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Importance of code of ethics in nursing
Importance of code of ethics in nursing
Moral dilemma in nursing
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Nurse professionals face ethical dilemmas on a daily basis and more often than the average professional. Ethical dilemmas can arise from many aspects in the nursing job. Although, one person thinks one thing is right someone else can think it is wrong. The primary issue in this scenario is whether I should inform my superiors of what I witnessed or should I keep quiet? The Code of Ethics in Nurses and Ethical Principles are what Nurses use to tackle dilemmas. In Sarah’s scenario I am tasked into choosing what I would do. As a future nurse I would take oaths to uphold standards of practice, ethical principles and codes ethics. Albeit, a conflicting situation with a decision, I would have to make one.
The scenario holds a few stakeholders:
The patients under Sarah’s care have the right and expect safe and effective care. The superiors have the right to a competent employee who will not cause harm to the patients and/or the facility. The facility has the right to expect non-dangerous actions by their employees. As a friend I would want to further investigate and even give my friend a chance to explain their situation. However, as a future professional nurse I know what my duties are. I know that every action has a consequence. If I do not report what I saw I risk my license; if Sarah manages to cause harm to a patient. If I report her I risk losing the trust of a friend. I would risk a reputation of tattling. I would ultimately risk my friendship with Sarah. According to the American Nurses association (ANA, 2015), the code of ethics has 9 major provisions. Specifically, provisions three and five are what a nurse professional would look into for this situation. Provision Three: The nurse promotes, advocates for and strives to protect the health, safety, and rights of the patient (ANA, 2015). This provision clearly states that as a nurse my ethical duty is to provide protection and safety to my patients. If I refused to report
Unfortunately, the situation is uncomfortable because of who it will effect. I know my decision to inform my superiors of my suspicions, is the correct thing to do for me. This is especially because Sarah is in the care of patients and could cause severe harm to them. This outcome has the greatest benefits to all the stakeholders. Specifically, the patients will not be in harm 's way. Also, I believe that Sarah is in need of help. Sarah would hopefully be a candidate for rehabilitation and supervision in lieu of losing her job and license. Sarah may not see it in that moment. Conclusively, as a future nurse professional there are duties that need to be followed. These duties and standards are based on the ultimate fact that we have people’s lives on our hands. Errors can mean life or death and as a nurse we are responsible for
Nurses are required to protect and support their patients if they are to be an efficient patient advocate. Ethically questionable situations are quite common for nurses that conflict with their professionals and personal morals. At times, the patient necessitates the nurse to speak out for them demonstrating
I agree with you that the nurses violated provision 9 of the nursing code of ethics. Nurses have an obligation to themselves, their whole team and to the patients to express their values. Communication is key in a hospital, so everyone knows what is correct and what isn’t within the workplace. In order to have a productive, ethical, positive environment. These values that should be promoted affect everyone in the hospital, especially the patients, and can have a negative outcome if those values are not lived out. Nurses have to frequently communicate and reaffirm the values they are supposed follow frequently so when a difficult situation comes along that may challenge their beliefs they will remain strong and their values will not falter.
Section 5.4, which is the preservation of integrity, suggests that nurses will inevitably have to deal with threats to their moral or professional integrity at some point in their careers. Nurses should do their best to maintain professional integrity when met with adversity, weather it be from uncooperative issuance companies, an unsound work environment, or from the patients themselves. When working in an unsound or unsafe work environment that violates law or the ANA code of ethics nurses must go through the proper channels to fix the problem. If a nurse feels that a procedure or treatment their patient is having conflicts with his or her own moral integrity and they cannot participate, the nurse must report they unwilling to tr...
Nurse A seemed confident and calm while nurse B appeared tired. With the first patients, I noticed that both nurses were asking for first and last name and confirmed the information with the picture in the computer and the medication cup. After a few minutes, I turned my attention to nurse B because I noticed she did not ask a particular patient for his name. Instead, she relied on the name provided by a patient care technician. When she was about to give the medication to the patient, nurse A noticed that the patient on the computer screen was not the patient on the counter. She immediately told nurse B “ That is not Mr… girl ” and nurse B responded while laughing “ He looks exactly like …, I need to get some coffee ASAP”. The patient immediately realized what happened and told nurse B his name. After that, nurse B reached for the right cup and administered the medication to the patient. Even though a medication error was not committed and no harm was inflicted to the patient, by violating important QSEN competencies this incident could have caused a negative patient outcome.
As the nurse manager, I would immediately assess the patient’s condition, and make sure the patient is stable. I would need to speak with Judy and assess the situation by asking her what exactly happened. There are physicians in the ER and other qualified personnel in the hospital so I would need to know if she felt she made an ethical decision, and why she felt that she made the best choice by intubating the patient. Ethics may be distinguished from the law because ethics is is internal to an individual, looks to the ultimate “good” of an individual rather than society as a whole, and concerns the “why” of one’s actions (Yoder-Wise, 2015). I would also inquire if she knows and/or been educated on the new hospital policy regarding nurses intubating
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.
As a result, she breached the standard 6 which states that “registered nurse should provide a safe, appropriate and responsive quality nursing practice” (NMBA, 2016). In line with this standard, nurses should use applicable procedures to identify and act efficiently to potential and actual risk such as unexpected changing patient’s condition (NMBA, 2016). Through early identification and response by the nurse, this will ensure that the patient’s condition is recognised and appropriate action is provided and escalated (Australian Commission on Safety and Quality in Health Care, 2011). Moreover, the nurse did not immediately escalate the patient’s deteriorating condition to the members of the health care team. Therefore, she also disregards the standard 4.3 stating that nurses should have work with the interdisciplinary health care team and to collaborate, communicate and discuss the patient’s status (NMBA,2016). The purpose of collaborating and communicating with the team is to provide a comprehensive plan of care for the patient and to facilitate early treatments needed by the patient (Cropley,
In this essay the author will rationalize the relevance of professional, ethical and legal regulations in the practice of nursing. The author will discuss and analyze the chosen scenario and critically review the action taken in the expense of the patient and the care workers. In addition, the author will also evaluates the strength and limitations of the scenario in a broader issue with reasonable judgement supported by theories and principles of ethical and legal standards.
The issue was a very serious one because it is clearly stipulated in the nursing code of ethics that the nurse must always make the patient feel safe and ensure the patient’s safety by doing things like lowering and raising the bed height as is required. In my case, the bed height had been temporarily raised by the nurse and I was expected to lower it back to its original height. I therefore potentially and unconsciously compromised the safety and comfort of the patient by leaving the bed high.
Nurses are not just loyal to their patients. We are loyal to our employers and the members of our healthcare team which makes whistle-blowing a tough decision, but often growth and advancement is stunted because of unaddressed issues in healthcare. We take a tremendous amount of pride in what we accomplish within those teams. It is a sad dose of reality though that not everyone is and/or can act ethically and follow proper protocol. So when the standard of care declines we need to find ways to use our voice to bring about
is the duty to do no harm. The nurse first needs to ask him or herself what
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
Yes, nurses are mandated to report unsafe, illegal, or unethical practices of nursing colleagues or physicians. The RULES OF THE TENNESSEE BOARD OF NURSING, CHAPTER 1000-01-.13(s) UNPROFESSIONAL CONDUCT AND NEGLIGENCE, HABITS OR OTHER CAUSE states that it is considered unprofessional conduct and negligence if a nurse, "Fails to report, through proper channels, facts known to the individual regarding incompetent, unethical or illegal practice of any health care provider." Also, 1000-01-.14 STANDARDS OF NURSING COMPETENCE, section 1,B,5 states that nurses should, "Report unsafe practice and unsafe practice conditions to recognized legal authorities and to the Board where appropriate."
Thank you for very interesting post. I, too, had talked in my original post about scenario 1. You are absolutely right that there are so many “what ifs” that could go wrong in this scenario. I cannot even imagine how I would feel if I would not act/report my suspicions about Dr. Smith’s intoxication and something devastating would happen. I think that if I would be in such a situation I would rather say something and be wrong than not act on it and someone gets hurt. I found an interesting study where they asked 82 undergraduate nursing students and 83 experienced nurses regarding their willingness to report coworker’s misconduct to protect a patient’s interests. Interestingly, the results revealed that even though nursing students perceived
Kozier & Erb (2012) describes accountability as being responsible for one’s actions and cannot be passed on to another person. The nurse would be punished depending on the hospital’s rules and regulations. She may be given a verbal warning, be suspended or in the worst-case scenario be discharged from the service. The same case applies to student nurses. If a nursing student inadvertently disclosed any information to a third party without the patient’s consent then the student will be asked to leave placement. Nursing students are given their Code of Conduct Agreement prior to their clinical placement and these are to be followed because these set of rules and standards are geared to preparing them for their professional career as a registered nurse in the future. Nurses, as well as nursing students, are obliged to avoid breaching the patient’s privacy and confidentiality in order to avoid legal problems.