Engulfed in a cloud of grey uncertainty, there are many situations that are blemished in the profession of nursing. Ethical dilemmas are often the most challenging to handle as they are interlinked with our own personal values and morals, requiring knowledge and attention to many factors (Burkhardt, Nathaniel, & Walton, 2014). Ethical predicaments will cross our paths daily and we need to utilize ethical frameworks, codes and our personal decision making to come to a well-informed conclusion. When we are in the midst of an uncertain quandary our human nature is tested, and we thoroughly scrutinise who we are ethically and morally. I am going to work through an ethical decision making model and discuss my journey with an encounter I have …show more content…
Some care aides were wonderful and went out of their way to go the extra mile; however, I noticed many of them didn’t tell the residents what they were going to be doing before they would do it, which would scare many of them. Often the residents would scream or wince from shock or pain, as the care aides would begin their care without prior disclosure. Many residents were not verbal, or had dementia and that was considered to be the factor in which it was justifiable to treat them this way. I was dismayed at how I witnessed the lights turn on, the blankets torn off, the residents being turned from side to side and their briefs being taken off, leaving them cold and completely exposed without any notice or indication of what was going to happen. There were small sheets of paper in each resident’s room, saying what their favourite things are, what they used to do, about their family and life, which was very touching for me to see the preservation of dignity throughout the facility. Although these write-ups were in everyone’s room it was as if there was not a human laying in that bed. It was like they were all mannequins and there was an indiscernible race, the focus was shifted from the individual to the completion of task at hand. Many care aides would have conversations about their weekend, or talk about the resident right in front of them. Some residents could hear and some could not, never the less,
During my placement during at an aged care facility, it was an important process to ensure that nursing interventions were carried out to ensure a respectful behaviour of a resident’s dignity, culture, values beliefs and
330). Over 36% of nursing home’s staff reported having witness abuse of their facility’s residents (Hillier & Barrow, 2011, p. 330). This abuse included employing excessive restraints; pushing, grabbing, kicking, or shoving patients; or throwing things at them (Hiller & Barrow, 2011). In reference to the situational model provided by theological explanations of elder abuse, abuse is due to the problem of caregiving; high levels of stress and burden of caregiving increase mistreatment and neglect of the frail elder (Hillier & Barrow, 2011, p. 329). This also relates to the term “caregiving distress”, which indicates the negative stresses of caretaking, including role strain, subjective burden, depression, anxiety, hostility, and other troublesome emotions. Such feeling may cloud one’s judgement or unconsciously misdirect their actions (Hillier & Barrow, 2011, p. 307). I am not making an excuse for their unethical behavior but at the end of the day these workers are just people with feeling who have different ways of showing them, whether it be through good or bad actions. Instead of having employees working in such conditions, Emeritus should provide a better working environment by increasing the staff to patient ratio and relieving the stress of caretaking of a high number of
Giving myself time to read up on nursing experiences, attending more clinical practice labs, participating and watching these duties in the health care setting will allow me to develop a secure level of confidence the next time that this type of situation may occur. Staying in the room allowed me to experience the feeling of support while looking past social norms and how they are challenged. I met my personal values, and I believe that one should respect another person`s privacy. This understanding allowed me to be there to support the resident during her time of need. In the article `starting out` by Jane Schulz, a nursing student shares her experience of helping her colleague assist an elderly patient with daily care. Observing the compassion and care between nurse and patient from fundamental tasks, she took away a valued lesson of how our support and caring methods affect an individual. My relation to this story allowed me to reflect on the effects my care and supporting actions had on our patient.
They found that the daily interaction with residents is very limited which make isdifficult to properly complete the tasks they are assisting with in a quality manner. One Assistantreported that “we’re not enough to provide quality care so we’re asked to take good care ofresidents; we try to but were just not enough, the service we provide is too kept to a minimum.” Ithink these key points are very important to healthcare role, I think that if you are training to bein the healthcare field you should know the importance of taking training seriously and thingsshould be done in a quick but timely manner. I would agree with this article and the nurseassistants who voiced their opinions on how caring more about the residents and properly
To add too the confirmation of the lack dignity to the resident the family members were outraged with this condition as well. The reputation of our unit was horrifically insulting.We were once noted for how we cared for people and provided them some dignity and actual cared about their well being of others.
The first version of the code of ethics was named after Florence Nightingale in 1893. Designed after medicine’s Hippocratic Oath, the author, Lystra Gretter, believed that Florence Nightingale exemplified the “highest ideals of nursing” (Fowler, 2010, p. xiii) and wrote the “Florence Nightingale Pledge” in her honor. To this day, nursing schools all over the country, recite this, or similar versions at, at graduation. This public expression of nursing’s values, commitments, and duties was the foundation for the American Nurses Association’s (ANA) Code of Ethics for Nurses with Interpretive Statements (The Code) that is so well known today. The Code is a “nonnegotiable ethical standard” that “provides a succinct statement of the ethical values, obligations and duties of every individual who enters the nursing profession” ("ANA," 2016). Using The Code and the deontological decision-making model, the author of this paper will analyze the case scenario provided, and resolve the ethical dilemma.
This is an academic critique of a qualitative article published in 2012, by Maj-Britt Raholm, RN, MNsc, PhD. In the article, “The ethics of presence when bathing patients in a nursing home”, the researcher intends to create a more profound understanding of the ethics of presence from the nurses perspective (Raholm, 2012, p. 30). The study will be analyzed for the credibility, conformability, and dependability to assess the strengths and weaknesses of the article. Based on the analysis a recommendation for evidence-based practice will be advised or rejected.
Neglect and abuse is a serious issue for the elderly living in our community, especially for those living in nursing facilities and it needs to be taken seriously by society. Due to chronic illness in this population, primary care providers are frequently in the best position to diagnose, intervene, and report potential victims of abuse and neglect. Although all caregivers who encounter the elderly whether in outpatient setting, nursing home, or even at home should know the warning signs and be able to report any signs of abuse immediately.
With there being a negative stigma towards nursing homes, I’m sure you are aware that there are problems that need to be solved within the whole industry. One of the main problems that arises is abuse and neglect in many nursing homes which I am sure you are aware of. So many smaller problems that happen in nursing homes effect residents negatively and on a bigger scale can result in abuse or neglect among the residents. This issue became significantly aware to me when I began to work in a nursing home last year, and I experience first hand what occurs behind the doors. I was in training with other certified nurse aides and they were training me on how to perform certain tasks. While they were training me I
Because of the complex nature of nursing there are plenty of opportunities to question ethical, moral, and legal standards. Marquis and Huston (2015a) described these opportunities as results of the expectation of nurses to meet the needs of patients, physicians, and the organizations they serve while still maintaining the values and morals the nurses have established for themselves (Marquis & Huston, 2015a). Teleological frameworks that focus on the overall benefit of those involved and deontological frameworks like duty-based reasoning, rights-based reasoning, and institutionist framework play a part in decision-making in nursing. Marquis and Huston also described some recent frameworks including ethical relativism, where decision makers involve what they perceive as right, and ethical universalism, which represented the concepts that are the foundation of the ANA Code of Ethics and Professional Standards (Marquis & Huston, 2015a).
Engulfed by a cloud of grey, there are many situations that are not unblemished in the profession of nursing. Ethical dilemmas are often the most challenging to handle as they are interlinked with our own personal values and morals, requiring knowledge and attention to many factors (Burkhardt, Nathaniel, & Walton, 2014). Ethical predicaments will cross our paths daily and we need to utilize ethical frameworks, codes and our personal decision making to come to a well-informed conclusion. When we are in the vicinity of an uncertain quandary our human nature is tested, and we thoroughly scrutinise who we are ethically and morally. I am going to work through an ethical decision making model
With there being a negative stigma towards nursing homes I’m sure you are aware that there are problems that need to be solved within the whole industry. One of the main problems that arises is abuse and neglect in many nursing homes which I am sure you are aware of. So many smaller problems that happen in nursing homes effect resident negatively and in the bigger picture can result in abuse or neglect among the resident. With the statistics showing the numbers of abuse and neglect in the nursing homes I’m sure you can agree that this is a problem and we need to find a solution, as no one would want there loved one to be abused in a place where they are supposed to be cared for with love.
I undertook 2 years of volunteering at the local nursing home, which allowed me to experience a new side of healthcare. Feeding and talking to elderly patients with dementia and Alzheimer’s highlighted the importance of empathy in the profession allowing the patients to trust you , along with learning the art of caring whilst working alongside and speaking to the carers. I am grateful to have the opportunity to experience the hidden and less glamorous parts where I witnessed the residents I worked with deteriorate over the time of a year, yet seeing her smile when she looked at me outweighed any pain that would have been caused. Knowing just talking and feeding the patients can make such a big difference in a patient’s life allows me to be
“An ethical dilemma is a situation in which an individual is compelled to choose between two actions that will affect the welfare of a sentient being, and both actions are reasonably justified as being good…” (Butts & Rich, 2016, p. 55). In everyday nursing practice, many nurses are faced with various ethical dilemmas that occur between patients, their family, and healthcare professionals. Many healthcare professionals work on common goals to provide patients with the safest and highest quality care. However, some doctors’ poor or bad orders lead nurses into ethical dilemmas that are not evidence-based practice or are not consistent with the nursing standards of practice. Following the doctor’s order can risk patients’ safety, which also violates ethical principles such as beneficence and nonmaleficence. However, in a clinical environment, nurses’ practices are deeply intertwined with doctors’ practices in the delivery of health care, which requires collaboration in each profession. As a registered nurse, when faced with this situation, I experienced an ethical conflict of what to put first: patient safety or friendly relationships with doctors. The purpose of this paper is to identify ethical dilemmas that can arise between a nurse and a doctor due to a doctor’s poor practices that threaten patients’ well-being and safety. This paper also deals with how to solve this conflict with respect for each other’s professions.
Anna Mae Halgrim Seaver felt powerless. The words she used to describe the nursing home facility and her treatment forced me to imagine myself in a nursing home. I have never experienced what Ms. Seaver went through, and I can assume that no nursing home facility has experienced it either. Above all, the main thing that could have been done to make her life more tolerable is educating the staff members of the facility and staff members in general in the health care field on what it is like to live in a nursing care facility. Imagine living the majority of your life as a teacher with a degree in music, or the founder of a multimillion-dollar company, imagine having individuals learn from you and respect you throughout your life and then suddenly have that taken away. Educating staff on the importance of upholding respect for patients is important, we need to make every patient feel safe and being respectful plays a large part in doing so.