Ethics SeriesRacial Discrimination in Patient Care—Preserving Relationships With IntegrityFahey, Donna M. MSN, MFA, RN, CHPN, AHN-BC, CNL Author Information Donna M. Fahey, MSN, MFA, RN, CHPN, AHN-BC, CNL, is director of the Samaritan Institute for Education, Research & Innovation, Mt Laurel, New Jersey, and adjunct faculty within the Complementary & Integrative Health program at Drexel University, Philadelphia, Pennsylvania. Address correspondence to Donna M. Fahey, MSN, MFA, RN, CHPN, AHN-BC, CNL, 3906 Church Road, Mount Laurel, NJ 08054 ([email protected]). The author has no conflicts of interest to disclose. Journal of Hospice & Palliative Nursing 25(1):p 5-11, February 2023. | DOI: 10.1097/NJH.0000000000000910 Buy CME Test Metrics Abstract The following case study describes what is known as the health care system's open secret of allowing a patient or family to refuse care from a clinician of another race. This article explores the ethical tension between autonomy, nonmaleficence, justice, and duty to treat as it relates to racism and the potential harm to clinicians, health care teams, and organizations. When racism is experienced within the clinical setting, clinician knowledge, organizational training, and moral character are essential for identifying and addressing it effectively. Racial discrimination and related mistreatment are not part of a responsive and proactive moral community. This article explores creative solutions that preserve patient-clinician relationships without sacrificing personal integrity when racism is encountered. Copyright © 2022 by The Hospice and Palliative Nurses Association. All rights reserved.