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. Their license and nursing standard offers a framework that stipulates
Introduction Nursing in its entire essence is not only a profession per se but is actually a vocation. A humbling and a rewarding profession that needs a good heart to be able to perform and needs a degree of commitment, discipline and responsibility not only for oneself and also for others. As nurses place value on their commitment to serve, they are also bounded by the profession to be accountable and responsible of ones actions. There is that moral aspect that nurses owe to themselves, to their colleagues and to the community they serve. All nurses same as with other professionals, undertake their practice in accordance to a code of ethics and legal practice which is acceptable to the norms of service to the society.
It is purely therapeutic and should be planned, time-limited, and goal-oriented. Imogene King explained this further when she developed her Theory of Goal Attainment. She stipulated that interactions between the nurse and the patient must result in goal achievement (Webber, 2015). Therefore, the nurse must meet the client needs and help them regain control of their health. Regardless of the context or the duration this relationship, the nurse has the obligation to respect the client 's dignity, promote their autonomy, and respect their privacy.
Beneficence is the core principle that refers to the act of ‘doing good’ and advocating for the patient. All nurses should take positive actions to help their patients and to have the desire to do good. On the other hand, nonmaleficence is the core of the nursing ethics and it revolves around the idea that nurses have to remain competent in their field as to avoid causing injury or harm to patients. Nonmaleficence also requires all health care professionals to report any suspected abuse. The last ethical principle is justice.
If an administrator supports Kantian deontology, he or she could use the categorical imperative to state that respecting and allowing one to pursue spiritual growth is a moral and ethical duty (Morrison & Furlong, 2014). Healthcare leaders and administrators have an ethical duty to provide environments in which both workers and patients can examine their spiritual desires and needs. The practical
Some would argue that while people always have a duty to do no harm, we don’t always have a duty to help. However, in health care, there is an implied duty to help by virtue of the physicians relationship with the patient. This duty is both legally and morally based in that it is reasonable for patients to expect a professional caregiver to act in ways that will promote their health and well-being. On the other hand, there is generally a recognised limit to the level of service and sacrifice owed to a patient by any particular health care professional(10). As with harm, the definition of good is difficult.
This essay will discuss the core professional values of nursing and how they are important for the delivery of safe, high quality care. Competent and compassionate nursing care of the sick has a long tradition as a valued public service in Ireland. However, several reports, including Lees Cross 2006, Aras Attrachta 2013,2015, Portlaoise 2014, have challenged this position. The core values were reaffirmed in Ireland in 2016 (Department of Health, 2016) These values are identified and agreed as Caring, Compassion, and Commitment they advise basic leadership by guiding each nurse and midwife to deliver safe, effective, high quality holistic care. NMBI (2016) states Values are the imbued rule that guide the activities of nurses and midwifes.
Organisation has defined ethics in healthcare as being ‘concerned with moral principles, values and standards of conduct’ (WHO, 2015, p.10). Numerous ethical matters can arise within the healthcare realm. These may be related but not exclusive to the delivery of care, professional veracity, data handling, the utilisation of human subjects in research, and the employment of new controversial practices (WHO, 2015). Nurses are accountable to the public and therefore are greatly regulated by the Nursing and Midwifery Board of Ireland (NMBI) and the International Council of Nursing (ICN). Through codes of conduct and ethics these regulatory bodies legally obligate nurses to acquire four central responsibilities: ‘to promote health, to prevent illness,
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.
In addition, philosophy prepares nurses with the tools to act as moral agents in providing the patient with the best care (Bruce, Rietze, & Lim, 2014, p. 65). There are several theories and practices of nursing, the ones I will be focusing in my philosophy include, Watson’s Caring Theory, Standards of Practice for Registered Nurses, Evidence-based Practice, Person-centred Care and Nursing Process. My nursing philosophy is based on utilising these theories by providing professional care to the best of my ability by utilising my attributes, working in a multidisciplinary team and not judging any patient. This is important to me because I have always wanted to be a nurse that is caring, in some of my hospitalisations when I was younger I was treated unprofessionally and disrespectfully by some nurses. These experiences make me want to be the best nurse I can possibly be and to not let my patients experience the negativity I did.
Hello, Mary. The goal of beneficence is to protect the well-being of the patients. In nursing, doing good and doing the right thing is the best policy. In our long-term care restraints is not an alternative. Instead of using restraints our facility provides patient care observers to be with the patient to ensure their safety.
The second ethical issue is informed consent. Telehealth must provide enough information to the patient information to assist them in making informed consent. The third ethical issue is access to care. Telehealth ensures equitability in access to care, a vital ethical gain for patients. Lastly is autonomy.
The Department of Health (2004) highlights the importance of inter professional working to optimise health needs of children with long term illnesses, it identifies that this improves health outcomes for the child, supports the family and promotes social inclusion. Like minded, Bayliss-Pratt (2013) suggests that MDT working generates the appropriate skills to achieve better results and practices; an important outcome of the NHS healthcare system. When healthcare practitioners fail to liaise with each other professionals, it results in care delivery being inadequately
The ethical issue at hand is whether the nurse should respect the family’s wishes or disclose the truth to the patient. A nurse’s responsibility is to be professional, stay true to the lawfulness of their profession, and follow the Code of Ethics and hospital’s policy (Punjani, 2013). By telling Michael the truth, Amir will
Basically for the principle of non-maleficence means to be the direct cause of harm done to a patient, so not just to promote the well-being of the patient or to prevent harm to them, but to not be the direct cause of the harm. Ethics committee is a group of healthcare professionals that must developed guidelines and