Neonatal Ethical Dilemmas

This situation has made me grateful to be alive since I was able to be brought back to health due to these wonderful neonatal nurses who helped me recover, but not many newborn babies are fortunate enough to survive just like me as newborn babies have died and suffered due to the lack of supervision that neonatal nurses are incapable of providing.

As an aspiring Neonatal Nurse Practitioner, I will graduate from UNCG with my BSN, work for a year as an RN, and eventually attend a graduate school to accomplish my ultimate goal of obtaining my DNP. As a neonatal nurse practitioner, it is imperative to exude compassion, while demonstrating critical thinking skills when faced with arduous circumstances. I understand that working with distressed families in the NICU will be a challenging task, both emotionally and physically. I am aware that it is my responsibility as a nurse to not only know how to provide physical care to my patient's, but to also attend to their emotional needs and the needs of their loved ones. Nurses are expected to be the liaison between families and doctors. So, in the

Nurses rely on personal knowledge and their professional skills to provide ethical care (Creasia & Friberg, 2011). In everyday practice, nurses must balance the needs of their patients against those of the organization, society and themselves. They strive to deliver the highest level of care for patients, but adjusting for limited organizational and personal resources often requires difficult decisions. This paper explores the following scenario suggested by Maville and Huerta: “You are a nurse providing home care to a mother, and you suspect child abuse after observing the mother’s reaction to her child” (as cited by Arizona State University, 2014). When faced with a moral dilemma, a competent nurse incorporates ethical, bioethical and legal considerations. In the proposed story, incorporating the nursing ethics of advocacy, beneficence, nonmaleficence and collaboration will guide the nurse towards an appropriate and legal course of action.

Nurses confront numerous dilemmas throughout their professional lives. The different types of dilemmas include, but are not limited to, ethical, moral, and legal dilemmas. These are the three most common dilemmas in nursing. A dilemma can be defined in many different ways. But all dilemmas are situations in which you have to make a difficult choice. Chiaranai (2011) states that an “ethical dilemma is a circumstance that arises from fundamental conflicts between ethical beliefs, duties, principles and theories” (p. 250). Therefore, an ethical dilemma forces the nurse to address thought on what is right and what the harm might be to the patient.

Nurses are faced with ethical dilemmas on a daily basis, each situation being unique and requiring the nurse to set aside their own values and beliefs in order to properly care for their patients. Situations requiring nurses to make an ethical decision are diverse and dynamic; the values set out by the College of Nurses of Ontario code of ethics remains the same. Therefore, all decision based on these vales regardless of the setting and circumstances ensure consistent solutions. The scenario involves a woman who was admitted to the NICU due to complications during her sixth month of pregnancy. The patient indicated that no extraordinary measures should be made to save her baby; she became further detached when the baby developed a bleed

Healthcare professionals have an ethical obligation to respect patient’s wishes. Consequently, many legal and ethical dilemmas arise in healthcare in response to clinical decisions related to the needs, beliefs, and preferences of patients and families. Other dilemmas result over concerns about the integrity, competence, or actions of other healthcare professionals. Preserving human dignity, relieving suffering, equality, integrity, and accountability are essential nursing values (Kangasniemi, Pakkanen, & Korhonen, 2015). Nurse leaders have an

Ever since I was about 10, I was extremely interested in becoming a neonatal nurse practitioner. I love babies and love helping others so I figured this particular job could be perfect for me. A neonatal nurse practitioner means you provide care for newborns in need of specialized attention for about the first month of their life. These newborns are usually premature or very sick and the nurse practitioners are usually their primary caregiver. NNP’s are responsible for their patients, exercising judgment when necessary to assess, diagnose, and initiate medical procedures. Many tasks include monitoring specialized equipment, including incubators and ventilators. Providing education and support to patients’ families regarding neonatal, intensive

Today nurses in all roles participate in ethical decision making arising from mortality, relationships, and conduct issues surrounding patient care and families. This is particularly the situation with ethical issues involving pediatrics and those unable to take their own decisions. While the patients’ interests should come first, there are many other factors that come into play when providing pediatric patient care: parents’ knowledge, cultural and religious practices, and the pediatric patient’s knowledge of their disease. Therefore, it is essential for nurses to follow the American Nurses Association (ANA) code of ethics to carry out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession. In this paper I will discuss the ethical issues that deal with a fourteen year old boy with Cystic Fibrosis (C.F.). He has been faced with the proposition from his pulmonologist that he will not survive another acute respiratory distress attack and will have to intubated if his status deteriorated. However, he and his parents are not agreeing on whether or not he should be intubated if his status deteriorated with his next attack. This poses a huge ethical dilemma because as a nurse we are the patient’s advocate and need to do everything we can to make our patient comfortable as well as having the parents understand and accept the patient wants and desires.

A baby was just born at 26 weeks gestation. Just over half the normal 40 weeks a baby should stay inside the mother. The baby is immediately whisked away and taken to be evaluated and prepared for a long journey ahead. Ever since I could remember babies and the nursery at the hospital have fascinated me. Whenever we would go visit a friend who had a baby, I would find myself peaking over the windows into the nursery. I have known for a while that working in the neonatal intensive care unit is what I want to pursue. Recently I have been looking into nurse practitioners and furthering my education beyond my BSN. Being able to care for these infants in the most critical stages of their life, and being able to provide them the support they need to survive outside the womb seems so satisfying . Neonatal nurse practitioners have years of education, deep history, detailed job description, high demands and some legal issues.

Neonatal nurses spend their career working with babies, those that are healthy and those that are not. Working with newborns is guaranteed to have its challenges, especially for those particular nurses who choose to work in the neonatal intensive care unit. The neonatal intensive care unit, or NICU, is where the infants suffering from potentially fatal diseases/disorders are held. NICU nurses struggle with life and death situations each and everyday, which is sure to be accompanied by specific emotions such as moral distress. In the words of researcher Kain (2006), “moral distress is defined as uncomfortable, painful emotions that arise when institutional constraints prevent the nurse from performing nursing tasks that are deemed necessary

Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice

`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

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 decisions and issues in neonatal nursing deem conflicting amongst families and the healthcare team since it is unknown if an infant born severely premature, between 22-24 weeks in gestation at 450g, if survival is imminent. Many advancements in treatment, technology, and healthcare perceive feasible, but when a premature infant’s life is compromised, due to severe prematurity, finding the best possible solutions and treatment options may put the healthcare team, caring for the infant, in a conflicting situation. Survival rates amongst premature newborns and severely ill infants have skyrocketed due to the increased advancement and development in nursing, medicine, and treatment plans. Finding the best possible solutions

Throughout the last decade healthcare has had several high profile cases that involved ethics. Currently, a high profile case from England is in the news concerning an infant on life support that has pitted emotion versus judicial review. Of course, these cases test nurses resolve to do good. It is cases like this that requires a nurse to define their own ethics and to develop a plan on how they will decide their ethical decision-making. A nurse must consider his or her own morals, values, and beliefs. The University of Villanova, 2017 website has a nine-provision code of ethics that identifies three participants in providing ethical treatment: the patient, the nurse, and the environment. These three together should have a synergy promoting best outcomes for all three participants. With such sensitive, complex cases that do not have one correct answer in all cases, how does one go about determining the most ethical outcome? Perhaps through a review of several decision-making processes one can find a guide.