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Honouring Dignity in Relation to Ethical Practice
Honouring dignity is a basic right for all individuals and it is fundamental in caring for the holistic wellbeing of patients (Mohsen & Mohammad, 2015). Nurses can preserve the dignity of patients when they establish trust, assure respect, and communicate these values to the patients. It is on this basis of ethical values of which nurses withhold that grants them the opportunity to display professionalism. Nurses strive to help enhance the holistic wellbeing of individuals and in order for such a goal to be feasible, there must be a baseline to ensure that all nurses participate in ethical nursing care. The Canadian Nurses Association set a foundation for nurses to guide the ethical performance.
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The ethical scenario used throughout the paper is of how two nurses at a hospital in Florida posted a video and a picture of them inappropriately handling an hour old newborn on social media, Snapchat (Clark, 2017). In the picture, the nurse was inappropriately gesturing to the newborn and calling the infant satan. The nurse in the video was lifting the new born and moving the infant’s arms and legs to dance to rap music. The post was reported and eventually spread on Facebook. The purpose of this paper is to identify the unethical practices from the case study according to the standard of honouring dignity shown in the CNA Code of Ethics. To honour dignity, nurses strive to respect the patients and family, protect the privacy, advocate for patient rights and …show more content…
Patients build their trust on the grounds of such regulations and expect to receive care with respect for themselves, their family, and their privacy. The CNA code of ethics guides nurses to respect the patients and family, protect privacy, advocate for patients receiving poor treatment and maintain professionalism in the therapeutic relationship (CNA, 2017). The case study discussed in the paper identified examples of unethical practices and the paper addressed different methods to deal with the ethical dilemma. In the scenario, the two nurses failed to show respect in any aspect which leads to the violation of responsibilities under the value of honouring dignity. Nurses can build therapeutic relationships and create the ideal environment for care if they follow the ethical standards and policies regarding their practice; however, the neglect of such guidelines can break the channel of which the care is carried out and result in the patient’s unwillingness to receive the care that they need. Dignity can be preserved by basic moral responses such as respect but can also be shattered(diminished) by a simple act of
Nurses everywhere face problems and challenges in practice. Most of the challenges occur due to a struggle with the use of ethical principles in patient care. Ethical principles are “basic and obvious moral truths that guide deliberation and action,” (Burkhardt, Nathaniel, 2014). Ethical principles that are used in nursing practice include autonomy, beneficence, non-maleficence, veracity, confidentiality, justice, and fidelity. These challenges not only affect them, but the quality of care they provide as well. According to the article, some of the most frequently occurring and most stressful ethical issues were protecting patient rights, autonomy and informed consent to treatment, staffing problems, advanced care planning, and surrogate decision making (Ulrich et. al, 2013). The ethical issue of inadequate staffing conflicts with the principle of non-maleficence.
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ 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.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
A code of ethics provides a standard by which nurses conduct themselves and their practice, observing ethical obligations of the profession and providing quality care. To achieve its purpose, a code of ethics must be understood, internalized, and used by nurses in all aspects of their work” (Aliakvari, 2015, p. 494).
In the code of ethics, the very first ethical principles that nurses are expected to uphold in order to exemplify that they are competent professionals are autonomy, beneficence, and nonmaleficence. That is, nurses as professionals are expected to advocate for their patients while preserving their respect and dignity and
Furthermore, nursing action guided by the theory and principles of moral and legal rights complements excellent nursing care. Nurse’s awareness of moral and legal codes helps them control the complicated scenarios encountered and direct the nurses in the best possible action answerable by law (Lachman, 2006). In this essay, the author will rationalize the relevance of professional, ethical and legal regulations in the practice of nursing. The author will discuss and analyze the chosen scenario and critically review the action taken at the expense of the patient and the care workers. In addition, the author will also evaluate the strength and limitations of the scenario in a broader issue with reasonable judgement supported by theories and principles of ethical and legal standards.
The nursing code of ethics is a formal statement of the ideals and values of nursing and ethical principles that serve as standards for nurses‟ actions. Jurisprudence is the scientific study of law and law is defined as those rules made by humans, which regulate social conduct in a formally prescribed and legally binding manner. Nursing ethics and law are very important because they are concerned with the provision of services that have an impact on human health and life which can cause dilemma during practice and if not handled adequately can lead to negative impact on the client and all the people concerned with the care the client. Therefore Standards must be set to guide the conduct of the nurse in making proper and adequate decisions for the safety and protection of the client, by so doing the nurse protects herself or himself from litigation (Burke, K. 2000).
Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as well as the nursing standards. Through education in areas such as confidentiality, boundaries can remain in tact and the patient care can remain within the zone of helpfulness.
Nursing code of ethics was developed as a guide in carrying out nursing responsibilities in a matter consistent with quality in nursing care and the ethical obligations of the profession (ANA, 2010). The term ethics refers to the study of philosophical ideals of right and wrong behavior (Olin, 2012). There is a total of nine provisions however, throughout this paper I will discuss provisions one through four. These provisions would include, personal relationships, primary care, nurse commitment, safety, patient rights, responsibility and accountability of the patient.
Although nursing is universally practiced, not all nurses values and morals are the same. Nurses and nursing students are usually put in situations where they must operate within an ethical structure which is either unfamiliar to their cultural criterion or those of the patients for whom they are taking care of. The most prominent values and morals of nurses are based on human dignity and benevolence. Human dignity is the main component that branches off into other values under caring for health and well-being. Trust, integrity, autonomy, and privacy are one of the many sub-values that fall under human dignity. It is important for the nurses to respect and understand the culture and beliefs of the patient without being judgmental or confrontational. The wellbeing of the patient is priority and so the nurses must focus on gaining the patients trust first by tending to their needs and exhibiting
In order for nurses to practice ethically they must understand the meaning behind each professional value. The first value is human dignity. With each patient we encounter we must show them respect as individuals. It does not matter what the medical condition is, race, ethnicity, culture, religion or gender of the individual. The dignity of a person must be protected. As nurses we must respect the uniqueness of each individual we care for, as this is a fundamental right of all humans. A person with dignity feels a sense of self-worth and as nurses we must do our best to help our patients maintain that feeling of worthiness.
Dignity and respect for patients is important in adult nursing because without it, it dehumanises them, and creates opportunities for abuse and ill treatment to occur. Lack of dignity and respect can also cause emotional problems for patients, as they are already in a vulnerable state.
The Royal College of Nursing (RCN, 2009) defines dignity as treating someone as you or your family would want to be treated, when they are feeling vulnerable. According to ( Matiti & Baillie,2011) in modern world the word dignity has lost its meaning, whether it is intentionally or unintentionally, nurses have become very mechanical, trying to give care for dummies rather than human beings, who have emotions, feelings and self-respect, and not realising what impact patients will have when nurses show this kind of attitude. Patient centred care is vital for all nurses, without, discriminating against colour, gender, race, and religious beliefs. Following the code of conduct which is expected of the nurse, working according to the needs of the patients, being a good listener and respecting them. When the nurse shows dignity and respect, she/he tends to develop a therapeutic relationship with patient which in turn results in good health and rehabilitation (NMC, 2008).
The American Nurses Association Code of Ethics for Nurses has five elements that pertain to the Principle of Autonomy. Each individual element applies to “respect individual persons” (Baillie, McGeehan, Garrett T, M., Garrett R. M., 2013, p.33). In Chapter 2 of the Health Care ethics: Principles and problems text, it discusses thouroghly the consent of an individual to make their own decisions regarding their health and future requests of care. As a nurse or within all heath care professions, we must treat each individual patient with care, respect, and to remain mindful to the patient regarding any aspect of their lives. In the ANA Code of Ethics for Nurses, it explains ways of maintaining the empathy required in the health field. It further discusses that the respect for human dignity must be a priority, relationships to patients must remain neutral, the severity of the situation, the right to self-rule, and the professionalism that must be upheld by the nurse and their associates.
The American Nurses Association created guidelines for the profession including, a set clear rules to be followed by individuals within the profession, Code of Ethics for Nurses. Written in 1893, by Lystra Gretter, and adopted by the ANA in 1926, The Code of Ethics for Nurses details the role metaethics, normative ethics, and applied ethics have within the field (ANA, 2015). Moral obligation for an individual differs within professions than it does within an individual’s personal life, so the code of ethics was written to establish rules within the profession. The moral obligation to provide quality care include the fundamental principles of respect for persons, integrity, autonomy, advocacy, accountability, beneficence, and non-maleficence. The document itself contains nine provisions with subtext, all of which cannot be addressed within this paper however, core principals related to the ethical responsibilities nurses have will be
In conclusion, there are numerous legal and ethical issues apparent in the nursing practice. Nurses should study and be as informed as they can with ethics and legality within their field in order to ensure no mistakes occur. Ethical issues vary based on patient’s views, religion, and environment. Nurses are influenced by these same views, but most of the time they are not the same as the patients. As a nurse we must learn to put the care of our patients and their beliefs, rights, and wishes before our own personal