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Principles in nursing ethics
Principles of ethics in nursing
Principles in nursing ethics
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Failing to Report; Right or Wrong? Recognizing that communication is the cornerstone of the nurse-patient relationship, an argument can be made that nurses must be truthful in order to communicate effectively with their patient; violating that principle shows a lack of respect for themselves as well at the patient (Burkhardt & Nathaniel, 2014, p 73). Knowing this information nurses and patients alike can either choose to trust their health care professional or not. Once the patient determines that the health care provider can be trusted they are more willing to share intimate details that may otherwise never be divulged. Trust and responsibility are the reasons regardless of the situation that nurses must advocate for the patients they are caring for and promote wellness. Patients must feel that their confidentiality is intact and that their rights should be respected a major ethical principle.
Case Presentation In the case study presented regarding the best choice for Lora the following ethical issues are being presented; respect for persons, respect for autonomy,
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According, Geffner, Igelman, and Zellner they write that “ it is doubtful that child abuse victims can recuperate and regain their developmental stride simply by stopping the abuse; remedial interventions need to systemically address specific vulnerability and abuse” (Geffner, Igelman, &Zellenr, 2013, p. 206). It is my opinion, in this case that Lora’s autonomy, although important, does not outweigh the responsibility to report the abuse because failure to do so on the nurse’s part can allow for the next abuse to be detrimental and even homicidal. Lora’s safety must be the priority and the law enforcement can further follow the situation to prevent Lora from continuing to be abused. A good health care provider should always provide good, quality, and safe care for all clients the come
Therapeutic nurse-patient relationships lay the groundwork for successful care and rehabilitation of a patient in any setting. Whether the patient is in a nursing home, hospital, or receiving home care, a therapeutic nurse-patient relationship is vital to the care of the patient. A therapeutic nurse-patient relationship can be defined as a professional relationship between the nurse and the patient that, “focuses on the client, is goal directed, and has defined parameters” (Craven & Hirnle, 2009, p. 329).
As an advocate for patients, their information is solely for helping the patient understand their condition more and making the best decisions on their behalf, while in cooperating their beliefs and values (Nurses Code of Ethics, 2015). This also includes not talking about patient’s information with other colleagues, family or friends, unless it’s work related. It’s just like with any other situation, would you mind if your best friend would causally tell your secrets to other local colleagues? It’s a form of disrespect and violation of personal space as an individual. As a nurse advocate for patient it’s also important to make sure you’re a voice as well, for the defenseless groups such as, children, elderly and the mentally ill.
Although equipped with years of schooling, countless clinical experiences, and modern technology, healthcare professionals would accomplish very little without if they do not establish trusting relationships. When a health care provider establishes a trusting with a patient, they are more likely to commit to treatment plans or follow advice. A trusting relationship must also be established between doctors and family members to ensure the best possible solution is achieved for the patient. Moreover, a health care provider is not the sole person in charge of caring for people. He or she is a member of a team of other experienced personnel that must trust each other’s judgments and decisions to create a unified staff dedicated to caring for patients.
The nurse is required by Ohio law to report the abuse of a minor ("Report child abuse and neglect," n.d.). The only options available are how to do the reporting. The nurse can keep the child in the office while contacting the Ohio Department of Job and Family Services to report the abuse and to get the child removed from the environment right away. This can result with the child being placed into foster care or with other family members while it is determined if it is safe for the child to return with the biological father. The other option is to report the abuse anonymously and allow the Ohio Department of Job and Family Services to follow up on the tip later. This option would allow the child to return to the abusive environment that can result in further injuries that may be life threatening. Technically, the only ethical option is to report the abuse right away and remove the child from the
Effective communication between patient and clinician is an important aspect to patient care. Proper communication has a direct positive impact on patient care and adversely poor communication has a direct negative impact on patient care. I will define the seven principles of patient-clinician communication and how I apply these communications with my patients. I will also describe the three methods currently being used to improve interdisciplinary communication and the one method that my area of practice currently uses. Then, I will explain the ethical principles that can be applied to issues in patient-clinician communication. And Lastly, the importance of ethics in communication and how patient safety is influenced by good or bad team communication.
The introduction paragraph gives information on communication and the impact that it has on patient-nurse relationships. It gives the reader an understanding of what is involved in true communication and how that it is a fundamental part of nursing and skills all nurses need. It leads those interested in delivering quality nursing to read on. Showing us the significance that communication makes in the
“Communication is the heart of nursing… your ability to use your growing knowledge and yourself as an instrument of care and caring and compassion” (Koerner, 2010, as cited in Balzer-Riley, 2012, p. 2). The knowledge base which Koerner is referring to includes important concepts such as communication, assertiveness, responsibility and caring (Balzer-Riley, 2012). Furthermore, communication is complex. It includes communication with patients, patient families, doctors, co-workers, nurse managers and many others. Due to those concepts and the variety of people involved, barriers and issues are present. Knowing how to communicate efficiently can be difficult.
Communication involves the exchange of messages and is a process which all individuals participate in. Whether it is through spoken word, written word, non-verbal means or even silence, messages are constantly being exchanged between individuals or groups of people (Bach & Grant 2009). All behaviour has a message and communication is a process which individuals cannot avoid being involved with (Ellis et al 1995).
As health care providers, nurses strive to instill confidence in their patients and their loved ones. A nurse is respectful to their colleagues as well as their patients. Nurses promote patients’ independence, patients can be confident in the knowledge that a nurse will do what is best for them, respecting their privacy and dignity. This means that a nurse does not share the patient information for personal reasons nor does the nurse get involved in a patients personal relationship if it is not medically relevant (NCSBN, 2011).
Nursing may be seen as very independent work even though there will be situations that will require others. Friendships may be formed; however, to have professional interactions is something that is not always followed. In terms of patient confidentiality, we may not realize that a HIPPA violation has occurred due to friendly conversation with coworkers. If a patient were to overhear their nurse discussing their information in an unprofessional manner then it may cause issues with a patient’s dignity and their rights. If a patient’s right is violated then it can lead to a patient’s mistrust in their caregiver, leading to mistrust in the facilities, and can end with a patient’s health being compromised. The patient is the reason for this career; if the needs of the patient are being unmet or violated then the purpose of our occupation will be unsuccessful and
Furthermore it’s very important not to judge the patient pertaining to what they may have to say. Good communication helps nurses build a relationship with their patient. Linking my personal experience from the clinical area relates to the practical side of nursing. It is necessary for communication between the nurse and the patient to be clear, understandable, appropriate and
Confidentiality is imperative for a health professional's career and if breached can have serious consequences. Confidentiality refers to information discussed between two people, which is of a confident nature. It is stated in the Code of Professional Conduct for Nurses that, ' Nurses shall treat personal information obtained in a professional capacity as private and confidential.' (Reference) This simply means that nurses have the legal obligation to protect the privacy of any patient. There are several circumstances, which a nurse, if it were to benefit a patient, is allowed to disclose information so that appropriate
A norm in society is when an individual sees danger they are supposed to report it to the authorities, therefore preventing any further damage. Breach of confidentiality is when a nurse shares information about a patient to others who are not authorized to know about the patients personal information. Due to this, patients are afraid to be honest with their physicians and nurses that are treating them. In order to assure pati...
However, the lack of set accountabilities results in the inability to differentiate when nurses are overstepping and when its necessary to disclose themselves from patient treatment. Medical professionals begin overstepping without established professional boundaries, which results in “negligence of patients needs at expense of their own” (Tyrell, 2016). Because of the long-term treatments and bonds formed throughout the healing process, many patients and nurses confuse this with friendship. As Tyrell and Pryor mention (2016), friendly nurse-patient relationships may be healthy and influencing during rehabilitation, but nurses must remind themselves of the goal at hand which involves helping the patient regain function as soon as possible and allow them to return to their old or altered
The specific issue in questions is whether a nurse should keep the truth from their patient about their illness by respecting the wishes of the patient family or abiding by The Code of Ethics for Nurses and revealing the truth to the patient. The Code of Ethics for Nurses expresses the values and ethics of the nursing profession by stating that: Patients have the moral and legal right to determine what will be done with their own person; to be given accurate, complete, and understandable information in a manner that facilitates an informed judgment; to be assisted with weighing the benefits, burdens, and available options in their treatment, including the choice of no treatment; to accept, refuse, or terminate treatment without deceit, undue influence, pressure, intimidation, or penalty; and to be given necessary support throughout the decision-making and treatment process (The American Nurses Association, 2011). Unfortunately, truth telling to any type of patient is a common ethical dilemma: to tell the truth or to not tell the truth is the main question. Nurses have the closet relationship with patients and therefore are the ones put in a difficulty situation between their patient and the patient’s family. Who should they satisfy? Should they leave their patient in the