The study of ethics, moral conduct and decision making regarding ethical issues in nursing is a vital component of nursing education. Nurses may be confronted almost on a daily basis with the need to make nursing decisions when there is no right or wrong answer. Nurses will at times feel caught in the middle (Pavlish et. al, 2011). This dilemma demonstrates how easily ones nursing practice can be significantly altered. This dilemma also exemplifies how one complex dilemma in patient care, can impact on legal, ethical and professional issues for nurses. These issues interface with each other in substantial ways. Nurses must be prepared for these inevitable challenging situations (Tang, 2011).
This is something that needs to be looked into more and more monitoring of how the nurses are able to treat their patients. There has been too many episodes where nurses just didn’t want to do their job like give meds when they were suppose to be administered or reporting when patients were in extreme
Police and prosecutors tend to downplay the violent assaults on health care workers unless someone is severely injured, even though 30 states have felony laws against it (Jacobson, 2014, p. 4). According to a descriptive study conducted by Lisa Wolf there were many instances in, which the legal, judicial system was unwilling to pursue charges against patients, or family members who assaulted nurses. Thus the focus on legislation to make an assault on health care workers a felony crime may have limited efficacy unless efforts are made to address society’s complacency toward violence against nurses (Wolf et al., 2014, p. 3).
Examine how the evidence showed – when there were no eyewitnesses – that the defendant was the one who killed the 12 patients.
In the health care field, the concept of informed consent allows patients to make their own decisions regarding their health care. A patient and physician have a discussion about the details of a medical process. They must discuss risks, alternatives and outcome of treatment. If a patient agrees to the terms of treatment then they are allowing or giving consent to the physician. Patient education and communication are vital during this process. Often doctors will try to act in beneficence but it is critical that they respect a patient’s autonomy. They have a duty to no do harm which can make it difficult if doctors and patients cannot come to an agreement on treatments. If a physician acts without consent then it can result in battery or negligence.
There are many stakeholders involved with health care administrations. Those stakeholders can be patients, health care physician, insurance providers, pharmaceutical manufactures, hospital organizations, community clinics and government. Each different stakeholder has their own individual vision of health care administration. This causes conflict due to the nature and differences in vision. which then can cause conflicts among each stakeholder involved. A patient is going to have a different idea of how a health care should be managed. This in contrast to the way a physician may think the administration should be managed. Furthermore, each different stakeholder involved would have their own ideal reasons to why the health care administration
Nurses will frequently be put into situations where they are left to determine if they should respect the client’s wishes when these wishes conflict with medically ordered care. “Ethical dilemmas occur when there are conflicting moral claims” (Burkhardt & Nathaniel, 2014, p. 527). Ethical dilemmas help shape nurses by requiring them to think critically about situations and determine the appropriate decision in order to create the best outcome for their patient. It requires them to have moral courage to stand up for what they believe is most safe and ethical in patient care (Murray, 2010). Not only do such dilemmas strengthen their professional thought processes but also reinforces all of their personal and professional values.
Violence can be experienced by many different people in different situations in health care. In the healthcare world, nurses are one of the most exposed groups to workplace violence in the world. Circumstances that lead patients to the hospital can be very stressful which can lead to anxiety, agitation, depression. Through using the theoretical framework developed by Ida Jean Orlando, workplace violence can be viewed and applied to address or even prevent violence experienced by nurses possibly.
On Thursday 10/22/15, at 1837 hours, FHEO Security Officers were dispatched to the Special Care Unit room # 38 for a disorderly patient (51D) who was verbally aggressive towards nursing staff. Security Officers Jason Peterman (404), William Miller (406), McCoy Collins (409), Carlos Ayuso (415) and I,, Steven Evans (407) responded and met with ED Nurse Shane Prather who stated that the patient, Williams, Warren B (MRN: 721948/FIN: 84737836), was physically aggressive towards him, banging on his bed, on the wall and wanting to leave. Security personnel approached and spoke to the patient and he became irate and threaten to hit Officer Jason (404. Mr. Williams began to insult us and using profane language towards the ED staff and stating that
The book No Good Deed brings up many ethical issues that can be discussed. In the world of nursing there are specific issues that will be seen more than others. The ethical issue of nurses providing care that they feel is necessary for their patient yet others do not feel it is necessary is often an issue. Beneficence plays a large role because where is the fine line of doing good become doing harm? Kim talks about how comfort care measures were to be done for Rose. She mentions that as a nurse she will provide comfort measures to her patient by any means. To some this statement may sound malicious but to others it may sound comforting.
Every nursing, in order to consider the profession must have an understanding of at least three of the five professional values, in my opinion. These values consist of altruism, autonomy, human dignity, integrity and social justice (Taylor 96). Beginning with the professional value of Altruism, the believe in or practice and self concern for the well-being of others (96). I believe that in order to be the best nurse you can be for your patients, you must understand the concept of altruism. As a nurse, your profession is to take care of people, if you do not know the professional value of altruism than you cannot possibly understand how important it is to care about the wellbeing of your patient. Not only do you need to focus on the wellbeing of your patient, but the patient
Violence against healthcare providers is a significant problem that has been receiving growing attention. Incidents of workplace violence are experienced by nurses and physicians on a day-to-day basis, especially in emergency departments. The corollary of this phenomenon has become a significant matter due to the psychological stress it is placing on healthcare providers, hence affecting their efficiency and productivity. We may often undermine the consequences of workplace violence, but studies show that it may cause distress, apathy, rage, disappointment, helplessness, anxiety, self-doubt, and insecurity of healthcare workers. (Öztunç 360-365)Hence, their entire job performance is decreased and absenteeism is increased. This results in
As a nurse we are supposed to have compassion and build a rapport with our patients but we must uphold our ethical principles when it comes to this dilemma. As for analyzing this situation and coming to a decision I would use the nursing process since it provides a helpful mechanism for finding solutions to ethical dilemmas. (Whitehead 2007). I would assess the situation and ask myself about the medical facts, psychosocial facts as well as cultural beliefs, patients’ wishes and what values are in conflict. I would then move on to planning and make sure that everyone is involved during this stage and continue on down the line with the nursing process. It seems like The
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.
A literature review was conducted to answer the following evidence-based research question "What are the effects of horizontal violence in the workplace on nurses and patient care?" The review includes a systematic review, two qualitative reviews, one quantitative review and a mixed method review that will aid in answering the research question while focusing on the effects of horizontal violence on nurses and what interventions could possibly be used to prevent this type of violence in the workplace. These studies were retrieved through various electronic databases in which will be discussed in the remainder of the literature review. The literature that was used were all published within the last five years with four of them being published in the United States and one from the United Kingdom. Information regarding the reports such as research limitations, level of evidence, research method and design are included in the discussion and implications of nursing. The literature review found that nurse on nurse bullying does indeed effect nurses in a physical and emotional way as well as effecting the adequacy of patient care.