NUR502 TOPIC 7 DISCUSSION QUESTION 1

NUR502 TOPIC 7 DISCUSSION QUESTION 1 The influence of consequential ethics as an ethical framework (the greatest good for the greatest number) opposes the ethical principle of deontology (i.e., the rightness of an act itself determines what is right). Both of these impact the nursing profession. Modern social exchange theories are based on the principle of utility. Read the assumptions of social exchange theory and consider how these would affect the nurse-patient relationship, compared to how these impact the nurse within the health care environment. To what extent are all theories ethical? Is social exchange theory compatible with the values of the nursing profession? The basis of the social exchange theory is that if a person receives a positive response from an exchange with another person, then they are more likely to repeat the behavior. If a negative response is received, then the person will most likely not repeat the behavior (McEwen & Wills, 2014). A person thinks about the benefits and risks of a relationship and then tries to decide whether the relationship should continue or be terminated (ThoughtCo, 2018). According to the assumptions of the social exchange theory, humans look to receive some sort of positive outcome from social interactions with others and compete with one another. Another assumption is that humans do not always have full knowledge of a situation, however, they have some kind of an idea which helps them to weigh the pros and the cons of a situation. Based on the social exchange theory, a nurse has several interactions with a patient in which responses are exchanged. This can include providing education, resources, medications, and services. In return, the nurse expects positive feedback from the patient such as acknowledgement of the learning process by practicing self-efficacy. If the nurse receives a negative response, such as a patient or family member that is unappreciative, then the nurse may be less likely to devote more time to that particular patient.The patient provides several things to the nurse as well, their time, personal space, and person information. In return, the patient expects to receive individualized care and to feel listened too and respected. If a patient receives a negative response from the nurse, this could lead to mistrust and eventually the patient may not seek out medical assistance when needed. Overall, I feel that the social exchange theory is ethical. However, if the nurse expects something from the patient such as monetary or gift rewards, then the nurse would be using the relationship unethically. Likewise, if the patient is expecting something in return from the nurse such as a prescription or supplies the nurse is unable to provide, then this would be unethical as well. If used appropriately, the social exchange theory is compatible with nursing. The theory provides insight into nurse-patient relationships and can provide the nurse with an understanding into why a patient may not be practicing self-efficacy. References: