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Ethical principles in nursing
Ethics in patient care
Ethical principles in nursing
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Applying Ethical Frameworks in Practice Every nurse will be faced with a decision making dilemma at some point in his or her career. Being familiar with the nursing code of ethics, what is ethically and morally expected in society and how to approach the situations can help make dilemmas less of a nightmare. “The purpose of nursing ethics is to inspire questions and examine what would be the ethically right action in health care situations demanding a choice between at least two undesirable alternatives” (Toren & Wagner, 2010, p. 394). There are many different ways one can approach a situation to reach a resolution, finding a method that works best with the situation at hand is ideal. The ethical dilemma in this case scenario involves a six …show more content…
Weinstein’s Model has four steps involved. The first step involves gathering all of the facts including laws, codes and professional knowledge. Secondly, it is important to consider who is involved and consider their values and thoughts. The next step is to generate options which leads to the final step of making a decision (Cooper, 2012). Many other models provide steps and stages to list options, break down dilemmas into parts, apply critical analysis, incorporate previous experience and even reach out to ethics committees. In a situation where time is of the essence like this scenario, a model that provides less is more. Different dilemmas may require different models that fit accordingly to help create the best possible resolution, but for this scenario being an emergent situation and requiring a decision instantaneously, Weinstein’s model is most …show more content…
We were able to attain a verbal consent for treatment over the phone from the father. We will be admitting your son to the hospital for IV antibiotics and we will keep an eye on him until he gets better. I respect your wishes and religious views, but I am obligated as a physician to provide treatment to your son based the medical code of ethics and based on your son’s otherwise good health. I know this has to be hard for you to hear and understand right now, but we need to do what is best for your son. And even if your son’s father would not have granted us permission to treat this condition, we would have had to go about it another way to get consent to treat him, as that is ethically the right thing to do. I hope you can find peace in the decision we had to make today, and I hope you can continue to support your son as he needs you by his side during this difficult time. If you have any questions, please do not hesitate to ask, we are here for you too, as well as your
One cannot fake being a nurse, one must be extremely genuine in order to perfect being a nurse; therefore, explaining why nurses enforce and value their code of ethics. The purpose of the code of ethics is to ensure patient safety and implement standard of care by following the nine provisions of ethics. The nine provisions explain the nurses’ responsibility while caring for a patient; for example, maintaining the rights and autonomy of a patient. Another point that the provisions highlight is being the patient advocate, nurses are in the front line of patient care and they must protect their patients. An important guideline that the nine provision emphasize is the need and requirement for nurses to continue with their education to promote beneficent and to avoid maleficent. The National Nursing Association (ANA) states that the nursing code of ethics “reiterates the fundamental and the commitment of the nurse” (Lachman, Swanson, & Windland-brown, 2015). The purpose of this paper is to highlight the obligations and duty of a nurse and why it is important when attempting to maintain standard of care.
Planning included reaching out to other health organizations, objectives, and goals of health fair were established. The implementation includes getting volunteers, set up for the health fair. The evaluation of the process occurred throughout the implementation and changes were made as needed. The evaluation will be completed by gathering information from health booth to determine the number of participants. Review vendor and participant evaluations about the health fair including how they heard about the health fair, ratings of booths and suggestions for improvements. Record everything to determine changes. Reflection on past experiences and what worked and did not work.
Under the code of ethics for nurses this moral issue is also conflicting because you’re first and foremost obligation is to the patient. Now you also have your institution ethical code conduct that you also has to abide by. Provision 5. The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth (ANA, 2001, p.18). In this case the nurse owes it to herself in making the right moral decision to preserve integrity and safety of patient and
Nurses are face with numerous ethical dilemmas each day and if theses ethical situation are not handled in a professional and ethical manner there can be severe consequences for both the nurse and the patient. When nurses are face with theses ethical dilemmas, they have a decision to make. Therefore, what does the nurse do when decision-making involves ethical dilemmas? So, has a nursing student, I have chosen to put myself in the role of a health care provider such as a nurse. It was my first day of clinical rotation and the client that I was assigned to, was due for a bath. I was not comfortable giving the patient a bath a lone, so I ask for assistance from one of my colleagues. The client was a male who was shy and soft spoken. While undressing the client, I overheard a patient and her family arguing. She wants to refuses life support and the family says they want everything done. She is competent individual, who as cancer breast and had gone through many round of chemotherapy and radiation therapy and yet the cancer is still spreading. She is experiencing side effect from the treatment, like vomiting, loss of appetite, weakness and fatigue. The nurse who was in the room with the client and her family, just said he will give them some time to converse the situation, then come back later to see what they had agreed on.
The healthcare system is very complex, and the nurses should be aware of all the policies, laws, ethics, and available sources to provide quality care to all patients. The following case study will explore some of the decision-making processes the nurses consider while caring for their patients to keep high standards of care.
Since ethical dilemmas are not always easily answered through the use of The Code of Ethics, ethical decision-making models are effective tools that can assist nurses in dealing with ethical issues. Ethical decision-making models provide a framework for working through difficult choices. They seek to define the limits of what is morally acceptable and help clarify the guidelines for making those difficult decisions. Ethical decision making models assist nurses in analyzing situations by focusing on understanding the patient needs, need for responsiveness to circumstantial considerations, and recognizing the uniqueness of each situation.
Deontology is an ethical theory concerned with duties and rights. The founder of deontological ethics was a German philosopher named Immanuel Kant. Kant’s deontological perspective implies people are sensitive to moral duties that require or prohibit certain behaviors, irrespective of the consequences (Tanner, Medin, & Iliev, 2008). The main focus of deontology is duty: deontology is derived from the Greek word deon, meaning duty. A duty is morally mandated action, for instance, the duty never to lie and always to keep your word. Based on Kant, even when individuals do not want to act on duty they are ethically obligated to do so (Rich, 2008).
To understand ethics in the nursing field, you must first know what ethics is. A general explanation of ethics is the beliefs, values and morals that an individual has. These may not be that same for everyone and some may disagree with each others ethics. Ethics is dealing with what is right and what is wrong everyone has different views regarding what is. A nurse must understand and be clear about ones own beliefs, values and morals, before understanding others and being able to deal with the difference that one will encounter in the nursing field. Ethics in nursing, (Concepts pg.220), “The nurse is someone who has internalized the concept of what it means to be a human being and accepts personal responsibility for relationships with other human beings. A nurse has an obligation to do good and not harm anyone and is committed to providing the same high-quality level of nursing service to all human beings”. Ethics in nursing can be hard to differentiate between the law and the code of ethics. There are committees and groups that are put together to help make the Nursing Code of Ethic...
An ethical dilemma occurs when there are two opposing demands consisting of a core value or fundamental obligation that a person, in this case a Family nurse practitioner (FNP) is required to make a choice. FNPs are frequently faced with ethical dilemma within their practice therefore, it is important for the FNP to recognized the dilemma and understand resources that are available to help determine the best course of action.
The word ethics is derived from the Greek word ethos, which means character (1). Being moral always fills a nurse with morals respects, guidelines of good judgment and expert lead. There are three essential obligations for nurses, among many other which are the duty of autonomy, confidentiality, and obligation of care to all patients (2). There are professional duties with becoming distinctly legitimate obligations if any law and policies are ruptured in between professional practice. In 2001, a review found that there was an apparent requirement for more guidance on moral predicaments inside the medical professionals, subsequent to expanding legal cases and open request (3). Medical attendants ought to withstand to regulatory law and statutory law while managing the nursing practice.
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
Many healthcare providers suffer from the dilemma of which is the best option for the patient to know about their health. In the United States the law inform that the patient have the right to know how sick they are, what to expect from it, and what are the consequences. It is the patient’s right to decide if they want treatment or not depending on the severity of the disease. But, many of the health care professional confront the dilemma of know how the news is going to affect the patients in the positive and negative way and what is the family members opinion about informing the patients.
This chapter covers the background of the study, statement of the problem, objectives, hypothesis or research questions, significance of the study, the scope and limitation, delimitation assumptions of the study and operational definitions.
Various applicable fundamental ethical principles and major ethical theories can be applied to nursing practice. Mr M is a 72-year-old male of Eastern European origin, who was diagnosed with metastatic cancer on the liver. Mr M was informed of the findings and underwent immediate surgery and was told he would need to commence chemotherapy. The tumour was unable to be surgically removed and the family felt that the knowledge of his terminal illness was against cultural norms and that it would overwhelm him, instead Mr M was told that he had a long recovery and required ongoing treatment. There are fundamental ethical principles which are relevant in this case, such as autonomy, beneficence, non-maleficence, justice and veracity. Two major ethical theories will be explored in relation to Mr M’s case; consequentialism and deontology.
According to the Guttmacher Report on Public Policy, current laws in the United States of America indicate that minors under the age of eighteen, unless medically emancipated, must have the medical consent of their parent or parents before any health care decision can be made (Boonstra & Nash, 2000). These laws do not include health sensitive medical care like prescriptions for contraception, abortion of fetus, pregnancy care or drug addiction rehabilitation. Pediatric nurses are in a unique position that serves as the facilitator of patient care and patient care decision-making between the pediatric patient and the patient’s parents. In this position, pediatric nurses become immersed in the concept of family-centered care, and because of this, they often find themselves in situations fraught with ethical dilemmas. In health care, there are often times when the medical team and the patient disagree on the plan of care, but in pediatric health care, this becomes even more complex. This is because there are times where the decision made by the parents is deemed inappropriate by the health care team. What do you do if, as the caregiver, you do not agree with the decisions made for your patient by their surrogate decision-maker? It can be assumed that in most cases, parents only want what is best for their children. Research demonstrates, however, that parents do not always serve as the best voice for their child who is suffering, especially when the child is nearing the end of life. Is it ethical for the health care team to assume the role of decision-maker when disagreement ensues over the pediatric patient’s treatment course?