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Ethical principles nursing code of ethics
Ethics in the nursing field
Ethical principles nursing code of ethics
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Ethical Dilemmas in Nursing While nursing is a fulfilling occupation, it is not without its challenges. The complexities of today’s healthcare system present nurses with a multitude of ethical dilemmas every day. This paper will define the meaning of ethical dilemmas and discuss common types of ethical dilemmas in nursing, such as patient autonomy and privacy. This paper will review the effects these dilemmas may have on nurses, as ethical dilemmas for nurses may often be stressful and involve life and death decisions. The Code of Ethics for Nurses set forth by the American Nurses Association and the International Council of Nurses Code of Ethics are also discussed, as they are integral in guiding nurses in compassionate, ethical care. What …show more content…
Ethics govern our relationships with others. Ethics and morals are very similar, in that both deal with questions of right and wrong. Societal or cultural norms determine ethical behavior whereas moral behavior depends on the individuals own sense to decide about what is right and wrong (Ethical Dilemma Scholarly Peer-review Journal, 2017). In nursing, ethical dilemmas are ethically controversial situations experienced through the healthcare professional’s obligation to inform the patients, support participation in patient decision making and patient advocacy. The goals of healthcare professionals are inherently ethical and involve protecting patients from harm while providing care that benefits them (Kim, Han & Kim, 2014). Various factors are associated with the development of ethical dilemmas, including advances in medical technology, increased life expectancy, the high cost of healthcare in an environment of limited resources, lack of time to provide care and conflicting values and cultures among patients, nurses and other healthcare professionals. All of which, including the growth of the nursing profession, have brought an increase in the nurses’ participation in human rights and life and death decision-making situations (Kim et al., …show more content…
International Council of Nurses Code of Ethics for Nurses The International Council of Nurses (ICN) adopted the ICN Code of Ethics for Nurses in 1953, with its most recent review and revision in 2012. The ICN Code of Ethics follows four principal elements that outline the standards of ethical conduct: 1. Nurses and people- People requiring nursing care are the nurse’s primary professional responsibility, along with providing an environment where human rights, values, customs, and spiritual rights of the patient, family and community are respected. 2. Nurses and practice- The nurse is responsible for continued education to maintain competence in nursing practice and delegation, and is responsible for maintaining personal health to ensure that care is not compromised. 3. Nurses and the profession- The nurse takes on the role of determining and implementing acceptable standards of nursing practice, management, research and education, and helps to develop research-based professional knowledge for evidence-based
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
Monaliza, K. R. (2014). Registered Nurses" Experiences of Ethical and Human Rights Issues in Nursing Practice: Frequency and Handling,. Baba Farid University Nursing Journal, 15-22.
In the medical profession, doctors and nurses run into ethical dilemmas every day whether it be a mother who wants to abort her baby or a patient who has decided they want to stop cancer treatment. It is important for the nurse to know where they stand with their own moral code, but to make sure they are not being biased when educating the patient. Nurses are patient advocates, it is in the job description, so although the nurse may not agree with the patient on their decisions, the nurse to needs to advocate for the patient regardless.
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.
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.
Define Nursing Nursing is a knowledge-based profession within the health care sector that focuses on the overall care of individuals. According to The American College of Nurse Practitioners (ACNP), “defines nurse practitioners as registered nurses who have received graduate-level nursing education and clinical training, which enables them to provide a wide range of preventative and acute health care services to individuals of all ages. They deliver high-quality, cost effective care, often performing physical examinations, ordering tests, making diagnoses, and prescribing and managing medication and therapies”. Nurse Practitioners are able to specialize in a particular area, such as family and adult practice, pediatrics, and women’s health; and refer patients to other specialists when necessary. Some nurse practitioners work under the supervision of a physician while others run their own practices.
...endent judgments about their own fate. In keeping with this trend there is now a growing drive to review the current laws on euthanasia and assisted suicide.” (McCormack, 1998) Nurses are faced with various ethical dilemmas every day. If theses ethical decisions are not treated in a professional manner there can be harsh consequences for both the patient and the nurse.
Fowler, M. D., & American Nurses Association (2008). Guide to the code of ethics for nurses: Interpretation and application. Silver Spring, MD: American Nurses Association.
One of the many challenges in being a nurse is demonstrating the professional responsibilities of ones own practice in order to provide proper care to the patients and their families. It is crucial that nurses are in a healthy mental and physical state in order to provide adequate care for the patient. An example of Standard 1, professional responsibility and accountability, Indicator
According to the American Nurses Association, nursing is defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations” (American Nurses Association, 2016). Nurses have many jobs and responsibilities and wear many different hats. Nurses can perform at many different levels depending on their scope of practice which is defined by the board of nursing in one’s state of residence. It is important as nurses to understand and follow
A nurse can be defined, according to the Fundamentals of Nursing book, as “promoting of health, prevention of illness, and the care of the ill, disable and dying people. Advocacy, promotion of a safe environment, research, and participation in shaping health policy and in patient and health systems management and education…” (Taylor et al, 2015). Nurses will provide the individual care for each patient based on the patient, the environment, and the health that the patient desires. Nurses spend the most time with patients, they are the ones observing the patient, monitoring the patient, and interacting with the patient. Thought these interactions nurses are able to build relationships with each patient, which in turns allows the nurse to care the patient to the best of their
In every nurse's career, he or she will face with legal and ethical dilemmas. One of the professional competencies for nursing states that nurses should "integrate knowledge of ethical and legal aspects of health care and professional values into nursing practice". It is important to know what types of dilemmas nurses may face
Another huge ethical topic is the patient’s right to choose autonomy in the refusal of life-saving medicine or treatment. This issue affects a nurse’s standards of care and code of ethics. “The nurse owes the patient a duty of care and must act in accordance with this duty at all times, by respecting and supporting the patient’s right to accept or decline treatment” (Volinsky). In order for a patient to be able make these types of decisions they must first be deemed competent. While the choice of patient’s to refuse life-saving treatment may go against nursing ethical codes and beliefs to attempt and coerce them to get treatment is trespass and would conclude in legal action. “….then refusal of these interventions may be regarded as inappropriate, but in the case of a patient with capacity, the patient must have the ultimate authority to decide” (Volinsky). While my values of the worth of life and importance of action may be different than others, as a nurse I have to learn to set that aside and follow all codes of ethics whether I have a dilemma with them or not. Sometimes with ethics there is no right or wrong, but as a nurse we have to figure out where to draw the line in some cases.
The nursing code of ethics has a very standard definition. It is the base on how nurses should guide themselves in conduct by making the right decision regarding ethical issues. According to the National Student Nurses Association “students of nursing have a responsibility to society in learning the academic theory and clinical skills needed to provide nursing care” (2003). In the clinical setting nurses have a lot of responsibilities while caring for an ill patient, they have the obligation to practice their profession with compassion, love, and respect the uniqueness of each patient, as nurses we are not supposed to deny care to a patient because of their economic status, their skin color, race, or the nature of health problems, we are here to help the people in need in particular those of susceptible populations. The NSNA states that the code of conduct is based on an understanding that to practice nursing as a student is an agreement that trust and honesty is depended on us by society. The announcement of the code provided direction for the nursing student in the personal development of an ethical foundation and not limited to the academic or clinical environment but can assist in the holistic development of a person. (National Student Nurses Association, 2003)
Ethics is defined as moral principles that govern a persons or a group’s behavior, ethical principles apply to both personal and professional relationships (Webster, 2015). The field of nursing is a profession that has been highly regarded and respected in society. Most nurses enter the profession in order to utilize their clinical skills to help others in their time of need. Those in failing health rely on nurses to care for them in their most vulnerable states, and expect a level of compassion and humanity while receiving care. Nurses have an ethical responsibility to their patients, clients, and their community. Compassion, empathy, and integrity are staple characteristics that nurses possess that allow them to successfully perform their