Ethically, it is a nurse’s duty to prioritize patient care and provide alternatives when their wishes interfere with the doctor’s preferences. It is important to incorporate the patient’s beliefs into care that is best for them. The Code of Ethics for Nurses with Interpretive Statements states, “The nurse promotes, advocates for, and protects the rights, health, and safety of the patient” (American Nurses Association [ANA], 2015, p.468). This provision discusses the importance of a patient’s right to privacy, being fully educated, the right to safety, and to be fully protected from impaired practices (American Nurses Association [ANA], 2015, p.471-472). A professional nurse should provide privacy and is a right to all recipients of care.
One ethical obligation nurses are required to fulfil during their shift is to ensure no harm is done to their patient. Due to nursing shortages and too many patient’s, nurses are finding this hard to do. Ethics help nurses make the right decisions with the guidance of their morals, but due to shortages and overworked nurses they tend to feel dissatisfied with their jobs. This results from unsafe work environments, lack of time for communication and quality care of patients. “Understaffing and overtime hours have been associated with increases in patient mortality, hospital-acquired infections, shock, and bloodstream infections” (Kane et al., 2007b).
As previously mentioned, health care professionals need to continue to improve the way the face ethical dilemmas. When a surgical doctor faces a moral situation where he faces when a patient refuses a blood emergency transfusion, he is guided by the broader ethic principles and laws dealing with beneficence (providing benefits and balancing them against risks to a patient of specific treatment), but at the same time he is guided by broader principal of non-maleficence (where a physician’s obligation of first, do no harm’ to a patient). When both of these principles conflict, then the patients right of autonomy be violated. This paper provides possible recommendations that prepare a medical professional to find the best solution that saves
Exploring this dilemma from the point of view of the doctor, it can be seen that his best self-interest is very different than that of Ashley’s parents. Defining the doctor’s self-interest, it can be noted that he is probably seeking to defend his position, allow Ashley’s parents to use the medical services to perform the treatment, and make some form of income. If he was an advocate of the procedure and there was substantial backlash against it, then he would be working against his own interests if he condoned it. As a result, it would be non-permissible for the doctor to do anything that would result in negative legal ramifications or critical backlash. Also, if the operation were to threaten or harm his position then it would also be
On a daily bases we, as human beings, are faced with making decisions that deal with right and wrong. We are taught at a young age about morals, ethics, values and our laws in society. We carry the lessons we learn when we are young throughout our life and even into our careers of choice. The career you choose to go into will have policies and procedures that are to be managed and followed. With the uprising in technology we are faced with more ethical decisions that are more challenging than before. Police face an ethical decision every time they take on a new case. When is it okay for a police Officer to obtain information that may save your life or the life of another?
It makes my heart hurt to see someone, or have to place someone, in that situation. Even though I know at the time it has to be done, because all other options have been exhausted, sometimes it is necessary to protect the staff and the patient. All too often staff who forget how blessed they are because they have a place to go home to,
Ethics Decision Paper from Yu Chen When I just graduated from university, I have been to a forwarding company as an intern. I am in charge of collect documents from two companies, the job is idle. A workmate to discuss with me, let me finish his part of the work that is close to the company I work for. He said that he and I can alternate the rest.
The multidisciplinary team including physician, nurses, social workers and case managers should be all attended. It is necessary to care for families facing the ethical dilemmas of futile care with sufficient medical knowledge, ethical knowledge and communication skills (Coustasse, 2008). The nurses as a caregiver and advocate for patient, they have the responsibility to provide the primary care for the patient and work independently, including prioritizing care needs, managing bedside technology, and acting as the primary support and first source of information for the families (Payne, 2009).They spend more time with the patient than any other clinicians and they are always present during patient suffering (Hamric and Blackhall 2007). The futile treatment may cause pain or discomfort for the patient. Their perspectives are important for end of life discussions (Hamric and Blackhall 2007).
My greatest fear, is to have a patient who is dying, in pain and to be faced with a vast confusion regarding their treatment. This confusion is faced by all care givers. How and where do we place a DNR patient along with all other demands placed on us? For example, A dying patient shouldn’t be a low priority over and admission or over an active GI bleeder. All should receive the same attention and dedication.
Often times, a patient wants a doctor or nurse that maintains professionalism, but also shows compassion and empathy (Cohn, 2010). A doctor or nurse must carry out their duty to provide the best care possible and make sure their patient feels as though they are a part of the care plan. However, it is also important to maintain empathetic when a patient is having a hard time dealing with a diagnosis. A great way to balance these two, is to be empathetic for the patient’s circumstance, but to also not be too affected emotionally. It is alright to sometimes be emotional with patients, but the patient should not have to feel like they have to support their doctor or nurse.
counselling, they talked about confidentiality and she ensured absolute confidentiality to the father and the daughter. Once they finished counselling the service worker felt guilty for promised absolute confidentiality to the clients, because she was told about severe physical and mental abuse from the father. She was in dilemma, as she promised absolute confidentiality to the clients, whether to keep the promise or to breach the confidentiality and report this to the management. Here the service worker faced dilemmas because of Lack of training and knowledge in a new situation. If she was an experienced worker she would never promise absolute confidentiality to any clients.
At the ending of most people lives, they choose to spend it with loves one. Making psychosocial support a priority for them, because many in this care are in constant pain or knowing they are on the verge of death. Physicians dealing with these patients want them to secure strong psychosocial support, in these trying times. Both
I consider you have done a good exposure of the subject this week. Likewise, I agree with your arguments. There is no doubt that regardless where we work we would face individuals who are extremely hard to work with. Actions, decisions, and cultural formation are factors that impact the behavior of such individuals to name a few. Each person has a different worldview and they use it to make ethical decisions. That worldview is based on several elements: life experiences, education, family background, political and religious beliefs, perceptions, and values.