Values Conflict 1 Running Head: VALUES CONFLICT

Values Conflict Helen Mc onald Stat Uni!e"sit# of Ne$ %o"& Institute of Tec'nolog# Utica Ro(e

Values Conflict ) I e*+e"ienced a !alues conflict at $o"&, I 'ad a +atient- lets call 'e" .ane- fo" t'"ee 'ou"s at t'e end of (# s'ift, T'e +atient $as in +oo" condition, S'e 'ad end stage c'"onic o/st"ucti!e +ul(ona"# disease, S'e 'ad /een a t'"ee +ac& a da# s(o&e" fo" (ost of 'e" life, .ane $as li!ing $it' 'e" son and daug'te" /efo"e ad(ission, T'e +atient 'ad signed a NR t'e da# of ad(ission, T'e "e+o"t I "ecei!ed $as +oo", I 'ad /een told s'e $as seen /# 'os+ice, S'e $ould not (a&e a decision "ega"ding 'e" end of life ca"e until discussing it $it' 'e" daug'te", I $as /us# attending to (# ot'e" +atients $'en a $o(an t"ac&ed (e do$n and /egan desc"i/ing t'e une*+ected condition of 'e" (ot'e", T'e +atient0s daug'te" $as !e"# u+set $it' t'e 'os+ital and at (e, I left t'e $o(an $it' 'e" (ot'e" so I could do so(e in!estigating, I $as su"+"ised to see e!e"# docto"- 'os+ice and nu"ses note "eflected t'e sa(e dile((a, T'e# 'ad all atte(+ted to contact .ane0s fa(il# to no a!ail, I disco!e"ed t'e t"eat(ent cou"se- "es+onse t'e +atient 'ad to t'at t"eat(ent and t'e g"i( +"ognoses, I $as "at'e" u+set to lea"n t'e +atient0s fa(il# 'ad (ade no effo"t to (a&e contact $it' t'e +atient o" t'e inte"disci+lina"# tea(, I couldn0t 'el+ /ut t'in&ing- if t'at $as (# (ot'e" I $ould call t'e 'os+ital e!e"#da#, I $ould tal& to t'e +'#sician e!e"#da#, I $ould /"ing (# (ot'e" t'ings to c'ee" 'e" u+ and (a&e 'e" co(fo"ta/le, I $ould 'a"ass t'e nu"sing staff and insu"e e!e"#t'ing $as /eing done fo" (# (ot'e", Acco"ding to 1u"&'a"dt and Nat'aniel 2)3345 t'is +"ocess is called !alues cla"ification, I $as focusing (# ene"g# on self6"eflecting a/out (# +e"sonal !alues 2+475, I d"e$ a dee+ /"eat' and +"e+a"ed (#self to +"esent t'e +atients info"(ation to t'e daug'te" and son, I "e(e(/e" /"inging t'e c'a"t in to t'e "oo( $it' t'e +atient /ut $'en I sa$ t'e e(otion on t'ei" faces I decei!ed I s'ould discuss t'e case a$a# f"o( t'e +atient, .ane at t'at +oint $as non!e"/al and un"es+onsi!e, I felt t'at /# ta&ing t'e fa(il# a$a# f"o( t'e +atient it $ould /e easie" to s+ea& to t'e(, Instead of getting u+set $it' t'e fa(il# /ecause of (# o$n +e"sonal !alues- I s+o&e +"ofessionall# and non8udg(ental, T'e daug'te" stated t'at s'e s+o&e $it' t'e +'#sician t'"ee da#s +"io", He assu"ed t'e daug'te" t'at 'e" (ot'e" 'ad /een i(+"o!ing and +e"&ing u+, I s+o&e 'onestl# of t'e e!ents leading to t'at da#, I /"o&e t'e ne$s of .ane0s +oo" +"ognoses to t'e fa(il# gentl#, T'e daug'te" $as

Values Conflict 9 s'a&ing as s'e s+o&e to (e and 'e" e#es s$elled $it' tea"s, S'e as&ed 'o$ long 'e" (ot'e" 'ad to li!e, I told 'e" I couldn0t ans$e" t'at :uestion /ut /ased on t'e docto"s notes and 'e" cu""ent +'#sical condition- s'e s'ould call e!e"#one s'e &no$s to co(e see 'e"- if t'at0s $'at s'e $is'ed, I a+ologi;ed and a+ologi;ed a/out t'e co((unication disconnect, I inst"ucted t'e daug'te" to call e!e"#da# and c'ec& on 'e" f"e:uentl#, I told 'e" to call t'e docto" ea"l# t'e ne*t da#, I confi"(ed 'e" +'one nu(/e" and insu"ed 'e" t'at t'e nu"sing staff $ould call and info"( 'e" of an# c'ange, T'e fa(il# soon left afte" ou" discussion, T'e# onl# !isited .ane fo" an 'ou", Most of t'at ti(e $as s+ent tal&ing to (e, T'e# t'an&ed (e /efo"e t'e# left, I ga!e "e+o"t to t'e follo$ing RN and left fo" t'e da#, I lea"ned fou" da#s late" t'at .ane +assed a$a# se!en 'ou"s afte" I left t'at nig't, I feel t'at /ecause I $as self6a$a"e of (# o$n !alues I $as a/le to set (# +e"sonal feelings aside and do (# 8o/ $it'out /eco(ing e(otionall# and +e"sonall# in!ol!ed in t'e situation, I $as a/le to gi!e t'e fa(il# suggestion to follo$ (o"e closel# $it' t'ei" fa(il# (e(/e"s ca"e,

Refe"ences 1u"&'a"dt- M,- Nat'aniel- A, 2)3345 Ethics and Issues in Contemporary Nursing, Third Edition. el(a": Cengage Lea"ning,