The practice involves the use of clinical decision in the provision of care to enable nurses to improve, maintain or receive health to cope with health problems and to achieve the best possible quality of life .Good nursing practice requires that practical efficacy .The authority for the practice of nursing is based upon a contract that determines professional rights and responsibilities as well as mechanism for patients accountability (Danjuma & Adeleke,2015). Ethical caring is an essential in nursing practice. Nurses are confronted with difficult situations in which they are expected to autonomously make decisions in delivering good care to patients. Although a wide range of studies have examined ethical behavior of
Studies indicate that patients are more receptive to nurses that align to their gender. However, this does not imply that the gender difference between patients and nurses has a big impact in their communication. On the other hand, cultural and religious differences between nurses and patients can affect their communication (Jahromi & Ramezanli, 2014). In some instances, the patients’ culture may contradict with the code of nursing professionalism hence hampering efficient communication. Language differences also affect the nature of nurse-patient communication.
Thus a routine where emotional concerns can often be dismissed in a way that prevents any further discussion on the topic. This can manifest itself through the preemptive reassuring of the patient before their main concerns have been voiced and also simply stating that a certain level of stress is expected. It is also possible the fact that patients do not reveal all of their concerns and the reasons for this may not be understood by the healthcare professional. Patients may hold back on voicing concerns for a number of reasons including not wanting to be a burden, concern that their issue is not legitimate and worrying that they will seem unknowledgeable. At the start of the encounter with the patient eye contact should be established and maintained regularly to demonstrate interest.
2005; Sporrong et al. 2006; Wigglelon et al 2010). The goals of nursing profession are involve ethical and protecting patients from harm (Kopala& Burkhart, 2005). It is looking at or investigating certain issues about human ability that concerned what ought to be, what is right, or wrong. Nurses have to face with patients, families, physicians, and other professionals who are a
Introduction In today’s health care system, the quality and delivery of nursing care are influenced by the development of technological support which also contributed some patient to accomplish a better quality of life, while for others it prolonged their distress. Nurses’ main responsibility is to manage situations and to give safe and proper legal and ethical care by using their ethical knowledge. Perrault, 2008 defines ethics as a branch of philosophy dealing with what is morally right or wrong. It also helps to maintains standard of care provided. Nurses come across several ethical problems in the line of nursing practice.
Nurses must have awareness about their professional ethics because they are taught in the course of their training. Intervening factors such as gender, religion and professional ranks among nurses have influence on their awareness to influence how they perceive the ethical standards in their professional practice. This informs whether they apply professional ethics or not . Intervening factors have an influence on whether the nurses are adhering partial or fully. With regards to monitoring and sanctions, when nurses are supervised by their supervisors to ensure that they follow their ethics in their professional practice, they will observe them.
Nurses admit to mistakes they have made. For example, if a nurse administrates a medication to the wrong patient by mistake, the nurse has to be honest and admit the mistake in order to save patient's life. In conclusion, Professionalism is extremely important in the nursing profession in order to maximize Patient's outcomes. Furthermore, nurses’ interactions and relationships with patients are important to ensure that the outcomes are met. Professionalism in nursing profession has basic principles Such as discipline, integrity, teamwork, Appearance, caring, empathy, and honesty.
Ethical Decision Making While working with clients, nurses will have many instances when they need to call on nursing ethics to deal with difficult situations. Moral or ethical principles are fundamental values about the way patients should be cared for and treated. These principles include autonomy, justice, fidelity, veracity, beneficence, and nonmaleficence (Zerwekh & Garneau, 2018, p. 420). Nurses who do not follow the Code of Ethics for Nurses could find themselves in legal trouble. They also may face a higher risk of being involved in a situation that could lead to disciplinary charges or malpractice litigation.
Therapeutic privilege is the idea that if the health care provider discloses information to a patient it may harm them more than help them. The concept of therapeutic privilege is tricky because it must be well documented that omitting the information is in the patient’s best interest. Also, in most cases, therapeutic privilege does not completely overrule informed consent. The health care provider must provide any information to the patient that they judge not to cause harm to the patient. For example, they may not disclose the diagnosis immediately but may explain and gain consent for the preferred treatment option.
Human privacy, dignity, justice, autonomy in decision making, precision and accuracy in caring, commitment, human relation-ship, sympathy, honesty, and individual & professional competency. Conclusions:- This study showed that common ethical values are generally shared within the global community. However, in several areas, influences of social, cultural, and economical status and religious beliefs on values result in a different definition of these values. This study revealed that based on humanistic nature of nursing, common values in nursing protect human dignity and respect to the patients.
Those who are in a mental institution program should be taken seriously and not be treated as if they were invisible. People usually do not get the help they need because they do not know where to start and the job of the nurses and doctors are to take care of them. A mental illness does not go away on its own, it is something that the person has to work on even if it is a long process, the progress will be made. People are terrified of what will happen to them or what others think of them, which means everyone needs to make them feel comfortable or else their journey to getting the cure will not be overcomed. People cannot accept their serious illness, but doctors should be able to accept helping them out and supporting them.
That will encourage and motivate others to work as a team and help each other. Identify the barriers of change, which might be the staff nurses who are skeptical of change. They may have a lack of confidence in their ability to adapt to new technologies, or may perceive the change as a threat. Some nurses have adopted a short cut process of administering medication to save time, which is pre-pouring medications. Workaround is another big barrier which occurs when nurses pass the medication without scanning the medication and the patient’s identification (ID) band, to save time and scan them later.