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Essay On Autonomy In Nursing

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A.
A regulatory agency, such as a board of nursing, is a government agency that is established by law with the aim to protect the citizens through efforts of carefully setting the standards and maintaining the dignity nursing practice. Regulatory bodies such as the Board of Registered Nursing enforces and implements the Nursing Practice Act. This act involves the scope of practice and responsibilities fo registered nurses.

A professional nursing organization on the other hand may admit those who show interest in participating. It lets registered nurses be involved and be updated in the constantly evolving practices of healthcare. According to Mathews (2012) this advocates for the nursing profession by generating the energy, flow of ideas, …show more content…

The patient has the right to free and informed consent as well as the right to refuse treatment. His right to decided whether he will be subjected to the proposed treatment or not is called autonomy. There are instances where a patient can be considered as incompetent in terms of decision making, especially when there is mental instability, so a nurse should seek possible proxy consent. This can be in the form of the closest of kin or durable power of attorney. There are also times in which the doctor can decide for the patient. Its when the doctor is acting as loco-parentis, if it is a matter of life and death and when there is a case involved like if a patient is 12 years old and in need of a blood transfusion but is a Jehovah’s witness. A nurse must do the best in her power to educate the patient and direct them towards decisions that will suite their situation and will provide them with more benefits rather than risks. It is also important to remember to respect the patient’s choices despite not agreeing with what they have decided on. There are some patients who refuse further treatment because their quality of life doesn’t improve. Some treatments are only palliative and some patients have long enjoyed their life and are comfortable with the idea of

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If the patient were to die during surgery or procedures, the physicians would not be held accountable if the patient signs the consent form stating they were aware of the risks to their care. It’s important for the patient to ask any questions if they are confused on any information that was given to them. Even though, if the patient is diagnosed with a life-threatening disease or infection they have the right to refuse from signing the consent form. Since the patient is legally competent to make their own decisions that regard their health, they can still disregard any treatments that are being done to them. In most cases, doctors that perform experiments on the patient without their knowledge and without their consent is known as unethical human experiment.

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Similarly, all clinicians need to gain consent from nearly every patient, either verbal or non-verbal, unless in an immediately life-threatening condition. To refuse consent, a patient has to have all information presented to them by the clinician including; the risks they may face, other alternatives to the initial treatment plan and likelihood of success (SCAS, 2016, 5.3). Consent given by a patient under unfair pressure from a friend/family member or clinician, is not considered consent as it is not the patient’s decision. If a valid consent has been given, then a patient is entitled to withdraw their consent at any time. If a patient lacks capacity to give consent, and has no nominated person with Lasting Powers of Attorney, then no one can give consent on their behalf (SCAS, 2016,

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The ethical principle of autonomy provides for respect for the patient’s autonomy to make decisions and choices concerning their life and death. Respecting the patient’s autonomy goes against the principles of beneficence and non-maleficence. There also exists the issue of religious beliefs the patient, family, or the caretaker holds, with which the caretaker has to grapple. The caretaker thus faces issues of fidelity to patient welfare by not abandoning the patient or their family, compassionate provision of pain relief methods, and the moral precept to neither hasten death nor prolong life.

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