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Ethical dilemmas that nurses have experienced
Ethical dilemmas that nurses have experienced
Healthcare professionals face ethical dilemmas
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(2014, June 6). Retrieved from ANA American Nurses Association: http://nursingworld.org/DocumentVault/Ethics-1/Code/Code-Provision-1.pdf Code of Ethics for Nurses with Interpretive Statements Provision 2. (2014, June 6). Retrieved from ANA American Nurses Association: http://nursingworld.org/DocumentVault/Ethics-1/Code/Code-Provision-4.pdf Kangasniemi, M. P. (2014). Professional Ethics in Nursing:
Ethics is very important in nursing practice and involves respect and advocacy for the needs of the patient. Both, ethics and honesty have major impact on patient safety. Another core value is autonomy. Autonomy is demonstrated when the nurse supports independent decision making and respects the patient`s right to self-determine the course of action. Human dignity is another core value in nursing practice.
Mike’s Voice in his Cancer Treatment Nurses will frequently be put into situations where they are left to determine if they should respect the client’s wishes when these wishes conflict with medically ordered care. “Ethical dilemmas occur when there are conflicting moral claims” (Burkhardt & Nathaniel, 2014, p. 527). Ethical dilemmas help shape nurses by requiring them to think critically about situations and determine the appropriate decision in order to create the best outcome for their patient.
Amidst a whirlwind of change, nurses continue their roles as competent, honorable professionals. A relatively new issue, cultural integrity, correlates with the Code regarding “treatment of the human response.” The American Nurses Association’s “Code of Ethics for Nurses with Interpretive Statements”, also called the Code, highlights nurses’ consensus on professional principles. Nursing ethics guide how practitioners treat their patients and peers. Sensitivity to individual societal, familial and cultural background plays an important role in organizational integrity.
moral and nonmoral values, and desired ends; the ethics of nursing” (Fawcett, Watson, Neuman p. 116). This is the moral aspect of nursing and focuses in what should be done in the spare of the moment for the patient. Ethical knowing addresses questions such as “Is this right? Is this responsible” (Chinn and Kramer, p. 14). Ethical knowing directs the direction a nurse will practice, prioritize tasks, and what they advocate for.
The American Nursing Association’s (ANA) code of ethics is the pledge that nurses are doing their best to provide care for their patients and communities (American Nurses Association [ANA], 2015). This pledge is a nurses’ guide for carrying out responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession (ANA, 2015). Having a solid knowledge base regarding the ANA code of ethics is the key to health care professionals honoring nursing practice activities, education, and research. This knowledge base is more relevant than ever as the Affordable Care Act is changing the health care arena and nurses are called to transform the health care system that is accessible to all while improving health outcomes by providing quality, evidence-based, affordable patient-centered care (Institute of Medicine of the National Academies, 2010). Based on the real world observations of my work with multiple sclerosis, the affordable care act has provided access to care that has never been seen before.
Ethical theory aids in the understanding of the origin and process of ethical and moral behavior and thinking. The theory I believe guides my nursing practice is virtue ethics, also known as character ethics, with a subset of focal virtue. This theory represents the idea that an individual’s actions are determined by their innate moral virtue or standards. Virtue ethics places emphasis on the character of the person rather than rules or principles. It believes that a person with very high moral standards with choose the morally correct action naturally.
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
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.
A nurse must keep up to date on education and new processes in health-care, so they can provide the best care. As a nurse, you have promised to give each of your patients the best care that can possibly be given. Nurses must follow a code of ethics, to act safely, provide ethical care no matter how they feel about the patient or the reason they are in your care. Following this code of ethics shows your commitment to caring for people and society, it is a guide of ethics and standards to follow to keep everyone safe. Nursing is also a wonderful opportunity to meet hundreds of people from almost every nationality and every walk of life.
Define in your own words "ethical nursing practice." Ethical nursing practice is knowing the right thing to do and doing it in the best interest of the patient to restore health and safeguard life. Describe the basis or framework you used for your definition. The basis of the definition is the ethical principles of nursing.
The virtue ethics perspective focuses on moral character (Stephany, 2012) and affirms that good people will make good choices (Pollard, 2014). It is less focused on what an individual does and more on their way of being (Stephany, 2012). Virtues are character traits, such as “honesty, courage, compassion, generosity, fidelity, integrity, fairness, and self-control” that guarantee ethical outcomes (Pollard, 2014, p. 116). Correspondingly, nurses are considered a moral agent—an individual with the power to do the right thing (Pollard, 2014). Nurses are strong patient advocates exemplifying the virtue ethics perspective.
The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to
The aspects of care suggest that nurses must have a certain moral background, and a knowledge of one’s self and capabilities, in order to establish a caring relationship with clients. (Fowler, 2015). The four phases of the ethics of care allow the nurse to recognize that care is necessary, take responsibility and act by caring, strive to meet the needs of the client, and have the client or the client’s family acknowledge that care for the client was needed and received. (Fowler, 2015, p.28). The ethics of care guide the nurse’s decision making by relying on the nurse’s moral character and communication
Knowing what I did and what I have allowed another person to do, I have learned a very important lesson about myself when it comes to ethical decision-making. Should the situation happen a second time, I will do things a lot more differently than I would when I was a new nurse. In addition to my personal experiences, I will apply the ethical decision-making models that I have learned through this class and come up with interventions that I personally think is the right and moral thing to do. By doing that, I will have less trouble facing ethical dilemmas and ultimately prevent nurse