These past 4 years have been challenging but very rewarding. Many things in my personal life have changed but nursing is something that has always been a steady and positive relationship. I enjoy being able to make such an impact on someone’s life. As stated in the test plan Nursing is both an art and a science, founded on a professional body of knowledge that integrates concepts from the liberal arts and the biological, physical, psychological and social sciences. It is a learned profession based on knowledge of the human condition across the lifespan and the relationships of an individual with others and within the environment (NCSBN, 2016). I agree with this statement in the sense that nursing such be holistic and incorporate the whole person and all their needs. I have noticed a big change in my clinical practice in this past year. It is amazing how my confidence has increased so much. As a fourth year student, I find myself a lot more competent in all aspects of my care. This placement in the NICU has taught immensely how important family-centered care is. As I reflect on my current practice there are many things that come to my mind but for the sake of a long paper, I will mention just a couple. Using the NCLEX test plan as a lens I have drawn upon some checkpoints that have been relevant in my practice thus far. I will use this test plan as a way to self-direct my practice and jump on any new opportunities for learning. Under the category “Safe and Effective Care
“Be the one who nurtures and builds. Be the one who has an understanding and forgiving heart one who looks for the best in people. Leave people better than you found them.” Nursing is more than just doing assessments and giving medications; it is going beyond that to know what is right or wrong, what can and cannot be done, and what is considered harming the patients rather than doing them good. In nursing, there is a fine line between what is considered to be negligence and beneficence. According to Marquis (2017), “Ethics is the systemic study of what a person’s conduct and actions should be with regard to self, others human beings, and the environment (pg. 83), on the other hand, it does not necessarily mean that their
In today’s healthcare system, nursing is a challenging field as a result of rapid technological advances and changes in healthcare policies. As a dedicated nursing professional, with a great passion for learning, I strive to stay on top of these changes. I am determined to increase my knowledge to be an instrumental part of providing quality healthcare. The demands of nursing are high; however the rewards are even higher. Nursing requires both a supreme understanding of the science of health, and a caring bedside manner befitting only those who seek a position of such a personal involvement in the well-being of a patient. Academically, I will put forth all of
Deontology is an ethical theory concerned with duties and rights. The founder of deontological ethics was a German philosopher named Immanuel Kant. Kant’s deontological perspective implies people are sensitive to moral duties that require or prohibit certain behaviors, irrespective of the consequences (Tanner, Medin, & Iliev, 2008). The main focus of deontology is duty: deontology is derived from the Greek word deon, meaning duty. A duty is morally mandated action, for instance, the duty never to lie and always to keep your word. Based on Kant, even when individuals do not want to act on duty they are ethically obligated to do so (Rich, 2008).
This concept is taken from module 1 of block 6 entitled “Ethical Issues in Nursing Practice”.
Nurses are faced with ethical dilemmas on a daily basis, each situation being unique and requiring the nurse to set aside their own values and beliefs in order to properly care for their patients. Situations requiring nurses to make an ethical decision are diverse and dynamic; the values set out by the College of Nurses of Ontario code of ethics remains the same. Therefore, all decision based on these vales regardless of the setting and circumstances ensure consistent solutions. The scenario involves a woman who was admitted to the NICU due to complications during her sixth month of pregnancy. The patient indicated that no extraordinary measures should be made to save her baby; she became further detached when the baby developed a bleed
The topics that will be discussed in this paper will be the ethical decisions that have to be made by Dr. F and the RN in regards to disclosing information to Dr. J. Also, according to the NANDA nursing diagnosis for ethical consideration, Dr. F and the RN also have to consider if Mrs. Z has some knowledge deficits in regards to her prognosis and if due to her culture, she feels powerlessness towards her diagnosis. Ethical theories are important to justifying and relating situations in nursing. In this paper, there will be discussions relating ethical theories to nursing, as well as, ethical decision making models that will relate to the delivery of healthcare.
According to American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the heath, safety and right of the patient” (p. 6). Nursing responsibilities should be acted at the highest standard and must be based on legal and ethical obligations.
Developing my holistic nursing practice or looking at who I have become as a nurse today has been a journey that has helped defined who I am today. When I look back at when I originally became a nurse over 16 years ago, I am proud of who I have become. When I finished nursing school and began my job as a new nurse I thought I had all the tools to be the best nurse I could be. I understood the nursing process, I recognized the skills needed at the bedside to be a nurse, and I felt I had great nursing documentation skills. Soon I learned that wasn’t all of what I needed.
An ethical dilemma is defined as a mental state when the nurse has to make a choice between the options and choices that he or she has at her disposal. The choice is a crucial task as the opting of the step will subsequently determine the health status of the concerned patient, hence it requires a great deal of wisdom along with proper medical and health training before any such step is opted as it is a matter of life and death. Strong emphasis should therefore be on the acquisition of proper knowledge and skills so that nurses do posses the autonomy to interact with patients regarding ethical issues involved in health care affairs and address them efficiently. It is normally argued that nurses are not provided sufficient
Nursing can be a demanding career, but the benefits far much outweigh the challenges. Most importantly, it’s the rewards it offers by allowing an opportunity to make a difference in another person’s life through the provision of care when they need it. Just as Patricia Benner theorized in her book “Novice to Expert,” nursing encompasses both educational knowledge and extensive clinical experience acquired throughout one’s career. This far, I continue to acquire knowledge and clinical knowhow which will promote proper and efficient care to patients. Since I began practicing one year ago in a long-term healthcare facility, I have interacted with patients, families, physicians and other members of the healthcare team to coordinate patient’s care which has enabled me to gain confidence in myself. While I cannot deny that it was difficult to transition from a student to a licensed nurse, I learnt to overcome these challenges and focus on my strengths. Practicing as an LPN has provided a platform to learn and gain experience even though the duties and responsibilities are limited by the scope of practice.
Accountability and Responsibility are two of the most important skills that a clinical nurse can display. These skills are taught beginning in nursing school, when learning about the ethical framework behind the nursing profession. Nursing is a skillful combination of science and art that places patient preferences above everything else. Not everyone has the unique ability to be caring and medically savvy. The American Nurses Association defines accountability as the ability to be answerable to oneself and others for one’s own actions (Battie & Steelman, 2015). Accountability plays a huge role in patient care and the process of learning the skills of nursing. Student nurses learn that nurses should be accountable for all actions, delineation of tasks to supportive staff, as well as nursing interventions. Responsibility is also intertwined with this idea of being accountable for one’s own actions. Responsibility refers to the specific accountability or liability associated with the performance of duties of a particular role. Nurses can either accept or reject specific role demands based upon their education, knowledge, competence, and extent of experience (Code of Ethics, 2015). This paper will discuss accountability and responsibility of nurses delving into assessing one’s own competence, techniques of learning responsibility, and the future of nursing accountability.
NOTE: You will create a new Word document for this Assignment instead of typing directly into this document.
The greatest aspect about nursing is that it is never going to be just a job and is even more than a merely profession. Instead, it is a belief system or way of life and not a discipline that can simply be practiced then abandoned to the dictates of a time clock. To simply say that “I love people” or want to “help people get better” does not demonstrate the drive behind this feeling. Articulating my philosophy is not an easy task, to better explain my philosophy of nursing, I am going to use some values that I have learned. These tools truly explain how I feel and what has motivated me to pursue nursing as a career.
Nurses support and enable individuals, families and groups to maintain, restore or improve their health status. Nurse also care for and comfort when deterioration of health has become irreversible. A traditional ideal of nursing is caring and nurturing of human beings regardless of race, religion, status, age, gender, diagnosis, or any other grounds.
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