Nursing requires a wide range of skills, where one must understand ways of knowing, ethical issues, conditions of negligence and privacy. This knowledge is essential when comprehending what a nurse is to do in difficult situations, assisting in decision making and help in distinguishing the right from wrong. Bioethical principles aid with identifying and acknowledging ethnical issues raised in the nursing field. One must comprehend the condition of negligence and breach of privacy guidelines in order to meet current standards and legislation.
Ways of Knowing
When making decisions a nurse must consider the ‘ways of knowing’. These ways influence the individual decision making and helps to outline what is right. The fundamental ways are; empirics,
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Instead she breached Jason’s privacy by writing a Facebook© post regarding his situation. This is an inappropriate use of personal knowledge especially when caring for a patient.
Ethics is the ‘moral component’ (Carper 1978, p.20) of knowledge. It involves an ethical judgement, evaluating the consequence of action and making the right decision at the right time. ‘It includes all voluntary actions…to the judgement of right and wrong’ (Carper 1978, p.20). Gemma did not respect Jason’s privacy; ethically she made the wrong judgement in writing the public post about the patient. This is not adhering to privacy guidelines as no permission was given to Gemma to share his information publicly.
The ‘ways of knowing’; empirics, aesthetics, personal knowing and ethics, allows one to thoroughly understand the way an individual may think and feel, incorporating it into nursing care. Within the case study, Gemma should have used her ‘knowings’ to display a clearer understanding of the science and art of nursing, demonstrate empathy and compassion towards the patient and to identify the right from wrong.
2. Ethical
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119). When referring to Gemma, the National Competency Standards for the Registered Nurse 2013 clearly state that a nurse is to recognise ‘the responsibility to prevent harm’ (2013, p. 2) and ‘recognises and responds appropriately to unsafe or unprofessional practice’ (2013, p. 2). Gemma did not adhere to the standards as she recognised the harm of removing the TED stocking but did not provide ‘appropriate information within the nurse’s scope of practice to individual..’ (2013, p. 3) to prevent harm or follow up the ‘incidents of unsafe practice’ (2013, p. 3) therefore a breach of duty of care can be
Privacy is of the utmost importance within a medical practice, ethically a patient’s privacy is very important as a medical record contains information regarding a patient’s health. According to
Bridgett Beuckens How sad it is that nursing leaders allow, much less participate in such acts. The stress and responsibilities this author was subjected to are not fair nor safe. The ANA Code of Ethics addresses occurrences as in this scenario. Provision 4.1 states nurses are responsible and accountable for the nursing care
It examines and evaluates the decision making process integrating ethical principals. Advance practice nurses must be aware there are ethical consequences for decisions that are made. This core competency addresses the need for ethically sound solutions to be applied to complex issues. During this course ethical principles of decision making was addressed in the case studies. For example, a patient became pregnant and contracted a sexually transmitted infection from her estranged spouse.
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.
On any given shift, nurses have access to some of the most personal private information about a patient and his or her family. A right to privacy is grounded in the society and is protected by the United States Constitution. In addition, the American Nurses Association (ANA) Codes for Nurses prohibits disclosure of confidential patient information, as do the ethical codes of many other professional organizations (Malek, 2010). The Joint Commission mandates that institutions maintain and adhere to policies and standards to protect patient information. According to Malek (2010), nurses must remember that a right to privacy protects more than the patient’s medical record; it protects them from unauthorized photographs and news stories, as well
I believe that our patients have many basic rights that must always be provided, and must always be upheld. Our ethical duty as healthcare professionals ensure that we must give our patients these basic rights so we can provide the highest level of care possible. These basic rights include, privacy, respect, and also patients should be given the opportunity to give informed consent, among many other things. First and foremost, our patients must always be provided with a high level of privacy. Privacy allows our patients to feel comfortable coming to our healthcare facility and not have to worry about their confidential medical information getting released to anyone from the outside.
It inquires experiential knowledge of social values and ethical reasoning. The main focus is on matters of obligation, what ought to be done, right/wrong and responsibility, ethical codes of nursing, confronting and resolving conflicting values, norms, interests or principles. Personal knowing: The self and other in nursing -
Professionalism is the skill set that society expects from a professional. For a nurse, professionalism is not merely knowing how to take someone’s temperature or how to administer medication. It goes beyond that and consists, not only of job competence, but also includes personal and ethical dimensions. Professionalism requires job knowledge, accountability, advocacy, communication, and ethical decision making. Knowledge is the foundation of professionalism, but accountability establishes trust in the profession.
Nurses are faced with ethical dilemmas related to clinical issues, and disease and treatment decisions daily (Kangasniemi,
If nurses make mistakes, they have to admit it. In addition, Nurses have an ethical responsibility to keep their patients ' medical record confidentiality. Nurses shouldn 't release this confidential data to other persons. Furthermore, Nurses need to be trusted with a great deal of high profile information. A patient counts on a nurse 's professionalism and integrity to keep their medical information confidential.
If we as nurses respect the confidentiality of a patient, we should do so for all the patients. However, Griffith (2007) argues that the duty of confidence should not be absolute and nurses should always consider sharing information if required. Though the principle of respecting patient autonomy and their right to confidentiality is broken here, the principle of beneficence and non-maleficence is uphold. Nurses have an obligation to protect patient’s confidentiality but the duty to warn an innocent party of imminent harm is far more critical. Therefore, breaking confidentiality here is potentially doing more good than
This type of disclosure is an organizational violation, but could also lead to legal ramifications as well. Incidental disclosure of protected health information is not considered to be a “violation of the HIPAA medical privacy regulation provided the covered entity has applied reasonable safeguards” (Hatton, 2003) to help prevent them. This error also has the potential to cause distrust in the patient that the nurse is transporting, causing them to lose faith in the company. The nurse stopped Sue in the hallway (a public space), while transporting another patient, to tell Sue that there was an issue. The nurse made no attempt to keep the issue private and rattled of the details in front of the escorted patient, even though the situation was not an emergency or life threatening.
Confidentiality is an important part of nursing practice and the NMC Code (2015) states “As a registered nurse or midwife you must protect confidential information”. Patients are disclosing private and sensitive information and they have the right to expect that it will only be used for the purpose it was given (Burnard and Chapman, 2003) however, there are exceptions, which will be explored further on in this essay. During the course of this essay, confidentiality will be discussed in further detail and will be considered in relation to the law, nursing ethics and accountability under the NMC standards of conduct. There will also be an exploration of how consent, capacity and duty of care relate to
This means that we need to stand up for the patient and speak on the patients behalf where we feel that the patient is unable to do so for themselves. If mental, sexual, financial or physical abuse is suspected then it is the nurses duty to try and find out from the patient what is happening and who is abusing them. Once the nurse has a good idea of who is abusing the patient he/she needs to speak on behalf of the patient to SANC, the matrom of the ward, the patients family and potentially even the police if need be. Performing an assessment: The nurse concerned about the patient’s wellbeing should ask the patient about the way in which they are being treated, check the patients skin integrity as well as looks for any bruises or signs of physical or sexual abuse on the patient’s body.
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.