The Ethics Of A Moral Community

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

Nursing is a career that is governed by a set of ethical principles. The duties of a nurse consist of care and support and its important that nurses are aware of their professional ethics. These principles are put into place to uphold and maintain moral values in healthcare. The American Nurses Association (ANA) code of ethics for nurses consists of nine provisions, outlined in the Code of Ethics for nurses with Interpretive Statements. These provisions are constructed to blueprint the role and responsibilities of a nurse. The chosen provisions being discussed will refer to the three main principles of patient autonomy, patient confidentiality, and patient rights.

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

As the nursing profession progresses throughout the years, its nature becomes more complex in meeting the professional standards and codes of ethics that are required by all nurses. The American Nurses Association has a specific code of ethics that each nurse should follow and adopt as their own beliefs. The public and the patients should be the priority when providing care in the healthcare setting. The knowledge and education that nurses’ gain is valuable and allows them to encourage health, avoid illness, restore health, and aid in coping for those who are all ill. (LeMone, pp.192) Given that the code of ethics is put into place, there are many registered nurses who violate these codes in various situations. The following will discuss

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.

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

Maeve and Vaughn (2001) also state that a prison facility necessitates more self-awareness by nursing staff to provide ethical care since prisons are society’s way of punishing, serving justice, and deterring crime. Nel Noddings (1984) described two types of caring that nurses utilize. Natural caring is something that is innate to most. We learned how to care by being cared for. Ethical caring requires intention to operate with compassion despite the individual or circumstances. Maeve and Vaughn (2001) propose that correctional nurses often operate under ethical caring in order to overcome the obstacles faced due to an offender’s behavior or crime. Some of the ethical dilemmas Maeve and Vaughn described that nurses will face in correctional settings are: carrying out the death penalty; providing client confidentiality during exams and discussing diagnosis; inappropriate use of chemical restraints for security rather than medicinal purposes; working with underqualified medical personnel; providing care for offenders who are violent or have an addiction or mental illness; planning/referring offenders for appropriate care once released; caring for incarcerated mothers; and

The case study will focus on Mrs Alston, an elderly resident living in an aged care facility that has been restrained against her will due to taking other peoples belongings. Using the Kerridge, Lowe and McPhee’s (2006) Ethical Decision making framework to approach the ethical dilemma. Restraining Mrs Alston has caused anger and a near experience of physical assault. Her family have become aware of these restraints and are unhappy.

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

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.

Each of the seven primary values encompassed within the code of ethics were involved in this case include, providing safe, compassionate, competent and ethical care, promoting health and well-being, promoting and respecting informed decision-making, preserving dignity, maintaining privacy and confidentiality, promoting justice and being accountable (Canadian Nurses Association, 2008). I am going to thoroughly examine providing safe, compassionate, competent and ethical care, as well as preserving dignity. The code of ethics states under providing safe compassionate, competent and ethical care that nurses’ ethical responsibilities are to follow their practice standards, participate in compassionate care exhibited through actions, behaviours and body language, build trustworthy relationships, be able to fully place oneself in the individuals shoes to fully comprehend their situations, admit to mistakes, and prevent and minimize all forms of harm and violence (Canadian Nurses Association, 2008). This ethical quandary displays how this ethical value was not implemented, the health care aids did not place themselves in their shoes and try to understand their thoughts and feelings or how abandoned and meaningless they felt when they were not even acknowledged. No one

Ethics and Morals play an important role in the nursing profession; nurses are confronted with choices to make every day, and some of them more challenging than others. Ethics are affirmations between what it can be right or erroneous. For our society ethics is presented as a complex system of principles and beliefs. This system serves as an approach with the purpose of ensuring the protection of each individual within the society. On the other hand, morals are basic standards between what is right or wrong; each individual learns to identify these standards during the early stages of human development (Catalano, 2009). A person with morals is usually somebody who recognizes how to respond to the needs of another individual by giving care and keeping a level of responsibility while giving this care (Catalano, 2009).

Nurses are subject to a plethora of legal, ethical, and professional duties which can be very challenging on a day to day basis. Some of these duties include respecting a patient 's confidentiality and autonomy, and to recognize the duty of care that is owed to all patients. As nurses our duties are always professional; however there are legal implications if these duties are breached. We also must consider when it is okay as nurses to breach these duties and therefore ethical issues arise. As nurses one of our main priorities is to advocate for our patients, without our own personal feelings on the matter taking over.

As far back as Florence Nightingale, professionalism and ethics have been the cornerstone of nursing practice. “Ethical values and practices are the foundation upon which moral actions in professional practice are based” ( LaSala & Bjarnason, 2010). Core professional nursing values (CPNV) are taught and instructed upon in nursing programs. This paper will explore and define the CPNV of altruism, autonomy, human dignity, integrity, and social justice. Although these values are all individual characteristics, I will show that they are all intertwined in the path of care that an ethical practicing nurse walks every day with her patients, without even thinking about it.