Ethical Issues In Nursing Case Study

between two sets of human values, both of which are judged to be “good” but neither of

This concept is taken from module 1 of block 6 entitled “Ethical Issues in Nursing Practice”.

An ethical dilemma is defined as a mental state when the nurse has to make a choice between the options and choices that he or she has at her disposal. The choice is a crucial task as the opting of the step will subsequently determine the health status of the concerned patient, hence it requires a great deal of wisdom along with proper medical and health training before any such step is opted as it is a matter of life and death. Strong emphasis should therefore be on the acquisition of proper knowledge and skills so that nurses do posses the autonomy to interact with patients regarding ethical issues involved in health care affairs and address them efficiently. It is normally argued that nurses are not provided sufficient

According to the scenario given in example 2, the new nurse on the unit is facing an ethical dilemma by being asked to violate the code of ethics. This scenario regarding the preceptor telling the nurse to violate policy and chart that blood draws were done correctly is violating provision 3. Specifically, if the nurse interjects and decides to not draw the blood cultures too close together and from the same site, it upholds provision 3.5 Protection of patient health and safety by acting on questionable practice. The American Nurses Association code of ethics (2015) states, “Nurses must be alert to and must take appropriate action in all instances of incompetent, unethical, illegal, or impaired practice or actions

#1. According to Nursing Leadership and management ATI ethics is defined as an expected behavior of a certain group in relation to what is considered right or wrong. (Henery, McMichael, Johnson, DiStasi, Ball, & Holman, 2016) There are six ethical principles they are autonomy which is the ability of the client to make personal decisions, even when those decisions might not be in the client’s own best interest. The second principle is beneficence which is care in the best interest of the client. Third is fidelity which is keeping ones promise to the client about care that was offered. The next principle is justice which is fair treatment in matters related to physical and psychological care and use of resources. Then there is non-maleficence which is the nurse’s obligation to avoid causing harm to the client. The last principle is veracity which is the nurse’s duty to tell the truth. (Henery, McMichael, Johnson, DiStasi, Ball, & Holman, 2016)

Throughout the course of their career, nurses will constantly face the reality of death and dying patients. Disparate from medical physicians, nurses are almost always on duty to treat and hand out medication. Therefore, a situation where it is not possible for their patient to completely heal can ultimately put the nurse in a high amount of stress. Such feelings can lead to discomfort with aiding hospice patients and a decrease in nurses in that area (Peters, et al., 2013). The quality of end of life health care is also jeopardized due to the nurse facing ethical issues and death anxiety (Hold, 2017, p. 13). The impact of a patient death can incite more stress in the health care worker, according to Bickham, "Nurses often experience

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).

The modern nature of telehealth has created a dialogue about ethical issues and its relevance to nursing, specifically advance practice nursing. Preserving the nurse-patient relationship is an ethical issue that remerges. This ethical factor can be especially relevant to nursing practice and patient outcomes. It can be argued that it is not feasible to make discriminate and safe judgment calls remotely, especially ones requiring the advanced practice nurse to physically observe and assess objective parameters first hand (McLean et al., 2013). It may not always be noticeable if harm is being done since the provider is not at the bedside. After all, beneficence, the promise to do no harm, is an ethical principal common among all healthcare disciplines. Telehealth may put at risk the trust that comes with face-to-face encounters and could influence patient outcomes. In contrast, research supports that patient outcomes are not solely determined by the physical presence of the advance practice nurse. Patient outcomes are also influenced by the development of and adherences to guidelines and standards for telehealth, which are valuable in helping insure effective and safe delivery of quality healthcare through telehealth (Krupinski & Bernard, 2014). Implementing these guidelines and standards helps the client build trust in the competence of telehealthcare. Further research shows that telehealth plays a key role as a form of healthcare access

`Ethics' is defined as ."..the basis on which people...decide that certain actions are right or wrong and whether one ought to do something or has a right to something"(Rumbold, 1986). In relating `ethics' to nursing care, "Nursing decisions affect people... nurses have the power to good or harm to their patients" (Bandman et al, 2002). In this essay, the author will also identify the most important ethical principles and concepts of Evan's case, will outline the different stages of one's approach to ethical decision-making by utilising the "DECIDE Model for Ethical Decision-Making" founded by Thompson et al (2000) and will make a decision on the best course of action to take as a nurse in this

Every day we are faced with a moral decision to provide high-quality, reasonable care for our patients. We are entrusted by our profession, colleagues, and other healthcare providers to act professionally and put the interest of our patient first when providing rehabilitation intervention. In this discussion assignment, I will be sharing with you the ethical challenges that I encounter as a physical therapist (PT) in the intensive care unit (ICU) while providing an early mobilization program and also this is a Segway to my project titled “Evidence-based Approach to the Benefits of Early Mobilization in the Intensive Care Unit: An Education In-Service."

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.

The most well-known controversial issue about hospital ethics pertains to withholding, or proceeding with, treatment for children. Every day, thousands of children are forced to undergo unnecessary procedures that not only lengthen their lives by a little, but cause them immense pain. Whether or not the child is withheld, or followed through, with procedures is mainly decided by the parents, with little decision from medical staff. Even though a decision is always made, both parents and medical staff are left wondering if their decision was the right one. Wondering if there could have been a better procedure that would have shown a better prognosis. Deciding from what is right and wrong for the patient is the main ethical issue that is flooding hospitals around the world.

Nurses face the challenge of juggling both ethical and legal obligations when it comes to patients. To bring to the fore, nurses are legal mandated reporters for adult protection according to Minnesota Statute Section 626.557 (MNDHS, 2016b). Thus, having to report on any person over the age of 18 who is considered vulnerable or has been maltreated (MNDHS, 2016b). Legally, as a nurse, Mrs. Jones fits the criteria to be reported as a vulnerable adult; receiving home care services and having physical disorders, such as the ulcer, that make it difficult for her to care for herself (MNDHS, 2016b). Under provision three of the ANA code of code ethics, as nurses the priority is to advocate for our patients to protect their health and safety (ANA, 2015). Although Mrs. Jones is vulnerable in her situation, following provision three, she is also self-neglecting; threatening her health and safety due to barriers of living alone and health

Nurses face ethical dilemmas in daily work, and sometimes they struggle to make a decision whether right or wrong. This decision depends on upon many factors like principles, experiences, personal values, and beliefs, and it affects the patient care. Also, the nurse realizes that she must provide individualized care that will assist the patient to obtain the safe, holistic care. There are four essential concepts in nursing practice including justice, respect patient autonomy, no – maleficence, duty to act with beneficence.

Ethics can be roughly described as the standards or moral principles of human behavior and how those individuals conduct their activities throughout their lives. Ethics or moral reasoning got their start a very long time ago in the age of the Greeks and were then progressively added to and studied throughout history until this very day. Ethics and its study is at its peak in the field of nursing as is presented mainly by the American Nurses Association as the Code of Ethics. The Code of Ethics is a standard guideline tool for nurses to perform their nursing responsibilities in a moral and professional way as to representing their patients care and providing a good outcome. Each area or field of nursing can have a unique set of ethical issues that challenge them daily from minor issues to