Nurse Jones, registered nurse (RN) and the nurse manager, walk into an oncology unit. The bedside nu. Question
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Asked by annieagboola
Nurse Jones, registered nurse (RN) and the nurse manager, walk into an oncology unit. The bedside nurse, Tina, comes up to her yelling, “I’ve had it! Dr. Brown is telling Mr. Snow’s family that everything is okay and ordering another round of chemo. Everyone except Mr. Snow and his family know that he is dying! He is also still a full code.” Nurse Jones knows that Dr. Brown has a reputation for inappropriately treating those who are actively dying with life-sustaining treatments and that he prolongs life. He cannot discuss hospice and palliative care or dying with patients. Unfortunately, Dr. Brown has a huge practice and has excellent patient satisfaction scores. Efforts to have him change his practice have failed. Nurse Tina, the nurse who just yelled, is a strong patient advocate, recently though, her efforts to advocate for patients have been less than usual. This time she tells you in no uncertain terms that she does not want to care for any of Dr. Brown’s patients— which would bring about a staffing issue since there are so many of his patients.
Questions:
Considering the role of the nurse, is it appropriate for her to refuse an assignment? Why or why not? (Put yourself in the role of other staff on the unit)
2. Nurse Tina is trying to advocate for the patient. She is clearly in moral distress. Which principles of beneficence or maleficence as discussed in your book would apply to her?
Which theoretical model of ethics would apply to her situation?
Should being a “full code” be addressed with the family at this stage? If so, who should be the person discussing this?
SCIENCE
HEALTH SCIENCE
NURSING
HCA 353
Nurse Jones, registered nurse (RN) and the nurse manager, walk into an oncology unit. The bedside nu
