Nursing Case Study Help

Nursing Case Solution


No matter what style of leadership a manager, teacher, doctor or a parent possesses, there are ethical behaviors that derive the relationship between the leader and the people they influence. A true measure of leadership is the ethical influence that the leader (doctor) has on its followers (patients and nursing staff).

An ethical leader is the one that considers positive and negative views of everyone involved, as well as ensuring that the decisions are made in ethically and members are held accountable. The ethical actions of a leader enhance his/her credibility and integrity, which causes the followers to trust. There has been a vast application of ethics in terms of leadership in Healthcare industry. Doctors and nurses are emerging increasingly, which has transformed the role of doctor as a leader. On the other hand, some ethical principles have also emerged that are directing the roles of the leader in healthcare. The two ethical principles that are discussed in the paper are Non-maleficence and Autonomy of the patient.

The concept of non-maleficence is embodied by the phrase “first, do not harm”. The practitioner and past researchers (Dorothy Gordon, 2013), have suggested that it is more important not to “harm” your patient, then to do them good. This is partly true because enthusiastic practitioners are prone to use treatments that they believe will do well to the patient, without evaluating the results and effects of the treatment on the patient (Gelling, Feb 11, 2015), while justifying the harmful results by saying “the treatment was successful but the patient did not survive” (Smith, Hiatt, & Berwick, 2010). Leaders do not blame others for their actions. The good leader is one that takes the responsibility of his actions and in fact analyzes the effects of any treatment before the application, which distinguishes a leader and a doctor in terms of ethics.

However, many treatments carry some risks as well. In some circumstances, e.g.: in desperate situations, where the outcomes without treatment are more grave, risky treatments that have high chances of harming the patient are justified very easily because the risk of not treating or delaying the treatment will also do harm (Drough, 2013).

Nonetheless, many treatments carry some risk. In some circumstances, e.g. in desperate situations where the outcome without treatment will be grave, risky treatments that stand a high chance of harming the patient will be justified, as the risk of not treating is  likely to do harm. Over here, the role as suggested by the researchers is suggested to focus on the principle of not doing harm with your own hand deliberatelyand then justifying it as an attempt to save the patient. Doing harm in any way is unethical and cannot be justified no matter what consents the doctor had to carry out the treatment.

The other ethical principle is “autonomy”. The principle of autonomy views the rights of an individual to self-determination (Barrbary, 2013). This is rooted in society’s respect for an individual’s ability to make informed decisions about personalmatters. Autonomy has become more important as social and managerial values have shifted and have defined medical quality in terms of outcomes that are more important to the patients rather than medical professionals. In healthcare, according to past researches, ethics are defined as the means that find a critical and balanced way of treating the people and keeping them away from harm”. This definition of ethics defines the leadership in the modern world. Leadership is giving people the authority to question about the facts that they do know and then decide to take charge of the decisions they made (Veilous, 2014). Autonomy is good, in modern leadership, as it gives the person the right to know and then decide better for himself. Though there are many other perspectives of autonomy in which the mental health plays a vital role while directing the decision path, but all in all, autonomy is the key player in the healthcare industry, which is leading towards the emergence of the roles of doctor as well as the ethical leader………………………..

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Posted on May 29, 2017 in Case Solutions

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