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Ethical dilemmas that healthcare professionals face
Essays on the relationships between ethics and professional responsibility
Health care professionals and ethics essay
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Interprofessional communication is a vital technique used between professions. During this semester, nursing students had the opportunity to work together and identify different values, ethical principles and different formats of communication utilized by health professionals. Over the course of this paper, the objective focused on the comparison of a case manager to the role of an Registered Nurse (RN). Subtopics included the ethical principles and dilemmas that can occur in their field of work. In addition, some of the core values and responsibilities a case manager portrays. Laura Craig was the case manager interviewed for this paper to provide a real-life perspective on the role of a case manager. Roles and Responsibilities In health
care, there are many different job descriptions and professionals that are utilized in healthcare. One of those professions is a case manager. The public can often become confused when learning the difference in roles between a case manager compared to a social worker. Majority of the time a case manager will be utilized on a hospital floor. In becoming a case manager, Craig stated that it is required for them to have their nursing degree before getting promoted to a case manager. Some of the job responsibilities a case manager has ranges from: health insurance options/coverage, helping with referrals to rehab units or outpatient facilities, palliative/hospice care, medical supplies and prescriptions, and also helping with the care of a patients’ recovery (Reid, 2018). Craig identified that this is why case managers offer such a beneficial role to a health care setting. A case manager is able to hop onto the floor to help due to their nursing background and they can answer more questions to a patients’ overall health than a social worker might be able to. This is not to say that a social worker does not have a vital role in
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
The Core Competencies for Interprofessional Collaborative Practice recognizes how communication places responsibility on all team members. Members must have the opportunity to speak up in a respectful way about their concerns and quality of care, and in return be treated with respect. According to the Canadian Nurses Association (CNA) position statement on inter-professional collaboration (2011), it states how the use of interprofessional collaboration is critical for improving client-centred care as well as strengthening effective collaboration with other health professionals (2011). Communication is a common theme that has repeatedly surfaced in my research.
The need for advocacy is most often first noticed by the nurse through empathy. When nurses are able to empathize with their patients it begins the process of advocacy. When the nurse empathizes with their patient an altruistic attitude towards the patient grows, this improves caring and caring is essentially an innate form of professional ethics. The want to advocate by the nurse is greatly enhanced when the nurse truly cares about the patient; which is best developed through empathy. The want to advocate for the patient by the nurse is the biggest factor in positive advocacy outcomes (Reed, F., et. all, 2016). Professional caring combines caring and empathy with nursing knowledge and competency; together these factors enable the nurse to serve as a capable moral agent for their patient within the healthcare system. It is not possible to advocate for a patient properly without being first able to empathize and create a therapeutic nurse-client
In contemporary nursing practice, nurses need to integrate scientific knowledge and nursing theories prior to providing optimal health care. Nursing theories guide nurses to treat clients in a supportive and dignified manner through client centred approaches. However, it is challenge for nurses to practice client centred care in daily realities due to heavy workloads. In order to assist nurses to decrease the gap between ideal and real practice, Registered Nurses Association of Ontario (RNAO) develops Best Practice Guideline of Client-centred-care (Neligan, Grinspun, JonasSimpson, McConnell, Peter, Pilkington, et al., 2002). This guideline offers values and beliefs as foundation of client-centred care, and the core processes of client-centred care can facilitate provision of optimal nursing care. These four core processes of client-centred care include identifying concerns, making decisions, caring and service, and evaluating outcomes. According to RNAO (2006), ongoing dialogue with clients and self-reflection are essential for nurses to develop their nursing skills and knowledge on client-centred care. As a nursing student, I reflected on written transcripts of interactions between patients and me, so that I could gain insights into client-centred care for further improvement. Therefore, the purpose of this paper is to discuss importance of the core processes of client-centred care in nursing practice through identifying and critiquing blocks to conversation. Based on the guideline of RNAO (2006), respect, human dignity, clients are experts for their own lives, responsiveness and universal access will be elaborated in each core process of client-centre care as reflecting on three dialogues with patients.
goals and values, provides mechanisms for continuous communication among caregivers, optimizes staff participation in clinical decision-making and fosters respect for the contribution of all disciplines” (Nolte, 2005, p. 4).
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
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 ...
Client based advocacy is an important backbone to the relationship the nurse has with the client. In a 2017 survey by GALLUP nurses were found to have the highest expected honesty and ethics standards (GALLUP, 2017). Clients trust the nurses to be their advocates for the best possible care while in a vulnerable and often frightening time. In the healthcare setting the nurse acts as a bridge for the client to appropriate information and other practitioners in the healthcare system. Nurses are in the position to advocate for the various client rights and the rights of their family (CNO, 2015). In Tilda Shalof’s book A Nurse’s Story, the stories of working in an intensive care unit apply well to multiple examples of nurses acting as advocates
The intent of this paper is to analyze interviews with a staff nurse and a nurse manager. The interview questions revolve around what the nurses perceive as the main communication issues at work. More specifically, the communication issues with patient communication, communication with colleagues and communication with leadership/administration. This paper will also list three actions that would improve communication in response to the issues raised during the interviews.
In Nursing, there will always be instances where the patient's nurse needs to advocate for their patient. There are numerous reasons why a nurse would advocate for their patient ranging from getting the doctor to change the patient’s orders, helping the patient’s treatment team understand what it is the patient is requiring for the day, to expressing the patient’s last wishes before death. In every situation, the nurse should do what is in the patient’s best interest. Tomajan (2012), “Advocacy skills are the ability to successfully support a cause or interest on one’s own behalf or that of another. Advocacy requires a set of skills that include problem solving, communication, influence, and collaboration”(p. 2). With those skills, the nursing staff will be able to work together to advocate for their patients. Along with those skills, nurses need to keep in mind the three core attributes that are: safeguarding patients’ autonomy; acting on behalf of patients; and championing social justice in the provision of health care. (Bu & Jezewski, 2006)
In nursing practice, communication is essential, and good communication skills are paramount in the development of a therapeutic nurse/patient relationship. This aim of this essay is to discuss the importance of communication in nursing, demonstrating how effective communication facilitates a therapeutic nurse/patient relationship. This will be achieved by providing a definition of communication, making reference to models of communication and explaining how different types of communication skills can be used in practise.
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
The four fundamental nursing responsibilities of promoting health, preventing illness, optimizing health and alleviating the ill are represented in the code of ethics. (Arnold & Boggs, 2016) One can say that the code of ethics are rules that a nurse needs to follow in order to effectively communicate and protect the patients. The American Nurse Association provided the code of ethics to guide nurses to ensure that patient’s care, safety, rights and health are well cared for and well managed. Models like Utilitarian, deontological, and the human rights-based all contribute in answering dilemmas that can arise with a patient. Thus, explaining what some of the code of ethics are, and how the code of ethics influence our responsibilities as a nurse will impact the overall care of the
Parker emphasized that the patients and their families, along with other health care providers, will depend on the knowledge and skills of the nurse. According to the Code of Ethics of the CNA (2008), nurses must not only preserve the patients’ dignity while demonstrating professional accountability and principles of promoting health and well-being but rather develop a trusting relationship with their patients supported by an expressive and valued communication. Using relational ethics proposed by Bergum (1999) which includes principles of engaged interaction, mutual respect, embodiment and a positive environment where freedom and choice flourish, and by considering a patient’s vulnerability, a reasonable decision has to be made. Engaged interaction is when all participants are encouraged to share their thoughts and questions on the impending decision.
Interpersonal communication is one of the significant skills while communicating with other individuals. It normally covers an extensive area and includes both verbal and non-verbal communication. Body language and facial expression may affect the accurateness of the message transmission directly. Interpersonal communication skills normally ensure that the message is sent and received correctly without any alteration thus improving the communication efficiency. Learning diverse aspects of interpersonal communication has greatly aided me in better understanding of what it consists. I am capable of applying the knowledge gained from this course to my personal experiences. This paper reflects on my personal experience in learning interpersonal communication.