Ethical Issue Clinical Judgment Case Scenario Directions: Ethical Issue Clinical Judgment Case Scenario Nurse leaders and managers are responsible for the unit’s ethical and legal decisions. Initial Post

Ethical Issue Clinical Judgment Case Scenario

With the disciplinary mandate, as a nurse leader, I would follow up on why the manager has not paid someone who has worked overtime and check the work time records. I would then assess the competency of the employee and evaluate them. Based on this, I would require payment for the employee. As a nurse leader, I would formulate clear-cut strategies and programs to remove barriers that prevent nurses from reporting abusive behaviors. According to Barkhordari-Sharifabad, Ashktorab & Atashzadeh-Shoorideh (2017), ethical leadership is only feasible by correcting organizational and social cultures and securing confidence in the nursing profession. I would consider the occupational characteristics and individual characteristics of the manager who tolerates abusive behavior, putting these measures in place.

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One of the key roles of the nurse manager is managing resources, inclusive of personnel and budgets (Little, Wagner & Boal, 2021). As needed, I would solicit evidence and establish safe nursing staffing using a safe nurse staffing tool to fulfill the nurses’ responsibilities.

Moreover, I would ensure a basic report contains all the fundamental sections needed in a report so that nurses are able to provide information based on the items and include essential notes if need be. However, I would find out why information is not provided in full first to identify the gaps.

I would put in place measures that address equal treatment for all nurses to avoid favoritism. I would also ensure that this decision is adopted from the top management level. Lastly, I would establish professional boundaries by defining the boundaries, standards of operations, and competencies documents. I would pay attention to the real-time assessment of the needs of the patients, delivery models, decisions of staff mix, workload measurement, and quality practice environment and ensuring that ethical codes enforce these to encourage firing and hiring based on discipline and competence levels.

Reference

Barkhordari-Sharifabad, M., Ahktorab, T. & Atashzadeh-Shoorideh, F. (2017). Obstacles and Problems of Ethical Leadership from the Perspective of Nursing Leaders: A Qualitative Content Analysis. Journal of Medical Ethics and History of Medicine, 10: 1.

Little, L. Wagner, J. & Boal, A.S. (2021). Leadership and Influencing Change in Nursing: Responsibility and Authority of Nurse Leaders. Creative Commons.