Nurses are faced with ethical dilemmas related to clinical issues, and disease and treatment decisions daily (Kangasniemi,
Ethical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
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.
Jennah implemented ones role as a nurse in ways that reflect integrity, responsibility, ethical practices & evolving identity as a nurse committed to caring, advocacy and quality while adhering to evidence based practice by treating all individuals with dignity and respect. For example, what I could see, Jennah was nice to everyone. She was willing to step up and help out others. Jennah demonstrated appropriate written, verbal and non-verbal communication in a variety of clinical contexts by using therapeutic communication to the team members and residents.
When we arrived at Jefferson City I did not know what to expect in the hearings but it was much more interesting than I thought it would be. The first case involved an older woman who violated nurses practice act by having a positive drug test. She denied the drug use in an improper way. This registered nurse worked over night so she had been use to taking sleeping pills to help her with the insomnia. On the night she was disciplined she was reported by another nurse that she was not acting right and was slurring her speech, confusing coworkers, names, appeared disoriented and staggered while walking.
Ethical situations, also known as moral situation occurs when a decision is made regarding what one believes to be right course of action. In relation to this particular topic my recent experience as follows: I have been working at Delray Medical Center for over twelve years as a nursing assistant. Where protocol and ethics have been observed. However I recently experience an unethical occurrence. I was taking care of a patient that was involved in a motor vehicle accident that left him with a tracheotomy.
An ethical dilemma can be a challenge that nurses may have to face multiple times throughout their careers. These Ethical issues impact the nurse and the patient. Ethics means doing good and causing no harm, however it may be defined differently in every situation because everyone has personal values. Learning how to deal with and provide care for patients that have values and beliefs other than our own can be a struggle. One major ethical issue faced in healthcare is the Jehovah’s witnesses and the refusal of blood transfusions.
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
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.
Badzek, Laurie, Mark Henaghan, Martha Turner, and Rita Monsen. " Ethical, Legal, and Social Issues in the Translation of Genomics into Health Care." Journal of Nursing Scholarship 45.1 (2013): 15-24. Web.
1. Obviously I will not answer them all at the same time. I but I will answer the one who needs more attention first, then later on I will go to the other like I will choose one with the high risk of fall over a patient who is alert and maybe requires her morning tea or need to make a phone call 2. Values clarifications are important both personally and professionally because they lead you to what is right and they support people’s purposes and vision.
Utilitarianism and Deontology are two major ethical theories that influence nursing practice. Utilitarian principles of promoting the greatest good for the greatest amount of people parallels the nursing tenet of beneficence. Deontological principles of treating individuals with dignity, and promoting the well-being of the individual parallels the nursing tenet of non-maleficence. Utilitarian and Deontological principles can be utilized to resolve ethical dilemmas that arise in the nursing profession. The purpose of this paper is to define utilitarianism and deontology, discuss the similarities and differences between the two, and to address an ethical dilemma utilizing utilitarian and deontological principles.
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.
It is your first day as a nurse. Are you nervous and scared? Did you really make the right decision? Can you handle all the duties and responsibilities? The nervousness, anxiety and indecision are normal.
Nurses often face ethical dilemmas and moral distress throughout various levels of direct and indirect patient care. According to Moon and Kim (2015), patients often die in the intensive care unit, and ethical conflicts frequently occur due to a variety of factors, such as verbal abuse, poor communication between health care providers, and increased incidences of end-of-life issues. I think this is a very important subject to think about, especially when these conflicts can significantly impact job satisfaction, burnout, and ultimately threaten the quality of care for patients.
