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Ethical and legal responsibilities of a nurse
Ethical and legal responsibilities of a nurse
Roles of ethics in nursing
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According to (American Nurses Association, 2015), the Code of Ethics for Nurses was developed as a guide for carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession. Nurses are the front line of the health care system and face different types of ethical dilemma in their practice. A great example of the ethical dilemma faced in the nursing practice is what is presented in this case study. Ethical dilemmas are complex in certain situations without a satisfactory resolution. Nurse Amelia is faced with an ethical dilemma of providing quality of care to her patient within her scope of practice. The patient is asking the nurse to interpret her laboratory results. As nurses, we are obligated to practice within our scope of practice. Discussing the patient’s laboratory results without any guidelines from the physician, would place the nurse out of the established guidelines. The scope of practice clearly limits nurses from diagnosing a patient and therefore the nurse should not discuss the results …show more content…
The nurse’s refusal to discuss the results is based on the fact that she is not qualified to interpret results without specific directions from the physician. The physician is more qualified and has more in depth and better understanding to explain all the details of the results to the patient. The physician will be able to discuss the treatment options with the patient, including all the benefits and risk involved in the treatment. The nurse is therefore guided by the nursing code of ethics to refrain from discussing laboratory results that have not been reviewed by a qualified physician for interpretation. The nurse refusing to discuss the laboratory results can also be seen in a legal aspect of safe practice due to the possibility of wrongful
One of the most complex, ever-changing careers is the medical field. Physicians are not only faced with medical challenges, but also with ethical ones. In “Respect for Patients, Physicians, and the Truth”, by Susan Cullen and Margaret Klein, they discuss to great extent the complicated dilemmas physicians encounter during their practice. In their publication, Cullen and Klein discuss the pros and cons of disclosing the medical diagnosis (identifying the nature or cause of the disease), and the prognosis (the end result after treating the condition). But this subject is not easily regulated nor are there guidelines to follow. One example that clearly illustrates the ambiguity of the subject is when a patient is diagnosed with a serious, life-threatening
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.
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
Winland-Brown, J. L. (2015). The New "Code of Ethics for Nursing With Interpretive Statements". Practical Clinical Applications Part I. MEDSURG Nursing 24(4),
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.
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.
American Nurses Association. (2015, January 2015). Code of Ethics for Nurses With Interpretive Statements, 1-76. Retrieved from
The Code of Ethics for Nurses was created to be a guide for nurses to perform their duties in a way that is abiding with the ethical responsibilities of the nursing profession and quality in nursing care. The Code of Ethics has excellent guidelines for how nurses should behave, however; these parameters are not specific. They do not identify what is right and wrong, leaving nurses having to ultimately make that decision. Ethics in nursing involves individual interpretation based on personal morals and values. Nursing professionals have the ethical accountability to be altruistic, meaning a nurse who cares for patients without self-interest. This results in a nurse functioning as a patient advocate, making decisions that are in the best interest of the patient and practicing sound nursing ethics.
Furthermore, nursing action guided by the theory and principles of moral and legal rights complements excellent nursing care. Nurse’s awareness of moral and legal codes helps them control the complicated scenarios encountered and direct the nurses in the best possible action answerable by law (Lachman, 2006). 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 at the expense of the patient and the care workers. In addition, the author will also evaluate the strength and limitations of the scenario in a broader issue with reasonable judgement supported by theories and principles of ethical and legal standards.
Carlos has asked the caregivers in the hospital to not disclose to his sister his diagnosis. The question is whether the nurse should disclose this information to Consuela, and what ethical and moral principles should guide the nurse in making this decision. Nursing ethics are guided by six ethical principles: beneficence, nonmaleficence, autonomy, justice, veracity, and fidelity (Chitty, 2005, p. 528). The ANA Code of Ethics for Nurses (ANA, 2001) clarifies and expands upon these principles. There is a conflict between Carlos’ right to privacy, and Consuela’s right to know about Carlos’ condition that might be relevant to her safety while providing care for Carlos.
In this assignment, I am going to outline, define and analyse ethics and explore some ethical issues, and how ethics is related to the nursing profession.
Friendships may be formed; however, having professional interactions is something that is not always followed. In terms of patient confidentiality, we may not realize that a HIPPA violation has occurred due to a friendly conversation with coworkers. If a patient were to overhear their nurse discussing their information in an unprofessional manner, then it may cause issues with a patient’s dignity and their rights. If a patient’s right is violated, then it can lead to a patient’s mistrust in their caregiver, leading to mistrust in the facilities, and can end with a patient’s health being compromised. The patient is the reason for this career; if the needs of the patient are being unmet or violated then the purpose of our occupation will be unsuccessful and indifferent.
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 ethical problems that this physician must handle is if she should disclose the diagnosis to the patient which might disrespect the patient’s family and culture; as well as maintaining the physician-patient relationship. Moreover, the issue relies within the ethical principle of autonomy that exemplifies patient sovereignty (Ritter,2017, p.25). In this tricky situation, most health practioners would believe that without providing the truth of the diagnosis there will be lack of trust; thus, ruining the development of the physician-patient relationship. The physician’s priority is always to the patient; therefore, making it their duty to disclose the truth to the patient if they wish to know it. Autonomy addresses more than patient’s rights to make their own decisions, it also extends to social and cultural factors in healthcare (Murgic, 2015).
The American Nurses Association created guidelines for the profession including, a set clear rules to be followed by individuals within the profession, Code of Ethics for Nurses. Written in 1893, by Lystra Gretter, and adopted by the ANA in 1926, The Code of Ethics for Nurses details the role metaethics, normative ethics, and applied ethics have within the field (ANA, 2015). Moral obligation for an individual differs within professions than it does within an individual’s personal life, so the code of ethics was written to establish rules within the profession. The moral obligation to provide quality care include the fundamental principles of respect for persons, integrity, autonomy, advocacy, accountability, beneficence, and non-maleficence. The document itself contains nine provisions with subtext, all of which cannot be addressed within this paper however, core principals related to the ethical responsibilities nurses have will be