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Ethical dilemmas in the healthcare workplace
Informed consent in healthcare
Informed consent in healthcare
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Recommended: Ethical dilemmas in the healthcare workplace
Personal and Organizational Ethics The Difference Personal ethics is the values and standards by which people incorporate into their everyday living. It is doing what is known to be right. Being honest, accountable, loyal and treating people kindly are examples of personal ethics (ehow). For example is a person is using a company vehicle to do personal errands while they are on duty would not be considered the right thing to do. A colleague may witness this and feel loyal to the employee and not report them. Organizational ethics is the criterion which addresses the human behavior, promoted and adhered to by organizations and businesses. These criteria are to help regulate relationships between individuals in an effort to prevent malice …show more content…
Leaders of the organization need to be knowledgeable of the laws, rules, and regulations which surround insurance, patient rights and confidentiality. Understanding the rules and regulations that govern them will help prevent fraud and maintain the dignity and respect of patients. Being truthful, ensuring privacy and upholding justice should be a main focus of the facility. The members of the health care team are faced with making ethical decisions on a daily basis. Being committed to doing what is right only the institutional approaches to ethics must be implemented. In all decision making, the framework of the four principles of healthcare ethics should be kept in mind. Considering the type of assistance a patient may need for post discharge care. For example, once discharged the patient may need to apply for financial assistance, obtain access to medicinal information regarding their illness. Medical professional must consider the well-being of the patient at all times. Basic theories that serve as basic concepts of underlying policies are respect for autonomy, beneficence, and justice. Informed consent is also a part of medical ethics and must be utilized will each individual. The stated theories address the fairness, honesty, and respect, for all …show more content…
In a hospital setting, the nurse or the physician discuss the informed consent with the patient. They must be reasonable and with all faculties in order to give informed consent. All people have a right to decide what medical care is best for them. Per the law health care providers must explain your health condition and treatment choices to the patient. Informed consent means that the patient has been informed by the provider and has been issued information about the medical condition and treatment options that are available. The patient is also able to understand the information provided about their health condition and treatment options. They should be able to ask questions for clarity. Patients are also able to decide what health care treatment they want to receive and give their consent (nlm.nih, 2014). Although informed consent is required on all patients, it is not required in the event of an emergency. (nlm.nih,
Once a physician-patient treatment relationship exists, the physician must provide all necessary treatment to the patient, the physician is liable for care and the intentional refusal of care is Abandonment. Patient abandonment is defined as the unilateral withdrawal by a physician from a patient's care without first formally transferring that care to another qualified physician who is acceptable to the patient. Abandonment is not only ethically problematic but also a defining act of unprofessional conduct (Crausman, 2004). Patients must also always have access to services in emergency circumstances.
The four major ethical principles in health care are: Autonomy – to honor the patient’s right to make their own decision (the opposite is paternalism - the health care provider knows best for the patient), Beneficence – to help the patient advance his/her own good, Nonmaleficence – to do no harm (many bioethical controversies involves this principle), and Justice – to be fair and treat like cases alike. All 4 principles are considered to be in effect at all times. In theory, each is of equal weight or importance. Ethical responsibilities in a given situation depend in part on the nature of the decision and in part on the roles everyone involved play.
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.
Ethical principles are judgments that serve as a basic justification for the ethical evaluation of one’s action. They are the viewpoints from which guidance can be obtained along the pathway to a decision. According to the Journal of the American Nurse Association, ethical principles are the general goals that each theory tries to achieve in order to be successful. The widely accepted prima facie ethical principles are; Autonomy, duty to respect one’s right. Beneficence, the desire to do good. Non-maleficence refers to avoidance of harm or hurt. Justice, duty to treat one fairly. (Beauchamp, 2004). While some of the ethical dilemmas includes: ensuring informed consent, determining decision-making capacity, promoting advance care planning, surrogate decision-making, withdrawing and withholdi...
Informed consent is the basis for all legal and moral aspects of a patient’s autonomy. Implied consent is when you and your physician interact in which the consent is assumed, such as in a physical exam by your doctor. Written consent is a more extensive form in which it mostly applies when there is testing or experiments involved over a period of time. The long process is making sure the patient properly understands the risk and benefits that could possible happen during and after the treatment. As a physician, he must respect the patient’s autonomy. For a patient to be an autonomous agent, he must have legitimate moral values. The patient has all the rights to his medical health and conditions that arise. When considering informed consent, the patient must be aware and should be able to give a voluntary consent for the treatment and testing without being coerced, even if coercion is very little. Being coerced into giving consent is not voluntary because others people’s opinions account for part of his decision. Prisoners and the poor population are two areas where coercion is found the most when giving consent. Terminally ill patients also give consent in hope of recovering from their illness. Although the possibilities are slim of having a successful recovery, they proceed with the research with the expectation of having a positive outcome. As stated by Raab, “informed consent process flows naturally from the ‘partnership’ between physician and patient” (Raab). Despite the fact that informed consent is supposed to educate the patients, it is now more of an avoidance of liability for physicians (Raab). Although the physician provides adequate information to his patient, how can he ensure that his patient properly ...
Providing the steps to ethically sound excellent care, healthcare providers must acknowledge first the legal and ethical matters involved with proper investigation and then devise a plan for best possible action recognizing the rights of the patient and its benefits followed by the application of the chosen intervention with positive outcome in mind (Wells, 2007). Delivery of excellent and quality of care at a constant level (NMC, 2008) must be marked in any responsibilities and duties of the care provider to promote exceptional nursing practice. Codes of nursing ethics and legal legislation have addressed almost all the necessary actions in making decisions in consideration to the best interest of the patient. Nurses must make sure that they are all guided by the set standard to lead their action and produce desirable and ethically sound outcomes.
Queensland Health (2011) states that in the nursing profession, certain principles must be fulfilled in order for informed consent to be considered valid. They state that the patient must be deemed to have the capacity to make a decision about the proposed issue at that specific time, and not be under the influence of any alcohol or drugs. They state that the patient must consent voluntarily and the decision be made free of manipulation or undue influence by family or the nurse. They suggest that the discussion must involve two-way communication between the patient and the nurse and be clear, rational and sensitive to the situation. The nurse must provide the patient with sufficient information about the proposed issue in a language that the patient can clearly comprehend (Queensland Health, 2011). When providing care, both nurses and paramedics must ensure that the patient has adequate knowledge and have a necessary understanding of the procedure, to...
Consent is an issue of concern for all healthcare professional when coming in contact with patients either in a care environment or at their home. Consent must be given voluntary or freely, informed and the individual has the capacity to give or make decisions without fear or fraud (Mental Capacity Act, 2005 cited in NHS choice, 2010). The Mental Capacity Act perceives every adult competent unless proven otherwise as in the case of Freeman V Home Office, a prisoner who was injected by a doctor without consent because of behavioural disorder (Dimond, 2011). Consent serves as an agreement between the nurse and the patient, and allows any examination or treatment to be administered. Nevertheless, consent must be obtained in every occurrence of care as in the case of Mohr V William 1905 (Griffith and Tengrah, 2011), where a surgeon obtain consent to perform a procedure on a patient right ear. The surgeon found defect in the left ear of the patient and repaired it assuming he had obtained consent for both ear. The patient sued him and the court found the surgeon guilty of trespassing. Although there is no legal requirement that states how consent should be given, however, there are various ways a person in care of a nurse may give consent. This could be formal (written) form of consent or implied (oral or gesture) consent. An implied consent may be sufficient for taking observation or examination of patient, while written is more suitable for invasive procedure such as surgical operation (Dimond, 2011).
Health care ethics is at its most basic definition is a set of moral principles, beliefs and values that guide the Physician Assistant in making choices about medical care for their patients. The central belief of health care ethics is the sense of right and wrong and the principles about what rights we possess, along with the duties as Physician Assistants we owe our patients. (Opacic, D. A. 2003) One must consider carefully all aspects of health care decisions as it helps us make choices that are just.
Ethics in the medical field are very important and should be taken seriously. As a medical professional you will tested daily on making the best choices, using good judgment and being morally responsible for your actions. There are nine principles in the Code of Medical Ethics that in general make up the primary code. As a medical professional you must always consider what is in the best interest of the patient. Code of medical ethics of the American Medical Association, (2012). When determining the proper “Patient-Physician Relationship, the relationship between the patient and physician is based on trust and gives rise to the physicians’ ethical obligations to place a patients’ welfare above their own self-interest” Code of medical ethics of the American Medical Association, (2012).
According to Medical Dictionary (2003) ‘consent’ is an ‘act of reason’, voluntary agreement to proposed treatment made by a mentally capable person upon receiving relevant information. Patients’ consent is closely associated with individuals’ liberty, person’s autonomy and the right to decide about themselves and their body with assumption of taking full responsibility for decision and its consequences (Frith and Draper, 2004).
Garrett, T. M., Baillie, H. W., & Garrett, R. M. (2010). Health care ethics: Principles and problems (5thed.). Upper Saddle River, NJ: Prentice Hall.
Macklin R. (2003). Applying the Four Principles, Journal of Medical Ethics; 29: p.275-280 doi:10.1136/jme.29.5.275.retrieved from http:// jme.bmj.com/content/29/5/275.full
Ethics deals with actions with adequate standard of attitudes, behavior that is pleasing to the people or organizations. Every job has a code of ethical conduct that is supposed to be is followed. It is very necessary to understand that ethical rules must apply and obey with basis of what is right and wrong which is written in the law. That is why there are professions that have organizations or associations which have the method of ethical conducts or standard.
In the professional as well as personal atmosphere ethics should be incorporated. Ethics is a reflection of a person spirituality, mental capability, and physical persona. At some point, the understanding of ethics should be a requirement. Ethical behavior and ethical implicational can determine the level of respect a person has for themselves and others.