Phillip January 8, 2024 No Comments

Capella 4000 Assessment 1

Capella 4000 Assessment 1: Applying Ethical Principles


Capella university

NHS FPX 4000 Developing a Health Care Perspective

Prof. Name


Applying Ethical Principles

Healthcare professionals frequently encounter ethical dilemmas requiring decisions based on moral convictions and values. The four fundamental principles guiding healthcare decision-making are autonomy, beneficence, non-maleficence, and justice. The concept of prima facie, introduced by philosopher W. D. Ross, suggests that a moral principle is valid unless it conflicts with another, necessitating decision-making (Othman & Hamid, 2018).

Overview of the Case Study

E.L Straight, the newly appointed head of medical practitioners, implemented policies to enhance patient care. Despite positive outcomes, senior staff surgeons at Hopewell remained unimpressed. E.L Straight’s observation of a lack of key policies affecting care quality prompted changes, but the ethical dilemma deepened when Dr. Cutrite’s error during surgery was dismissed. The conflict highlights a tension between the hospital’s interests and patient well-being (Darr et al., 2017).

Analysis of Ethical Issue in the Case Study

E.L Straight faces an ethical dilemma, balancing the hospital’s reputation against the patient’s well-being. Despite resistance from medical personnel, Straight prioritizes the patient’s health, deeming the situation unethical (Darr et al., 2017).

Applying Ethical Principles

The International Patient Decision Aid Standards (IPDAS) were used to assess decision-making outcomes related to ethical and legal issues in geriatric care. The decision-making model comprises moral awareness, moral judgment, and ethical behavior, emphasizing overall impact, patient involvement, and compliance with laws (Stacey et al., 2018; Doherty, 2020; Price & Cohen, 2019).

In this case, E.L Straight’s ethical dilemma arises from conflicting principles of non-maleficence and justice, emphasizing the patient’s health (Morley et al., 2020).

Effectiveness of Communication Approaches in Case Study

Effective communication among healthcare professionals and patients is crucial. The nurse supervisor demonstrated effective communication, but E.L Straight’s suggestion faced obstacles. Dr. Cutrite’s reluctance indicates communication challenges (Doherty, 2020).

Resolving The Ethical Dilemma by Applying Ethical Principles

Healthcare professionals often employ autonomy, beneficence, non-maleficence, and justice to address ethical dilemmas. In this case, involving organizations like UNICEF or WHO is proposed to align with ethical standards and resolve the conflict (Morley et al., 2020).


Healthcare ethical decision-making relies on principles such as autonomy, beneficence, non-maleficence, and justice. E.L Straight’s case underscores the challenge of balancing patient rights and hospital reputation, necessitating adherence to ethical principles for resolution (Doherty, 2020).


Darr, K., Farnsworth, T. J., & Myrtle, R. C. (2017). Cases in health services management.

Doherty, R. F. (2020). Ethical Dimensions in the Health Professions-E-Book. Elsevier Health Sciences.

Morley, J., Machado, C., Burr, C., Cowls, J., Joshi, I., Taddeo, M., & Floridi, L. (2020). The ethics of AI in health care: A mapping review. Social Science & Medicine, 260, 113172.

Othman, Z., & Hamid, F. Z. A. (2018). Dealing with an (expected) ethical dilemma: Experience from the field. The Qualitative Report, 23(4), 733-741.

Price, W. N., & Cohen, I. G. (2019). Privacy in the age of medical big data. Nature Medicine, 25(1), 37-43.

Stacey, D., Légaré, F., Lewis, K., Barry, M. J., Bennett, C. L., Eden, K. B., … & Trevena, L. (2018). Decision aids for people facing health treatment or screening decisions. The Cochrane database of systematic reviews, 4(4), CD001431.

Capella 4000 Assessment 1