solved Using the ethical dilemma in discussion question one, discuss a

Using the ethical dilemma in discussion question one, discuss a role nurses could play in creating an ethical practice environment. How can you promote a quality ethical practice that supports the wellbeing of all humans?
Discussion Question 1 
One of the significant historical dilemmas in public healthcare services was an ethical dilemma in advanced directive implementation in multidisciplinary patient care. The advanced directives required that the patient’s concern be adhered to by the medics of the public health. The dilemma occurred when patients who underwent surgery refused to be subjected to aggressive treatments in cardiac arrest. The internal medical staff who had just been given the mandate to take care of the patient had to decide between withholding the treatment and attempting any possible life-saving method that would not go against the ethics (Tompkins et al., 2017). The situation was faced with an ethical dilemma. Physicians who had no more profound understanding of the patients’ underlying conditions had to find a balance in upholding patients’ concerns and reacting to strange clinical events that needed to be taken. The situation presented a dilemma to the physiologist. It was hard to decide whether to withhold any aggressive resuscitation effort as demanded by the patient, make a call to the primary emergency surgery consultant, or make an effort to get in touch with the patient’s family member to complete a surrogate decision.
The dilemma may relate to current ethical dilemmasbecause the current nurses must ensure that patients’ refusal tospecific treatment due to their cultural and societal beliefs is considered and protected. The lesson learned from this dilemma is that healthcare institutions should create an ethical committee that will facilitate good decision-making, which will not alter the concerns of patients, families, and those nurses involved (Lasota et al., 2020). Secondly, the medics that have been assigned to a particular patient should not abandon the patient to new nurses or healthcare workers who lack the necessary knowledge of the underlying patient condition. 
Reference
Tompkins, D. A., Hobelmann, J. G., & Compton, P. (2017). Providing chronic pain management in the “Fifth vital sign” era: Historical and treatment perspectives on a modern-day medical dilemma. Drug and Alcohol Dependence, 173, S11-S21. https://doi.org/10.1016/j.drugalcdep.2016.12.002