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Importance of patients rights and responsibilities
Patient rights ethics and laws chapter 6
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The article “Whistleblowing: The Patient or the Paycheck?” was written by Tracy Hill, BSN, RN (2010) to discuss the ethical issue of whistleblowing in healthcare, in particular, how it pertains to nursing. The following paper summarizes the article which addressed the ethics, barriers and consequences, and support and for whistleblowing. Hill (2010) explained whistleblowing as taking action to uncover negligence or malpractice and in the instance of nursing this would occur within a healthcare organization. Hill (2010) goes on to emphasize that nurses hold the ethical responsibility to be advocates for patients by practicing principles such as virtue, Kantian duty, utilitarianism as well as beneficence. However, while nurses hold an ethical duty to act in the best interest of and protect patients from harm, whistleblowing …show more content…
Hill claims “Whistleblowing is personally and professionally risky and creates considerable moral distress as nurses weigh the consequences of their actions against the duties of the profession” (Hill, 2010, p.6). In order promote patient advocacy nurses need to be able to do so without experiencing repercussions and this can happen with the right support (Hill, 2010). Hill (2010) expressed the need to have universal laws that support and safeguard nurses when it comes to whistleblowing. Hill (2010) reported that laws are different for each state but listed several federal laws that are in place such as The Paul Revere Freedom to Warn Act, The Whistleblower Protection Enhancement Act of 2007, and The False Claims Act. All of which protects federal workers. Hill (2010) urges that when it comes safeguarding and supporting whistleblowing nurses must come together to push for stronger legislation at both the state and federal
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
Section 5.4, which is the preservation of integrity, suggests that nurses will inevitably have to deal with threats to their moral or professional integrity at some point in their careers. Nurses should do their best to maintain professional integrity when met with adversity, weather it be from uncooperative issuance companies, an unsound work environment, or from the patients themselves. When working in an unsound or unsafe work environment that violates law or the ANA code of ethics nurses must go through the proper channels to fix the problem. If a nurse feels that a procedure or treatment their patient is having conflicts with his or her own moral integrity and they cannot participate, the nurse must report they unwilling to tr...
This correlates greatly with provision six which states: “The nurse facilitates improvement of the healthcare environment.” (Nurses Code of Ethics, 2015). As stated previously a nurses’ obligation is to help with creating and maintaining that balance of great virtues as well as excellence in the health care professions. If you think about it, if a nurse did have moral health ethics, would that nurse give unsafe patients and falsify a shift report change to the new nurse, so they could leave work? In addition, any nurse who witnesses such a false act by another nurse should report such an act immediately to their immediate. No nurse should ever agree or choose to work in an environment that enables unsafe practices. Not only are they putting the patients at risk they would be putting themselves at risk for physical harm or even losing their license as
This case study examines a case of an LPN who became ill while about halfway through her shift and chose to go home. This LPN was assigned to care for five patients in an obstetrical ward, four of which were considered stable. The fifth patient was awaiting an obstetrical consultation when the LPN became ill and vomited. At this time, she notified the other nurses and, subsequently, the charge nurse that she needed to leave due to illness. The charge nurse instructed her to notify her supervisor prior to leaving the facility; however, the LPN chose not to do so and went home. Her reasoning in not notifying her supervisor as she was instructed was that she feared that the supervisor would ask her to go to the emergency room for care. The LPN testified that she did not want to pay for an emergency visit and that she intended to make an appointment with her family doctor early that same day. The facility terminated the LPN’s contract and also reported her to the state board of nursing for patient abandonment. As a judgment, the board of nursing suspended here nursing license pending a psychological examination and fined her $1000 for abandoning her patients. In this paper, we will examine the viewpoints of the LPN, the charge nurse, and the nursing supervisor as they relate to the Nurse Practice Act and the board of nursing.
As a nurse it is our primary job to protect and promote the well being of patients throughout the health care industry. Each nurse has the responsibility to practice faithfully and to uphold all ethical values. These values are outlined and regulated by two very important entities, The Nursing Practice Acts and the Texas Board of Nursing. Nursing Practice Acts, are specific laws in each state that define a nurse’s scope of practice. These acts were first established in 1909 with the purpose of protecting public health, safety, and welfare. Their purpose is to provide rules and regulations that will protect society from unsafe and unqualified nurses. Nursing professionalism is rooted in the ethics and ...
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.
For this essay, I will evaluate the Employee Loyalty Argument derived from ‘Whistleblowing and Employee Loyalty’ by Ronald Duska. I will argue that this Employee Loyalty Argument is deductively valid but is not deductively sound because premise 2 is false. I will justify my claims that premise 2 is false by arguing about how it is rational for employees to expect their companies to recognize and fulfill a duty of loyalty to their employees if the employees also have a duty of loyalty to the companies that employ them.
When the practices in the healthcare delivery system or organization threaten the welfare of the patient, nurses should express their concern to the responsible manager or administrator, or if indicated, to an appropriate higher authority within the institution or agency or to an appropriate external authority” (3.5 protection of patient health and safety by acting on questionable practice, ANA, 2015). The example of the practice is a patient discharge from the rehab facility to the Personal care unit with pending PT/INR results, which turned out to be critical. The admitting nurse demonstrated moral courage by questioning physician who wrote discharge orders and the nurse who completed discharge. Rehab physician refused to address lab results and referred the patient to the PCP. Admitting nurse raised a concern to administration to review discharge protocol and deviation from safe practice. Nurse acted on behalf of the patient and requested readmission to rehab based on patient’s unstable medical
In an ideal medical society, no dilemma should arise on whistleblowing associated with poor medical practice or illegal behaviours. However these dilemmas arise when these whistle blowers take privileged information to the public in order to address their personal concerns or conscience. It can however be said that they are often left with little or no choice. Lipley (2001) discusses a case which occurred in the UK where a nurse wrote to the media reportedly that the elderly inpatients at her organisation did not receive adequate care and that this was jeopardising their lives. The appeals tribunal ruled that her decision was right and was both reasonable and an acceptable way to raise such issues ...
The nursing profession is a profession where people put their trust in you to provide care that is not only effective, ethical, and moral, but safe. Not all health situations are simple or by the book. Not all hospitals have the same nurse-patient ratios, equipment, supplies, or support available, but all nurses have “the professional obligation to raise concerns regarding any patient assignment that puts patients or themselves at risk for harm” (ANA, 2009). When arriving at work for a shift, nurses must ensure that the assignment is safe for not only the patients, but also for themselves. There are times when this is not the situation. In these cases, the nurse has the right to invoke Safe Harbor, because according the ANA, nurses also “have the professional right to accept, reject or object in writing to any patient assignment that puts patient or themselves at serious risk for harm” (ANA, 2009).
Frequently, nurses are confronted with the task of finding the balance between advocating for the patient, and remaining loyal to their hospital or institution (Hanks, 2007). Risks that are associated with patient advocacy are more on the institutional level (Bu & Jezewski, 2007). Risks such as accusations of insubordination, reputation slander, hostile work environment, and loss of job security are among some of the top reasons nurses tend to shy away for patient advocacy (Bu & Jezewski, 2007). Another problem with advocacy is that there isn’t a universal definition as to what being an advocate means, along with inconsistency of interpretations (Bu & Jezewski,
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).
Nursing may be seen as very independent work even though there will be situations that will require others. Friendships may be formed; however, to have 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 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
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