Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below). Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.
In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way? Does this seem like a valid process for you to apply in your practice?
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SAMPLE SOLUTION
As a nurse, there are many ethical dilemmas that I have for a long time had to grapple with. The nursing training we undertake trains us to treat patients with equity, self-respect, adherence to their need for autonomy, provision of proven patient centered medical remedies among other ethical considerations. However, there are instances that ethical decision making becomes a great | GET AN EXPERT FOR YOUR ASSIGNMENT | me sometimes back when I was handling an elderly patient with a mental disability. It is an ethical norm that such patients are closely monitored, ensure no stigmatization, and ensure there is no emotional and physical harm, mutual trust as well as voluntary | GET AN EXPERT FOR YOUR ASSIGNMENT | condition of the patient however presented an ethical challenge as he felt insecure and preferred staying alone. At one point, he almost hit himself with a blunt object when I had gone few miles from him. I was in fact accused of negligence by the hospital management…



