Nurses often face ethical dilemmas and moral distress throughout various levels of direct and indirect patient care. According to Moon and Kim (2015), patients often die in the intensive care unit, and ethical conflicts frequently occur due to a variety of factors, such as verbal abuse, poor communication between health care providers, and increased incidences of end-of-life issues. I think this is a very important subject to think about, especially when these conflicts can significantly impact job satisfaction, burnout, and ultimately threaten the quality of care for patients. Furthermore, a qualitative study conducted by Henrich et al. (2017) shows that healthcare providers often experience negative emotional repercussions from moral distress in the ICU, and patient care is frequently perceived as being negatively affected. In addition, the same study reveals that nurses and other health care providers in the intensive care unit are more likely to leave their job due to moral distress as compared to other hospital settings. Research has shown that moral distress and ethical issues can have profound impacts on health care providers, such as patient safety, workplace dissatisfaction, and emotional suffering. As a practicing ICU nurse, I also have my fair share of …show more content…
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
Midterm Essay Exam Nurses experience moral distress in situations such as Amelia Wilkerson's. In cases similar to this, nurses are sometimes left feeling powerless to take action on the appropriate decision. Rathert, May, and Chung (2016) explain that ethical dilemmas and conflicts are unavoidable in healthcare today. The ethical dilemma for Amelia comes after responding to Katy Palmer's question.
BSN Program Outcome V This outcome was addressed in Nursing 3040: Women’s Health Global Perspectives through emphasizing the need to appreciate diverse cultural practices and beliefs in promoting women’s health. Several months ago, I was notified of a Sudanese woman who was threatening to leave against medical advice from the ED due to the fact that there was no female practitioner on duty to do a pelvic examination she needed to evaluate her lower abdominal pain. In understanding the Sudanese culture, after discussion in class, I was empathetic to her request for a female to complete this invasive procedure.
Also, Provision 4.2 addresses the fact that all nurses are accountable for decisions and actions taken in the course of the nursing practice (P473). Although no harm was done, nursing professionals must learn from wrongful acts and stand up for what we know and believe is ethically
D-The patient arrived on time for her session and informed this writer that she has decided to remain with the clinic as she learned on her own that no detox facility will accept her because she is testing negative and currently on methadone. The patient further mentioned that she is questioning as to whether or not her sister and her mother would help her as they said they would; however, the patient had a moment and looked back when her family did not help her as she struggled with her children. Furthermore, the patient reports, her sister did not give her the $80.00 for her rent. The patient reports that she had asked some guy for assistance. This writer addressed with the patient about her employment status and money management.
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.
Ethics serve as a guide for moral and ethical conduct and thus treat people with dignity, respect and uniqueness regardless of age, sex, color or religion. Also adhere to their job description and within the nation’s healthcare workforce. Surveys from several nursing specializations reported that there is no differences in
What new strategies can we introduce to reduce moral distress among practicing nurses compared to current strategies that would reduce moral distress and increase retention of experienced nurses? According to a survey conducted Woods, Rodgers, Towers and La Grow (2015), 48% of nurses surveyed considered leaving their position due to moral distress. Some nurses may even leave the profession. This should be a major concern for nurse managers because retention of experienced nurses is essential for mentoring new nurses, provides a balance of experience in patient care settings, and leads to improved patient outcomes.
Nurses are faced with ethical dilemmas related to clinical issues, and disease and treatment decisions daily (Kangasniemi,
I utilize these values to make decisions and live my everyday life. In nursing, my philosophy focuses on ensuring patient safety, maintaining confidentiality, and providing dignity and comfort for the patients as well as their family members. By being open-minded and expressing genuine concern we can establish rapport and trust in our therapeutic relationships with the patients and their loved ones. I believe that every patient deserves to be treated with respect, regardless of their emotional state or socio-economic background. Often, while working in the Emergency Room, I meet patients, who are angry and frustrated in the face of unknown, yet I maintain my calm approach and recognize that their emotions are determined by the level of pain, anguish, and suffering they are experiencing at the moment.
Legal principles Nurses like other healthcare professionals need to practice according to a complex web of federal and state statutes – while making decisions in an ethically responsible manner. Nurses tend to consider the ethical implications of their decisions to ensure their actions are in the interest of their patients and do not cause harm. At first glance, it may seem that making these decisions should be straightforward, but many situations are not clear-cut, and there are times when what seems legal is not ethical and vice versa. The nursing, legal principles fall on the licensure, federal and state laws, the practice scope and the expectation of professionalism.
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
What are my moral obligations? How do I weigh one moral duty against another? (Deontology and Ethics: What is Deontology, Deontological Ethics?) Nurses face this questions every day in the workforce. Nurses face many situations in the workplace which deals with issues of health, life, and death, for example lying to a patient about their diagnosis.
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.
Background and Significance of the Study Moral integrity is the key ingredients and navigator in professional nurses that lead to ultimate goal of nursing care. It has been recognized as a fundamental part of professional nurses’ practice (Ulrich et al, 2010; Pavlish et al, 2012). Professional nurses play the largest role to support the need for individualized treatment of the patient. The goals of the profession of nursing are related to ethical and involve protecting patients from harm while providing care that is the most benefit for the patient (Bosek, 2009; Kopala&Burkhart, 2005; Helft, 2011; Susan, 2013,). Nowadays, professional nurses have encountered to face and manage with moral problem that occur from complexity of patient health problems, advances in technology, inappropriate of health care system, policies and priorities that conflict with care needs, inadequate staffing and increased turnover, or lack of administrative support (Brazil et al. 2010; Eizenberg et al. 2009; Elpern et al. 2005;
Nursing and Ethics Healthcare ethics has been of higher importance as long as healthcare practice has existed. It is first necessary to explain that healthcare ethics is regarded as moral principles that are commonly considered as allowable and reasonable by the society. However, in spite of a universally stable set of ethical standards that direct the healthcare industry, there are many cases of these values on the verge of being violated. For instance, it is extremely possible that a medical worker will face an extraordinary situation that requires high performance of reaction, solicitude, attention and custody. Professor Megan-Jane Johnstone who is noted for her scientific researches in the areas of health care ethics and nursing has focused her work titled Nurses' Experiences of Ethical Preparedness for Mass Health Emergencies and Healthcare Disasters: A Systematic Review