The framework of the ethical construct

The Magnet Recognition Programs forms the foundation of Standards and Scope for Nurse Administrators. The program offers a framework that recognizes excellence in the adherence to standards of quality improvement in caring for patients. It recognizes the nursing services practices, philosophy, and management. The program recognizes leadership competence among the nursing staff and the chief nurse executive. Finally, there is the recognition of paying attention to the ethnic and cultural diversity of patients, their families as well as the care providers within the healthcare system. Therefore, the hallmark of nurse leadership professionalism is to demonstrate a unique body of skills and knowledge. This knowledge impetus can be in the form of a nursing model, theory or framework. The model is a set of concepts and assumptions integrating them into a single meaningful configuration. Therefore, the nursing practice framework incorporation in a healthcare setting demonstrates that the entire organization recognizes that need to embrace nursing as a profession that facilities professional developments as well as meeting the American Nurses Credentialing Center' (ANCC's) requirements as mentioned in the Magnet Recognition Program (Cianci, et al., 2014).

Within the healthcare setting, nurse administrators have to be prepared to face a wide range of challenges in various fields. These fields include evidence-based management and care, information management, regulatory and legal oversight and ethical practices. They should have the ability to match ethical and moral choices on moral behavior principles, respect for human needs and have an individual feeling while making decisions. They should advocate and recognize the rights of patients. The nurse managers should also have knowledge of external factors like legal aspects, political and economic pressures, technology aspects and socio-cultural characteristics. This essay discusses the dilemma that a nurse manager can experience in the work environment. I will also analyze the ethical implication of the situation and my role as a moral agent. Using the Keirsey Temperament Sorter, I found out that my leadership style is that of a Guardian. I will finally show how my style of acted as a facilitation in this dilemma.

Ethical dilemma

The ethical dilemma I have witnessed in my work environment is the battle of beliefs. I came to understand that what makes up the empirical and science-based knowledge for the nurses can sometimes be completely subjective to other patients. It is a problem for patients with a particular set of personal or religious beliefs. It was difficult working with patients of certain religions that forbid the use of medical procedures, yet these procedures mean life and death to the patient. For instance, in some religions and cultures, they do not accept lifesaving procedures and blood transfusions. For this case, I was in a position where I had to explain the importance of the blood transfusion to the patient’s family so that they could well the risks of not accepting the procedure but to them, I was overstepping the line. The family was of the Jehovah’s Witness faith it is my job as a nurse to support a patient towards the right direction, and it is part of my responsibility to do everything in power to do make them accept the preventable action. Thus, this situation was a major dilemma that I know many other nurses and nurse leaders experience in their day to day activities. Additionally, as science continues to progress, there are several questions relating to human rights and ethics that will grow as time goes on concerning every aspect of genetic testing to stem cell research (Disch, 2014).

Ethical complication of religious issues versus blood transfusion

For this dilemma, the ethical principles of beneficence versus autonomy were in conflict when I together with other physicians believed that blood transfusion was for the best health outcome and interests of the patient, but the patient and his family refused. As a moral agent and advocate, I had to make use of legal precedence as a backdrop. This situation is one in which the patient was in a life-threatening position after a car accident, but he was against blood transfusion. As a physician, I was in an extremely problematic situation whereby by failure to act would have lead to criminal charges for diligence and even homicide. On the other hand, intervening would have meant criminal charges for trespass against the patient’s physical integrity. The patient would also claim for charges of violation on his self-determinism rights. I had to do my duty as a physician in saving the patient's life finally, and I was prepared to face charges against not respecting the patient’s autonomy (Martin, 2014). Eventually, the patient recovered and the family appreciated our effort. Thus, for such a scenario despite the clash between the moral duty of physicians and patient’s autonomy, we did not place the patient’s wishes as a priority in receiving the blood transfusion. It is because we were sure that death was inevitable if the patient did not receive the blood transfusion.

Leadership style

From the Kiersey Temperament Sorter, I found out that by leadership style is that of Guardians (SJ's). As a Guardian, I am one of those considered to be the cornerstone of the society. My personality characteristics are by temperament in preserving and serving the vital social institutions of the society. I have a natural talent for managing services and goods from maintenance, supply to supervision. My skills as a Guardian help me to keep things running smoothly in hospitals, churches, schools, businesses communities and families (Woods, 2014).

I also have fun with friends, and I am serious about responsibilities and duties. As a guardian, I take pride in being trustworthy and dependable. For the ethical dilemma, it is clear that my personality type made me take control of the situation in placing priority to saving the life of the patient. It is because of my belief in order and law. I also honor the medical ethical customs and traditions because such s the patterns that bring about stability in the current fast-paced world. As a guardian, I am down to earth and practical. I corporate with others and follow rules (Marquis, & Huston, 2015).

References

Marquis, B. L., & Huston, C. J. (2015). Leadership and management functions in Theory and Application nursing (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Cianci, A. M., Hannah, S. T., Roberts, R. P., &Tsakumis, G. T. (2014). The effects of authentic leadership on followers' ethical decision-making in the face of temptation: An experimental study. The Leadership Quarterly, 25(3), 581-594.

Disch, J. (2014). Evidence-Based Advocacy for Improving the Nation's Health. Nurse Leader, 12(4), 28-31.

Martin, M. B. (2014). Transcultural Policy and Advocacy in the Workplace: Nurses in Professional Development implications. Journal for nurses in professional development, 30(1), 29-33. doi:

Woods, M. (2014). Beyond moral distress preserving the ethical integrity of nurses. Nursing Ethics, 21(2), 127-128.