Here are responses to your questions:
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Example of an Ethical Issue Related to Confidentiality in Nursing or Midwifery: An example of an ethical issue related to confidentiality in nursing or midwifery could be a situation where a nurse learns that a patient's medical information has been inadvertently shared with unauthorized personnel, such as relatives who are not involved in the patient's care. This breach endangers the patient's trust in the healthcare system and violates ethical and legal obligations to maintain patient confidentiality.
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Response to Reduce the Impact of Discrimination: A nurse or midwife might respond to reduce the impact of discrimination by advocating for the patient, ensuring their needs and preferences are heard and respected. Additionally, they could work to create a more inclusive healthcare environment by promoting cultural competency training among staff, implementing policies that address discrimination, and actively confronting discriminatory behavior when it occurs.
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Ethical Principle Applied: The ethical principle that applies to this action is Justice. Justice involves fairness and equality, ensuring that all patients receive equitable care and are treated without bias or discrimination.
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First Step in Resolving an Ethical Dilemma: The first step in resolving an ethical dilemma is to identify the problem clearly. This involves understanding the situation, recognizing the competing values or principles at play, and gathering relevant facts to ensure a comprehensive view of the dilemma.
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Response to a Hemophobic Joke in a Retirement Facility: A nurse or midwife might address a hemophobic joke in a retirement facility by calmly and assertively expressing that such jokes are inappropriate and can be harmful to individuals with hemophobia. They could explain the seriousness of phobias and the potential impact of such jokes on those who may be affected. Fostering a respectful and inclusive atmosphere is crucial, so the nurse could encourage open discussions about fears and phobias to promote understanding and sensitivity among residents and staff.