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Yaimara
Decision Making
Current healthcare practices often highlight the need for improvement through ethical principles such as autonomy, non-maleficence, beneficence, and justice. One notable area is the implementation of overly rigid protocols for patient discharge. Many institutions prioritize efficiency and cost-effectiveness over individual patient needs, potentially violating the principle of beneficence. For example, discharging elderly patients with chronic conditions too quickly may lead to readmissions, compromising care quality. By integrating ethical sensitivity and balancing systemic needs with patient-centered care, policies can evolve to ensure that care delivery upholds justice and autonomy. Reforming discharge policies through shared decision-making and interdisciplinary communication can significantly enhance outcomes and patient satisfaction (Mehralian & Bordbar, 2024).
On the other hand, a frequent ethical dilemma in clinical settings involves informed consent, particularly when language barriers exist. Inadequate use of interpreter services can lead to situations where patients make decisions without fully understanding their options, infringing on their autonomy and the principle of justice. For instance, a non-English-speaking patient might consent to a surgical procedure without comprehending risks or alternatives. Emotional Intelligence (EI) abilities such as identifying and managing emotions could mitigate these issues (Selvakumar & Kenny, 2021). By recognizing frustration or confusion in patients and fostering empathetic interactions, healthcare providers can ensure better communication, reinforcing ethical decision-making. Training providers in EI and equipping them with resources to overcome such barriers would empower patients and uphold ethical standards.
Furthermore, the integration of EI into ethical decision-making offers a transformative approach to addressing moral dilemmas. EI abilities, such as understanding emotions and using them to reason, enable healthcare professionals to navigate complex ethical landscapes effectively. In cases involving resource allocation, for example, managing the emotional impact of denying care to one patient while prioritizing another demand high EI. Healthcare leaders who demonstrate empathy, self-awareness, and emotional regulation foster environments where ethical principles guide decision-making (Turjuman & Alilyyani, 2023). By coupling the ANA Code of Ethics with EI competencies, nurse leaders can bridge gaps between ethical ideals and clinical realities, ensuring that care delivery reflects compassion, fairness, and integrity.
References
Mehralian, G., & Bordbar, S. (2024). The impact of emotional and moral intelligence on nurses’ organizational commitment. BMC Nursing, 23, Article 800. https://doi.org/10.xxxx/yyyyy
Selvakumar, S., & Kenny, B. (2021). Ethics of care and moral resilience in health care practice: A scoping review. Nursing Ethics, 18(1). https://doi.org/10.1177/147775092110618
Turjuman, F., & Alilyyani, B. (2023). Emotional intelligence among nurses and its relationship with their performance and work engagement: A cross-sectional study. Journal of Nursing Management, 2023(1), Article 5543299. https://doi.org/10.1155/2023/5543299
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