In this case study the primary nurse, Amelia Wilkerson, is caring for a patient, Katy Palmer who has recently been admitted to the hospital for fatigue and abnormal lab counts. The patient asks Amelia for information regarding her diagnosis. Amelia has seen Katy’s results and knows that she has been diagnosed with acute myelogenous leukemia. The ethical dilemma seen in this situation is that it is outside of the scope of practice for Amelia to discuss Katy’s original diagnosis with her. This is reserved for the doctor alone. However, as a nurse that has developed a relationship with her patient it would be very difficult to not answer her question honestly. In addition, the patient might feel more comforted hearing the diagnosis from her nurse rather than the doctor as the nurse has been caring for her and they have developed a therapeutic relationship.
In Greek, Euthanasia directly translates as “good death”. Euthanasia is defined as performing interventions or administering medications with the intention of causing a patient’s death in order to relieve pain or suffering (Asch, 1996). There are many moral, ethical and legal issues regarding the topic of euthanasia. This paper will discuss in detail: the definition, history, current issues, effects of euthanasia on families, clinical practicing nurse perspectives and the American Nurse Association opinion on euthanasia.
Organizational climate refers to the nature of the perception of values, beliefs and behaviors of its members. More specifically ethical climate refers to the collective perception of what is ethically acceptable within the context of an organization. Ethical climate is not only an identifiable and measurable organizational phenomenon but also a central variable in the promotion and socialization of ethical and unethical behaviors . Ethical climate represents the informal yet collective perception of individual ontology and acceptable or unacceptable behavior (Malloy,2009).
This level of knowing is characterized as difficult moral choices between right and wrong in the complex arena of health care. It is an understanding of different philosophies of what is morally right within different ethical frames (Carper 1978). This way of knowing is part of the knowledge base of the expert nurse in Benner’s theory. The expert nurse connects a situation to action through intuition and identification of the problem, and is able to devise multiple alternative diagnoses and solutions (Alligood, 2014). The expert nurse is able to integrate vast knowledge bases with meeting patient goals and needs. The expert nurse is then able to help patients navigate care when faced with decisions that may be ethically or morally difficult in
Deontology is an approach to ethics that focuses on the rightness or wrongness of the actions themselves instead of focusing on the rightness or wrongness of the consequences or the character and habits of the actor. The theory of deontology allows a person to really consider their actions before blindly acting on impulses. Taking a closer look at the rightness or wrongness of one’s actions BEFORE they are acted upon is how I have lived my life ever since I was a child and will continue to be the way I live my life.
Ethical dilemmas, also known as a moral dilemma, is a situation in which there is a choice between two options, neither of which resolves the situation completely. In other words, both options will result in negative results based on society and/or personal guidelines. Labor and delivery nurses are often confronted with ethical dilemmas in practice. To help student nurses prepare for this eventuality, nursing programs do their best to incorporate education about ethics and professionalism into courses. This introduction to ethics in nursing school also assists future nurses to begin recognizing and managing their own personal values in a way that can help guide them in resolving ethical conflicts they will encounter throughout their professional careers.
Utilitarianism and Deontology are two major ethical theories that influence nursing practice. Utilitarian principles of promoting the greatest good for the greatest amount of people parallels the nursing tenet of beneficence. Deontological principles of treating individuals with dignity, and promoting the well-being of the individual parallels the nursing tenet of non-maleficence. Utilitarian and Deontological principles can be utilized to resolve ethical dilemmas that arise in the nursing profession. The purpose of this paper is to define utilitarianism and deontology, discuss the similarities and differences between the two, and to address an ethical dilemma utilizing utilitarian and deontological principles.
What does nursing mean to me? Nursing means helping people heal, meeting their needs while they are in your care, listening to concerns, protecting them from harm, and educating them how to care for themselves while treating them with dignity, compassion and respect and giving of yourself to the care of people and community. It is having compassion for people and their health and being a humanitarian, making sure they receive the best care possible. Nurses must also treat families of patients with kindness, realizing they are going through a stressful situation also.
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
Deontology is portrayed as the investigation of the way of duty, obligation and commitment. The ethical quality of an activity depends on good intention, which is characterized by its adherence to a rule or set of guidelines. Such a rule is known as a maxim and if a man wills a maxim to wind up noticeably as a general or universal law with the end goal that everybody in any circumstance ought to maintain this adage, it is judged to be ethically or morally right.
There are many ethical issues facing health care at any time and it is impossible to say definitively which is the most pressing or the most important. Health care professionals are expected to base their practice on a set of ethical principles, including truthfulness, beneficence, nonmaleficence, justice, and confidentiality. Ethical issues can arise, however, when a l professional is called upon to act in opposition to personal values or in cases where the values of patient, health care worker, and sponsoring institution conflict. The following issues are presented in no order.
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.
I tried to justify my interprofessional capability level by using the self-assessment tool of Interprofessional capability, including four domains: Collaborative Working, Reflection, Cultural Awareness & Ethical Practice and Organisational Competence. I have scored myself high on organisational competence. But I achieved lower scores on the other aspects due to lack of practice experiences. Related to my previous nursing practice as an adult student nurse in the hospital I have enhanced my interprofessional capability through practice combined with the theory of interprofessional studies. Now I explore more on collaborative working, reflection and cultural awareness and ethical practice throughout my previous relevant experience of nursing
Nurses face legal ethical dilemmas daily. Values can stay the same for decades but society is constantly evolving. As society changes, it becomes more litigious. This leaves medical professionals constantly in a balancing act to make ethical choices that will not get them sued. Nurses are held to the highest of standards by the state board of nursing and the American nursing Association (ANA) code of ethics. Each patient that a nurse will come in contact with has rights. Regardless of the cognitive,intellectual, or mental capacity.
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; Epstein, 2008; Gutierrez, 2005; Peter, 2008; Radzvin, 2010; Redman and Fry, 2000; Solomon et al. 2005; Sporrong et al. 2006; Wigglelon et al 2010).