Nursing Profession: The patient-nurse Relationship

Ethical practice is another component of the social contract of nursing which is a reflection of the values, beliefs and moral principles of the nursing profession. The American Nurses Association (ANA) has established the “Code of Ethics for Nurses” which serves as a “guideline” for the nursing profession in which clinical judgements and

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.

A nurse owes a duty to her profession's own code of ethics. Patient autonomy, justice, and respect for patients' dignity are central to nursing practice. The Canadian Nurses' Association (CNA), through the publication of the codes of ethics for nurses, calls upon nurses to

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

The American Nurses Association (ANA) Code of Ethics provides many professional traits that can be incorporated to an interdisciplinary team of healthcare professionals such as compassion and respect, advocacy, accountability for nursing practice and participation in advancement of the nursing career (Cherry, 2011). Compassion is a very important aspect of the nursing profession. It would be very difficult to be a nurse without being compassionate. Nurses demonstrate compassion and respect daily in their work by actively listening to patients’ and family members’ problems and concerns and by empathy when appropriate. Advocacy is a nursing trait constantly used by the entire interdisciplinary team. Nurses advocate for patients’ right of autonomy for decision making in regards to their care, treatments and procedures. Also, nurses are in the best position to serve as a bridge between the patient and the interdisciplinary team. Accountability is so essential in the nursing profession. Nurses are accountable for their own nursing practices and for our patients.

Provisions 1 and 2 from the ANA Code of ethics influence my practice. Provision 1 states “The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” (Code of Ethics for

The American Nurses Association (ANA) has the Code of Ethics which holds Nurses to the codes or provisions of these documents. I summarized Provision 1 of the ANA 's Code of Ethics. I give a scenario where this provision is broken by the nursing staff and consequences of doing so. Provision 1: Provision 1 reads as follows “The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems” (American Nurses Association 2001). Provision 1 is divided into five subdivisions. Provision 1.1 is titled “Respect for human dignity"(ANA 2001). The nurse always needs to place value on their patient as a unique individual. Provision 1.2 is titled “Relationships to patients” (ANA 2001). As a nurse you need to leave all prejudice, personal beliefs, and convictions out of the care of your patient. The patient’s self-worth and value is not defined by their religious choice, culture, lifestyle, hygiene, financial status, sex, and race. The nurse needs to form or follow an individual treatment plan that fits your patient’s personal preferences, religious beliefs, and requests. Provision 1.3 reads as follows “The nature of health problems” (ANA 2001). A nurse is not to judge or look down upon a patient by their "The disease, disability, or functional status “(ANA 2001).The nurse needs

The American Nursing Association (ANA) is a professional organization that supports over 3.1 million nursing professionals in the areas by providing high standards of nursing practice, supporting the rights of nurses in the workplace, exhibiting a progressive and sincere view on nursing, and by raising awareness regarding regulatory agencies on health care issues affecting nurses and the public. (American Nurses Association, 2013) In 2001, the ANA presented its updated version of the Code of Ethics for the nursing field. (Bosek & Savage, 2007, p.57) The Code of Ethics contains nine provisions which illustrate the responsibilities

The main points of provision five of the ANA code of ethics are as follows: section 5.1, which is moral self-respect, suggests that nurses must care for themselves as much as they care for their patients. Nurses must do their best to maintain professional respect to themselves in regards of their competence and moral character. Section 5.2, which is professional growth and maintenance of competence, suggests that nurses must continue to self and peer evaluate themselves throughout their careers. Nurses must continue to learn current, up to date nursing practices through self, peer, and higher education. Section 5.3, which is wholeness of character, suggests that nurses must develop and take into consideration their own

The ANA is a professional organization that represents all the nation’s registered nurses. It helps the advancement of the nursing profession by issuing high standards of practice, and promoting the rights of nurses in the profession. The Code of Ethics is developed as a guide for carrying out nursing responsibilities, along with an appropriate quality in caring with the ethical obligations of the profession. Ethic has always been an essential part of nursing as nursing has a history of concern for the sick, injured. The Code of Ethics for Nurses serves these purposes: it serves

There are nine provisions included in the ANA code of ethics. The provisions can be broken into three categories. The first category is the nurse’s ethical responsibilities to her patient which is provisions one through three. Second is the nurse’s obligation to herself, provisions four through six. The third ethical requirement for nurses is related to their relationship to the nursing profession, community, nation, and world overall. This focus is summarized in provisions seven through nine [ (American Nurses Association, 2013) ].

While the nursing profession is fulfilling, it is not without challenges. Nurses are faced with a multitude of ethical dilemmas in clinical practice on a daily basis. According to Fant (2012) no matter where nurses function in their diverse roles, they are faced with ethical decisions that can impact them and their patients. Some examples of moral issues that nurses encounter in contemporary nursing practice and research include but not limited to: refusal of treatment, scarcity of resources, disagreement with caregivers, treating patients with impaired decision-making, futile treatment decisions for cancer patients, end-of-life decisions, advanced treatment directives, and euthanasia (Leuter, Petrucci, Mattei, Tabassi, & Lancia, 2013).

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

As an individual’s ethics will play a large part in their practice, there are specific guidelines and legislation that exist to ensure that nurses, as well as other health professionals, practice in a way that is ethical (Avery, 2013). These laws further exists to attempt to simplify the ethical issues that sometimes present in nursing practice and to attempt to guide one’s actions. The Nursing and Midwifery Board of Australia (NMBA) provides guidance to nurses by providing a number of professional codes and guidelines (Avery, 2013). The NMBA has developed a code of ethics for nurses comprising of eight codes (Avery, 2013). These are as follows; 1) Nurses value quality nursing care for all people; 2) Nurses value respect and kindness for self and others;

Codes of ethics contain a coherent set of normative principles underlying a nurse’s purpose and associated values (Vanlaere and Gastmans, 2007). Two perspectives of ethics are the ethics of justice and the ethics of care (Botes, 2000). The ethics of justice constitutes an ethical perspective in terms of which ethical decisions are made on the basis of universal principles and rules, and in an impartial and verifiable manner with a view to ensuring the fair and equitable treatment of all people (Botes, 2000). The ethics of care, on the other hand, constitutes an ethical approach in terms of which involvement, harmonious relations and the needs of others play an important part in ethical decision making in each ethical situation (Botes, 2000).