Relational Ethics Theory

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Relational Ethics Theory

"requires that we focus on the relationship as the significant and central aspect of health care ethics" (Burkhardt et al., 2018, p. 42)

Engagement

"A quality of a relationship in which there is striving for authenticity and connection" (Burkhardt et al., 2018, p. 42)

student did not ask for patient's desired outcomes of care

student did not ask for consent

Mutual Respect

"interactive respect for and attention to difference" (Burkhardt et al., 2018, p. 42)

Power differential

was forceful with patient

considered patient a task

Embodiment

"refers to the relationship in which not only is the person treated in a holistic manner, but there is also consideration of emotion and of subjective experiences" (Burkhardt et al., 2018, p. 42)

patient was distressed and uncomfortable from student's rough manner

Student was inconsiderate when I asked to be gentler

Environment

"the inevitable relationships that individuals engage in" (Burkhardt et al., 2018, p. 42)

Patient lacked a healthy environment

Decision-Making Process

Oberle & Raffin Buuchal Decision-Making Model (2009)

Step 3: Selecting an Ethical Action

Step 4: Engaging in Ethical Action

Did not do right by the patient

was afraid to confront the student nurse

I did not want to cause conflict

student had more experience

Step 5: Reflecting on and Reviewing the Ethical Action

Student nurse was unethical

evidenced by CNA and CNO code of ethics

Step 2: Reflecting on and Reviewing Potential Actions

ask the patient myself for their consent

tell my clinical teacher of the incident

spoken to the nursing student after the bed bath

should have continued to tell my partner that the patient was uncomfortable

Step 1: Assessing the Ethics of the Situation

patient expected communication and respect

student wanted to rush the bed bath to save time

I wanted to complete bed bath professionally and make patient comfortable