Many times nurses are faced with dilemmas at work. Whether due to culture or a difference of values, patients need to be treated individually, and with respect. This paper will discuss an ethical dilemma I faced during my nursing practice. Furthermore how the family perceived the dilemma, conflicting values and beliefs held by me and the family, and the data that was missing. Lastly the definition of culturally congruent care.
Professional and ethical accountability is an essential factor in the nursing profession and patient safety. As proposed by the American Nurses Association (ANA) Code of Ethics requires that individual nurses take responsibility to one action to others (patients and family members, our profession, coworkers, workplace, and to oneself (Batti, & Steelman, 2014). Therefore, According to McCormick, (201) accountability is the basis in building trust, reducing fear, and enhancing morale and performant. Accountability depends on both effective communication skills and clinical expertise. It helps nurses to recognize breach in care that can adversely affect patient health outcome and be able to correct them on time.
Nightingale wrote “the very elements of nursing are all but unknown” through this statement she implied that nurses word be learning for the rest of their career (journals.lww, 2017). Reflection is when an activity or incident requires thought about the action, and is used to determine what points are positive and negative, and how it could be improved or changed if done again in the future. The reflection process begins with thinking about an incident and how the situation can be utilised in future situations. The process consists of being open, this would involve an individual looking at things from a different perspective. In addition, the process would involve being inquisitive, desiring knowledge.
Nurses face ethical dilemma in everyday situation about the advance directives and end of life care decisions. Nurses needs to educate the patients that advance directive can be done whether younger or older age, whether one healthy or sick. Another necessary information is that advance directives can be changes at any time according to their wish. If the medical record states the patient has an advance directive, make sure a copy of the patient's advance directive is in the patient's medical record. Also make sure that if a patient has more than one type of advance directive, copies of all of the patient's advance directive are in the medical record.
With this knowledge and experience, I can hopefully help patients and families determine the best course of action
Ethical Dilemmas in Nursing Numerous situations present with ethical dilemmas in the field of providing and receiving nursing care. Although laws and regulations are in place to guide healthcare workers in setting up care plans and in making choices while following those, day-to-day events may challenge those choices. Clients and their families may have requests or needs, outside of the plans already set, where values and beliefs are clashing. One such dilemma is placing a patient in restraints.
Delegation requires the nurse to make decisions based on patient needs, the complexity of the work, competency of the individual accepting the delegation, and the time that the work is done. “Delegation decisions are sometimes made based on a list of tasks found in a job description, such as taking vital signs, bathing, or ambulating patients” (Weydt, 2010, 10). During making a delegation to unlicensed personnel, the nurse should consider the unlicensed personnel’s the scope of practice of the person that the task is delegating to, the level of education and the training. If all of these aspects are considered by the nurse; then the licensed nurse is working within his or her scope of practice and covers by the Respondeat
Background The ability to recognize, understand and treat symptoms related to illnesses, along with crafting the right questions in order to promote optimal care is considered a fine art in the field of healthcare. However, sensitive and time-critical conditions can pose questions that could challenge the status quo in relation to healthcare policy and decision making. Challenging circumstances often call for drastic measures that make difficult to decide right vs wrong. An ethical dilemma defines this decision-making process.
Introduction Nurses often encounter ethical dilemmas in their daily working routine having faced difficulties in maintaining between what is right versus what is wrong. This assignment will begin with an outline of the incident that had occurred in one of clinical setting which involved a court hearing at Singapore Nursing Board. This is followed by the legal and ethical implications. In addition, arguments based on the principles of Autonomy, Beneficence and Non-Maleficence pertaining to the incident will be discussed.
Change in the Workplace: Implementation Bar-Coded Medication Administration Change is inevitable and constant in the modern world. Continuous advancement in technology is also changing the healthcare system to ensure patient safety and provide high quality patient centered care. The hospitals are adding more and more computer assisted devices and the nurses are facing new challenges every day. Change in the workplace means making changes in the work environment that is different from the current state.