This framework is a useful standard against which the professional behavior of a nursing practitioner must be measured. The Nursing Staff Supervisor (NSS) can refer to this standard (or standards of ethical behaviors) when resolving ethical issues in nursing practice. In situations wherein the ethical issues are so complicated to be resolved at the hospital level, the ANA may be able to step it within a pre-defined parameter, to extend their institutional ethical expertise to help resolve the ethical issue involved (Wood, 2014). Nursing associations oftentimes have a dedicated ethics committee who are comprised of ethics experts over issues relevant to, or uniquely encountered only in, the nursing practice.
The tem ethics refers to the moral principles that guide a person’s behavior, with respect to the rightness and wrongness of their actions. In the field of nursing, these moral principles govern the relationship between the nurse and the patient, members of the healthcare team, and society at large. Nurses must constantly question whether a certain procedure or course of treatment is in the best interest of the patient. When viewing the film “Miss Evers’ Boys”, it was clear that the doctors, researchers, and even Miss Evers were not acting in the best interest of all the patients. This movie depicted true events of a study that took place in Macon County, Alabama, in 1932.
If you look out for the wellbeing of you patient and express what is best for your patient then you are actively practicing the value of altruism in the field of nursing. Next, the professional value of autonomy. Autonomy is the personal value of one over themselves, free form control of others (96). An autonomous person is one who acts intentionally, with understanding and without the influences of others opinions on them. As a nurse it is important to know when to give your input and when to hold off.
Professional boundaries Description Professional boundaries are described as the limit which protect the space between your professional's ability and the patient vulnerability (National Council State Board of Nursing). They mark the borders and edges of the professional, therapeutic relationship, and non-professional or personal relationship. Patients can expect a nurse to behave in their best interests and to respect their dignity. As a nurse abstains from obtaining personal gain at the patient's expense and refrains from inappropriate engagement with a patient or the patient's family. Feelings The feeling of professional boundaries comes in both positive and negative ways.
Description of an Ethical Dilemma According to Masters (2015), “An ethical dilemma is a situation in which an individual is compelled to make a choice between two actions that will affect the well-being of a sentient being, and both actions can be reasonably justified as being good, neither actions is readily justifiable as good, or the goodness of the actions is uncertain” (p. 129). In practice, nurses are continually faced with varying ethical issues and dilemmas. When making day-to-day decision nurses must rely on their critical thinking skills to aid in their decision-making (Masters, 2015). Ethical decisions originate from well thought out findings constructed from the following variables: personal and professional values, competencies,
Provision one, a provision in the American Nurses Association Code of Ethics for Nurses, entails that nurses should pursue their nursing career with empathy and respect towards all patients. In other words, patients should be viewed as separate individuals with separate values and beliefs. Nurses and other healthcare professionals should respect their individual decisions, whether they agree with them or not. This code of ethics provision relates to the ethical dilemma of a patient refusing medical treatment. Although nurses are trained to do all that they are capable of doing to save patients’ lives, sometimes nurses reach a dilemma that puts a strain on their practice.
From time to time, social work practitioners face different challenges and one of such example is being confronted with ethical dilemmas. An ethical dilemma is defined as “when the social worker sees himself or herself as facing a choice between two equally unwelcoming alternatives, which may involve a conflict of moral values, and it is not clear which choice will be the right one” (Banks, 2012). Ethical dilemmas can occur in the context of either client or organisational-related conflict situations at work. The first ethical dilemma is when the patient refuses medical treatment and services because he or she would not accept that there is any problem. The dilemma lies in how the social work practitioner would respect the patient’s autonomy and determining whether the patient is competent.
Delegation requires the nurse to make decisions based on patient needs, the complexity of the work, competency of the individual accepting the delegation, and the time that the work is done. “Delegation decisions are sometimes made based on a list of tasks found in a job description, such as taking vital signs, bathing, or ambulating patients” (Weydt, 2010, 10). During making a delegation to unlicensed personnel, the nurse should consider the unlicensed personnel’s the scope of practice of the person that the task is delegating to, the level of education and the training. If all of these aspects are considered by the nurse; then the licensed nurse is working within his or her scope of practice and covers by the Respondeat
Beneficence means that nurses should value patient’s autonomy, also to do good and always act in the greatest advantage of the patient. Based on Code of Ethics and Professional Conduct, “Value Statement 4: Respect and preserve clients’ privacy and dignity” that nurses should prevent or resolve any situation in which patients are not given privacy or dignity. Furthermore, render correct care to support an honorable and peaceful passing in situations where life can no longer be continued. For this situation, beneficence should be well-thought-out by the nurses as informing Mr. Ahmad about his condition may let him accomplish his unfinished task of his life. Moreover, it may help in feeling more peaceful and reduce his doubts; therefore, knowing his condition could have been helped him in numerous ways.