NHS-FPX4000_Assessment3-Attempt1
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Applying Ethical Principles – Assessment 3
Capella University NHS-FPX4000: Developing a Health Care Perspective Jean Cefalu July 2023
Applying Ethical Principles
Summary of Case Study
Hopewell Hospital doesn’t have an excellent reputation. Only a handful of providers meet the standards of providing proper care. The new director, E.L. Straight, came in, and new programs and services that pertain to quality were implemented. Under his supervision was Dr. Cutrie, a general surgeon who had been practicing for a long time at the facility but had had issues with quality and integrity throughout the years. Recently at the hospital, it was discovered that a needle protector was left in a patient’s stomach and that the patient was already discharged from the facility. Dr. Cutrie stated that it could not hurt the patient and that the patient may experience some discomfort. Straight contacted the chief of surgery with a supposed question about the needle protector and received a similar response from Dr. Cutrie. E.L. Straight integrity seemed to be between a rock and a hard place. The bottom line was that Dr. Cutrie had a significant influence at Hopewell Hospital and was getting away with dishonest practices. Case Study Analysis
From the case study, E.L. Straight integrity was in jeopardy. He wanted to correct the error no matter the cost. On the other hand, Dr. Cutrie did not see a need to do what was right. Dr. Cutrie's influence was powerful enough for the chief of surgery not to question the situation. E.L.
Straight brought change to the facility regarding quality but didn’t have much impact on Dr. Cutrie's unethical practices.
Applying the Ethical Decision-Making Model to Evaluate the Case Study
The ethical decision-making model involves moral awareness, judgment, and behavior. Moral awareness is knowing and understanding that there is an unethical situation. E.L. Straight moral awareness kicked in when he was informed that a needle protector was left in a patient's abdomen after surgery. Moral judgment initiates the question; is this right or wrong? He demonstrated his principled decision to create a resolution by getting the patient back on the operating table to remove the item. The last of the decision-making model is ethical behavior. Ethical behavior is doing what is right. His ethical behavior displayed that he wanted to resolve the issue because Dr. Curtie was wrong. Effectiveness of Communication Approaches in the Case Study
Effective communication is an exchange of concepts, views, and beliefs that are acknowledged and understood with clearness and purpose. A staff member had communicated with E.L. Straight about their findings. The staff member also expressed the doctor's response to the results, which E.L. Straight shared with another staff member. The information passed over to the
director was understood in clarity. As far as the chief of surgery communication, there was no stance. He was very unsure and did not respond with a solid side of judgment. Resolution of Unethical Practice - Applying Ethical Principles
There are four ethical principles. First is autonomy, acting based on personal moral judgment and
receiving and considering the patient’s values. In this case, Straight did act on individual decisions. He acknowledged an error, and it was time to correct it immediately. Next is beneficence, standing for the rights of the patient's well-being. Straight and the staff member
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who communicated the error protected the member's welfare. Next is nonmaleficence, which covers the patient by not causing harm, which Dr. Cutrie did not exhibit. At that time, his thoughts could have been seeing no evil hear no evil. Or better yet, what you don’t know won't hurt you. Lastly, justice treats that patient on a non-biased level. Nothing in the case study demonstrated that act of justice. Conclusion
In the case study, Straight had a decision to make. The solution should have been beneficence. Taking a stance on what suits the patient, no matter the cause. Not choosing to side with Dr. Cutrie and the chief of surgery to sweep things under the rug. “The good physician treats the disease; the great physician treats the patient who has the disease.” (DiLallo, 2020) References
Capella University (2018). NHS-FP4000 Exemplar Sample Ethical Case Study. Capella Website:
https://media.capella.edu/CourseMedia/nhs4000element18655/wrapper.asp?sso=true. DiLallo, J. (2020). To maintain ethical medical practices, we must uphold the vocational aspect
of medicine.
BMJ : British Medical Journal (OnlineProquest), 368
https://doi.org/10.1136/bmj.m1266