Question

Case Study 2 – Please answer the following questions. Support your answers

You are the vice president for nursing at a large medical center. Recently one of the physicians, who holds a lot of power in the system and is generally very open and easy to work with, expressed considerable displeasure about the refusal of a particular nurse to carry out a medical order and then deciding to refer her concerns about certain physician practice decisions to the ethics committee. The physician says that you should fire the nurse for insubordination. You are aware that the nurse’s decisions were reasonable, in the patient’s interest, and based on sound principles and standards of nursing practice. You are also aware that the physician in question is nationally well known, and brings a lot of money to the hospital.

A.How would you respond to the physician?

B.Where do you see potential for conflicting loyalties in this situation?

C.Discuss how differing perceptions of nursing might affect this situation

D.Describe what you see as the most realistic ou

Answer 1

A. I would respond with respect and accepting his concerns and complaints and record it and il reply him that il be solving this issue at the earliest with a apologising way.

B. Here the physician as well as the nurse both work for the welfare of the patient. But sometimes either of them may not go hand in hand when the patients privacy is breached or informed consent. Always the treatment should go according to the best interest of patient with capacity or without but still with decision making capacity. On the other hand the medical order was told by a very most senior doctor whose is the control of whole entity.

C. People from different background will perceive things in a different perspectives. The perception in the nursing is the core base of ethics and conduct were by it all states that when patients privacy is breached rise your concern, always act according to the patients interest. On the other hand physician thinks that what ever he is ordering has to be given by the nurses without any further questions.

D. The most realistic I see is that a team work with Co operation respect for each one's contribution towards patient care must be present and when not seen to be raised with the concern.