Applying Ethical Principles
Health care professionals often face ethical problems during their practice that require them to use their moral values and principles when making decisions. The four fundamental principles of health care ethics—autonomy, beneficence, nonmaleficence, and justice—act as yardsticks for fair and ethical decision-making. These ethical principles are widely accepted in the field of health care. Medical practitioners and health care administrators often use these principles to make decisions when faced with complex situations involving patients.
Overview of the Case Study
Betsy is a dedicated pediatric nurse known for the care and concern she shows her patients. Her neighbor and friend, Alice, lives with her husband and 4-year-old daughter, Shirley. Alice and her husband are followers of Christian Science, a belief that advocates spiritual healing and discourages most types of medical intervention. One day, when visiting Alice and Shirley, Betsy sees Shirley experience what seems like a seizure. The child suddenly becomes unresponsive and has a brief staring spell, with her eyes rolling upward. The episode lasts for 20 seconds, during which she seems completely unaware of her surroundings. While Shirley is having the seizure, Alice sits by her side and prays but takes no other action. Betsy is concerned about the little girl’s condition and probes her friend for details. Alice tells Betsy that Shirley used to have around 15–20 such episodes a day until a few months ago; this has now reduced to about 12. Alice attributes the improvement in Shirley’s health to her prayers and faith. However, this does not help Betsy feel comfortable about Shirley’s condition. She is almost certain that Shirley has epilepsy, which, if not treated on time, could have profound health implications. At the very least, she thinks Alice should have Shirley’s symptoms accurately diagnosed.
Understanding the gravity of the situation, Betsy sets up a meeting with Shirley’s parents and Dr. Campbell, director of the neurology department at her hospital. She treats this meeting as an intervention, and both she and Dr. Campbell express their concern for Shirley’s health. They stress on the fact that the improvement in Shirley’s symptoms does not necessarily mean she will be cured. They empathize with Alice and her husband’s reluctance on account of their religious faith but reiterate the importance of getting Shirley’s symptoms diagnosed. To prove their point, they present studies that describe how seizures can be indicative of illnesses such as epilepsy, which could negatively affect her cognition and behavior. Shirley’s parents are grateful that Betsy and Dr. Campbell are concerned about their daughter’s health but remain resolute about going against their faith. They believe that prayer will cure her. Betsy is faced with an ethical dilemma of whether she should respect the parents’ religious beliefs and not intervene in the matter or perform her moral obligation as a health care professional.
Analysis of Ethical Issues in the Case Study
In the case study, the main factor that led to Betsy’s ethical dilemma is Shirley’s
parents’ refusal of medical assistance for their daughter owing to their Christian Science beliefs. When Betsy notices Shirley’s seizures, she thinks it is her duty to make sure Shirley receives medical attention. As she respects the religious faith and belief of Shirley’s parents, she decides to explain the risks that seizures could involve. She also includes Dr. Campbell in the conversation so that he could provide an objective opinion to make them understand the need for medical intervention. However, Shirley’s parents are certain that prayer will cure her seizures. Considering that their attitude could result in serious health implication for Shirley, Betsy is concerned about the little girl receiving appropriate medical attention (Baumrucker, et al., 2017).
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