One of the most important responsibilities of a Nurse is to understand the ethical principles to promote patient safety, quality of care and avoid errors. In the profession of nursing, we as nurses must maintain the integrity, and respect the rights of human subjects. One of the protecting human subject rights includes the right to self determination. According to Burns and Grove (2011) “The right to self- determination is based on the ethical principle of respect for persons, and it indicates that human are capable of controlling their own destiny.” In addition, according to Burns and Grove(2011), researchers treat subjects as autonomous agents in a study if the researcher has (1) informed them about the study, (2) allowed them to chose whether to participate, and (3) allowed them to withdraw from the study at any time without penalty”.(Page 110). However, there had been several historical studies that conducted unethical practices and violated human right to self- determination.
Historical Summary of Unethical Practices
One of the unethical studies that I read during my philosophy course was the story of Henrietta Lacks written by Rebecca Skloot (2010) in the book called Immortal Life of Henrietta Lacks. Mrs. Lacks was a young black woman who was diagnosed with cervical cancer during the year 1951 at Johns Hopkins hospital. During treatment, doctors removed Mrs. Lack’s tumor cells without informing her and made available to George Gey who was one of the cancer
As a registered nurse practicing in the state of California I am responsible for practicing within my states legal regulations and nursing scope of practice. My concern for the welfare of the sick and injured allows me to practice ethical provisions of nursing. These are required if I am to carry out competent and effective nursing care. Nursing encompasses the prevention of illness, the alleviation of suffering, and the protection, promotion, and restoration of health in the care of individuals. Therefore, as health care professionals we must be familiar with the different philosophical forces, ethical principles, theories and values that influence nursing. At the same time, we must be respectful to our patient’s
Patients have the right to self-determination and individuals should have control over their own lives. With respect for human autonomy comes respect for patient rights. Apart of the nurses job is to promote, advocate and protect the rights, health, and safety of our patients. Patients have the right to determine their health needs, make informed decisions, and the right to information regarding their treatment and also the refusal of treatment. Nurses are obligated to know the rights of a patient and to make sure the patient understands their treatment plan. Supporting patient autonomy includes making decisions in the best interest of the patient, considering their values and recognizing differences between cultures. In the treatment
According to the scenario given in example 2, the new nurse on the unit is facing an ethical dilemma by being asked to violate the code of ethics. This scenario regarding the preceptor telling the nurse to violate policy and chart that blood draws were done correctly is violating provision 3. Specifically, if the nurse interjects and decides to not draw the blood cultures too close together and from the same site, it upholds provision 3.5 Protection of patient health and safety by acting on questionable practice. The American Nurses Association code of ethics (2015) states, “Nurses must be alert to and must take appropriate action in all instances of incompetent, unethical, illegal, or impaired practice or actions
There are many different careers which entail much more than just a particular degree from some type of post-secondary education program. Typically, all careers have a specific code and level of ethics which are incorporated into the daily responsibilities one is expected to perform in their chosen field. For the basis of this paper, I have chosen to write about the nursing code of ethics. Nursing has a professional code along with the level/employee behavior usually being currently attainable, which means that the behavior expected is normally exhibited by individuals. (Manias 508). However, although nursing seems to require behavior that is “normally” exhibited and tends to be one of the most popular medical fields, there are numerous amounts of ethical issues which have emerged in this field of work since the few being noted in Florence Nightingale’s Notes on Nursing. (Ulrich et al. 2).
Truth-telling is an important issue within the nurse-patient relationship. Nurses make decisions on a daily basis regarding what information to tell patients. The specific issue in question is whether a nurse should abide by the Code of Ethics for Nurses by revealing the truth to the patient or refrain from telling the truth to the patient because they are respecting the wishes of the patient’s family. Nurses and health care professionals should always tell the truth to their patients unless the patient forgoes their rights to autonomy or cannot think for themselves. By providing the patient with the truth, they allow the patient to come to terms with their conditions and give them the options for further treatment.
Nursing is an all encompassing profession in which practitioners are not only proficient in technical medical functionality, they also have the obligation to remain compassionate and respectful of patients and as such are expected to adhere to pre established codes of ethics. Of these ethics, autonomy is of extreme importance as it offers patients a sense of personal authority during a time where they may feel as if their lives, or at the very least their health, is no longer under their control. Autonomy in the context of nursing allocates the patient and often their family with the final word on the course of treatment. The concept of patient autonomy is a highly variable subject in all fields of health care. It is a universal concept that varies widely in its meaning and interpretation. Autonomy in its simplest form can be defined as a state of independence or self governing (Atkins, 2006). Patient autonomy can also be defined as the ability to make once own decisions, based on one’s sound judgment. It is defined by the American Nurses Association (ANA, 2011) as the "agreement to respect another 's right to self determine a course of action; support of independent decision making." This seemingly straight forward ethical concept is rife with difficulties when one considers potential disagreements that may arise even when informed consent is provided, particularly among children or vulnerable people. Relevant research and
There are five principles to ethical nursing. The first principle, nonmaleficence, or do no harm, it is directly tied to a nurse's duty to protect the patient's safety. This principle dictates that we do not cause injury to our patients. A way that harm can occur to patients is through communication failures. These failures can be intentional or as a result of electronic or human error. Failing to convey accurate information, giving wrong messages, and breaking down of equipment, can cause harm to patients. Some of these communication problems may certainly occur whether a patient is at a neighborhood clinic or 500 miles away, but distance and high reliance on electronic technology make close examination of communication and ethical
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.
The sequencing of the human genome has a new approach to health care in regards to promotion, maintenance, and treatment. Genetic research is defined as a new approach to a better understanding of the genetic components of common diseases: Cancer, diabetes, stroke, and creating new gene-based technologies for screening, prevention, diagnosis, and treatment of both rare and common diseases. Nurses are a main aspect within the first line of care, and therefore will contribute fully in genetic-based and genomic-based practice activities such as collecting family history, obtaining informed consent for genetic testing, and administering gene-based therapies. Lea, D, (January 31, 2008). My paper is based on an article Genomics in the public
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 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
The four main ethical principles that nurses need to follow when an ethical dilemma arise are autonomy (respecting patients choices), non maleficence (not to harm), beneficence (promoting good) and justice (treating people fairly) (Foley & Christensen, 2016). These will be integrated for Gerald's case. At this particular circumstance the nurse should know what their duty is. Whichever action they will decide should be able to provide the best possible outcome for all concerns. In the case study an ethical dilemma arises when Gerald refuses to be washed or for his wound to be cleaned. The issue is Gerald has faeces all over him and the nurses face a dilemma of whether to wash him or not to wash him in respect to his autonomy. The principle
According to research, ethics is moral principles that a society, group, or individual holds that differentiate right from wrong and good behavior from bad behavior (Verderber, Sellnow, Verderber, 2012). The student writer’s cousin is a nurse and an amazing hero because she embodies all five ethical principles. The five ethical principles discussed are honesty, integrity, fairness, respect and responsibility. However, the most noticeable ethical standard she displays is Universalism, meaning responsibility or a strong sense of duty. Therefore, she has the moral authority as a nurse that treats all people the same in any same circumstances because of her overall purpose. In other words, as a nurse she has a duty to treat and care for all people
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).
Professional values should serve as the basis of a nurse’s ethical practice. The professional values are the foundation to the practice of nursing. According to Kubsch, Hansen, & Huyser-Eatwell (2008),”Professional values are standards for actions accepted by the practitioner and professional group that provide a framework influencing the behavior of the group” (p.375). They are, to me, a set of beliefs or principles which guide behaviors. The professional values include: altruism, autonomy, human dignity, integrity, and social justice. I believe that they are interconnected; you cannot have one without the other. In thinking about professional values, I think of respect. This word sums them all up.