Saturday, February 28, 2015

Diaries of the Medical Professional

Assume the voice of a medical professional, employed by your physician, writing in his or her diary. Reveal the character's personal beliefs on cultural, social, and ethnic diversity in health care, as well as the individual's ethical stance on a particular issue that is on his or her mind. 

My character is a Jewish nurse her personal beliefs on cultural, social and ethnic diversity in health care are: that human life is of infinite value and that preservation of life supersedes almost all other consideration. (Reform Judaism.org 2015) She also beliefs that God endowed humanity with the understanding and ability to become one with God in making a better world for all, she feels obligated to provide health care regardless of one’s social statues.(Reform Judaism.org 2015)
The physician she works for is not Jewish and has a belief if one cannot pay for his services he will not see them after a point, as his thought is no payment equals no paycheck. The nurse has an ethical issue with this, she completely understands that paying patients equals a paycheck and the paycheck is needed, her religious beliefs are; “if a doctor withholds services it is considered as shedding blood” she beliefs everyone is equal and entitled to treatment per her religion. (Reform Judaism.org 2015)

Allow this entry to serve as a case study. Recount a workday for this individual and the ethical dilemma the person was faced with. 

2/23/2015
Monday morning is always crazy in the office, and this Monday was no different other than the heart break I am stuck with. How will I sleep tonight as I feel I have disobeyed my faith? Today a young boy was turned away from seeing the doctor as he had an outstanding balance his mom had not paid and it is extremely past due. Why didn't I just pay the balance for them, I could have? I have failed you God and my community, why can’t I get the provider to see all are B’tselem Elohim in the image of God? My confusion runs rapid tonight, and I feel as I need to not just say a prayer as a remainder for my failure but for understanding for the provider I work for; Prayer for Peace.

How did the individual deal with the situation? What was his or her rationale for doing so?   

She stood by doing nothing during the process even though she felt brokenhearted. Her rationale for doing nothing appears to be the need for a paycheck and her faith lead her to pray for understanding of the provider.

Step out of this "diary" entry and return to your own writing voice. Did this individual assess his or her situation accurately? Why or why not? 

Yes, I feel she assessed her situation accurately as she felt her personal beliefs to be everyone deserves healthcare regardless and it is clear that the doctor refuses care if bills are in collections.

How did this individual's personal ethics influence his or her job performance? 

I don’t think the nurse’s personal ethics influences her job performance, however I think it influenced her emotional which may have led her to feel anger with herself or the provider as she feels she broke her beliefs.

Relate the person's case to the broader issues facing medical professionals every day, and some of the effective and ineffective approaches there are to dealing with ethically challenging scenarios related to cultural, social, and ethnic sensitivities.  

Cultural diversity can strengthen and broaden the health care delivery systems, examples of alternatives services and treatment modalities can be provided by other cultures. Most cultural both the patient and the provider use health care that is identified with in their cultural group and is a part of the cultural beliefs system. Nurses need to realize how each cultural understands and processes life, what each cultural considerers to be illness, health and maintenance of wellness, understand what causes certain cultural to think  illness are caused for a reason and understand that how to heal or find a cure can be different across the board. Nurses also bring their own beliefs and cultural and by putting ones cultural aside can sometimes make a difference to response of service. Policies and procedures need to be put in place to accommodate all backgrounds and beliefs as cultures differ and I believe a nurse is in a position to respond to cultural diversity and influence policies in her work place.

Reform Judaism.org. (2015) Jewish Life in Your Life: Jewish Views on Healthcare. Retrieved From: http://www.reformjudaism.org/jewish-views-health-care
Fremgen B. (2012) Medical Law and Ethics. Fourth Edition. Retrieved From: Pearson Education, Inc.


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