Applying Ethical Principles
Application of ethical principles in decision making is essential to help make the right choices that are acceptable by society. Ethical principles also guide towards making decisions that are fare to the involved parties. Different organizations have their set regulations that govern decision making processes. However, guidelines should be within the ethical principles and values of the society to avoid conflicts, confusion and increase efficiency (Ramos et al., 2015). Purposely, this paper intends to discuss the process of working through an ethical dilemma to come up with the most effective solution for a problem in healthcare practice.
The selected case study involves Corey Davidson, an Emergency Department Director whose first order of business was to create a system that will be used in documentation of the reappraisal process for healthcare providers applying for reappointment for clinical privileges and to the medical staff. It also discusses Doctor Lacey, a physician who has been practicing medicine for more years than the hospital existence. He is an iconic figure among the people of Crosby County who have not worked directly with him and therefore do not understand the struggle his workmates go through around him. The hospital is shifting towards more evidence-based approach treatment in the emergency department, a step that Dr. Lacey is not willing to take.
Lacey is unwilling to apply electronic medical records in his official activities, a problem that the facility decided to ignore with the hopes that he will be ready to accept other demands of the evidence-based approach to treatment. The fact that doctor Lacey is resistant to the assembled guidelines and insists on using Lasix on any patient admitted with dyspnea has made it inconveniencing for the healthcare providers working alongside the doctor. He is giving the nurse staff a problematic time in addition to taking care of patients. Since Core is in charge of the system for documenting the reappraisal process for healthcare providers applying for clinical privileges, he is tasked with taking away Doctor Lacey Emergency Room privileges.
The issue in the case study is the resistance of Doctor Lacey towards the new diagnosis and treatment procedures that are evidence-based. He is not willing to use the advanced electronic health records and also insists on using Lasix medication despite its side effects on patients. Corey Davidson, the new Emergency Department Director, is therefore in a dilemma of whether Doctor Lacey is Out of Touch or is just using old school medication procedures. After applying the three components of the ethical decision-making model, moral awareness, ethical behavior, and moral judgment, I concluded that the ethical issue needs timely intervention before it adversely worsens the health conditions of the patients. Moral consciousness allows proper listening and assessment of the report from Margaret Truman, the nursing director. Ethical behavior element provides a platform, for the analysis of Doctor Lacey’s behavior to confirm if it conforms to the ethics and guidelines of the healthcare practice. Lastly, moral judgment helps in the decisions making the process to choose whether it is right to wrong to take away Doctor Lacey privileges.
Factors That Contribute to The Issue
The problem involves the nursing team, Doctor Lacey, Margaret Truman, the director of nurses, Core Davidson the emergency department director and the patients. The issue can negatively affect patients by exposing them to more health complications. Worsening of the patients’ health conditions because of the resistance to use advanced electronic health records and application of Lasix can lead to the deterioration of the organization’s reputation (Pozgar, 2019). The primary factor that contributes towards the issue is the inability of Doctor Lacey to adjust and move along with the entire practice towards the more evidence-based technique of diagnosis and treatment.
Effectiveness Of The Communication Methods Applied
Face-to-Face communication and the use of email are the two main communication approaches employed in the case study. Emailing is a safe and efficient communication approach when passing across an official message in an organization. It is an electronic method with enough security systems to avoid corruption and distortion of the information. However, the process does not allow room for substantial conversations. Face-to-face communication is applied during the discussion between Margaret Truman, the director of nurses and Core Davidson the emergency department director. It is also used in the emergency department to facilitate the conversations between Doctor Lacey and the nurses (Pozgar, 2019). Face-to-face communication strategy promoted useful understanding of the message the director of nurses was trying to pass across to Core Davidson. It helped in a proper understanding of the reasons why it was essential to take away Doctor Lacey Emergency Room privileges.
Effectiveness of the Approach Used
The ethical dilemma in the case study was to determine whether the doctor was old school or out of touch. The medical problem was not as a result of aging and the inability to handle treatment procedures like the doctor used to in the past. The problem emerges because of the old school factor. The doctor is insisting on using the old care provision methods in the Emergency Department (Huda, 2019). Resistance towards the electronic health record system indicates his preference towards the paper medical record system, an ancient school technique that was used before proper advancement in technology. Insisting on using Lasix medicine, a treatment procedure applied in the past but has been proven to have adverse side effects when used by people with specific health conditions also indicates that the doctor is old school.
Identifying the source of the problem is always the first step towards determining an effective solution. Revoking the Emergency room privileges was, therefore, the most effective action to protect patients and encourage positive perceptions of the community towards the medical organization despite the adverse effects it will have on the doctor (Shapiro & Stefkvich, 2016). Lessons learned by medical professionals from the case study are, the importance of staying open to new ideas that can help improve the healthcare process and importance of working together with the entire care provision team to promote positive patient outcome and also create a simple environment for the fellow team members.
Application of ethical principles to a Possible Solution
Using ethical principles and values as the basis of the decision-making procedures enables proper selection of choices that are equitable, fair and defensible. According to the ethical principles in healthcare, decision-making process involves problem identification by gathering as much information, determination of the dimension of the problem, generation of potential solutions, consideration of possible results of all the potential remedies and selecting the most effective course of action (Pozgar, 2019). In respect to the ethical principles decision-making guidelines, the identified dilemma in the case study was the Doctor Lacey’s unwillingness to support the more evidence-based approach technique implemented in the healthcare practice.
The proposed solution from the case study involves taking away Doctor Lacey’s Emergency Room privileges. The step was decided after useful analysis of possible solutions to the problem and their consequences. The remedy will promote patient safety but will negatively impact the doctor’s delivery. The course of action will also affect the relationship between the care-providers. The effects can also extend to the public because the doctor is considered an icon in the care provision sector by the county population. However, the proposed solution will create room for more advanced treatment techniques in the field, including the electronic information systems (Huda, 2019). Implementation of technology in healthcare will foster professional collaboration since communication, record keeping and the process of patients’ transmission from one department to another will become more efficient and straightforward. Judging from the advantages and limitations of the proposed solution, it is the most effective remedy to the identified dilemma since its benefits surpasses the disadvantages hence improved care services.