Name: Ana Hernandez
Institution: FNU
Course: Decision Making-DBX-DL01
Professor: Dr. Nora Hernandez-Pupo
Date: 12/4/2024
Discussion on Ethical Sensitivity and Emotional Intelligence in Nursing Practice
Ethical sensitivity in nursing is the ability to recognize ethical issues, dilemmas, and the potential impact of decisions on patients, colleagues, and healthcare outcomes. It involves understanding and applying ethical principles, autonomy, beneficence, non-maleficence, and justice to provide compassionate, morally sound care. Also, Emotional intelligence (EI) complements ethical sensitivity by equipping nurses with skills to identify, understand, and manage emotions effectively. EI enables nurses to empathize with patients, communicate clearly, and remain composed during challenging situations. Together, ethical sensitivity and EI empower nurses to navigate complex situations, make ethical decisions, and deliver patient-centered care that aligns with professional values (Butts & Rich, 2022).
1. Healthcare Practices Requiring Ethical Challenges
Current healthcare practices often present opportunities to challenge established norms to improve care while adhering to ethical principles. For instance, the principle of autonomy can be overlooked in situations where patients’ preferences are not fully respected due to time constraints or systemic inefficiencies. An example is the use of standardized discharge protocols that may not align with an individual patient’s cultural or personal beliefs. Similarly, non-maleficence may be compromised when inadequate staffing ratios lead to unintentional harm, such as medication errors or delayed care. Policies regarding the use of pain management can also be scrutinized under beneficence and justice (Chen, Su, Liu, Miao, & Fang, 2021). For example, racial disparities in the administration of pain relief medications highlight the need to challenge unconscious biases within healthcare systems. By applying these ethical principles, nurse leaders and managers can advocate for policy changes that enhance individualized care, ensure equity, and uphold patient dignity.
1. Ethical Wrongdoing in Clinical Practice and the Role of Emotional Intelligence
An example of potential ethical wrongdoing involves informed consent in procedures like emergency surgeries. In high-pressure situations, healthcare providers may prioritize expediency over ensuring that patients fully comprehend the risks and benefits, violating autonomy. Emotional Intelligence (EI) abilities could significantly mitigate these challenges. For instance:
· Identifying Emotions: Recognizing stress and fear in patients can guide a provider to use a more empathetic communication style.
· Understanding Emotions: Interpreting a patient’s hesitation or confusion as a need for further clarification ensures the decision is fully informed.
· Using Emotions to Reason: Providers can balance their emotions, like frustration during time-sensitive situations, to focus on ethical decision-making.
· Managing Emotions: Controlling personal stress can help maintain calm and clear communication, even in urgent cases (Mert Boğa, Sayilan, Kersu, & Baydemir, 2020).
In a specific clinical scenario, a nurse manager intervened when a colleague hastily obtained consent from a patient who was visibly overwhelmed. The nurse used EI to de-escalate the situation, explain the procedure in simpler terms, and allow the patient more time to process. This act not only upheld the ethical principle of autonomy but also strengthened the patient-provider relationship, showcasing how EI can foster ethical sensitivity in practice (Mert Boğa, Sayilan, Kersu, & Baydemir, 2020).
Conclusion
Ethical sensitivity and emotional intelligence (EI) are critical for fostering ethical decision-making in nursing practice. By addressing challenges in autonomy, non-maleficence, beneficence, and justice, nurses can advocate for improved policies and equitable care. EI enhances ethical practice by enabling nurses to recognize, understand, and manage emotions effectively, ensuring patients’ needs and rights are respected. Incorporating EI in clinical settings promotes better communication, stronger patient-provider relationships, and adherence to ethical standards. As nursing continues to evolve, integrating ethical sensitivity with EI ensures that care delivery remains compassionate, patient-centered, and aligned with the core values of the profession (Göl & Erkin, 2019).
References
Butts, J. B., & Rich, K. L. (2022).
Nursing Ethics: Across the Curriculum and Into Practice. Burlington: Jones & Bartlett Learning .
Chen, Q., Su, X., Liu, S., Miao, K., & Fang, H. (2021). The relationship between moral sensitivity and professional values and ethical decision-making in nursing students.
Nurse Education Today, e105056.
https://doi.org/10.1016/j.nedt.2021.105056
Göl, İ., & Erkin, Ö. (2019). Association between cultural intelligence and cultural sensitivity in nursing students: A cross-sectional descriptive study.
Collegian, 485-491.
https://doi.org/10.1016/j.colegn.2018.12.007
Mert Boğa, S., Sayilan, A. A., Kersu, Ö., & Baydemir, C. (2020). Perception of care quality and ethical sensitivity in surgical nurses.
Nursing Ethics, 673-685.
https://doi.org/10.1177/0969733020901830
