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An Integrative Review. JAN Journal of Advanced Nursing, 1744. Karlsson, M. B.-F. (2015). A Qualitative Metasynthesis From Nurses’ Perspective When Dealing With Ethical Dilemmas and Ethical Problems in End-of-Life Care. International Journal for Human Caring, 40-48.
1 Outline the factors that can affect an individual’s views on death and dying •Social •Cultural •Religious •Spiritual 2 Outline the factors that can affect own views on death and dying •Emotional •Past experience •Psychological •Religious •Social •Spiritual 3 Outline how the factors relating to views on death and dying can impact on practice Current and previous professional roles and responsibilities and past; boundaries limited by legal and ethical issues; professional codes of practice - internal and national; impact of management and leadership; input from other team members and workers. 4 Define how attitudes of others may influence an individual’s choices around death and dying different models of nursing care; person-centred
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
My personal philosophy of nursing seeks to incorporate the art of conveying nursing science holistically with care and human dignity. The four nursing metaparadigm concepts are described in relation to nursing as a science and an art and provide the base upon which my view of nursing and my personal philosophy are derived. As a nursing student at UIC, I am well aware of the fact that the best outcome for any patient may not be improvement in health, but rather, a dignified death during the end of life care. End of life care includes a significant quality in care and human dignity.
CONCEPTS 5: ETHICAL PRINCIPLES This concept is taken from module 3 of block 6 entitled “ethical Issues in Nursing Practice’’ 5.1 Significance of the Concept Business Dictionary. Com (2016) Defines ethical principles as principles that when followed, promote values such as trust, good behaviour, fairness and/or kindness. Ethical principles are very important especially in the workplace such as clinics and hospitals-when employees have no ethical principles to follow in the workplace they make decisions based on their own values.
When a patient is at the end of life it is very important to value the patients self dignity and their decisions at the mere end of their lives. The end of life care is to relieve the weight of the patient 's shoulders physically and mentally. I approve of end of life caring. Basic end of life care is summarized by improving the care of quality of life and dignity of the ill person. The important themes to good ethics of end of life care is a combination of human rights,respect,dignified care,and privacy.
Depending on the ANA Code of Ethics, nurses are often a lot of ethical dilemmas these days, informed consent of the patient for the right to refuse treatment, length of life versus quality of life, euthanasia passive versus active euthanasia, for use of adult stem cells compared to the use of embryonic stem cells and maintaining the treatment process versus withdrawing treatment. Patients, family members, and the successful resolution of internal multi-disciplinary skills of nurses and health care professionals to collaborate in this dilemma can affect the quality of care. Medical ethics, for example, the idea for the (moral) was the main characteristic of the good treatment results. More specifically, the moral principle of respect for autonomy
The mental capacity of the patient should be considered in this case. The patient is under a huge amount of stress and pain which will most likely affect his mental capacity. Pain and trauma is can change a person’s viewpoint on the situation and in turn change their decision about the treatment that they want to receive. Religion has and always will play a big part in medicine. Many patients refuse treatment because it goes against their beliefs and later they die to the disease.
Introduction In this assignment I will explore a clinical experience where dignity was maintained and reflect on my practice. It is important to reflect in both personal and professional development. Reflection will allow me to recognise both good and bad practice and how I can improve as a person as well as professionally. For this assignment I will be writing in first person, as it is appropriate for a reflective essay.
According to Henry and Hayes (2013), it is the responsibility of the care team to review the wishes of the patient and to maintain good communication throughout the dying process so that nothing is overlooked or forgotten. Henry and Hayes (2013) also refer to the importance of respecting the wishes of resuscitation and organ donation as well as the recognition that to many people end of life care should not stop at the moment of death. In summary, nurses and other healthcare workers need to be cognizant of different cultures, population and religions and their beliefs in regards to death and dying, so that every individual can receive a dignified
Overall, ethics in the nursing field are a big portion of the everyday job. The ability to obtain an ethical response is very beneficial to a healthcare team. As controversaries continue to arise, ethics and morals will always clash because many times ethics and personal morals are different like views on abortions. The research that involves ethics is very complex because every situation is different while being handled differenetly with various ethical resolutions; however, ethical resolutions are sometimes guaranteed by certain laws. All in all, it would be fairly difficult to perform actual research on ethics because of how varied ethics is, but there are ways to enhance certain ethical responses and one way is to read this article and examine how to approach situations to come to ethical
The ethical theories and principles are implemented with patients, family members, peers, colleagues and health care providers in various clinical settings. More so, the nurses face moral stress involving two ethical principles that compete in the same situation. An example is the respect of patient autonomy and provision of health care that is in the best interest of the patient. The moral decision of the nurses leads to moral distress if the nurse is unable to implement the decision due to the institutional constraints, limited patient care resources, financial issues, family disagreements in health care interventions appropriate for the patient, and health care providers-imposed limitations (Guido,2014).
The NMC Code states “Treat people as individuals and uphold their dignity”. Although dignity can often be difficult to ensure for every patient, especially when many procedures are invasive and require intimate details of a patient’s lifestyle, it is important as a nurse to always preserve and respect a patient’s dignity. (Nursing and Midwifery Council, 2015) This document explores what dignity is to a patient, how it can be maintained in a hospital and, why dignity is important to patients. Treating an individual with dignity is to treat them with respect, ensuring they feel worthy and are valued as an individual.
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.
This assignment is a reflection of ethical dilemmas in nursing practice as a registered nurse; this paper is based on the group assignment which was completed for NURS3004. This reflection will include an explanation of the role that I portrayed in the group, the preparation that I did for the role, what could have been done differently, how this group assignment has impacted me in terms of working in a team and finally explain how this assignment will assist me in my future clinical practice as a newly registered nurse. The role that I played in the group was a patient who has a mental health disorder and I didn’t want his mother to know about the illness, as a front it seemed as though we had a close relationship. When my mother leaves the room I asked the nurse to keep my illness confidential as she does not really understand it.