In the last few years the Lesbian, Gay, Bisexual, and Transgender (LGBT) community have made major strides in a positive direction toward equal rights within the legal system, including the recent Supreme Court decision ruling that same-sex marriages will be recognized in all 50 states. Sixteen of those states and the District of Columbia have full anti-discrimination laws that include protecting gender identity and expression. This leaves roughly 70% of the country’s population living in states without comprehensive anti-discrimination laws (Cobos & Jones, 2009). The work has just begun, as the LGBT population continue to face discrimination regarding education, employment, housing, and healthcare.
In 1981, the Human Immunodeficiency Virus
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Access to healthcare is a fundamental human right that is routinely denied to transgender and gender non-conforming individuals (Grant et al., 2011). The nursing code of ethics and patient bill of rights adhere nurses to an ethical standard that protect patients. The American Nurses Association (ANA) Code of Ethics include, but not limited to: Nurses should be compassionate and respectful of all patients, unrestricted by social or economic status, personal attributes, or health problem; nurses should be advocates, striving to protect the health, safety, and rights of all patients; and nurses should also collaborate with other health professionals promoting community, national, and internationally to meet all health needs (Aiken, 2004). Klotzbaugh and Spencer assert that homonegativity frequently occurs within the nursing profession, noting that the nursing profession has been identified with “being slower than other health disciplines in changing policies to include sexual orientation and gender identity, and has been silent when other professional groups have issued statements about topics such as same-sex marriage and reparative …show more content…
Justice is the ethical obligation to treat all people fairly, with distributive justice expanding to include equal access to healthcare for all people (Aiken, 2004). Transgender patients are currently being denied this right. Aiken includes non-maleficence as a requirement that health care providers do no harm, yet transgender patients are subjected to harm verbally and physically with each encounter (2004). It is every nurse’s moral obligation to respect each person and their difference, and provide them with the medical care that they deserve, otherwise nurses are practicing immorally against the ANA’s ethical
One of the many roles of the nurse, in caring for their patient, is to advocate for the patient. The nurses in the clip did not exhibit this professional role, the nurses were hesitant in following the physician’s orders, but none of the nurses spoke up on the patient’s behalf. Nurses are often in the best position to communicate with team members and the patient’s family on behalf of the patient, because in most cases, the nurse provides the most interpersonal contact with the patient.
I thought your discussion post this week was great. After looking at exercise 4-4 I completely agree with you that using PRN nurses and working with float nurses is such a smart idea. Decreasing discharge teaching time like the manager wants to do on the unit is unsafe and unethical to patients. The nurses on the unit are doing their part by providing excellent patient care, but reducing education can lead to dangerous outcomes for patients in the long run. Provision 3 of the ANA Code of Ethics (ANA, 2015) states that nurses should promote, advocate, and protect the rights, health, and safety of every patient. By implementing your proposed thoughts I really do believe wait times and patient satisfaction could certainly improve. There are always
Provision 8.1 of the American Nurses Association Code of Ethics denotes that health is a universal right. The provision states, “the nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities” (Lachman, Swanson, & Windland-Brown, 2015, p. 365). From chapter 1, the ethical theory that best fits provision 8.1 is utilitarianism. The ethical theory of utilitarianism theorizes “one should act so as to do the greatest good for the greatest number” (Baillie, McGeehan, Garrett, & Garrett, 2013, p. 4). This theory promotes a universal method because it signifies that even if a decision is made and does not benefit every single person; however, benefits most
I learned that as a nurse it is my duty to always consider my own well being, along with my patient’s. I must keep a high moral character both in the workplace and in my personal life. I must continue to educate myself and keep myself up to date with all the latest nursing practices and research. I must subject myself to peer review and evaluation. I must never let my personal feelings about a patient’s lifestyle affect my care for them. When met with a tough choice that places me in an ethical crisis I must keep a good head on my shoulders and always have my patient’s best interests in mind. If I feel that a situation at work is in direct conflict with my personal values or my oath to be an ethical nurse I must go through the proper channels to work through the problem.
This decision has affected people’s behavior as individuals and public institutions such as family, young, elderly, disabled, LGTB and those with pre-existing conditions. For example, Kates & Ranji (2014) report that health care access and coverage for the lesbian, gay, bisexual, and transgender (LGTB) community in the U.S. face opportunities and challenges when getting access to care. The authors report that LGBT individuals experience some discrimination because of their sexual orientation or gender identity, due to ongoing discrimination, access to health care have been limited to these people (Kaiser Family Foundation, 2014). LGBT individuals not only face discrimination when trying to receive care, but also face difficulties that limit them such as “barriers in obtaining insurance coverage, gaps in coverage, cost-related hurdles, and poor treatment by health care providers” (Kates & Ranji, 2014).
The history of LGBTQIA+ rights in the United States is long and complicated. The identities within the LGBTQIA+ community that are accepted have shifted over the years as the majority of the population comes to understand some identities to be commonplace and struggles to understand others. However, the gaining of rights and acceptance by the LGBTQIA+ community has nearly always been tied to legal recognition. Lawrence v. Texas questions whether or not a Texas statute that bans homosexual sodomy is constitutional. Although LGBTQIA+ rights issues are controversial, the statute that convicted John Lawrence and Tyson Garner for having private, consensual gay sex as well as the means of conviction are clearly unconstitutional on several grounds,
According to the American Nursing Association, “ Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (Association, Scope and Standards of Practice, 2010).
There are nine provisions included in the ANA code of ethics. The provisions can be broken into three categories. The first category is the nurse’s ethical responsibilities to her patient which is provisions one through three. Second is the nurse’s obligation to herself, provisions four through six. The third ethical requirement for nurses is related to their relationship to the nursing profession, community, nation, and world overall. This focus is summarized in provisions seven through nine [ (American Nurses Association, 2013) ].
The year is 2015 and I can’t imagine not having the freedom I do today. Marriage equality is a very recent topic in history. It wasn’t very long ago that laws prohibited the marriage of same-sex couples. I have decided to investigate the history of marriage equality and the organizations that helped make the dream come true. In order to fully understand the changes that occurred, and to comprehend the level of discrimination that was felt in the homosexual culture, one must first understand the history of the LGBTQ (lesbian, gay, Bisexual, Transgender and Queer) community. The harsh history of the LGBTQ community, and discrimination that was imposed on them and the organizations that strived to advocate for the LGBTQ community on a local, regional and national level is what eventually lead to the Supreme Court ruling on June 26th, 2015, stating that states cannot ban same-sex marriage.
Nurses are faced with making difficult decisions for theirs patients on a daily occurrence. “The STOP model helps decision makers by reminding them to consider all elements and make a best rational choice to fit the situation.” (Godfrey & Crigger, 2012, p. 35) When faced with a daunting choice a nurse can use the STOP Model to help them decipher what exactly to do without becoming overwhelmed. Looking at the case study presented to us this is how I would analyze the situation using the STOP Model:
After reading the ANA code of ethics there are various aspects that can relate back to nursing informatics. However, the main sections I would like to discuss would be; provisions two, three, seven, eight and nine.
Education helps in advancing the profession by developing, maintaining, and implementing professional standards in clinical, administrative, and educational practice. According to some researches, it is estimated that human knowledge is now DOUBLING every 5-7 years! (Baird & Henderson, 2001). More ever, continuing education is a way that provides nurses with updated knowledge, engages them in the process of being a life-long learner. On one hand, it is true that the healthcare practitioners need to stay up to date about the evolvement in their profession but, on other hand their practice should incorporate the code of ethics such ANA Code of Ethics. Nurses and all health care professionals are held to ethical standards of conduct related to
Imagine a world where the identity of a person jeopardizes their safety, that they must live in fear of the world around them simply for being who they are; this is the world of the Lesbian, Gay, Bisexual, and Transgender (LGBT) community. Despite the strides made to improve the conditions for this group, they are still under much scrutiny as society and the government adapts to their presence. The general public has maintained an uneasy balance of contentedness and bias, whereas the government cannot decide its stance on the issue.
In the journal it explains how the practice of nursing sets ethical standards for nurses around the world for human rights and establishing parameters for ethical practice for nurses within their work environment, profession, and among their coworkers. For nursing in the United States, the ANA set the code of ethics for nurses and their practice in 1950 built on a tradition of ethical standards begun in the late 19th century (Fowler, 2016). The ANA Code of Ethics remains a comprehensive and dynamic
On June 26, 2015, the White House lit up in rainbow colors to commemorate a Supreme Court decision that ruled, in Obergefell vs Hodges, that states cannot ban same sex marriage. It is no longer a state level decision, as it had been since 1993. This means that same sex marriage became legal on a national level. Many viewed this as the biggest, most important hurdle for the LGBT community to face, and for the time being they had cleared it. I found it mighty funny that the phrase “Love Wins” was coined as the moniker for the movement. Love is one thing that the LGBT community would agree is something that they are definitely not feeling on a local, state, or national level. In at least 31 out of the 50 states that “Love Won” in, there are no laws in place to protect the LGBT community from discrimination, up to and including being fired for no reason other than their sexual orientation or gender identity, in the workplace. In this paper, I will lay out the timeline of the LGBT community’s fight to put an end to both “open” and “soft” discrimination from a legal standpoint. I will explore the many reasons that it is absolutely necessary to put legislation in place to ensure the LGBT community, at least, job security.