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Ethical principles in nursing autonomy
Ethical principles in nursing autonomy
Ethical principles in nursing autonomy
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Nursing is one of the most hands-on profession and nurses are considered to be the front-liner in healthcare. Every nurses must know that the client’s health and well-being must put to be the utmost priority. This can also be done through considering and observing the universal human rights of people. By this, client’s dignity and worth will be safeguard, thus leading to a much better health outcome. According to Nursing and Midwifery Board of Australia, the client’s right includes recognising, respecting and, where possible, protecting the wide range of civil, cultural, economic, political and social rights that apply to all human beings (Nursing and Midwifery Board of Australia, 2008).
In the case of Mrs. Xerrie, a 93-year old woman, the
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According to the works of Beauchamp et. Al, issues on nonmaleficence and beneficence can also be served as a basis for withholding diagnosis. Again, this will leave a greater responsibility for the nurses and doctor to cautiously identify the need for disclosure.
However, in a book written by Katz entitled, “The Silent World of Doctor and Patient”, the author argued that excluding the patient from decision making and information giving process is also a form of insult to her dignity and autonomy. It suggests that healthcare professionals should evaluate the situation and the preference of the patient on receiving details before completely disregarding the patient’s desire to be involved in her care.
Knowing that Mrs. Xerrie has a limited English speaking skills and she constantly ask about her dying or not, it could depict that she expresses great desire to know more about her condition and it is not something to be addressed minimally. As a nurse, we should give adequate information and teaching in a gradual and concise manner, just enough to give the client a satisfaction and also just enough and not too heavy for the patient to absorb. The nurse might be held liable when disclosing too much information to the patient had brought a detrimental effect given that the family has initially and has specifically asked for it not to be
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a patient
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
Monaliza, K. R. (2014). Registered Nurses" Experiences of Ethical and Human Rights Issues in Nursing Practice: Frequency and Handling,. Baba Farid University Nursing Journal, 15-22.
The Royal College of Nursing (RCN, 2009) defines dignity as treating someone as you or your family would want to be treated, when they are feeling vulnerable. According to ( Matiti & Baillie,2011) in modern world the word dignity has lost its meaning, whether it is intentionally or unintentionally, nurses have become very mechanical, trying to give care for dummies rather than human beings, who have emotions, feelings and self-respect, and not realising what impact patients will have when nurses show this kind of attitude. Patient centred care is vital for all nurses, without, discriminating against colour, gender, race, and religious beliefs. Following the code of conduct which is expected of the nurse, working according to the needs of the patients, being a good listener and respecting them. When the nurse shows dignity and respect, she/he tends to develop a therapeutic relationship with patient which in turn results in good health and rehabilitation (NMC, 2008).
Disclosure is an essential aspect of a medical professional and his or her patients’ relationships. In the 1950s, the medical client and professional relationship was one of paternalism as opposed to the now fiduciary relationship. Then a paternalistic professional took all of the responsibilities, disclosed what he then thought was necessary, and essentially told the patien...
Truth in medicine is a big discussion among many medical professionals about how doctors handle the truth. Truth to a patient can be presented in many ways and different doctors have different ways of handling it. Many often believe that patient’s being fully aware of their health; such as a bad diagnosis, could lead to depression compared to not knowing the diagnosis. In today’s society doctor’s are expected to deliver patient’s the whole truth in order for patients to actively make their own health decisions. Shelly K. Schwartz discusses the truth in her essay, Is It Ever Ok to Lie to Patients?. Schwartz argument is that patients should be told the truth about their health and presented and addressed in a way most comfortable to the patient.
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.
This essay explores the ethical issues that arise on the delivery of healthcare delivered to a client. One of the expert abilities for nursing states that medical attendants ought to "integrate knowledge of ethical and legal aspects of healthcare and professional values into nursing practice". Medical attendants have an ethical and professional responsibility to assess and continually evaluate restraining a client as "doing good or harm" to minimize restraints for clients in their care. This essay will firstly discuss of ethical issues that have been lied behind the scenario, secondly ethical perspective and an alternative perspective of the issue, thirdly it will discuss of human dignity and right, professional code and conduct,
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).
The healthcare system can be difficult for clients to navigate and they are often unsure how to access information which puts them at the mercy of others and can lead to feelings of helplessness (Erlen, 2006). Nurses can provide resources to educate patients when they becomes dependent on a health care provider and no longer feel in control of their own body which can lead to fear, hopelessness, helplessness and loss of control (Cousley et al., 2014). The change in roles individuals face can further increase their stress and feelings of powerlessness (Scanlon & Lee, 2006). According to the CNA code of ethics, nurses are responsible for protecting patients from objective risks that place them in an increased level of vulnerability (Carel, 2009). They can do this by providing the resources necessary for patients to educate themselves and be better able to cope with the health challenges they
Confidentiality in health care is a growing concern as nurses are often faced with the challenges of reacting to question regarding patient’s progress (McGowan, 2012). Confidentiality as defined by Gregory, Raymond-Seniuk, Patrick and Stephen (2015) is the promise given to a person that his or her personal information will not be disclosed randomly if no consent has been given regardless of who is seeking such information (p.600). This paper will attempt to explore the concept of confidentiality as a sensitive issue, challenges that nurses face as they try to protect patient’s health information and some guidelines that govern protection of information and when this information can be divulged.
A lot of information has been stipulated concerning how patients should be treated and the legal rights involved in the health care system. Different values are, therefore, involved. In the correctional setting, the patient entirely relies on the nursing service offered and various services are expected to be offered by a nurse. However, in the process of providing these services, a nurse has to uphold all ethics that dictate the profession (National Commission on Correctional Care, 2011). The legal ethics include right to autonomy where the patient’s view should be respected and incorporated in the provision of nursing care. A nurse should always tell the patient the truth according to how he or she is fairing on health wise. The principle of beneficence also allows a nurse to concentrate on provision of services that are beneficial to the patient. A registered nurse also ensures equitability and fairness in the provision of care to the patient (National Commission on Correctional Care, 2011). Another principle that a nurse understands is the principle of fidelity that allows a nurse to remain committed in the process of provision of care. The principles help a nurse in making ethical decisions in the process delivering nursing care to the patient. For instance, having in mind the principle autonomy, one can be able to appreciate an advance of health care directive that enables one to act as per the patient’s
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
One of the goals of nursing is to respect the human rights, values and costumes of a patient and his or her family and with the community as a whole. The International Council of Nurses states that nursing practice can be defined generally as a dynamic, caring, helping relationship in which the nurse assists the client to achieve and maintain optimal health. As health care providers, we have some fundamental responsibilities such as to promote health, to prevent illnes...