solved Before his illness, Benton, a healthy child, had been brought

Before his illness, Benton, a healthy child, had been brought to the clinic only for acute health concerns. The family does not have health insurance. Shortly after en-tering second grade 2 years ago, he began limping. The family attributed the limp to a playground injury. When he continued to complain of pain and the limp persisted after 3 months, his mother took him to a local health clinic. Above-the-knee amputation followed diagnosis, but metastasis was evident in 9 months. Chemotherapy has only been palliative. The physician has discussed Benton’s poor prognosis
with the parents, recommending comfort care. The par-ents say they want everything possible to be done for him, and the father conducts nightly prayer sessions at Benton’s bedside, affirming that God is healing Benton. His father refuses to allow staff to speak with Benton regarding fears or concerns about his condition. This di-rective has presented concerns for nurses, especially when Benton asked the nurse whether he is going to die. When asked what Benton has been told, the father responds, “He knows God is trying us and we must have faith.” The mother, who appears less confident of a healing, is there 24 hours a day. She supervises Benton’s care relentlessly, at times irritating staff with questions and demands. She keeps a notebook record of her son’s care, including medication, times of care, intake and output, and personal assessments. Although Benton used to talk to staff, he now appears frightened and remains quiet, sleeping off and on.
Think About It Dealing with Values Conflict Respond to these questions from the vantage point of the nurse in the preceding Case Presentation: • What is your first personal reaction to this situation? Identify your values relative to the situation.
• What do you perceive to be the values of the others involved?
• Identify value differences that might lead to conflict. Give specific examples of how such a conflict can potentially affect patient care.
• Describe specific nursing interventions aimed at managing the conflict in a professional manner, and give examples of how nursing codes would guide such actions.
• Describe your own strengths and limitations as you consider dealing with this situation.
Impact of Institutional Values Nurses need to be conscious of both the spoken and unspoken values in their work settings. Values of
individual institutions and organized health care systems that are explicitly communicated through phi-losophy and policy statements are called overt values. Values may also be implicit in expectations that are not in writing; these are called covert values. Covert values may be unspoken and sometimes unconscious expecta-tions that are often discovered only as one encounters attitudes or controversies within a particular work setting. For example, a new nurse may learn of an expectation on the unit to regularly skip lunch and breaks to avoid overtime (even though nurse self-care is part of the written philosophy of the institution) only after working in the setting for several days. The obligation to attend to patient care and well-being is embedded in both personal and professional nursing ethics. However, nurses may find that the ability to act from their values is restricted within health care institutions where they work. The complex organization and multiple goals of these institutions, particularly large health care corporations, may create expectations that subordinate patient care goals to institutional goals and limit a nurse’s ability to pro-vide care the nurse believes to be for the moral good of patients (Liaschenko & Peter, 2016)..

Identify the overt values of a healthcare organization (use current or previous workplace/clinical setting) and then identify overt and covert values (see Chapter 4) of nurses and others within the agency. Explain the importance of knowing about both. Address if the covert and overt values align with your own personal values and why/why not…

Something along this lines ?It is important to demonstrate with our actions and behavior what we claim to be.
Values clarification between a nurse and a patient are fundamental for both to understand each other and work together. This will help avoid conflicts and result in positive outcomes (patient’s care satisfaction and nurses job satisfaction, resulting in institution’s positive rating). My values align with the hospital’s values I work for. It is what we always strive for, but unfortunately due to the shortage of nurses…
“To provide extraordinary care, where the patient comes first, supported by world-class education and research.”BIDMC