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Ethical Issues Facing John Male nurse working in a prison

Scenario – John is a 32 year old male nurse working in a prison. He is married and has two children at home- one boy at 14 years of age and a girl that just turned ten years of age. A new prisoner to the institution has requested that John be a healthcare surrogate for him because he is 72 years of age and not in good health. John discovers that this prisoner is a pedophile and although no one at work is aware of this, John’s son was molested by the father of a friend of his sons while visiting their home. The son has gone through therapy and they continue to have problems with the son, John is hopeful that his son will improve his mental health.
John feels divided because on one hand he feels obligated to serve as an RN professional and on the other hand he feels very hateful of the pedophile lifestyle that seems to encompass the newly admitted prisoner.
Instructions:
1. Read the scenario above, and then answer the following questions:
a. What kinds of issues ethically is John dealing with?
b. How would you counsel John in his dilemma?
c. Finally, what would be a reasonable approach to this problem that John has professionally and personally?
d. Be sure to check the Ethics statements for the ANA and Nursing Code of Ethics for Nurses

 

Sample Answer

 

Ethical Issues Facing John

John is confronted with several ethical issues stemming from his professional obligations as a nurse and personal feelings regarding the situation. Key issues:

.Professional vs Personal** John an duty a provider care all, of their past actions However he personally a aversion to prisoner to nature his, complicates his to serve as healthcare.

.Conflict Interest: must a between role as nurse his response the’s. personal experience his being victim abuse a emotional.

.Patientonomy: prisoner the to a surrogate but choice not with’s to in capacity his feelings4 ** andness: might with fairness providing and decisions for whose have significant to others, when directly his.

Counseling John Hisile

counseling,’s to the with and. are steps guide through dilemma:

.Aledge Feel** Validate John emotions the’s.’s for to conflicted, given trauma son experienced.

.Reflect Ethics: John review American AssociationANA Code of Ethics for, provisions emphasize, for dignity, and the importance of for patients bias3 ** Professionalations: the of duty care how applies his situation.ind that professionals often to those they difficult treat and can part their practice4 ** Alternatives: John that cannot provide care make decisions the due his history he consider discussing feelings a and stepping from role surrogate without the’s altogether5 ** Support: John seek from,, a who in nursing ethics mental. can him process feelings and gain perspective how navigate this situation##able Approach John’s

reasonable for John would several:

.Self-** John take to on feelings how impact his responsibilities. his triggers help navigate situation effectively2 **ation: should with supervisor ethics within institution discuss concerns serving a surrogate the. can clarity institutional and in making an decision.

3. Patient Careity: John decides he serve the due to conflict he still that prisoner appropriate care collaborating with healthcare who take the role4 ** and John could from training working with who committed offenses which might him his and coping.

.Support His Family:, should focusing supporting son therapy open about impact trauma recognizing this dynamic also of his overall-being heates challenging situationBy these thoughtfully, can a that both professional and convictions while that care provided all under his supervision

 

 

 

 

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