The first issue is that an unmanageable workload contributed to the clinical incident to Mr. Lee. Although excessive workload might lead to clinical incidents, the way of management was more important for this case.
Professional issue
It is a responsibility for registered nurses that they need to grasp the situation accurately and make the best choice in order to ensure patient safety (NMBA 2008b, p. 2). In this case, close clinical observation was essential for all the patients in the ward. However, Mr. Lee required far more careful observation than others because he was in the immediate postoperative period. It is said that patients in post-surgery normally, require regular observation hourly for 4 hours, then 4 hourly for 24 hours. If the
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3). Due to excessive workload, this could make the provision of nursing care of Ms. Colleen Prise difficult. However, the nurse still needed to identify the situation, which can impair delivering her nursing care in order to ensure patient safety (NMBA 2008a, p. 3). It can be thought that the nurse recognise how difficult to manage this situation is. Therefore, performing nursing job with identifying the difficulty was one her ethical inappropriate behaviour. Furthermore, the nurse did not take offers five times form the nursing staff the PACU. This can be also ethically inappropriate because to provide person-centred care and to ensure optimal care, nurses have to respect experiences, skills and knowledge of colleagues (NMBA 2008a, p. 3). It can be considered that the nursing staff in the PACU had deeper knowledge about post-operative care than Ms. Colleen Prise. If nurses face a problem that an activity is beyond their capacity to handle it, they have to make a decision based on professional judgements and consulting with other medical professionals is appropriate (NMBA 2007, p. 6). Therefore, Ms. Colleen Prise had to receive the offers from the PACU and make a justifiable nursing judgement and collaborate with the colleagues to deal with that situation (NMBA 2010, p.
Ethical issues can cause a lot of tension and emotional turmoil. Before starting a career in the healthcare profession, nurses must know the code of, the importance of the Nurse Practice Acts and other types of laws, as well as the nurse’s liability when working with patients. Nursing is an ever-evolving profession that has gone through drastic changes in the last few decades, but ethics is still as important as ever. Ethical concepts, nurse practice acts, laws and commitment admissions will be further discussed.
Nursing is not an easy job and those who chose it as their profession are truly special people. Nurses are confronted with ethical decisions that need to be made on a daily basis. Often they know the right thing to do but because of circumstances like institutional structure and conflicts with others, obstacles are created and distress ensues (Jenner, 2001). It is during times like these that nurses must rely on the training that they have received as well as the code of ethics that has been set down for their profession in order to do the right thing.
Ethical issues have always affected the role of the professional nurse. Efforts to enact this standard may cause conflict in health care settings in which the traditional roles of the nurse are delineated within a bureaucratic structure. Nurses have more direct contact with patients than one can even imagine, which plays a huge role in protecting the patients’ rights, and creating ethical issues for the nurses caring for the various patients they are assigned to. In this paper I will discuss some of the ethical and legal issues that nurses are faced with each and every day.
Today many nurses, doctors, and other health care professionals encounter ethical dilemmas on a daily basis. An ethical dilemma can be defined as when there is more than one reasonable solution to a specific scenario. No one solution is more right than the other. In fact, they may both feel wrong, but a decision must be made (Butts & Rich, 2016). In the healthcare setting, nurses should be prepared to think critically and make ethical decisions. There are many factors that contribute to the process of ethical decision making such as ethical perspectives, principles, theories, and guidelines. Ethical decision making is to be rational and systematic. The selected case to be discussed is the case of Jahi McMath,
Ethics are a set of moral principles that serve as a guiding philosophy for behavior. Consequently it is not a surprise that ethical dilemmas occur daily in the health care setting. Any nurse who refuses to provide care for a patient faces an ethical dilemma (Kuhn, 2012, pp. 412-418). The reasons given for refusal range anywhere from a conflict of personal values to fear of personal risk of injury. Nurses do have the right, at times, to refuse patient care assignments. The decision to accept or reject an assignment must be based upon a judgment by the nurse of the nurse 's ability to provide competent patient care. This paper aims to show both sides of the argument when it comes to nurses refusing a patient assignment. One side believes that nurses has the right to refuse patient assignment, as they must be true to themselves if they want to perform their best on the job. On the other hand, the other side believes that it is the nurse’s responsibility to care for all patients and, therefore nurses cannot simply refuse a patient.
Nurses face many ethical issues every day. Making ethical decisions is challenging for nurses because the decisions can impact not only patient but also nurses. In Hickox’s case, she was subjected to restrictions. The ethical
Ethics in Nursing Background The situation that will be discussed in this paper is nurse staffing adequacy, scenario seven. This is a nurse-organization ethical dilemma. Ethical dilemmas can arise for many different reasons some are because there may be a difference in a nurse's and an organization's values, patient needs, and expectations (Porter-O'grady & Malloch, 2016). This specific situation arises because when nurse-patient ratios are above optimal level, patient care is compromised.
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
Nurses strive on providing ethical quality care to their patients. The foundation of nursing is built on two main terms, nonmalificence and beneficence. Nonmalificence is when a nurse acts and cares in a manner that prevents patients from harm. Beneficence is when nurses provide care that benefits the patient (Martin, 2015). Not only do nurses morally act in this manner but legally as well. There is a direct link between inadequate nurse staffing and negative patient outcomes (Martin, 2015). When nurses are faced with short staffing and/or inadequate staffing, nurses are not able to carry out these principles and practice ethically resulting in patient safety and quality of care being
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 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).
between two sets of human values, both of which are judged to be “good” but neither of
`Ethics' is defined as ."..the basis on which people...decide that certain actions are right or wrong and whether one ought to do something or has a right to something"(Rumbold, 1986). In relating `ethics' to nursing care, "Nursing decisions affect people... nurses have the power to good or harm to their patients" (Bandman et al, 2002). In this essay, the author will also identify the most important ethical principles and concepts of Evan's case, will outline the different stages of one's approach to ethical decision-making by utilising the "DECIDE Model for Ethical Decision-Making" founded by Thompson et al (2000) and will make a decision on the best course of action to take as a nurse in this
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
As floor nurses in a hospital setting it is easy to become overwhelmed and too busy to provide adequate patient care. Especially in times of increased illnesses, such as flu season, and times when our community experiences nurse shortages. Unfortunately, when this happens the nurses are given higher nurse/patient ratios. As health care providers, it is instinctual to want to care for every patient that walks through the door. However, in these cases, the patient may not receive the care they need. Provision 4 discusses the importance of the nurse’s responsibility and accountability for their assigned patient group (Code of Ethics for Nurses with Interpretive Statements Provision 4 , 2014). As previously stated it is the nurses’ responsibility