NMIH - Assessment 2 - Case Study

3 Found helpful • 8 Pages • Essays / Projects • Year: Pre-2021

Case Study Cameron is a student enrolled in the Bachelor of Nursing at Flame Tree University. Whilst on clinical placement, Cameron meets a patient, Darcy. Darcy is unable to walk, due to a stroke that left her with right-sided paralysis. Cameron and Darcy have some shared interests and strike up a friendship. Darcy has been smoking cigarettes for most of her adult life. The hospital has a ‘no smoking’ policy which means that there is no smoking within the hospital grounds. Those patients who are able to walk unassisted can access the ground floor of the hospital to sit outside the hospital steps and smoke a cigarette. This is not a possibility for Darcy and Darcy asks Cameron to for help getting to the ground floor. Cameron is not sure what to do. Darcy pleads and Cameron eventually agrees to help Darcy by getting a wheelchair and accompanying Darcy outside. They manage to get to the front steps without incident. However, Cameron’s clinical teacher, Kate, sees Cameron bringing Darcy back to the ward and asks about the reason for Cameron and Darcy’s absence from the ward. Kate thinks that Cameron has made a poor judgement in taking Darcy outside for a cigarette. Kate and Cameron have a long discussion about the ‘No Smoking’ policy. A few days later, Darcy is discharged to a rehabilitation facility. Pleased with Darcy’s progress, Cameron decides to post the story of Darcy on Facebook®, but does not identify Darcy by name. However, Cameron had revealed other details about the clinical placement in earlier postings, so it is possible to deduce where, and when, Cameron’s placement occurred. A hospital staff member reads Cameron’s story on Facebook® and reports the matter to the Director of Nursing who, in turn, informs the Dean of the faculty at the University where Cameron attends. The Dean asks you, a registered nurse in clinical practice, to review the matter and provide a report on the following issues: 1. What types of knowledge and/or ways of knowing should have informed Cameron’s decisions and actions in this matter?  Outline the fundamental patterns of knowing in nursing and explain how they apply to this scenario 2. What ethical issues can be raised as a result of this scenario?  What is the key ethical issue for the nursing student in this scenario?  Explain why this an issue?  Define the bioethical principles commonly utilised in healthcare and explain how they apply to the issue/s you have identified  How could these specific bioethical principles assist in decision making in this scenario? 3. What are Cameron’s legal responsibilities in this scenario?  What are the key legal issues in this case study?  What common law principles and/or legislation define those responsibilities? 4. What (if anything) do you think Cameron should have done differently? If you think that Cameron’s actions were reasonable you need to justify his actions.  What should Cameron have done instead? OR Why are his actions acceptable?  What is the rationale for your recommendations?  Justify your decision about what the nursing student should do with reference to the Australian Nursing and Midwifery Council (ANMC) Code of Professional Conduct for Nurses.

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