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Nurse Evers play a role in promoting informed consent and how does she hinder the process of informed consent is she act implicit and explicit. The reason why she plays implicit and explicit act is firstly, her role in film is nurse in Macon County, Alabama community hospital. Macon County, Alabama is part of the Africa country which is under development. They don’t have stable government, which cause the county poverty and lack of access educate younger generation. Not having good access educate younger generation lead high rate of illiteracy, and shortage have professionalism such as doctors, scientists, and business. She is very caring for her patients and friend with her co-workers doctor Dr.Brodus who background is same as her a color
man. Since Macon County Alabama’s men has disease call syphilis and every day lot men sick and die. At that time when the white man doctor come to into their community told them he got the federally funded to treat the disease and at the begging of a month he did treatment for them. Thus, Miss Evers play a role as building bridge between the doctor and community people for the prompting informed consent. She was happy and she went into villages to recruit people. She told them they get free treatment from America, which is very effective treatment. Unfortunately, after a month they federally funded dried up. Then the project coordinators decided simply to document the course of the disease to discover if blacks responded to syphilis as did whites. She noticed that they not really gave them treatment, they research experiment to study by give them penicillin. She disbelieving when she realizes that the men will not be treated. She was very angry and she went to talk the doctors. They told her that there is no more money for the treatment, so the best way is they should study them while collecting the funding and they told her that it will take only few months to restore the treatment but it ten years pass. She can’t go tell her patients that they not getting treatment and they are studying disease. Also, later on she against her father’s advice, she refuses to leave Alabama with Caleb and continues to participate in the lie that encourages the Tuskegee men to remain untreated.
However, what if the actual patient is unsure what their wants or needs are? Can the nurse educate the patient without persuading them to their point of view? Can the nurse educate the patient without disrespecting the patient’s cultural values? With this being said, what are the consequences for the nurse if they advocate for the patient who is clearly in opposition to the health care professional and the family of the patient (Park, 2003)?
But after a year, when she learned that treatment was not going to be included in the study, she should have made the decision to negate participation in this study. These men place their trust in her; I believe that if she had declined to participate in this project, the experiment on these poor black men would have ended; this experiment was able to continue because these men place their trust on Nurse Evers. Arnold and Boggs (2016) states that the nurse’s main obligation is to the patient, regardless if this is an individual, family, group, or community. She failed to comply with her obligation to this group of individuals and instead participated in this unethical study. If I place myself in Nurse Ever shoes, I would have informed the men from the time I was aware that they were not going to receive treatment, would have packed my bags for that new job and left
Professional Code of Conduct for Nurses Chantel Findley Nova Southeastern University Professional Code of Conduct The classical term for the word ethics is, moral philosophies that rule an individual’s or group behavior or action. The American Nurses Association used ethics to write the Code of Ethics for Nurses with these values and visions in mind: “(1) As a statement of the ethical obligations and duties of every person who chooses to enter the profession of nursing. (2) To act as the nonnegotiable standard of ethics.
By gaining consent Jean's autonomy will be respected and maintained. It is important that all nurses and other health care professions uphold the professional standard when providing direct care to individual, community and groups. Gallagher and Hodge (2012) states reinforce a person's right to exercise choice in relation to personal and bodily integrity and to have that choice respected. Before administrating the medication to Jean the nurse and student nurse made sure that she was given a choice by obtaining consent from Jean first. According to the NMC Code (2015) make sure that you get properly informed consent and document it before carrying out any action.
Healthcare provider’s perception and judgment in the patient’s well being as well as taking into account the right of the patient in every action is one of the key elements in nursing practice. International Council of Nurses (ICN), (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3). Furthermore, nursing action guided by theory and principles of moral and legal rights complements excellent nursing care. Nurse’s awareness in moral and legal codes helps them control the complicated scenario encountered and direct the nurses in the best possible action answerable by law (Lachman, 2006).
As a nurse, we serve a society which is very culturally diverse. We provide care to many individuals whom have their own unique set of ethics, values, morals, and beliefs by which may be very different from our own. Because of our professional role, we must use lifelong learning as a tool to broaden our views, increase our knowledge, and understand the influences which affect it. To make this possible, we have to continually educate ourselves about the nursing laws, professional standards, and code of ethics all of which we are committed to.
The American Nurses Association Code of Ethics for Nurses has five elements that pertain to the Principle of Autonomy. Each individual element applies to “respect individual persons” (Baillie, McGeehan, Garrett T, M., Garrett R. M., 2013, p.33). In Chapter 2 of the Health Care ethics: Principles and problems text, it discusses thouroghly the consent of an individual to make their own decisions regarding their health and future requests of care. As a nurse or within all heath care professions, we must treat each individual patient with care, respect, and to remain mindful to the patient regarding any aspect of their lives. In the ANA Code of Ethics for Nurses, it explains ways of maintaining the empathy required in the health field. It further discusses that the respect for human dignity must be a priority, relationships to patients must remain neutral, the severity of the situation, the right to self-rule, and the professionalism that must be upheld by the nurse and their associates.
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
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
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)
Full Movie, n.d). In the modern healthcare system, the changes in the ethics and professionalism as provided by the nursing code of ethics is relevant. Therefore, some individuals within the system may take time to accept the transformations and some may be unaware that change exists. Eventually, they end up noticing the change later as well as what is required of them as stated in the code of ethics. In one example, the code of ethics within the nursing professionalism necessitates that the nurse has to be willing to overlook certain aspects (social, career, and familial relationships) to aid the patient in full recovery. There are numerous alterations in the nursing code, and what is taught in medical school; therefore, the previously educated nurses should be aware of the modifications. A nurse known as Sarah had worked within the healthcare system for more than fifty years. Within her tenure, she experienced numerous changes in the code of ethics and what is taught within the system (Saver, 2006). By the time she could adjust the trends in alterations, it was late; hence, difficult for her to keep up with
Informed consent is a very serious decision a patient has to make when it comes to their health and consenting to procedures that are believed to cure or treat their current health status. It is important to address the effectiveness of the role a physician play in the informed consent process assuring that the patient has given truly informed consent and what safeguards can be put in place to assure the patient is exercising informed consent. Informed consent is based on the fact that the person consenting is a rational individual that is aware of the action to which he/she is consenting. Allen and McNamara (2011) notes that "On the standard understanding, the important elements of informed consent are the provision of information, the voluntariness of the choice and the competence of the chooser to make the choice— so the potential research participant should be provided with information relevant to the decision to participate, they should be able to choose freely about their participation and they should be competent to decide.
I really enjoyed reading your post, and above everything, that you mentioned the 8 moral principles from our textbook. Understanding and applying them is tantamount to ethical practice. Of course, one can be more knowledgeable of one or other principle, thus serving as cornerstone to one’s nursing philosophy. The American Nurse Association Code of Ethics for Nurses is a good guide to ethical practice.
Consent is where a person provides either written, verbal or implied authorisation for something to happen (“Consent”, n.d.). Before any medical procedure, treatment or operation, the health care professional must gain consent from the patient. Under New South Wales law, failing to gain consent prior to medical treatment can result in legal action being taken and the health care professional being charged with assault and battery (NSW Government, 2005). For consent to be valid and legal, the patient receiving the treatment must be informed of, and completely understand their condition and the reason for their treatment in order to make the most appropriate and informed decision without any influence or pressure from others; the person must be informed of, and understand all the risks
Before the doctors go ahead to perform an operation, it is important that the concurrence of the patient be considered. The case presented in the scenario is about a woman who is denying the state of her medical condition. She has not made a formal consent that would allow the operation to be conducted. According to her, she assumes that she is in good health and does not appear to be worried about the condition. Her denial of the medical condition makes it impossible to obtain informed consent. She is fully aware of her medical condition. However, she has decided to go about her day to day activities oblivious of the health condition she was going through. The fact that she has failed to take a stance on whether to go on with the operation makes it clear that having informed consent is impossible. Informed consent happens where a person is fully aware of the condition and is expected to make the decision on whether the operation can be carried out or not (Lord, Naqvi, Babu & Sainsbury, 2012). In the event that a particular patient is unable to make the decision based on grounds of incapacity, such as severe mental health, then the family members have the right to make the decision on behalf of the patient. However, in the case presented Mrs. S appears to be fully aware of her condition. However, she decides to defer and make the decision at a later date. It is clear that she has refused to make a decision regarding her cardiac condition. Her denial of the condition makes the art of making informed consent