Both nurses and physicians are provided with a professional “code of ethics”. These codes are meant to provide professional guidance at all times, but most importantly at times of extreme moral dilemma. The physician’s code of ethics lists several steps in helping to guide the physician in acting as the patients advocate; the patient has the right to make their own decision, professional courtesy, continuous healthcare, and the right to receive adequate healthcare despite the inability to pay (Pierce & Randels, 2010). Within the nursing code of ethics this principle of patient advocacy is also emphasized. Other important provisions include: practicing with compassion that respects the inherent dignity of all persons, collaborating with other
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
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.
Codes of ethics contain a coherent set of normative principles underlying a nurse’s purpose and associated values (Vanlaere and Gastmans, 2007). Two perspectives of ethics are the ethics of justice and the ethics of care (Botes, 2000). The ethics of justice constitutes an ethical perspective in terms of which ethical decisions are made on the basis of universal principles and rules, and in an impartial and verifiable manner with a view to ensuring the fair and equitable treatment of all people (Botes, 2000). The ethics of care, on the other hand, constitutes an ethical approach in terms of which involvement, harmonious relations and the needs of others play an important part in ethical decision making in each ethical situation (Botes, 2000).
The topic of ethics is prevalent in health care and addresses a broad range of topics in nursing. In almost every interaction with a patient there could be a situation that may bring up the question of ethics. Fortunately, there is the realization that placing the nurse in the care of a patient, may put the medical personnel in an environment where the ethics are questioned. There are whole departments dedicated to advising nurses in these situations. There are also ethic committees to help guide you when you find yourself in a situation that may question your practice or circumstances.
Ethics Committees are formed to help hospital and medical personnel resolve ethical issues that arise in their facility. The committee members are a mix of hospital personnel, including physicians, nurses, administration, social work, chaplains and others. These professionals work together to assure quality patient care in their facility. To achieve their goal the members must work together with open communication, mutual respect, and shared decision making. I will discuss three points related to the ethics committee, 1) the development, structure, importance and goals of the ethics committee; 2) the importance of intra-professional collaboration, including the role of the nurses; and 3) present the structure, organization and role of an
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
In the Code of Ethics for Nurses provision 4 states “The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care.” This was not done, there was no regard for human life. The patients in the hospital were treated as a burden. A meeting was held where the doctors agreed that
The American Nurses Association (ANA) has the Code of Ethics which holds Nurses to the codes or provisions of these documents. I summarized Provision 1 of the ANA 's Code of Ethics. I give a scenario where this provision is broken by the nursing staff and consequences of doing so. Provision 1: Provision 1 reads as follows “The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems” (American Nurses Association 2001). Provision 1 is divided into five subdivisions. Provision 1.1 is titled “Respect for human dignity"(ANA 2001). The nurse always needs to place value on their patient as a unique individual. Provision 1.2 is titled “Relationships to patients” (ANA 2001). As a nurse you need to leave all prejudice, personal beliefs, and convictions out of the care of your patient. The patient’s self-worth and value is not defined by their religious choice, culture, lifestyle, hygiene, financial status, sex, and race. The nurse needs to form or follow an individual treatment plan that fits your patient’s personal preferences, religious beliefs, and requests. Provision 1.3 reads as follows “The nature of health problems” (ANA 2001). A nurse is not to judge or look down upon a patient by their "The disease, disability, or functional status “(ANA 2001).The nurse needs
Following the appropriate ethics is of extreme importance in the nursing profession. “Ethics are of universal concern and crucial in all professional healthcare” (Gustafsson & Stenberg, 2017, p.420). The leading goal in nursing is to achieve patient-centered care. According to Arnold and Boggs (2016), “Patient centered care focuses on fully partnering with the client to provide care that incorporates his or her values and preferences to give safe, caring, compassionate and effective care” (p.25). In order to provide a well-grounded, caring environment, nurses need to be able to balance their personal differences with the ethical care standards they are obligated to provide patients (Gustafsson & Stenberg, 2017). Nurses spend the most time with patients; therefore, they eventually will develop a “sense of rightness” (Gustfasson & Stenberg, 2017, p.420).
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,
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
The Code of Ethics for Nurses was created to be a guide for nurses to perform their duties in a way that is abiding with the ethical responsibilities of the nursing profession and quality in nursing care. The Code of Ethics has excellent guidelines for how nurses should behave, however; these parameters are not specific. They do not identify what is right and wrong, leaving nurses having to ultimately make that decision. Ethics in nursing involves individual interpretation based on personal morals and values. Nursing professionals have the ethical accountability to be altruistic, meaning a nurse who cares for patients without self-interest. This results in a nurse functioning as a patient advocate, making decisions that are in the best
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).
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
The nursing code of ethics has a very standard definition. It is the base on how nurses should guide themselves in conduct by making the right decision regarding ethical issues. According to the National Student Nurses Association “students of nursing have a responsibility to society in learning the academic theory and clinical skills needed to provide nursing care” (2003). In the clinical setting nurses have a lot of responsibilities while caring for an ill patient, they have the obligation to practice their profession with compassion, love, and respect the uniqueness of each patient, as nurses we are not supposed to deny care to a patient because of their economic status, their skin color, race, or the nature of health problems, we are