Kangasniemi, M. P. (2014). Professional Ethics in Nursing: An Integrative Review. JAN Journal of Advanced Nursing, 1744.
With today changes, nurses face cases such as heavy workload, lack of resources, increased patient awareness, low occupational ,various problems related to staff skills, life quality and workplace violence. In But, there is the anticipation that nurses should treat patients in an ethical manner and put ethics first in their professional performance. Across the world, nurses are guided to use professional codes that highlight their obligation to respect, protect and safeguard the essential rights of the patient involved in nursing and health care(Sharifabad
Code of Ethics for Nurses in Australia (Nursing and Midwifery Board of Australia [NMBA], 2008), it is complementary to the International Council of Nurses (ICN, 2012). The nurse’s combat ethical dilemmas on an everyday basis, but there are codes, which serve as guidelines to aid them in decision-making and critical thinking (Cerit & Dinc, 2012). The Code inspires nurses to make ethical decisions more effortlessly. According the Code, the nurses opt to be positive and thoughtful towards the ethical tasks and perform it at the finest level to accomplish ethical obligations. Moreover, it underlines the significance of informed consent, and reports the chief ethical issues in day-to-day practice, for example, privacy to respect and privacy of the
Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition, she is most frequently assigned any change of shift admissions. While she understands that she is part of a team, she often feels that the consistency of the inequity of these assignments is not fair. She is self-aware of how this is affecting her. As she starts her shift today she is again assigned to the
The last past eight weeks have provided an opportunity to achieve several program outcomes that will prepare me as my role of nurse practitioner. This course NR 602 has provided me with an opportunity to meet the MSN program outcome #6, the MSN Essential VII, and the Nurse Practitioner Core Competencies # 8. These program outcomes will institute a base upon which care can be delivered with quality.
Florence Nightingale has impacted my nursing practice. She came into a hospital setting that had low standards and the environment had caused more problems for the patients than the war. She made efforts to clean up the facilities. She kept records of the changes and was able to show that a more aseptic environment was crucial to the healing process. This is something that I use in my daily tasks as a nurse. I wash my hands regularly, keep my patient’s rooms clean and organized and make sure that my patients have baths daily to prevent infections.
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). Ethical conflicts are work can lead to physical and mental burnout for nurses. According to the Nurse Code of Ethics nurses are morally obligated to
(rationality) to determine what processes and systems should be put into place to assure fairness and justice for all in the community (equality). Relationships lens means Fair Systems. For example, what relationships are important? what is a just system? And have I given everyone an equal opportunity to succeed? With respect to this reference, my personal code of ethics, the relationship between nurse and patient is important. Because it is responsible to the safety of the patient, it is a nurse after all. In order to play an important role to the safety of the patient, nurses to
The ANA Scope and Standards of Nursing Practice include a list of standards. These standards are statements, which summarize what is expected from nurses in professional nursing practice. The standards form the foundation for decision-making and provide nurses with direction including which actions to take (Nursing: Scope and Standards of Practice, 2015). The ANA Code of Ethics for Nurses with Interpretive Statements aids as the ethical structure in professional nursing and offers direction for the future. The ANA Code of Ethics includes nine provisions, which summarize the main ethical ideas, values, and morals for the nursing profession and provides a guide for nurses to use in ethical analysis and decision-making, including which actions to take (Code of Ethics for Nurses with Interpretive Statements,
Person- centred practice refers to the ability of a registered nurse (RN) to be able to build trust through the way in which they communicate with a patient and the patient’s family and friends. It is the ability to maintain a set focus on empowering the patient in order for their needs to be met whilst also respecting their rights as a human. Within the scenario the employed Carer Corey Lucas has disobeyed person-centred practice. According to the Nursing and Midwifery Board of Australia, Code of Conduct for Nurses Lucas has disobeyed the Nursing Practice Principle 2.1 A, Lucas has been employed by Health Facility thus it is his responsibility to carry out a duty of care for his patients and abide to any national documents within his role. Lucas has also gone against 1 B, Clarence Hausler is an end- stage dementia patient who has been a long term resident of MRCF, due to such high level of Dementia he is a bed ridden patient suffering from a lack of communication and thus is unable to complete daily routine activities without constant assistance by a carer. Lucas has been employed by MRCF to give Mr Hausler what’s meant to be constant safe and quality care and fails to do so. The principle Adverse events and open disclosure 2.4 A has also been disregarded by the employed carer, the guilty carer did not own up to his aggressive actions when caught on camera and pleaded guilty against the incident. 2.4 B, involved the way in which MRCF failed to act immediately in response to the incident in order to protect the safety of the patient. When the Facility became aware of the horrific incident they decided to instead send a threatening letter to the patients daughter claiming her to have breached numerous acts in relation to privacy and surveillance within an aged care facility and refrained her from continuing to film evidence of the incident. 2.4 D, outlines the way
Civil and criminally due to nurses having a duty of care to the public and to ensure harm does not come to patients while under their care. Employability law due to nurses working within polices and guidelines of their employer, working outside policy risks litigation (Guy H, 2010). Additionally nurses are accountable professionally, morally and ethically and should withhold the NMC code of conduct (2015), by not withholding the code while practicing, nurses become at risk of struck off the nursing register. The next section will focus on a case example. 104 words
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.
Ethics can be explained as principles a society develops to guide decisions about what is right and wrong. Ethical principles that society has are influenced by religion, history, and experience of the people in the group. Meaning that ethics is based on guidelines we have learned while growing up, that helps us differentiates what is right and what is wrong. For example, some people think health care should be a human right as others think it should only be available to those who can pay for it. Each group of people is guided by the principles they believe in. Ethics in health care play a vital role every day. The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to patient’s life. For the purpose of this paper, I want to explain the occurrence and some of the ethical concerns found in a case of an elderly patient, who believed in Curanderos and didn’t realize the harm she was doing in regards to her health by not taking her medications.
Ethical issues may arise in the workplace no matter how big or small the facility. It can originate from a single act or come from the top down through culture. In general we learn from a young age what is right from wrong; therefore one would think that everyone thinks the same and all should be running smoothly.