Ethical Dilemmas Of Nursing Practice

Ethical issues have always affected the role of the professional nurse. Efforts to enact this standard may cause conflict in health care settings in which the traditional roles of the nurse are delineated within a bureaucratic structure. Nurses have more direct contact with patients than one can even imagine, which plays a huge role in protecting the patients’ rights, and creating ethical issues for the nurses caring for the various patients they are assigned to. In this paper I will discuss some of the ethical and legal issues that nurses are faced with each and every day.

Above all nurses play an important role in the recovery of their patients. The actions and decisions of a nurse are manifestations of the true character that a nurse holds. (Lachman, 2008) Those who become nurses are not only expected to adhere to the norms of the profession but rather to

Nurse’s face ethical dilemmas every day in their nursing practice. No matter what specific role the nurse plays, these ethical dilemmas impact the nurses as well as the patients. Sometimes it’s no right solution to some of the dilemma we nurses face. First to describe what ethics is, it is the act of doing good by not causing harm to the individual involved.

Alexia believes that her alcohol addiction is related to her ex- husband who was an alcoholic and her father who occasionally drank. Alexia mentioned that her substance abused residing from being physically and sexually abused by her husband. She describes her abusive as being on of the worst episode that could ever happend in anyone life. She states that cocaine is a powerful drug and it erases her thoughts and feeling for a couple of hours. She describes her feeling when she is under the influence as being “ at ease with no worries”.Alexia is the only one in her family that she recalls that has or had a substance abuse

Cost of the end of life medical care is too expensive to continue at the rate it is going. The fiscal year 2016 saw 672.1 billion dollars spent on Medicare participants with just 5% using 49% of those monies ("NHE Fact Sheet," n.d., p. 1). The ANA provides a code of ethics that nurses should use to help guide them in clinical practice decision making. There are four fundamental responsibilities for nurses to adhere too they are: promote health, prevent illness, restore health and alleviate suffering. Ethical Principals for nurses are; respect & autonomy, beneficence, justice, veracity, and fidelity ("Code of Ethics for Nurses," 2012). Attempting to keep ethical responsibilities and principals in mind, while conducting a cost-benefit analysis to determine resource allocation for an aging population and end of life care causes many ethical dilemmas.

Autonomy is the concept of making a rational decision that is informed and un-coerced. Respect for autonomy is whereby the patient is allowed to act in any way they would like. It means that the patient has the capacity to act in their own intention with their own understanding and without the control of any influences that would prevent them from taking a voluntary and free action ADDIN EN.CITE Hickman20081382(Hickman, Cartwright, & Young, 2008)1382138217Hickman, Susan E.Cartwright, Juliana C.Young, Heather M.Administrators' Perspectives on Ethical Issues in Long-Term Care ResearchJournal of Empirical Research on Human Research Ethics: An International JournalJournal of Empirical Research on Human Research Ethics: An International Journal69-78312008University of California Press15562646http://www.jstor.org/stable/10.1525/jer.2008.3.1.69( HYPERLINK l "_ENREF_5" o "Hickman, 2008 #1382" Hickman, Cartwright, & Young, 2008). Its corresponding virtue is that of being respectful ADDIN EN.CITE Beauchamp20091384(Beauchamp & Childress, 2009)138413846Beauchamp, T.L.Childress, J.F.Principles of Biomedical Ethics2009New York, NYOxford University Press9780195143317http://books.google.com/books?id=_14H7MOw1o4C( HYPERLINK l "_ENREF_1" o "Beauchamp, 2009 #1384" Beauchamp & Childress, 2009).

Ethical, Bioethical, and Legal Issues in Nursing Chio Thung Arizona State University  Ethical, Bioethical, and Legal Issues in Nursing Ethical, bioethical, and legal issues are all concerns that affect professional nursing practice. Nurses should be aware about why and how these issues affect their profession. A case scenario that questions these boundaries is a homeless person without any health care insurance being provided substandard care by a medical team (Maville & Huerta, 2008). There are many components that affect nursing such as ethical principles, bioethical dilemmas, moral values, and statutes, which I will discuss how they would influence my actions in this case scenario.

Upon entering the hospital setting, a nurse must ruminate on his or her three obligations – client, peer, and society. While each of these three facets obtains a basis in the ANA Cold of Ethics, they retain diverse levels, types, and severity of obligations. In this case study, Sue, a staff nurse at Holy Christ Hospital, discovers herself in a dilemma between her obligations to a patient and her obligations to a colleague. Jessica, a colleague, miscalculated the insulin dosage of a patient and failed to check on their recovery, preceding the patient to become hypoglycemic. Sue remains conflicted on whether she should report the incident to the Doctor, or preserve her moral fidelity to her friend, as her friend requested that she does not

Time, cost, and efficiency. Those three barriers are the challenges within Bellin’s current refill team covering six clinics. Beginning with medications not being filled at office visits. Patient’s changing pharmacy’s. Refills remain that the pharmacy and patients reading their medication bottles that state Refills remaining:0 and that is only due to the last older script being pulled from the pharmacy file. A new script has been often sent in but doesn’t register when a patient picks up a new script bringing the patient to call the clinic for a refill. When really a new script is on hand at the pharmacy already. So, then I research and verify with the pharmacy. Then there is the common scenario of the patient calling the clinic requesting

Ethical issues in nursing will always be an ongoing learning process. Nurses are taught in nursing school what should be done and how. Scenarios are given on tests with one right answer. However, there are situations that nurses may encounter that may have multiple answers and it is hard to choose one. “Ethical directives are not always clearly evident and people sometimes disagree about what is right and wrong” (Butts & Rich, 2016). When an ethical decision is made by a nurse, there must be a logical justification and not just emotions.

Ethical and legal dilemmas are issues that nurses face in their professional careers. Nurses are accountable for safe and appropriate administration of medication. With the growth in malpractice lawsuits it is important that nurses take certain precautions to limit the risk of lawsuits. “Nurses can limit the risk of liability through maintaining open communication with patients, expertise in practice, attention to details, and autonomy. (Burkhart &Nathanial, 2013).

Nurses are faced with many ethical and legal issues, such as protecting and maintaining the patient privacy and confidentiality. “A dilemma can arise when confidential information is requested by family members or friends of the patient” (McGowan, 2012, p. 61). As nurses during our pinning ceremony we took the “the Nightingale Pledge promised to do all in my power to maintain and elevate the standard of my profession, and hold in confidence all personal matters committed to my keeping and all family affair” (McGowan, 2012, p. 61). Protecting and maintaining patient confidentiality is a serious matter and you can be fined and faced with federal charges, if you are found guilty.

During this week’s clinical, we discussed a situation where a man did not want to tell wife he had HIV; this would be considered an ethical dilemma.

Nurses are the front line health care providers and are daily challenged with ethical dilemmas at a growing rate in their field of work. Thus, they are bound by rules and regulation in order to perform at the best of their abilities for any organisation to work smoothly. Therefore, dealing with each situation requires the nurse to set their own values and beliefs in order to provide effective care. Thus these situations are diverse and dynamic, whereby many conflicts arose concerning the best choice for the client in ethical decision making.

Ethical dilemmas commonly faced in the nursing profession arises when nurses are at crossroads between moral ideologies and competing demands of miscellaneous parties; this includes “the client’s desires, the physician’s orders, the family’s demands, the bureaucracy of the hospital, the law, as well as the nurse’s physical and emotional limitations” (Chambliss, 1996, p. 93). One common ethical issue encountered by nurses’ today is the interjection of advance directives to his/her innate duty to care. Specifically, this paper presents a case vignette about a Jehovah’s Witness, who is refusing a necessary blood transfusion due to religious beliefs. After analysing the ethical dilemma, I strongly believe that the client’s autonomical decision