Strategies for Promoting Ethical Decision Making in Health Care Essay

Strategies for Promoting Ethical Decision Making in Health Care Organizations - Essay Example Moral sensitivity and ethical awareness raises sensitivity to the details of the situation, case, or scenario, and promotes the professional to raise questions in order to justify the right and good, just and fair, respect for individual human dignity, benefits, and burdens. It signifies that ethical decision making a complex process with multiple angles with mainly social implications that tends to analyze factors such as ethical principles, social and interactional aspects, and situational and contextual factors. It is important to remain aware that all these factors need to be considered while making a decision in clinical practice. Taking the example of the issue of autonomic "right to die", this is common issue in clinical practice, especially in the critical care nursing practice. However, practically the issues surrounding death and dying is no longer simple for its legal implications and technological advances that can sustain life for unimaginable duration of time. In these situations, the nurses face dilemma for allocating resources to these patients, and this often enters into the decision making process. The patient's wishes and concerns of the family also impact decisions. For nurses, these ethical situations become more crucial due to invariable conflicts between professional duties and obligations and ethical responsibilities. This means the nurses are faced with the conflicts between the duty to meet the needs of the patients and the obligations to follow hospital policy in that particular issue, implying they are obligated to comply with doctor's orders and legal implications of various interventions and patient-related actions even though the ethical principles do not permit them. In the current scenario, the critical ethical principles will be examined in a critical manner based on this preamble and evidence for current policies would be sought as it is relevant to practice and clinical decision making (Vanlaere, L. and Gastmans, C., 2007). Case: This is the story of a 67-year-old man, who lost control of his vehicle and had struck a guardrail in a single-vehicle collision. He was not wearing a seatbelt and was ejected through the windshield and sustained severely traumatic closed head and chest injuries. He was brought to the trauma center via helicopter and was admitted to the neurological intensive care unit. The staff provided support to the patient as per medical advice, and he was receiving mechanical ventilation and was unresponsive. Obviously he was surrounded by multiple invasive catheters and equipment. The trauma team briefly met the patient's daughter who was the only family present, soon after the admission, and they explained the grave prognosis of her father to her. This patient's care was complex, and the nurse preceptor along with a junior postgraduate nurse was administering the care. The investigations revealed that the patient had severe internal hemorrhage in the brain and in the chest, and some tra uma to the heart could not be ruled out. The patient was on mechanical ventilation through intubation, was in deep coma, was nil orally until the consciousness was restored. The other parameters that were being monitored did not show any sign of improvement, and the patient could not be stabilized to the required degree so as to be able to perform

Analysis Cairn Energy PLC Essay Example | Topics and Well Written Essays - 2000 words

Analysis Cairn Energy PLC - Essay Example The headquarters of the company is situated in Edinburg. The company was founded by Sir, Bill Gammel who also happens to be a former rugby player. The initial operations of the company were in USA. However, after the listing of the company on London stock exchange in 1988 the company expanded nationally and internationally into Spain, China, Vietnam, Australia, Bangladesh, Albania, Nepal, Tunisia and Papua New Guinea. The average oil produced by the company is 33,000 per day (approx). However the largest operations of the company are in India as the company has been able to make over 20 discoveries in the state of Rajasthan. This includes one major discovery in Mangala. The main products produced by the company include natural gas, Petroleum and petrochemicals. ... mmunication of performance and strategy Organizational Structure Group Structure Divisional Structure External Environment Analysis PESTEL Analysis Political The government have been very involved in the production and exploration of oil and gas. The geopolitical violence and developments in few countries have lead to a less than suitable and highly risky for foreign investments in production and exploration of oil and gas. Economic The global economy is looking to make a comeback from the economic downturn in Europe and USA. Add to that the western oil and gas market has become extremely competitive. Therefore companies are looking to invest in some of the emerging economies of the countries in the eastern region. Companies also enjoy favourable corporate conditions, tax breaks and relatively low labour rates the market has also witnessed an energy crisis. The crisis has mainly occurred changes in demand and supply side limited resources for production leading to increase in costs o r production. Also the oil prices are decided by the supply and demand factors. Due to the fluctuations in these two factors has lead to instability in the prices. This actually posses a major risk in the times of low oil prices (Henry, 2008, p.201). Social Change in climate has led to a change a change in the lifestyle of the people. This also led to a change in the mindset of the people towards Carbon emission mainly in the developed countries. Due to such developments the corporate social responsibility has become an integral part of the marketing strategy of the companies to develop long relationships with environmental activists and local communities. Technological Innovative drilling technology and exploratory techniques like the 3d seismic processing, improved plant design and 3d