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In this age of fast paced life and information overload, there is a growing need to slow down or even stop to contemplate and critically evaluate the mounting flood of activities and information that swarm our lives. Critical Reflection Analysis has not only become to me a safe haven and comforting refuge, but also a resort that showcases the function of reason and knowledge in understanding the complex nature of relationship that exist between the Healthcare System, the patient, and the Healthcare provider. For a safe and effective nursing practice, a proper knowledge and understanding of nursing code of ethics, the definitions, concepts and principles of all stakeholders need to be recognized. My journey in Nursing Ethics has provided me with an opportunity to think over some of my life and clinical practice situations and relating whatever has been learnt to future nursing practices. Critical reflection analysis has helped me to identify some practice approaches that have worked well in certain situations in the past, and has given me the confidence to use the same method in the future when confronted with similar circumstance or even find a better way to do it. Ethics in Canadian Nursing Practice has refreshed me with new ideas and concepts, and has also broadened my knowledge base. It is not only fascinating to understand the myriads of ethical issues in health care, but also to recognize the challenges inherent in these issues. To make informed decisions or judgments in the resolution of some of these ethical challenges will require a good knowledge and understanding of ethics and its application. The import of this course to me can not be overemphasized. It is great to be instructed by a Registered Nurse, who also is ... ... middle of paper ... ...have enabled me to understand what actions are clearly right or wrong and which ones are controversial. Critical reflection analysis of my ethical journey has empowered me to distinguish between actions that are obligatory, permissible, and wrong. Now, I have a better understanding of how to develop an approach to resolving ethical dilemmas. Indeed, it has been a challenging, but interesting journey. References Beauchamp, T.L, Childress, J.F. (2009). Principles of Biomedical Ethics. (6th ed.). NY. Oxford University Press. Callaghan, J. C. (1988). Ethical Issues in Professional Life. NY. Oxford University Press. Oberle, K. & Bouchal, S. R. (2009). Ethics in Canadian Nursing Practice: Navigating The Journey. Toronto, ON. Pearson Canada Inc. Sigmund, P. E. (2003). The Selected Political Writings of John Locke, Norton.
Nurses everywhere face problems and challenges in practice. Most of the challenges occur due to a struggle with the use of ethical principles in patient care. Ethical principles are “basic and obvious moral truths that guide deliberation and action,” (Burkhardt, Nathaniel, 2014). Ethical principles that are used in nursing practice include autonomy, beneficence, non-maleficence, veracity, confidentiality, justice, and fidelity. These challenges not only affect them, but the quality of care they provide as well. According to the article, some of the most frequently occurring and most stressful ethical issues were protecting patient rights, autonomy and informed consent to treatment, staffing problems, advanced care planning, and surrogate decision making (Ulrich et. al, 2013). The ethical issue of inadequate staffing conflicts with the principle of non-maleficence.
Winland-Brown, J. L. (2015). The New "Code of Ethics for Nursing With Interpretive Statements". Practical Clinical Applications Part I. MEDSURG Nursing 24(4),
During week 4, we became familiar with the application of ethics in the nursing practice settings. We learned about ethical theories and principles, which are crucial when practicing in any clinical settings during ethical decision-making and while facing one or multiple ethical dilemmas. Also, we were introduced to the MORAL model used in ethical decision – making progress. The MORAL model is the easiest model to use in the everyday clinical practice, for instance at bedside nursing. This model can be applyed in any clinical settings and its acronyms assist
Define a critical thinking task that your staff does frequently (Examples: treat high blood sugar, address low blood pressure, pain management, treating fever etc.). Create a concept map or flow chart of the critical thinking process nurses should take to determining the correct intervention. Include how much autonomy a nurse should have to apply personal wisdom to the process. If the critical thinking process was automated list two instances where a nurse may use “wisdom” to override the automated outcome suggested. Note the risks and benefits of using clinical decision making systems.
This paper will focus on two BNUR leaner outcomes (University of Calgary, 2013) relevant to my learned understanding of nurses as ethical decision makers. I will outline the ways that I have seen ethics used and not used in practice, what I learned about ethics and its use in my theory courses and throughout my practicums, and I will reflect on how this understanding will translate into my professional practice moving forward.
Todays healthcare environment is demanding for nurses at a time when there is a critical shortage of staff to meet the multifaceted needs of patients. Ethical issues can occur in any healthcare situation where profound moral questions of the patient’s rights exist. Nurses everywhere have long struggled with ethical challenges in patient care, but it has become difficult for nurses in all parts of the world to practices with integrity amidst moral choices and pressures that nurses confront. According to one article in the demographics are reported no or low stress which is associated with the staffing pattern that creates the most ethical stress. About 80% felt confident that they could justify their ethical decision and nearly two third felt prepared to deal with ethical issues. About 44% nurses are frustrated and about 57.5% are overwhelmed. Nurses are constantly facing these ethical issues every day of the year. One of the reasons why it’s happens is do to facilities shortage of staffing. Those facilities that have insufficient staff it is hard to meet the ethical standard of professional practice.(Ulrich2513)
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
Davis J. Anne Diane Marsha and Aroskar A. Mila (2010). Ethical Dilemmas and Nursing Practice. Pearson
Butts, J., & Rich, K. (2008). Nursing ethics: across the curriculum and into practice. Sudbury,
Since you examined the number of moral issues you will face in this profession, look through the code of ethics that you chose for this assignment and explain
The word ethics is derived from the Greek word ethos, which means character (1). Being moral always fills a nurse with morals respects, guidelines of good judgment and expert lead. There are three essential obligations for nurses, among many other which are the duty of autonomy, confidentiality, and obligation of care to all patients (2). There are professional duties with becoming distinctly legitimate obligations if any law and policies are ruptured in between professional practice. In 2001, a review found that there was an apparent requirement for more guidance on moral predicaments inside the medical professionals, subsequent to expanding legal cases and open request (3). Medical attendants ought to withstand to regulatory law and statutory law while managing the nursing practice.
Burkhardt, M. A., & Nathaniel, A. K. (2014). Ethics & issues in contemporary nursing (4th ed.). Stamford, CT: Cengage Learning.
Thompson, I. E., Melia, K. M., & Boyd, K. M. (2006). Nursing Ethics: Churchill Livingstone Elsevier.
The American Nurses Association created guidelines for the profession including, a set clear rules to be followed by individuals within the profession, Code of Ethics for Nurses. Written in 1893, by Lystra Gretter, and adopted by the ANA in 1926, The Code of Ethics for Nurses details the role metaethics, normative ethics, and applied ethics have within the field (ANA, 2015). Moral obligation for an individual differs within professions than it does within an individual’s personal life, so the code of ethics was written to establish rules within the profession. The moral obligation to provide quality care include the fundamental principles of respect for persons, integrity, autonomy, advocacy, accountability, beneficence, and non-maleficence. The document itself contains nine provisions with subtext, all of which cannot be addressed within this paper however, core principals related to the ethical responsibilities nurses have will be
In conclusion, there are numerous legal and ethical issues apparent in the nursing practice. Nurses should study and be as informed as they can with ethics and legality within their field in order to ensure no mistakes occur. Ethical issues vary based on patient’s views, religion, and environment. Nurses are influenced by these same views, but most of the time they are not the same as the patients. As a nurse we must learn to put the care of our patients and their beliefs, rights, and wishes before our own personal