LDR 615 Describe an ethical dilemma that you experienced, or have witnessed in a change leader, when attempting to initiate change

LDR 615 Describe an ethical dilemma that you experienced, or have witnessed in a change leader, when attempting to initiate change

LDR 615 Describe an ethical dilemma that you experienced, or have witnessed in a change leader, when attempting to initiate change

The ethical dilemma I witnessed when attempting to initiate change was during the implementation of a quality improvement initiative on the reduction of hospital readmissions on the post-partum floor. The post-partum floor had an acute nursing shortage, which prompted the Charge Nurse to acquire a nurse from another department to help. This nurse has only worked for eight months and has no experience with post-partum patients. A patient approached the nurse requesting help with breastfeeding claiming that her child is not latching on. Although it was not wrong to assign this nurse to the post-partum floor, the ethical dilemma in this situation occurs when the nurse was needed to provide the care she has never provided. To address this situation, the nurse informed the Charge Nurse that she lacks experience working with post-partum mothers or newborns. The Charge Nurse responded by assigning an experienced nurse to assist the newly assigned nurse through mentorship.

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A change leader can rely on the Ethical Decision-Making Model as a tool to guide decision-making when faced

LDR 615 Describe an ethical dilemma that you experienced, or have witnessed in a change leader, when attempting to initiate change
LDR 615 Describe an ethical dilemma that you experienced, or have witnessed in a change leader, when attempting to initiate change

with an ethical dilemma. The purpose of this tool is to support individuals in articulating and voicing concerns and pursuing resolutions to ensure that appropriate decision is made during ethical dilemmas (Gao et al., 2021). This model is anchored on the idea that a change leader should consider the implications of his or her decision, gauge different available options, and reflect on the ethical implications of every choice. Once a preferred option has been selected, it is recommended to consult with people who may have been impacted by the decisions to ensure that the preferred decision aligns with their interests and values (Johnson et al., 2022). The decision should be evaluated by thinking about how it affects oneself and others, and also how it realizes the expectations of the organization (Grace  & Uveges, 2022).


Gao, R., Liu, J., & Yin, B. (2021). An expanded ethical decision-making model to resolve ethical dilemmas in assessment. Studies in Educational Evaluation, 68, 100978. https://doi.org/10.1016/j.stueduc.2021.100978

Grace, P. J., & Uveges, M. K. (2022). Nursing ethics and professional responsibility in advanced practice. Jones & Bartlett Learning.

Johnson, M. K., Weeks, S. N., Peacock, G. G., & Domenech Rodríguez, M. M. (2022). Ethical decision-making models: A taxonomy of models and review of issues. Ethics & Behavior, 32(3), 195-209. https://doi.org/10.1080/10508422.2021.1913593

In my police organization, I have recognized that many leaders have difficulty differentiating their friendships with employees and their professional relationship that requires them to hold the friends accountable. For example, if a new policy or directive is released for a crime reduction strategy, I’ve witnessed many leaders force employees who are not their close friends to do the mundane portions. In contrast, their friends are not held to the same standard of accountability.

When the leader attempted to hold their friends accountable as the other officers, it was clear the lines of the hierarchy did not apply. Challenges to workplace friendships when it comes to implementing change have been identified to include blurred boundaries, a distraction for work objectives, conflicting expectations, unwarranted promotions or praise, and a feeling of betrayal by the employee if not given special treatment (Nguyen, 2021).

There were personality disputes and conflicting expectations; the subordinates felt betrayed they were no longer empowered with special treatment (Nguyen, 2021). Workplace friendships are suitable for their social purposes and work productivity but can cause ethical concerns when boundaries are blurred with unclear expectations.

Finally, ways to resolve this conflict involve setting clear expectations and communication early on as stated in many posts. Another resolution technique for ethical boundaries consists of the leader possessing a core belief of their leadership philosophy and understanding who they are as a leader (Hellmich et al., 2019).



Hellmich, D., Kater, S. T., & Gonzales, S. R. (2019). A Leg to Stand On: Developing Core Beliefs and a Leadership Philosophy for Sound Ethical Decision-Making. New Directions for Community Colleges2019(185), 43. https://doi-org.lopes.idm.oclc.org/10.1002/cc.20337

Nguyen, S. (2021, March 28). Workplace friendships: The Benefits and challenges. Workplace Psychology. Retrieved November 16, 2021, from https://workplacepsychology.net/2018/01/07/workplace-friendships-the-benefits-and-challenges/. 

Thank you for sharing your post with us. I like how you brought up different types of friendships. I have also seen this happen in other organizations. Nepotism is real, and I have seen it firsthand where friends or those in a relationship treat each other differently than others. At my last job, my best friend worked there. She was not assigned to me, and I made sure the company knew how we knew one another. Her supervisor was a supervisor that also reported to the same manager I did. Every week we would have a meeting and we collaborated on attendance, performance, behaviors, etc. She was brought up due to attendance. During these meetings, we would discuss what each of us would do based on what was going on. When it got to me, I stated clearly that she should move to the next level of corrective action because her days missed were excessive. I will never forget the look on the face of my manager. It was pure shock. My point is that you must be able to balance work and home. Leave your personal life at the door. Sure, there are some days where something is going to be weighing on you, but you are in a professional environment, and it should remain that way. I have worked with my husband at a different organization. When we were at work, we were colleagues. At home, we were husband and wife. If you were faced with the scenario I was in, how would you handle the dilemma?

An ethical dilemma that I have witnessed and Leadership change is mandating the covid-19 vaccinations for healthcare providers. This has been a big issue all across the nation due to health care providers wanting the right to be autonomous over their bodies.  As of earlier this year  2021 the federal government mandate is that all healthcare workers must be fully vaccinated to work at local hospitals or they will  be terminated from work. Before the commission, public health sponsors have tried to resolve ethical dilemmas by offering incentives to workers such as gift cards, free meals at work, and other prizes. Even though current vaccinations have shown to be highly efficient in reducing COVID-19 and its variations to date, the virus is still spreading, particularly among uninfected people. In response to waning enthusiasm, officials across the United States have tried a variety of strategies to boost vaccination rates (Hsu, 2021).

To promote and implement vaccine uptake, officials, for example, developed incentive programs, emphasized personal responsibility, deployed mobile vaccination units, and collaborated with business and community partners. Vaccines are administered often by nurses. However, immunizations are also required! Nurses come into touch with a variety of infectious illnesses, the most known of which being influenza, due to the nature of their profession (American Nurses Association, 2019). Becoming vaccinated is a vital method to avoid getting sick at work. Vaccination, on the other hand, can safeguard the nurse’s patients as well as her family. A nurse may accidentally transmit a disease to a patient while at work, especially if the patient is very ill or fragile, such as neonates. Furthermore, if a nurse becomes unwell at work, he or she may transmit the disease to family members. The problem is ongoing and leadership is still trying to stop the situation from becoming worse.

American Nurses Association. (2019). Vaccines/Nurses. ANA. https://www.nursingworld.org/practice-policy/work-environment/health-safety/immunize/vaccines/

Hsu, A. (2021). Nurses Are In Short Supply. Employers Worry Vaccine Mandate Could Make It Worse. NPR.org. https://www.npr.org/2021/09/23/1039228806/nurses-are-in-short-supply-employers-worry-vaccine-mandate-could-make-it-worse