health condition. The nurse acts here as the patient avocate by protecting the patients right to self- determination. Nursing focusing The nurse is acting as the patient advocate she brought up the situation to the ethical committee saying that the patient will suffer if treament is delayed. Does the nurse know what to do in this situation? Can she handle this dilemma? The ethical committee met and looked at the facts.Based on the principles of nonmaleficence, freedom, equality and justice they conciliate that the nure assigned for the patient is the best choice for her. Nursing intervention and Issues The nurse assigned to the patient started by assessing her thoroughly and indeed developed a plan of care. The patient received pain medications every 4 hours as needed and a pain assesment was done every hour. If a patient is experiencing moral distress, the nurse whitethorn face the barrier, teach the patient how to take action or empower the patient to turn down the barrier.Summary Racial inequality is not grotesque to nursing. There are those who assert that America is indeed a racist society and that this racism is perpetuated by ignorance, apathy, poverty, and discrimination. Do not forget that racism, both active and passive, is not limited to relations among blacks and whites. Racism knows no bounds and can affect literall y any subpopulation that occupies a minority status. minuscule or no interrogation exists on race relations between other ethnic groups. The need for further research in this area is crucial.To combat the problem of racism in nursing, whether perceived or real, nursing must first brood diversity as an established style of operation. Nursing faculty, in mentoring the future of the profession, should support principles valuing diversity. It is only through accountability that we may implement and actualize diversity principles in order to ensure success of the profession into todays nursing. Ethical countersign within training programs for nurses and the formation of units to deal with resolving ethical problems should be taken into consideration (Labunski, 2003).