Highlights
Task:
Case study 1
Kyrina works for a community health centre that is currently tasked to deliver COVID19 vaccinations. As part of the national strategic vaccination plan, the usual health care services delivered at the health centre have been moved to secondary facility 12 kilometres away. This has allowed the entire health centre to be staged for COVID vaccine delivery only. All individuals must make an appointment prior to attending for vaccination and are always required to wear a mask within the health centre. Kyrina is working at the screening desk, when she is approached by a man who does not have an appointment and is not wearing a mask, but demands to be given a vaccination, saying “it is my right to access healthcare in Australia”. Following this, Kyrina is approached by an older couple who have come to the health centre to receive their yearly influenza vaccination. They were not aware that the usual health services had been moved, and state they are unable to travel to the secondary clinic. Kyrina knows that influenza vaccines are available still in their clinic and considers administering the influenza vaccine even though the services are not supposed to be offered during this COVID vaccine rollout.
Question:
• Consider this case study in relation to relativism, pluralism, and ethical positioning.
• What are the key issues (ethical and clinical) in this case study?
• Discriminate between the clinical and the ethical issues.
• Which specific codes of conduct might be breached?
Which ethical principles have been breached?
What are the moral imperatives for the issues identified?
• How are the principles of Autonomy, Justice, Beneficence, and Nonmaleficence impacted in this case?
Case study 2
John works in the emergency department of a busy tertiary hospital. It is the middle of winter, and the hospital is running at full capacity with all beds occupied. An Influenza outbreak has affected a significant number of hospital staff across all areas. Providing sufficient staff for care delivery has been particularly challenging over the past two weeks. John is concerned with his personal safety and the safety of his family. He and his wife have had their influenza vaccine however they have twins that are only 3 months old and cannot be vaccinated until they are 6 months old. John is wondering if he should take some time off work to protect his family. However, he knows this will further reduce the limited staffing in the emergency room. Several of John’s non-health care provider friends are refusing to get the influenza vaccine stating, “they are not afraid of a little flu” and it is “their right to choose to get vaccinated or not”.
• Consider this case study in relation to relativism, pluralism, and ethical positioning.
• What are the key issues (ethical and clinical) in this case study?
• Discriminate between the clinical and the ethical issues.
• Which specific codes of conduct might be breached?
Which ethical principles have been breached?
What are the moral imperatives for the issues identified?
• How are the principles of Autonomy, Justice, Beneficence, and Nonmaleficence impacted in this case?
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