Case Study Analysis : Beneficence And Non Maleficence

As a registered nurse practicing in the state of California I am responsible for practicing within my states legal regulations and nursing scope of practice. My concern for the welfare of the sick and injured allows me to practice ethical provisions of nursing. These are required if I am to carry out competent and effective nursing care. Nursing encompasses the prevention of illness, the alleviation of suffering, and the protection, promotion, and restoration of health in the care of individuals. Therefore, as health care professionals we must be familiar with the different philosophical forces, ethical principles, theories and values that influence nursing. At the same time, we must be respectful to our patient’s

Nursing is one of the most intimate health care professions. They are connected to their patients as soon as they are admitted into their care right through until they are discharged into someone else’s care. With this, nurses have a strict professional identity and scope of practice to prevent a nurse from over stepping their professional boundaries. A nurses’ duty of care does go beyond the average healthcare professional but still does not impair the

As a family nurse practitioner (FNP), we have the responsibility to provide the best care we can with the patient’s best interest at heart. On a daily basis we deal with the needs and wants of our patients, this alone provides an ethical dilemma. What we think is best and what our patients want could in fact create an ethical dilemma, however, when we have an ethical dilemma, it is our responsibility to get to a decision with caring, respect, an open mind and honesty to our patients (Parker, 2007). In making a decision regarding an ethical dilemma it is our responsibility to use a framework model to guide us in making an informed decision that is best for our patients. It may not always be the most popular decision but if it is in our patient’s best interest, then you are practicing as a good and prudent, NP.

Not all patients are capable of independently identifying and articulate their care needs, so the nurse also adapts the role as an advocate. Clarity and continuity in a trusting environment enables good communication. Progressive identification of needs takes place as nurse and patient communicate with one another in the interpersonal relationship (Peplau 1988, p. 84). Being considerate to the needs and vulnerability of patients is a moral attribute, as nurses are accountable for the care they deliver.

Moreover, an emphasis is imposed on the rights of a single patient to commit an act or decision even though it is in contrast with the views of the others. In regards to the ethical dilemma, a nurse could not justify the morality of the two possible choices based on their results and consequences. The Deontological approach would encourage the health care staff as well as the patient to ask themselves the most righteous choice for their situation. With this in mind, a combination of ethical theories can also be employed to give light to the dilemma. In view of this, another ethical approach could be applied to solve the issue, and this is the Right-based approach. This theory also aim to promote the rights of every person, and that, they are indispensable just to make ends meet. However, not all ethical theories can be incorporated in every dilemma in a health care setting because their foundations would contradict one another. In order to provide an effective and efficient solution, nurses should be knowledgeable of the principles enveloping each of the ethical theories and should be wise to apply them in appropriate issues and

Nurses confront numerous dilemmas throughout their professional lives. The different types of dilemmas include, but are not limited to, ethical, moral, and legal dilemmas. These are the three most common dilemmas in nursing. A dilemma can be defined in many different ways. But all dilemmas are situations in which you have to make a difficult choice. Chiaranai (2011) states that an “ethical dilemma is a circumstance that arises from fundamental conflicts between ethical beliefs, duties, principles and theories” (p. 250). Therefore, an ethical dilemma forces the nurse to address thought on what is right and what the harm might be to the patient.

Healthcare professionals have an ethical obligation to respect patient’s wishes. Consequently, many legal and ethical dilemmas arise in healthcare in response to clinical decisions related to the needs, beliefs, and preferences of patients and families. Other dilemmas result over concerns about the integrity, competence, or actions of other healthcare professionals. Preserving human dignity, relieving suffering, equality, integrity, and accountability are essential nursing values (Kangasniemi, Pakkanen, & Korhonen, 2015). Nurse leaders have an

A nurse is given an opportunity to help patients, either if its by helping them through a very serious sickness or just helping a patient get to the bathroom on time, or a time when happiness is overfilling the room and a child is being born. Registered nurses provide a wide variety of patient care services (Mitchell, p.12). A Nurse must always know where to begin and where to stop, as any other career in the health field there is always something that cannot be done by everyone but only the certified person, a nurse must always remain inside her scope of practice to prevent any misunderstandings. A nurse must also follow a code of ethics , the code of ethics of the American Association of Medical Assistants states that a nurse should at all times render service with full respect and dignity of humanity, respect confidential information obtained by a patients file, uphold the honor and high principles the profession and accept its discipline, and last but not least always want to improve her services to better serve the health and well being of the community. (Mitchell, p.65).

The roles and responsibility of a nurse are that most nurses face moral problems similar to these faces by the physician as well as a moral problem uniquely related to their professional role thus nurse must sometimes choose between doing what they believe will promote patients well-being and the respecting the patient ’ self-determination. Lisa explained the role as a role, is a “norm-governed patterns of action that undertaken in accordance with the social expectations” (Lisa page 690). Thus, the ability to serve and work according to the

Nursing profession is constantly changing with the development of new technologies that lead to a new level of responsibility. The new level of responsibility challenges nurses torespond to different and difficultsituations in the health care industry, especially in protecting the human right, dignity of patients and their safety. Nurses hold adistinctive position as patient advocates, regardless of their respective areas of practice; either in a home health, clinic, or in a hospital setting. Nursesare faced with ethical decisions, both personal and professional decisions.

When discussing the principles and definitions of ethics, the terms beneficence, fidelity, and justice are demonstrated within this particular scenario. Beneficence is described as the will to do good for the sake of the patient as well demonstrating compassion (American Nurses Association, n.d.). The nurse can practice beneficence by looking out for the

First is the principal of beneficence which “requires nurses to act in ways that benefit patients” (Burkhardt, 2014, p.69). This principle tells us that one should promote good, prevent harm and remove evil or harm.

Nurses are subject to a plethora of legal, ethical, and professional duties which can be very challenging on a day to day basis. Some of these duties include respecting a patient 's confidentiality and autonomy, and to recognize the duty of care that is owed to all patients. As nurses our duties are always professional; however there are legal implications if these duties are breached. We also must consider when it is okay as nurses to breach these duties and therefore ethical issues arise. As nurses one of our main priorities is to advocate for our patients, without our own personal feelings on the matter taking over.

Codes of ethics contain a coherent set of normative principles underlying a nurse’s purpose and associated values (Vanlaere and Gastmans, 2007). Two perspectives of ethics are the ethics of justice and the ethics of care (Botes, 2000). The ethics of justice constitutes an ethical perspective in terms of which ethical decisions are made on the basis of universal principles and rules, and in an impartial and verifiable manner with a view to ensuring the fair and equitable treatment of all people (Botes, 2000). The ethics of care, on the other hand, constitutes an ethical approach in terms of which involvement, harmonious relations and the needs of others play an important part in ethical decision making in each ethical situation (Botes, 2000).

Professionals in every field are always confronted with some kind of ethical issues. It has however been noted that these ethical issues become high in magnitude and extent when public officials are involved. Due to the involvement of human life, an industry like healthcare holds ethics in highest regard. Even though these healthcare practitioners are highly trained to deal with issues of these kinds, their decisions can sometimes have a lasting impact on their professional and personal lives (Edwards 2009).