Value clarification is a process by which individuals identify, and examine their own values and value systems. There are several steps to value clarification, these include “Choosing”, which means choosing freely from alternatives and reflecting upon the consequences. “Prizing”, which means beliefs are prized and are treasured. “Acting” means incorporating these beliefs consistently into one's behavior and life. These steps help people identify their personal values and lead to self-discovery.
Value neutrality means to put aside your own values while caring for patients. Being neutral and non-judgmental ensures equal care and support to every patient. Giving unconditional support, listening and acknowledging their feelings and values helps to create trust between the nurse and patient.
Often issues will arise where the nurse and patient's values are not the same. However, regardless of whether or not the nurse shares the same values as the patient, it is still imperative to remain non-judgmental and capable of giving equal care to everyone. As a nurse you must offer yourself, and refrain from imposing personal values and beliefs upon others. Becoming aware of your own beliefs and continuing to learn and respect the
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beliefs and values of others helps you to provide better care. 2. The Six Steps for Resolution of an Ethical problem include the following: Identify the problem- state the problem clearly. Gather data- consider the people involved, the client's overall nursing, medical and social situations, staff and legal considerations. Identify options-identify all possible courses of action open to you. Think the problem through- do principles of professional ethics address the problem? Make a decision- Choose a course of action that best reflects your judgment. Consult with an ethics committee. Act and Assess (Evaluate)-Act on your decision and evaluate the outcome. Was it consistent with what you had hoped to accomplish? How can you improve on this process in the future? There are obvious legal considerations to take into account in this case. As a nurse, you are not legally allowed to tell a patient their diagnosis; it is the duty of the physician. However, it is your job to be the patient's advocate; simply following the family's wishes, and neglecting your duties to protect the patient is unacceptable. If applicable, a power of attorney does have the legal capacity to make healthcare decisions on behalf of the patient. However, it appears the patient is not mentally incapacitated and is aware enough to ask about her condition. The patient's autonomy must be upheld, if able, she should be given the opportunity of self-determination and the ability to exercise her personal choice. It is important to gather further information from the patient and her family, and to keep communication open so that you may give the best care you can. 3. A. For many African American families, extended family is a source of great support, and often plays a large role in decision making. Role flexibility is necessary in many homes because both parents normally work outside of the home. Many African Americans have strong religious ties and church is an important part of their lives. Many people turn to spiritual forces and spiritual healers to treat illnesses. They are also likely to use herbs and home remedies to heal themselves. Chronic illnesses such as hypertension and diabetes greatly impact African Americans and contribute significantly to premature deaths. B. For Native Americans, spirituality and healing ceremonies are very important, and many times used in combination with western medicine to treat and prevent illness. Extended family is usually involved in health decisions. Sometimes the family leader, often an elder female, must be obtained first for consent for surgery. C. Asian Americans families are often patriarchal, male roles are important in the family structure and elders are valued and often live with the family. Health is seen as a balance between yin and yang, illness as an upset of this balance. Acupuncture, herbal medicine, home remedies and other traditional health practices are popular among Asian Americans. 4.
The term “nurse” is not well defined, there is much confusion between RN's and LPN's and their scope of practice, and often their roles are blurred. LPN's work under the direction of an RN, they are delegated stable patients, and provide input into several aspects of patient care. An RN coordinates all aspects of patient care and is responsible for educating and assessing the patient. The requirements of becoming an LPN begin with completing a state-approved program; this includes community colleges, technical school and hospitals. These typically last one year. The path to becoming an RN can be a bachelor's degree or a diploma. Associate's degrees in nursing are offered in community colleges, and take about two to three years to
complete. According to the ANA Position Paper, education for all people licensed to practice nursing should occur in institutions of higher learning. The minimum preparation for professional nurse is BSN and the minimum preparation for technical nurse is ADN. This ensures that nurses have a basic educational foundation, and is meant to improve nursing care.
- Nurse should place the patients well being above their personal beliefs and values. They should focus on treating the patient and making sure the patient’s needs are being met. This also means that tough decisions have to be made in the process whether it goes against what the health care team wants or it goes against what Mrs. Dawson wants.
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
But that is an option it is not mandatory to become a CNA. Then you can apply for the Registered nurse program which is (2) years. But you should want to take a year to complete your prerequisites so you wouldn’t mix it with your program but that is also an option. Once you have your RN license you must have 1-2 years of experience. You would want to take the program that is called the Bachelor of Science in nursing known as a (BSN). After you complete the (BSN) program you would have to get state certified. After that you would have to obtain your Masters or (PHD) in nursing. Then you can work as a nurse
According to nursejournal.org, The Educational Requirements to become a Nurse practitioner is that you must have a master of science in nursing which will take around three years to complete this course, which will include core courses in pathophysiology, health assessment, and advanced pharmacology. According to www.nursepractitionerschools.com To be a Nurse Practitioner you also have to complete a few courses in Doctor of Nursing Practice. Some programs often include advanced courses in leadership, population health, and typically culminate in a final capstone project. According to www.nursepractitionerschools.com, 3 schools that would have these programs are:
A registered nurse (RN) is someone that went through a university or college and studied nursing; and then passed the national licensing exam to obtain a license to practice nursing. The degree earned by an RN at the need of the program is deemed a professional nursing degree. The RN top nursing staff and they usually works independently. On the hand, an LPN only earns a practical nursing degree after completion of the program. LPNs are mostly recognized only in USA and Canada; they are also named as License Vocational Nurse (LVN) in the state of California and Texas. LPN work under the supervisor of an RN or a physician.
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.
The most prominent resource that emphasizes nursing professionalism is an article from the Kentucky Nurses. The author Teresa Huber thoroughly demonstrates the idea behind nursing professionalism and the importance of being a skilled nurse. The author states that professionalism is “respect for human dignity and to never discriminate against patients” (Huber 2015). Professionalism isn’t purely based on appearance but also on the attitude of the nurse and the amount of respect a nurse shows their patients. It’s important for a nurse to never judge a patient and never make a patient feel like they are in the wrong, doing so demonstrates an inability to care for the patient in a respectful manner. Also demonstrating disrespect to a patient’s wishes and concerns will only worsen the rapport the nurse must make with the patient. The author also expresses that “We are accountable for ourselves” (Huber 2015, p.1) that nurses must take responsibility for their actions and make sure that they are giving the best quality care that they can give. If a nurse doesn’t perform to the best of their capability the nurse is demonstrating a lack of motivation and determination. This article reinforces core beliefs on nursing professionalism because it helps explain that a nurse’s attitude and treatment toward the patient is essential to perform their
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).
The type of education varies based on the type nurse one pursues to become. Becoming a licensed practical nurse (LPN) or licensed vocational nurse (LVN) requires you to attend a yearlong educational program. This program is offered at technical schools, vocational schools, or community colleges. At these various programs, the student will receive lectures and hands on clinical practice. However, those seeking to be become registered nurse (RN) must receive at the least, an associative degree in nursing. After obtaining an associative or bachelor’s degree in nursing, the graduate will have to pass the licensing exam to officially become a registered nurse. Being successful on the licensing exam is required to become a registered nurse. Becoming an advanced practical nurse (APN), requires the student to obtain a Master’s of Science in Nursing. After graduating, the graduate will have to successfully pass the licensing exam also. The type of nurse one chooses to become dictates the type of education he or she has to
Berman, A. J and Burke, K. (2000), looked at nursing ethics as an integral part of nursing, that has t has to do with moral principles and values that guide nurses to make decisions and choices that lead to quality and effective client care. In providing nursing care, nurses find themselves in situations where sensitive decisions are made about the best way to treat illness and solve healthcare problems. Values influence decisions and actions and value clarification promote quality decisions by fostering awareness,
Interpersonal skills are the life skills we use every day to communicate and interact with people. “To effectively communicate we must realize that we are all different in the way we perceive the world and use this understanding to guide to our communication with others.” (Anthony Robbin). It is important for the nurse to be aware of the effects of their personal values and beliefs can have on their patients. For example working in a surgical ward a nurse was discussing with other colleagues about a certain patient who was in the holding bay, talking negatively about her lifestyle choices, when approaching the patient for the first time when arriving into the suite, she refused treatment from any of the nurse staff on the shift as she was upset at the things the nurse had said. First impressions influence people’s judgments of others...
Vice versa ethical principles clarify a nurse by eight factors which are autonomy, beneficence, confidentiality, fidelity, justice, non maleficence, and veracity. These virtues have hidden moral guidelines and the precepts to the nursing profession. Autonomy is defined as freedom to drive sound judgment in the clinical setting. Beneficence is my good in worth than the whole good for the patient care. Confidentiality is not exploiting information on the records and holds of the patient. Fidelity is the explicit and implicit oath of a person’s will. Justice is the strong force for what is righteous and morally disciplined. Non maleficence is doing no harm. Veracity is exact opposites which are truthful or deceive someone. These morals promote patient’s rights by promoting self governing, ensuring nurse, and act in a way that aids the patient, respecting a patient’s own info, and making faith filled and oaths. Also, a provision of appropriate, fair, and equal cares (Dohert & Purtilo, 2014).
There are several professional values that a nurse must possess altruism, autonomy, human dignity, integrity, and social justices are among these. Altruism is being concerned for the well-being and welfare of others; this includes their patients and colleagues. This is demonstrated daily through understanding cultural differences, considering the perspectives of others and mentoring others
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
My core values and beliefs are honesty, caring, family, and lifelong learning, which I use every day in my life. The core of nursing is caring, knowledge, and integrity that focuses on the patient’s needs, healing, safety, and encouragement. Personal and professional beliefs overlap the driving force of nursing. The qualities of a good nurse are not or cannot be turned off and on, and are part of the person I am. We are just helping hands that are always striving to help others. I am not perfect. I am a human being and sometimes mistakes will be made, but I always try my best. If something goes wrong, I will examine the situation, and learn from it to make me a better nurse than I was before. I will monitor and reflect on my own actions to ensure that I am staying true to what I believe are the best nursing practices. When we find conflicts between our personal beliefs and those of the patient, we should uphold our personal and professional ethical standards. We should find someone to guide us through our conflict to find a solution that will not compromise our own