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Recommended: Importance of human dignity
Brown et al (2017) document dignity was commonly understood as independence, privacy, comfort and care, individuality, respect, communication, physical appearance and being seen as human. To successfully deliver the dignity care to end of life patient, it requires that nurses need to obey the 6Cs of nursing (care, compassion, competence, communicate, courage and commitment) in order to the standard care not fall behind (DH, 2012). By following NMC code (2015) we are now taking forward this work in dignity to explore how to promote dignity in routine care. Then the further researcher should explore whether Dignity Therapy can be routine intervention and integrated into day to day practice of palliative care team or end of life care team. NICE …show more content…
Boland et al (2014) pointed out that the systematic reviews are considered as the best way to synthesize the finding of several studies investigating the same questions. The authors further confirmed that the Dignity Therapy (DT) is an effective and beneficial psychotherapy to relieve psychological and existential distress in patients with advanced life-threatening diseases. Also, the area of research is from different countries including UK, USA, Canada, Portugal, Australia, Denmark, Spain, Sweden, and Japan, published in English. It makes the result can easily transferable and generalizes to the UK, even expanding to the Europe and Asia …show more content…
And authors mentioned the adaptability of therapy to different population and cultures, although the therapy may need to make some adjustment in its application. All the articles critical appraised by using CASP and methodological shortcoming identified and reported. It makes the evidence more reliable. Also widely audit standard tools were used for assessing the patients; it shows the result more truly. In addition, Martinez et al (2016) considered family members and professionals’ satisfaction regarding Dignity Therapy, they think Dignity Therapy has a positive effect on the patients’ family and helped health professionals to better understand the
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).
Define a critical thinking task that your staff does frequently (Examples: treat high blood sugar, address low blood pressure, pain management, treating fever etc.). Create a concept map or flow chart of the critical thinking process nurses should take to determining the correct intervention. Include how much autonomy a nurse should have to apply personal wisdom to the process. If the critical thinking process was automated list two instances where a nurse may use “wisdom” to override the automated outcome suggested. Note the risks and benefits of using clinical decision making systems.
(AC 1.1) Jane with cervical cancer might be afraid of the problems around her, mostly about her children’s future during her illness and relationship with husband. Based on the Nursing Process and (according to Berridge and Liddle 2013) Roper’s Model, the oncology nurse will have to face Jane’s needs, give her support and prepare for emotional and physical changes.
In today's society, one of the most controversial health-care-related ethical issues is assisted suicide for terminally ill patients. Assisted suicide is not to be confused with ethically justified end-of-life decisions and actions. Nurses have a responsibility to deliver comprehensive and benevol...
The ethical situation in question is a culmination of intolerance, ignorance, cultural insensitivity, and failure to follow hospital protocols and procedures. The location of the facility in which the ethical dilemma took place is a small, rural hospital in the Midwest of the United States of America. A new male patient has been admitted and he is currently a practicing Muslim. The facility does not have a large Muslim population and does not have any cultural protocols in place to accommodate the Muslim religion.
Before Nightingale, nurses were lower class citizens that were alcoholics or prostitutes with no to a little education. Florence Nightingale realized that nurses ought to have some education in caring for others and be of a higher class. In 1860, she opened the first nursing school in London that did not accept prostitutes and alcoholics. To signify Nightingale’s view of nursing, Lystra Gretter composed a Hippocratic Oath for nurses called the Nightingale pledge.
Dignity is defined as “the quality or state of being worthy, honored, or esteemed. (Webster, 1828). Treating patients with respect and dignity can make the difference in their response to illness. Patients want to be treated as individuals that have a medical condition and are seeking help and in the same vein be treated with respect.
The word ethics is derived from the Greek word ethos, which means character (1). Being moral always fills a nurse with morals respects, guidelines of good judgment and expert lead. There are three essential obligations for nurses, among many other which are the duty of autonomy, confidentiality, and obligation of care to all patients (2). There are professional duties with becoming distinctly legitimate obligations if any law and policies are ruptured in between professional practice. In 2001, a review found that there was an apparent requirement for more guidance on moral predicaments inside the medical professionals, subsequent to expanding legal cases and open request (3). Medical attendants ought to withstand to regulatory law and statutory law while managing the nursing practice.
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
The American Nurses Association (ANA) thinks that nurses should stay away from doing euthanasia, or assisting in doing euthanasia because it is against the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001; herein referred to as The Code). Overall, nurses are also advised to deliver a quality of care what include respect compassion and dignity to all their patients. For people in end-of-life, nursing care should also focus on the patient’s comfort, when possible the dying patient should be pain free. Nurses have also the obligation to support the patient but also the patient’s family members during these difficult moments. We must work to make sure that patients and family members are well informed about every option that is
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).
In a health care profession, people look up to those providing care and need to establish a trusting relationship with them. Since nurses are at the forefront of care in a hospital, it is crucial for nurses to show and have integrity in the hospital setting. As nurses, we are the person that is in constant interaction with the patient and the last line before administering or doing any care to the patient. Nurses develop integrity in many ways, through given situations and the need to stand up for what is right for the patient. The core value of integrity can be used in the clinical setting now as sophomore students and throughout our time as a nurse. The core concept of integrity is holding true to what is right for the patient and providing the most beneficial care to the patient.
Chochinov, H.M 2007: 187. Dignity and the essence of medicine: the A, B, C, and D of dignity conserving care. BMJ: 185-187