Nursing
Question:
sudden infant death. Exceptions have been made for babies with severe respiratory difficulties where
lateral positioning may be recommended, although uncertainty exists for other conditions affecting the
upper airway structures, such as cleft palate. This paper presents research of (i) current advice on sleep
positioning provided to parents of infants with cleft palate in the UK; and (ii) decision making by
clinical nurse specialists when advising parents of infants with cleft palate. A qualitative descriptive
study used data from a national survey with clinical nurse specialists from 12 regional cleft centres in
the UK to investigate current practice. Data were collected using semi-structured telephone interviews
and analysed using content analysis. Over half the regional centres used lateral sleep positioning based
on clinical judgement of the infants’ respiratory effort and upper airway obstruction. Assessment relied
upon clinical judgement augmented by a range of clinical indicators, such as measures of oxygen
saturation, heart rate and respiration.
Answer:
Introduction:
The article review assesses the ethical dilemmas in the article by Davies et al., (2015) on Safe sleeping positions practices. The ethical dimension being investigated concerns healthcare practice among the nurses in managing infants with cleft lift palate. Ethical dilemma identified is the position of sleeping pattern for the children with an aim to reduce respiratory problems. The study also assesses the moral issues affecting the nursing dilemma and the concern ethical principles guiding the ethical dilemma state. Moral values which inform the decision making process for the nurses has also been highlighted, the discussion of these concepts has been highlighted below.
Ethical Dilemma
The article provides research based knowledge on the care provided for cleft palate infants in informing bets practices towards reduction of the risks of infant death. Infants with cleft palate, disorder often face challenges with regard to respiratory process and air way pathways. The paper has presented research on the current advice on sleep positioning provided to parents and caretakers of infants and the decisions made by the clinical practitioners. The ethical dilemmas in this review are that the practitioners often face challenges in recommending supine sleep positioning and lateral positioning.
Health care practitioners have the sole mandate of ensuring that they provide ethical and individualized care, which enable patients to reach highest level of well being. Ethical challenges are bound to be evident in these practices, the ethical dilemmas are vast and scope, in a study by Nalwadda et al, (2015), ethical challenges are common in the work place, thus ethical decisions are relevant in approaching this issues. Nurses often face grave challenge in grappling with ethical challenges. In the nursing arena rarely do ethical challenges is often discussed, however this ignorance has led to burn among the nursing fraternity. This has even led to nurses quitting their jobs. This demand for nursing ability is increasingly rising; this has been argued to have major implications in future health care practice. The ethical dilemmas faced by nurses often including opening up about the decision making to offer the care givers on the right sleeping position in the article study. They are intertwined in between birth complications and end of life issues for those vulnerable like the children. Ethics impacts in health care are diverse and nurses have unique challenges in providing best care for the families and the patients.
Moral Issues In The Nursing Care Dilemma
Moral issues underpinning in the ethical dilemma above is ethical distress faced by the nurse. The expression of this ethical distress is classified as expression of the nurse sensitivity to the morals aspect of care practice, which involve patient’s vulnerability and values embraced while following the code of ethics for registered nurses, (Numminen, & Leino-Kilpi,2007). Ethical distress by the nurse, leads to awakening for the nurse to improve their care skills. Unresolved ethical distress has been associated with burn out, (Garbarin, Cuomo, Chiorri & Magnavita, 2013). The physical and emotional aspects of ethical distress have an effect on nursing lives. Nurses have been ranked as the highest sickers in Canada, spending more time being ill, (Canadian Institute for health Information, 2001). This phenomenon in Canada has been linked to ethical distress.
Ethical distresses in the article review has occurred due to the choice of making decision making process with regard to what one believes it is right or wrong, and play a key role in preventing the patient from making key decision towards completing the action. Nurses perceive ethical issues and accept ethical responsibility and makes ethical judgement about the action of advising the mothers on the appropriate sleeping positions, (Numminene & Leino, 2007).
Another major issue in the ethical dilemma is the minor dilemma. Working with infant care presents a unique ethical challenge. The nurses must ensure that the best inters of the patient, however they must balance against the wishes and values of the caregivers. Often patients, families and physicians aligned themselves in the in the ideal world, however in the real world ethical moral issues do arise, (Oh & Gastamans, 2015).
Ethical Principles In The Dilemma
In nursing practice, there bound
