The Conceptual Frameworks Of Ethics And Systems Leadership

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.

Ethical leadership is very challenging and it has positive impact on individual and organization. In any individual, it helps to enhance the professionalism by quick decision making, valuing others belief and respecting their cultural background, providing holistic care and focusing on patient centered care, ethical leadership is itself a holistic approach to maintain the quality of care by respecting every aspect of any individual and organizational values (Gallagher and Tschudin, 2017, pp.26). Furthermore, to erase the nurses’ ethical dilemmas, the ethical leaders can support and should provide feedback to the nurses’ progress, the progress is possible when the ethical leaders pay attention to moralities, providing or teaching ethical education to the nurses and using systematic approach to measure moralities (Sharifabad and Shooride, 2017, pp.58).

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

Health care leadership begins with creating an honest environment. The core principles of ethics are beneficence (do good), nonmaleficence (do not harm), autonomy (control by the individual), and justice (fairness) (Flite and Harman 2013). Health care professionals has the responsibility of dealing with complex patient and healthcare system issues. According to, Limentani (1998), a code of ethics can assists with facilitating

Ethics are principles that are kept throughout one’s life so that he/she maintains a respectable level of honest value. Based on my moral outlook on life, my view of ethics may differ to that of many in this class. The reason for that is ethics partially depends on the individual feelings of a given situation. For example, some cultures believe that it’s unethical to have multiple partners, but in other cultures, you find that this is the norm. Morals and values are the framework to having and understanding ethics. Morals and values are the drivers

Moral distress is experienced by nurses every day in today’s health care system. Moral distress has been found to be manifested as anger, frustration, guilt, loss of self-worth, depression, powerlessness and helplessness (Zuzelo, 2007, p. 346). Failure to recognize and manage moral distress is causing nurses to be “burned out” have high turnover rate, and even leaving nursing profession all together.

Ethical Leadership Ethical Leadership in Nursing As advances in healthcare continue to improve the ability to sustain life, as well as for individuals to live longer, bedside nurses are faced more and more with difficult situations related to advance directives, Health Insurance Portability and Accountability Act (HIPAA), as well as to ensure they are functioning within the scope of practice for their state.

Patient care requires the use of ethics and values. Nurses are required to accept a patient’s wishes on choosing their own care. Medication administration also requires the use of ethics and values. Nurses are required to accept a patient’s wishes on refusing a medication and they are also required to administer a medication using the correct route required. Teaching also requires ethics and values. A nurse is required to teach a patient the correct information related to their care, while also respecting the patient. Incorporating ethics is imperative in nursing practice. Ethical theories and principles that influence nursing practice are discussed in the next paragraph.

The term ethic has several meaning, which is sometime used to refer to the performance of particular group of individuals or an expected behavior and standard (Schminke, Arnaud, & Taylor, 2015). In the nursing profession, ethics are principles of conducts which nurses are expected to act on when caring for patients and others. These are the basis of nurses’ code of conduct as proposed by the American Nurses Association, in which nurses are accountable for their ethical or caring behaviors (Ebrahimi, et al., 2015). Ethics of care represents an ethical advance in terms in which participation, harmonious affairs and other people’s need play an essential part in moral decision-making in each ethical circumstances (Lachman, 2012). According

Nursing, in my view, has always been a field in which moral courage was inherent. Nursing is one of the few fields in which individuals disregard their own personal wellbeing in favor of other people’s health. Moral courage is an elusive topic to define, as it is such an intangible concept. According to Murray, “moral courage is considered to be the pinnacle of ethical behavior; it requires a steadfast commitment to fundamental ethical principles despite potential risks, such as threats to reputation, shame, emotional anxiety, isolation from colleagues, retaliation, and loss of employment (2010.) To exemplify this issue, Murray continued to give an example of moral courage with a novice nurse named Emily.

A professional moral compass is something everyone has and lives by. It helps assist in making decisions and is based on morals or virtues. My personal moral compass is directed by various inspirations, passions, and values that I try to live by. Compassion, loyalty, integrity, honor, faithfulness, hard work, service unto others, self-discipline, accountability, and a good sense of humor contribute to my worldview and philosophy of nursing. I try to give the same quality of care to all patients and their

Moral distress is generally defined as the unpleasant feelings when a nurse cannot take an action what he or she perceives as ethically correct because of institutional constraints (Choe, Kang, & Park, 2015). A nurse will likely experience a similar situation in her nursing profession that will leave her very uncomfortable, frustrated, or angry. The physical and psychological stress of caring for sick patients and making the right decision, makes them more prone to fatigue, reduced job satisfaction, higher turnover, and early retirement.

Corley (1995) and Redman (2000) found that nurses will lose their capacity for caring, avoiding patient contact, failing to give good physical care. The moral integrity are correlated with levels of nursing skill, meeting patient’s needs and total quality of care (Peter, 2008). Gutierrez (2005) found that nurses who could not maintained moral integrity often requested not to care for that patient on subsequent shifts, decreased contact with families and decreased contact with the patients themselves. In clinical practice, nurses knows the morally appropriate action to take, But this is not possible due to the limitations of the institution. In these situations, nurses may experience a feeling of psychological disequilibrium, called moral distress (Corley, 2001; Kopala& Burkhart, 2005; Epstein, 2009; Corely, 200l; Edward, 2007; Epstein, 2009; Godfrey, 2012; Hamric, 2000; Jameton, 1984 Laabs, 2005; Lilen, 2011; McLSauls, 2011; Ong, 2012; Redman & Fry,

Ethics is defined in multiple ways. These are considered as rules or regulations which sense the right or wrong doing related to any individual. Ethics in professional life can be defined as the sense of a person with which is responsible for controlling that routine practice of a particular person with which he can distinguish between right and wrong (Resnik, 2011). In professional fields, the importance of ethics can’t be denied. Every profession makes use of certain guidelines on the basis of which the whole job is performed. The outcomes of following ethics in profession result in a complete and successful accomplishment of the task. Without ethics, the presence of a good performing profession is doubtful. In nursing, ethics which are usually taught at nursing schools and academies play a major role. The profession of nursing itself relies a lot on the treating others in a proper way. This is what ethics controls in the nursing profession. The behavior of nurses with patients matters a lot in this profession (Moore, 2012).

In today’s healthcare environment nurses are faced with increasingly intricate ethical dilemmas. We encounter these dilemmas in situations where our ability to do the right thing is continuously delayed by conflicting values and beliefs of other healthcare providers. There are many nurses who face these ethical issues head on and others who put it aside. Keeping our commitment to patients requires moral courage. Moral courage aids us in addressing ethical issues and making the correct decision when it is being contradicted. It involves the willingness to speak out and do what is right in the face of forces that would lead us to act in an unethical way. Nurses who have moral courage and advocate in the best interest of the client may have to endure adverse outcomes. It is important that nurses begin to create a work environment in which moral courage is supported.