Ethical Issues In Nursing

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.

Nurses face many challenging ethical situations in their nursing practice almost every day. They have to make difficult decisions for which there is not always an easy or ‘correct’ answer. Frequently, nurses can find themselves in a morally difficult position when having to make a decision about whether to act on perceptions of patients’ best interests or to follow the health care provider protocol or the doctors’ orders.

#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)

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.

It is important to understand that when counselors practices in any setting with clients as they interact on regularly bases with other professional’s workers should always conduct themselves in an ethically and legally appropriate manner (Remley & Herlihy, 2014, p.317). Chapter 12 discuses counselors who are in training for private practice and the type of roles those counselors have with other mental health professionals that are supported in their community.

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).

Nurses face ethical decisions frequently when giving patient care. These dilemmas can result from deciding how to allocate resources such as time or materials. Caring for patients from diverse backgrounds complicates decision-making when faced with dilemmas, because organizations that depend on standards of patient care that may not by culturally congruent. In these situations, the nurse must consider the patient’s beliefs and values along with the organization’s care expectations and bridge the gap between the two (Andrews and Boyle, 2016-a). In this post, I will describe ethical dilemmas with the current state of population health and health disparities, discuss the pros and cons of the Affordable Care Act, and explain how social justice

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 following assignment will seek to address the professional values and behaviours associated within nursing from the perspective of a student nurse and the approaches that should be made in reference to the scenario. The underlying principles of forming an effective therapeutic relationship and communication strategies based on dignity and respect for human rights will also be highlighted in detail in accordance to the learning outcomes. Discussion will take place on the boundaries of the ethical and legal frameworks of nursing and the codes of conduct, demonstrating the understanding of a nurse’s role and the importance of patient engagement and collaborating with the health and social care team. Confidentiality will be maintained in accordance

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.

The nurse practitioner that worked under the physician that cared for the resident for many years, order a few rounds of antibiotics along with Duoneb treatments in which the resident was not responding to the treatments. The resident declined and was sent to the Emergency Department for evaluation and was admitted. Her son was the Power of Attorney for his mother’s care and had her listed as a Code A status. The hospital and our facility had educated the son and the family about the patient’s condition which was determined that she was not going to ever recover the pneumonia. The providers expressed the concern of the Code A status and offered to contact hospice for end of life care. The son refused to change the resident’s code status and the rest of the family sided with him. After talking with other family members, it was stated that the son wouldn’t change the code status due to having ill feelings toward his mother and wanted her to not have a comfortable passing due to his unfortunate childhood. It was clear that the resident was suffering she went into cardiac arrest in which we had to preform CPR on the resident, breaking many ribs causing more suffering, until the paramedics called time of death. This dilemma was brought to the attention of not only the social worker but the nurse practitioner as well. So, what does the

This past January, Barbara took a significant downward turn in her condition. Her decline was so significant that Arbor Terrace (an assisted living facility) assessed the care Barbara required exceeded their capability. Barbara was accepted for Hospice care in early February as I began searching for a long-term care facility that could accommodate Barbara's needs. After consultations with knowledgeable friends and inspection of facilities, I settled on Hendersonville Health & Rehabilitation (HHR). Barbara was transferred there on April 2nd and she began receiving the additional care that she could not receive at Arbor Terrace. Her condition appeared 'stable' to me but in the early evening of April 16th, a few hours after leaving for the day, I received a phone call from the HH&R Hospice nurse that Barbara had died. I was

I am Still searching to understand how I insulted a patient. There were no much details on this allegation such as specific patient’s name, room number, scenario etc. Not that they matter at this point but thay could probably help me to remember as well as correct my self movoing forward. I am surprise also that the nurse tech. will be the one to report me instead of the patient whom I insulted. The whole scenario is startling and appeared like a war between two parties- The unit staff against staffing pool staff. I am so pleased were able to make it through the night without harming the patient because such level of negative energy and frustration is definitely unhealthy and unsafe for staff as well as patients. Where is the wake way

Within the profession of nursing, individuals must be highly skilled and educated. Nurses are expected to remain competent and provide the highest quality of care to all patients. In the profession, nurses may face ethical situations that cause them moral distress. For instance, a fellow nurse, who is your best friend, single mother of three young children, steals and consumes narcotics from the pyxis. This is the second time the behavior has been witnessed, however it was not reported the first time due to loyalty to the friendship.