According to Doane and Varcoe (2015) ethical inquiry is essential about the question, what is good, right and just that nurse must incorporate into their nursing practice to afford ethical problem. This form of inquiry emphasizes that every moment of nursing interaction involve ethics and that ethics is a “deeply personal process that is lived in the complexity and ambiguity of everyday nursing work” (Doane & Varcoe, 2015). When complexity and ambiguity of nursing practice is apparent to nurses through the involvement in caring for patient, then ethic of care can be brought forward as a compass to guide moral decision making and ethical care. As stated by Doane and Varcoe that research has shown that when staff and other resources are scarce,
Ethical issues can cause a lot of tension and emotional turmoil. Before starting a career in the healthcare profession, nurses must know the code of, the importance of the Nurse Practice Acts and other types of laws, as well as the nurse’s liability when working with patients. Nursing is an ever-evolving profession that has gone through drastic changes in the last few decades, but ethics is still as important as ever. Ethical concepts, nurse practice acts, laws and commitment admissions will be further discussed.
Studies have shown that many factors have been contributing to influence patient’s care in an ethical manner. What factors could affects one decision for their medical care? Does it also included the nurse’s individual views or should consider their moral obligations? But what is ethics really is? Based on the book Nursing Ethics by Butts & Rich, “Ethics is a systematic approach to understand, analyze, and distinguish matters of right and wrong, good and bad, and admirable and deplorable as they relate to the well-being”. Ethics should follow the current AMA guidelines.
The topic of ethics is prevalent in health care and addresses a broad range of topics in nursing. In almost every interaction with a patient there could be a situation that may bring up the question of ethics. Fortunately, there is the realization that placing the nurse in the care of a patient, may put the medical personnel in an environment where the ethics are questioned. There are whole departments dedicated to advising nurses in these situations. There are also ethic committees to help guide you when you find yourself in a situation that may question your practice or circumstances.
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.
Following the appropriate ethics is of extreme importance in the nursing profession. “Ethics are of universal concern and crucial in all professional healthcare” (Gustafsson & Stenberg, 2017, p.420). The leading goal in nursing is to achieve patient-centered care. According to Arnold and Boggs (2016), “Patient centered care focuses on fully partnering with the client to provide care that incorporates his or her values and preferences to give safe, caring, compassionate and effective care” (p.25). In order to provide a well-grounded, caring environment, nurses need to be able to balance their personal differences with the ethical care standards they are obligated to provide patients (Gustafsson & Stenberg, 2017). Nurses spend the most time with patients; therefore, they eventually will develop a “sense of rightness” (Gustfasson & Stenberg, 2017, p.420).
Ethics, the rules and principles that guide right behaviors or conduct, are foundational to the field of bioethics, which focuses on ethical issues in healthcare (Mclennon, Uhrich, Lasiter, Chamnes, & Helft, 2013). Nurses are faced with ethical decision making principles daily when caring for their patients, some days more than others. According to Yoder-Wise (2011), ethics may be distinguished from the law because ethics is internal to an individual, looks to the ultimate “good” of an individual rather than society as a whole, and concerns the “why” of one’s actions (p. 91). In this particular situation, the nurse has to decide if she will respect the wishes of the patient’s family members or be upfront and honest with her patient and
Ethics is an essential aspect of health care practice and those working in the nursing profession are often subject to frequent ethical dilemmas. It is essential for all nurses to be aware of the importance of ethics in health care and to practice within the ethico-legal parameters that govern the profession. However, while this is relatively easy in theory, ethics is not a black and white subject and often one’s culture, upbringing, attitudes and beliefs can influence what one views as ethical and this can therefore influence practice. This report will discuss the importance of ethics in nursing practice. The definition of ethics will firstly be presented followed
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
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.
This ethical dilemma happens in everyday life. A negative and positive solution to this dilemma is explored. Nursing ethics is a system of principles concerning the actions of the nurse in his or her relationships with patient, patients' family members, and society as a while. (Cherry 168)
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 ethical dilemma is a situation by which it’s difficult to determine whether a situation is can be handled without disappointing both sides. Therefore, an ethical dilemma exists when the right thing to do is clear or when members of the healthcare team cannot agree on the right thing to do. Ethical dilemmas require negotiation of different points of view (potter, Perry, Stockert, & Hall 2011pg 78).
between two sets of human values, both of which are judged to be “good” but neither of
Ethic in nursing form the basis between which sound and moral decisions are derived. They form the backbone of all the trust that is laid on nurses dealing with Moral Question. Acceptable cultures and actions are gauged by nursing ethics that are derived from nursing values. Nurses are supposed to ensure that they adhere to the highest standards as well as maintaining the trust they have from the public. All nurses are bound to exercise the highest standard of ethics though the performance of their functions.
The combination of professionalism and ethics can be equated with an extraordinary nurse because they are core components in the nursing profession and crucial to patient trust, confidence and wellbeing. Having a degree in nursing is not what makes one a professional. Professionalism is