The decision tree derived from the article of Bruchem-Vissera, R. (2020) is based on the methodology described in
AACN nursing theory elements like asking, assessing, affirming, and acting. The first step involved designing a decision tree fit to all situations and then moving to secure the probabilities and utility of the outcome against the selected situation. The third step involved the affirmation of the particular decision following the calculation of cumulative probabilities ( Bruchem-Visser et al., 2020). The final step according to AACN’s theory is to
take action that can be analysis of the information as per the situation stated in DQ1. Following is a decision tree representing the decision taken by the nurse in response to the application of ethical theory in practice:
According to the selected article for analysis against the ethical theory, the checkpoints
that need to be considered in ethical decision making can be enlisted as follows:
Checkpoint Description
Identification of problem or dilemma:
The first step of the decision tree involves the identification of issues and need special attention. the nurse moves to examine the moral dilemma related to that issue and tries to identify the manners and social agreements while taking things into monarchy or conflicting standards which are not moral and economical and technologically aesthetic ( Bruchem-Visser et al., 2020).
The nurse manager will evaluate the decision based on institutional global ethics standards like credibility, transparency, and accountability. However, taking an assessment of the decisions the nurse needs to keep a high level of patience, coordination, and determination.
Ethical Fitness :
The next checkpoint in the decision tree is to observe the ethical fitness of the decision. This feature is comprised of social circumstances like the patient has certain perceptions regarding the release of information about his disease ( Bruchem-Visser et al., 2020). These perceptions reveal the quality of the information provided to nurses and the medical care provided to them.
Model to Healthcare Practice Issue:
The feasibility of the healthcare practice model is another point in the decision tree. It helps nurses to remove the dilemma of situations and to better entertain the stakeholders. For the resolution of dilemmas, the nurses are supposed to use ethical models for the selection of appropriate practices. The nurse can adopt a model based on the concept of autonomy providing the basic rights of healthcare decisions to every patient ( Bruchem-Visser et al.,2020).
References
Bruchem-Visser, Z., Dijk, G., Beaufort,I. and Mattace-Raso,F. (2020). Ethical frameworks for
complex medical decision making in older patients: A narrative review. Archives of
Gerontology and Geriatrics, 104-160, https://doi.org/10.1016/j.archger.2020.104160.
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