The ethical dilemma I have chosen to explore is one that is common in the field of healthcare: a healthcare provider must decide whether or not to speak out against unethical practices, such as overbilling or providing inadequate care. In this situation, an Advanced Practice Registered Nurse (APRN) who works for a private clinic has noticed that their supervising physician has been consistently overbilling certain procedures in order to increase profits for the clinic. The APRN knows that this practice is wrong, but fears speaking up about it as they are worried about potential repercussions from their employer.

Using the 7 Step Decision Making Model, the facts of this dilemma can be explored further. First and foremost, it should be understood that unethical practices like these are in violation of professional standards and thus should be avoided whenever possible (Step 1). Furthermore, an analysis of both short-term and long-term consequences must take place in order to determine if speaking out would result in better outcomes than remaining silent (Step 2). For example, speaking up could lead to disciplinary action on behalf of the employer while staying quiet might result in more patients continuing to receive inadequate care.

In addition to assessing potential consequences, other factors such as personal values and legal obligations must also be taken into consideration when making decisions regarding ethical dilemmas such as this (Step 3). It is important here for the APRN to consider what their individual beliefs dictate they do; while professional codes may provide guidance with regards to expected behavior within any given profession, ultimately it is up to each individual nurse practitioner how they will choose act . Understanding one’s moral compass can help them make sense of ethical complexities scenarios like these.

It may also be beneficial for them conduct research relevant laws governing medical billing come into play which could influence decision making process Additionally seeking advice trusted colleagues/mentors assists selecting path forward This especially relevant since issue involves balancing professional responsibilities personal convictions often difficult coming terms own solution without external feedback .

From there further steps can completed involving developing courses action evaluating risk associated each option determining most viable course proceeding implementation Finally review outcome ensure desired results achieved always essential maintain accountability regarding choices made overall process complete (steps 5-7) In conclusion using seven step model helps navigate through complex ethical situations provides solid foundation problem solving future Similar models used many fields due practicality universal applicability they offer