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Ethical Boundaries In Nursing

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The Francis report is clear confirmation that when the 6C’s, a therapeutic relationship and ethical boundaries are ignored in patient care it becomes a major barrier that leads poor healthcare. (Department of Health, 2013). It is evident that a therapeutic relationship and effective communication underpins good healthcare (Brown & Bylund, 2008). Communication is therapeutic and building relationships is the cornerstone of nursing work, particularly with patients who have learning disabilities or mental health issues (Clarke, 2012). With such patients, nurses have to consider emotional factors as the patients may find it hard to listen, concentrate and communicate if they are emotionally, scared, anxious or maybe just do not understand the …show more content…

Working in partnership means that nurses must pay attention to the ethical and legal issues that govern nursing. Ethics regards standards of moral judgment and professional conduct (NMC, 2015). Nurses are highly accountable to their patients, the public, employers, and the entire profession. Therefore, nurses have a duty of care to their patients. Nurses ought to respect the right of patients to make their own decisions. This means the nurse allows the patient to autonomously have a say in how they are treated, ensuring their care is centred around them and the decisions they make if they are deemed to have capacity to make the decision (Griffiths &Tengah, …show more content…

This is malpractice in nursing care hence they were called to the fitness to practice board where they were removed from the nursing register. Nurse should always stay objective and have clear professional boundaries at all times with people in their care their families and carers (NMC, 2015). However, social media and digital communication can be beneficial to share vital information about health issues rapidly and efficiently; this has been demonstrated through its use by the Centres for Disease Control for example the dissemination of guidance about H1N1 (Swine Flu) in 2009 (Thomas, 2013). This means that social media and digital communication can be used to create a platform where healthcare professionals and their patients can share information (Thomas,

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458 Words | 2 Pages

Working in correctional settings I am faced daily with many ethical dilemmas. The correctional population has many additional challenges then community patients which plays a big role in the inmate patient’s treatment and care. One particular case I can recall is a patient that was in the ICU and was dying from cancer. All treatment and interventions had been exhausted on this patient; however her family was still adamant on wanting everything done for their loved one. After long discussion with the family, Chaplin, providers, and I the patient’s code status was changed and end of life care was provided.

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1594 Words | 7 Pages

It is the responsibility of nurses to keep it confidential or disclose only the relevant information when required by law or if the person is at risk or a child is involved. It incorporates the fact that the nurses should not be taking advantage of the vulnerable health consumers such as children, older, frail and mentally ill people. It is the duty of nurses to encourage the health consumers to advocate for themselves when they are not happy about the care being delivered. It is also the duty of the nurses to create awareness about the professional relationship of health consumers with health practitioners. It guides nurses, not to get over-involved in therapeutic relationship, control emotions and reduce negligence.

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865 Words | 4 Pages

Military Nurse’s Dilemma Chi Tiet University of Michigan - Flint Nurses are a group of professionals who faces a variety of ethical dilemmas while working. Therefore, these dilemmas cannot only impact on their personalities but also affect their patients. However, ethical dilemmas are argumentative and difficult to deal with, so there is no “right” or “wrong” answer for them. In a military nurse’s dilemma, a military RN is ordered to force feeding a terrorist prisoner while he is undergoing interrogation, and the prisoner is on a hunger strike protesting. The nurse is torn, but fearing of reprisal if orders are disobeyed, so the nurse is appalled at the over-riding a patient’s wish by force feeding him agains his wish.

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911 Words | 4 Pages

The article changed my way of thinking as it increases my understating why I need to maintain professional boundaries by keeping the conversation focused on the patient, provide care and support as a nurse, rather than a friend while keeping strict professional limits

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312 Words | 2 Pages

students were unconstitutional (Robinson, 343). It also prohibited racial segregation in public facilities. This decision overturned the Plessy v. Ferguson decision of 1896 that allowed state-sanctioned segregation (Robinson, 343). Once and for all it ended the “separate but equal” doctrine that meant segregation was fine as long as there was “equality” (Robertson, 799). Brown v. Board of Education ended segregation, however, racial segregation was still prevalent in California prisons system, which are public facilities.

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1003 Words | 5 Pages

The second scenario is pairing. Here one RN is supposed to work with one LPN/assistant during their shift. Though with this scenario they may not always be placed together each shift. Partnering is the third scenario which involves consistently putting one nurse and one RN to work

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This connects back to the learning outcome (4.1), “Demonstrates use of professional standards and the Code of Ethics to inform safe nursing care as applicable”. Using the code of ethics will help me provide competent, safe, compassionate care to clients. And my awareness and knowledge still need to develop to perform the ethical care I require to do in the long-term care

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1569 Words | 7 Pages

(2013) suggest that the safety of patients is important and therefore, professionals and all stakeholders should encourage a practice that does not compromise the humanity and dignity of the service user. Nurses have a duty of care to support patients and to help them to make choices that offer the least amount of risk and make them aware of the implication of their choices and the risks involved (NMC, 2015). However, that is if they have the mental capacity to understand all of this. The Mental Capacity Act (2005) states that it is assumed that everyone has capacity unless it is proven otherwise. Acton (2015) also identified the need for professionals to fully understand and implement the Mental Capacity Act (2005).

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In regards to this, advocacy and confidentiality have deemed themselves to be key in therapeutic nurse-client relationships. Through advocacy, the nurse gains the client’s trust when they support and recommend on behalf of the client while seeking what they believe the client would want (Rutherford, 2015). As the nurse acts on the action that would best benefit and promote the well-being of the client, the client’s trust in the nurse continues to rise. Ethically, nurses are required to maintain confidentiality with their clients. Although maintaining confidentiality is an ethical and legal responsibility, it promotes a therapeutic nurse-client relationship where the nurse is considered to be trustworthy.

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2302 Words | 10 Pages

Introduction of Contextual Project The contextual project work is the real life projects. It is a practical activity whereby a student applies the concept to the current context of her personal life, social life how she applies this concept in her current job. The practice of contextual project makes a student learning by connecting to the real world. This contextual project work learning is the activities in the real life to which the students can relate to the incorporating not only content, what of learning but the reason why that learning is important.

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203 Words | 1 Pages

When I sat down and started this assignment I was wondering honestly what this had to do with ethics in nursing and slowly started to realize this was a situation where I would have to use my ethics on what I felt was going to be the most important items for a person to have for survival vs. who I felt should go on the boat to land and safety or leave on the boat and may not make it? I started to realize as I was doing this project how hard it was for me to make my choices. I kept thinking and re-thinking my choices and kept trying to research what the items could do and how I felt like it would be important or not? The items to keep to me was “easier” to come up with vs. the people choices because with people it is more about life and death.

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1498 Words | 6 Pages

For the process of healing to be amiably achieved there should be a cooperation of the patient and the nurse this elevates the confidentiality of the patient and make it easier of the functionality of the nurse. However, there are cases where the autonomy of the patient has to be contested to achieve the process of healing; this raises issues

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1034 Words | 5 Pages

To allow anything to develop in a relationship, both parties must allow the variable to grow and prosper. To develop a variable such as trust, one must possess a number of personal and professional qualities. When a person trusts another person it means opening up for an action and expecting the other (trustor) to act in accordance with his/her (trustee’s) wishes, interests or will (Rortveit K. et al. 2015). The power issue between patients and nurses can cause some patients not to avail of health care services (Rortveit K. et al. 2015). Trust is an important aspect of nursing and has been the focus of nursing theory and research (Rortveit K. et al. 2015).

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1194 Words | 5 Pages

It is this authors belief that the ethicality of nursing is hardly the highest of all professions. Certainly, the arbitrary perception of ethicality in nursing is largely accurate, but it not absolute, and when speaking freely and with an honest tongue, I have trouble declaring the job of a nurse as ethical at all. In fact, much of the care we provide, the actions we take, the lives that we save, occur outside of normal ethical norms, and exsist largely in a vast no man’s land of ethical vacillation. The ethical nature of the nursing profession is an oft debated, frequently quoted expectation, which has exsisted since the art of nursing was first crafted. It is the nurses crusade which stripped the nations of the world of smallpox and rinderpest,

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592 Words | 3 Pages

I feel that the one provision in the Code of ethics that sticks out to me is provision 2. This is “The nurse’s primary commitment is to the patient, whether an individual, family, group, community, or population” (Lachman, O’Connor & Winland-Brown, 2015, p.21). The first part of this provision is the primacy of the patient’s interest. This means that the patient’s primary commitment is to the health care client. One of the best examples of this is nurses being patient advocates.

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