Rational Ethics Or Relational Ethics

Nurses are faced with ethical dilemmas or ethical distress every day, each situation being unique and requiring nurses to set aside their own values and beliefs in order to provide proper care for their patients (Ramos, Brehmer, Vargas, Trombetta, Silveira, & Drago, 2015). Ethical dilemmas allow nurses to learn more about themselves and help shape their morals and values (Potter & Perry, 2014). An ethical dilemma arises in a situation in which no solution seems completely satisfactory (Drumwright, 2012).

Moreover, an emphasis is imposed on the rights of a single patient to commit an act or decision even though it is in contrast with the views of the others. In regards to the ethical dilemma, a nurse could not justify the morality of the two possible choices based on their results and consequences. The Deontological approach would encourage the health care staff as well as the patient to ask themselves the most righteous choice for their situation. With this in mind, a combination of ethical theories can also be employed to give light to the dilemma. In view of this, another ethical approach could be applied to solve the issue, and this is the Right-based approach. This theory also aim to promote the rights of every person, and that, they are indispensable just to make ends meet. However, not all ethical theories can be incorporated in every dilemma in a health care setting because their foundations would contradict one another. In order to provide an effective and efficient solution, nurses should be knowledgeable of the principles enveloping each of the ethical theories and should be wise to apply them in appropriate issues and

Healthcare provider’s perception and judgment in the patient’s well being as well as taking into account the right of the patient in every action is one of the key elements in nursing practice. International Council of Nurses (ICN), (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3). Furthermore, nursing action guided by theory and principles of moral and legal

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,

Relational ethics is one of the approaches in making ethical decisions based on the dynamic and interactive relationship with patients (Pollard, 2015, p. ). This means that patients play an active role in the process of decision making. Their perceptions, beliefs, priorities, and preferences matter to facilitate the most conducive environment that promote healing, health and growth. As this approach carefully considers the context of the situation, it guides nurses to determine the most appropriate ethical decision to particular circumstances.

(1.1) In the healthcare profession various dilemmas can be encountered, sometimes everyday that put a professional in a position where they must make certain choices that can be classified as difficult or complicated depending on the individual or the situation. In the nursing profession not only do they have to consider the welfare of the patients but they also have to regard their wishes, which may create a conflict of interests in regards to promotion of well-being which would lead to the importance of informed consent. Respect for a person 's autonomy as well as respect for the individual are essential requirements; however so is promoting public interest.

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).

Dear Leo, -I had a conversation with my case manager Ms., Mila from WSIB she told me that I needed to go to a specialty clinic to get a new diagnosis on my soft tissue injuries because you sent her such referral for me nonetheless I was never informed by you nor you discussed such referral with me in my first visit to the physiotherapy clinic where we met and you completed form 8 for WSIB conversely Dr. Daniels as a family physician with high ethical standards with his professional practice got very concerned that I might had internal bleeding when my co-worker took me after picking me from the stairs injured and upon my request he drove me to his walking clinic where my co-worker narrated to Dr. Daniels as a witness my accident Dr. Daniels

Because of the complex nature of nursing there are plenty of opportunities to question ethical, moral, and legal standards. Marquis and Huston (2015a) described these opportunities as results of the expectation of nurses to meet the needs of patients, physicians, and the organizations they serve while still maintaining the values and morals the nurses have established for themselves (Marquis & Huston, 2015a). Teleological frameworks that focus on the overall benefit of those involved and deontological frameworks like duty-based reasoning, rights-based reasoning, and institutionist framework play a part in decision-making in nursing. Marquis and Huston also described some recent frameworks including ethical relativism, where decision makers involve what they perceive as right, and ethical universalism, which represented the concepts that are the foundation of the ANA Code of Ethics and Professional Standards (Marquis & Huston, 2015a).

One of the approaches to nursing ethics is a “Right Action Approach” which indicates to us how nurses will act in the best interest of the patient and provide good sound nursing care. In laymen’s terms it means that we will always act in the best interest of the patient and forsake the opinion and input from self and other outside influences that have other ulterior motives. A second approach to nursing ethics is that of the “Virtue ethics approach” which simply implies that a nurse operates from a disposition of character having strong virtue and displays a great affinity for higher moral compass and decision basis. These are just a couple of the different approaches to the ethics of nursing and we will now examine the content or male up of ethics itself.

For as long as I can remember I always had a desire to care for those in need, and I felt this ultimately led me to nursing as a career choice. I feel most rewarded when I am serving and caring for others, and my personal attitude is one that is centered on compassion and service. The term philosophy is said to be an analysis and concepts expressing fundamental beliefs. My philosophy of nursing includes the knowledge of medicine in combination with relational, compassionate care that respects the dignity of each patient. My philosophy focuses on the empowerment each patient in the delivery of holistic nursing care. This paper will explore the values I feel are necessary in relating to patients as well as health professionals, nursing

In order to create a morally and ethically sound practice and health care environment for every patient, the nurse’s decision-making role is vital and should be treated as such. The nurse’s professional morals and ethics should always be patient oriented to consistently assure the best decisions are being made to support each and every individual appropriately. These morals and ethics should consist of, the willingness to take action on behalf of patient needs and interests, the ability to advocate for the patients care even if that means questioning

Healthcare organizations around the world face significant challenges associated with the limited resource allocation against the competing opportunities. The demand for health care exceeds the available resources, thus necessitating proper planning and prioritization to optimize performance. Moreover, there are inevitable changes that healthcare organizations witness daily. First, there are critical ethical issues facing patient care, which require practitioners and agencies to uphold moral virtues, duties, and principles that are central to patient care (Ulrich et al., 2010). Secondly, there is an increasing difficulty in meeting the needs of the progressively informed, demanding, and non-loyal

This case study has highlighted the fact that there are many considerations to take into account – there is no one answer. However, it also means that as health practioners, it is vital that we are aware of the principles around moral values and how these impact on, not only the patient, but ourselves. The ethical dilemmas that are presented on a daily basis affect not only the patient, but all those involved in the care – family, doctors, nurses, care home managers, social workers and, because of the many changes in research and modern medicine, the society in general.

One of the complexities of 21st century medicine is the evolution of nursing care theories in combination with a changing need and expectation of the stakeholder population. Nurses must be advocates and communicators, but must balance these along with an overall philosophy of ethics while still remaining mindful of budgets and the need for the medical institution to be profitable. It seems as if these issues comprise a three-part template for nursing: respect for patient value & individuality, education of patients, and cognition and respect for the realities of contemporary medicine. In many ways, too, modern technology has advanced further than societal wisdom, especially when confronting the issue of death. The modern nurse's role is to create a nurse-patient culture that encourages the individual to take responsibility for their healthcare and, in partnership with the nurse, to be involved in their recovery. The modern complexities of healthcare, then, when combined, focus us towards a multidimensional template (combining at least psychology, biology and philosophy) (Beckstead and Beckstead, 2004).