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Ethics and codes of practice nursing
Ethical dilemmas
Ethics and codes of practice nursing
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Nurses playing a vital role in healthcare system, as well as carrying a wider range of healthcare responsibilities in clinical settings. Nurses are obligate to promote patients safety, manage illness and provide patient and family emotional support based upon the NMBA competency standards. We believe nurses have rights refusing to provide patient care in some situations that clinical activities may dangerous on their own safety. Nevertheless, some moral dilemmas between quality patient care and nurses’ safety have been raised in today’s society. The issues of prejudice and discrimination in the clinical settings not merely adversely affected the healthcare system and the nursing profession, but violate the human rights of “all human beings …show more content…
This fear is possibly due, in part, to the potential harm nurses perceive form patients’ behaviours, or perhaps it is because nurses feel they could be posit in dangerous situations at some point in nursing practice. In addition, prejudice and discrimination in health care system due to gender, age, race, ethnicity, religion, characteristics and professional ability, can result in decreased nurse job satisfaction and increase the risk of develop psychological illness. Nurses are group of healthcare practitioners who has always had the need to make a decision in any matter same with other people. In the value statement 6 and 7, the code of ethics for nurses in Australia declares that nurses uphold moral and legal right to priorities individual safety and then make care plan and conduct appropriate nursing performances to patients (NMBA, 2008). Consequently, nurses should have moral and legal right to make a clear judgement of working safety with diverse patients, whether in direct or indirect nursing practice. As nurses can legally refuse to care for family members, refuse to care for a patient who has threatened causing harm physically or legally, or refuse to take heavy workload during the shift to be able to provide safety patient
Nurses are required to protect and support their patients if they are to be an efficient patient advocate. Ethically questionable situations are quite common for nurses that conflict with their professionals and personal morals. At times, the patient necessitates the nurse to speak out for them demonstrating
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.
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
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.
White privilege is a benefit that society gives to a white person. It is embedded in and supported by institutions, where it overtly manifests and reproduces as inequality (Cox & Taua, 2016, p. 48). This translates into preferential treatment for white coloured individuals. Such injustice results in the oppression of those who are not white, leading to unequal access to education, healthcare, housing, and employment (Gorski, 2003, p. 9).
For those of us who work in an acute care setting nursing is more about vital signs, electrolyte imbalances, arrhythmias, respiratory status and mental status changes just to mention a few of the things that demand our attention on a day to day basis. However, at times we are faced with issues that call into play ethical decision and hence it is important to understand ethical concepts that can influence such decisions. Concepts such as scientism, relativism, post modernism have been recognized as playing a key role in the conflict between science and religion. A conflict that has hindered an important healthcare goal of holistic patient care (Grand Canyon University, 2015).
According to the American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the health, safety and rights of the patient” (p. 6). Nursing responsibilities should be acted upon at the highest standard and must be based on legal and ethical obligations. Healthcare provider’s perception and judgment of the patient’s well being, as well as taking into account the rights 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).
Nurses continually strive to bring holistic, efficient, and safe care to their patients. However, if the safety and well-being of the nurses are threatened or compromised, it is difficult for nurses to work effectively and efficiently. Therefore, the position of the American Nurses Association (ANA) advocate that every nursing professional have the right to work in a healthy work environment free of abusive behavior such as bullying, hostility, lateral abuse and violence, sexual harassment, intimidation, abuse of authority and position and reprisal for speaking out against abuses (American Nurses Association, 2012).
Recent developments in standard of care and professional relationship with patients have made law fundamental to the study and practice of nursing. At every stage of patients care, law helps bring up to date nursing practice and it is essential that nurses understand the legal and ethical implications of law in their nursing profession (Griffith and Tengrah, 2011). The purpose of this essay is to discuss the concept of consent in relation to the role of the nurse. This will aim at demonstrate ethical and legal implication of consent on nursing practice and professional working. In the Code (2008, cited in Griffith and Tengrah, 2011) the Nursing and Midwifery Council set standards for nursing professional to follow. Among the rules is the requirement of nurses to obtain consent before care is given.
Barnett, Wilson J.(1986). Ethical Dilemmas in Nursing. Journal of Medical Ethics. Retrieved on 12th July 2010 from
Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as well as the nursing standards. Through education in areas such as confidentiality, boundaries can remain in tact and the patient care can remain within the zone of helpfulness.
Nurses will experience times where their own personal beliefs and values will be challenged by the law, professional standards, and even other nurses. It can be scary, frustrating, or heart breaking, but nurses must remain professional and act within their legal scope. There is no question that nursing is tough, deeply passionate work. Sometimes you have to realize that the most you are allowed to do is encourage all to prepare a health care directive or make a referral to the prescribing practitioner about drugs and supplement concerns. In the end, a good nurse negotiates legal, ethical, and interpersonal issues using knowledge, clear communication, and empathy for human life.
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
Ethics asses the values, morals, and principles of nurses. Legal codes or laws are rules established by our government. It’s important that nurses have a clear and comprehensive understanding of ethical and legal codes within their career. The understanding of these codes is essential for nurses to safely practice and to protect their patients. Nurses must abide by these principles or face the consequences of legal action. These principles include autonomy, utilitarianism, confidentiality, and many others. Autonomy is the agreement to respect ones right to determine a course of action, while utilitarianism is what is best for most people as defined in American Nurses Association. In order to give you a
Today, most people perceive nursing as a women profession. Men who enter this field have been looked at as outcasts. Many individuals feel that a man does not belong in a "feminine? profession. I believe that statement to be untrue and unfair. The issue of gender discrimination in nursing is the same as other professions. The only difference is nursing is dominated by women, and men are the minority fighting for equality.