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Nurse practitioner ethics
Nurse practitioner ethics
What is informed consent in healthcare
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Recommended: Nurse practitioner ethics
Nursing encompasses various roles, inclusive of providing beneficial care, supporting patient autonomy and patient advocacy. Patients are capable of designating the direction of their medical care, possessing rights to refuse and accept proposed procedures according to the Patient Self Determination Act of 1990 which mandates patients be given information regarding their rights and abilities to prepare Advance Directives.
Nursing Roles and Values
Each of the United States develops standards of care distinguishing nursing roles and competencies. Chapter 6, Section 2725 of California’s Nurse Practice Act defines the nursing role in patient care as independently interpreting the patient’s condition, behavior, abnormalities, and judging the appropriateness of care. Title 16, Section 1443.5 of the state’s Code of Regulations requires the nurse to provide client advocacy by implementing improvements in health care or supporting actions congruent with the client’s wishes. Providing the patient with informed consent prior to procedure completion is an imperative obligation of the nurse (California Board of Registered Nursing). These statutes assingn the nurse responsibililty in determining Mr. E’s capacity to make medical decisions; having knowledge and understanding of the risks, benefits, and consequences of receiving or refusing a proposed treatment. Mr. E’s current condition of symptomatic sepsis, raises concerns of changes in his mental capacity and ability to make competent medical decisions.
Code of Ethics
Provision 3 of the Nursing Code of Ethics asserts “the nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient”, inclusive to acts of privacy, confidentiality, and questio...
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... ethical dilemmas. Cognizance of Advance Directives, patient rights, cultural beliefs, facility policies, and laws enables all health care providers to incorporate proper means of benevolent care.
Works Cited
Badger, J. (2009). Respecting Patient Autonomy Versus Protecting the Patient's Health. JONA's Healthcare Law, Ethics and Regulations, Vol. 11, No4 , 120-124.
Board of Registered Nursing. (n.d.). Retrieved from BRN Report 2009: www.rn.ca.gov/pdfs/forms/brnfall2009.pdf
California Board of Reigsiterd Nursing. (2009). Retrieved from www.rn.gov.ca/regulations
Code of Ethics for Nurses With Interpretive Statements. (n.d.). Retrieved from www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics.aspx
Perrin, K. (2008). Quick Look Nursing: Ethics and Conflicts, Second Edition. Manchester, New Hampshire: Jones and Bartlett.
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
Healthcare ethics is defined as a system of moral principles that guide healthcare workers in making choices regarding medical care. At its core lies our attitudes regarding our personal rights and obligations we have to others. When an unprecedented situation comes into play, we rely on medical ethics to help determine an outcome that would be the best case scenario for all involved. In order to appropriately review this case study, we must first identify the key stakeholders, the ethical principles, policy implications at the federal, state, and local levels, financial implications, and a viable resolution for the situation.
The four major ethical principles in health care are: Autonomy – to honor the patient’s right to make their own decision (the opposite is paternalism - the health care provider knows best for the patient), Beneficence – to help the patient advance his/her own good, Nonmaleficence – to do no harm (many bioethical controversies involves this principle), and Justice – to be fair and treat like cases alike. All 4 principles are considered to be in effect at all times. In theory, each is of equal weight or importance. Ethical responsibilities in a given situation depend in part on the nature of the decision and in part on the roles everyone involved play.
Providing the steps to ethically sound excellent care, healthcare providers must acknowledge first the legal and ethical matters involved with proper investigation and then devise a plan for best possible action recognizing the rights of the patient and its benefits followed by the application of the chosen intervention with positive outcome in mind (Wells, 2007). Delivery of excellent and quality of care at a constant level (NMC, 2008) must be marked in any responsibilities and duties of the care provider to promote exceptional nursing practice. Codes of nursing ethics and legal legislation have addressed almost all the necessary actions in making decisions in consideration to the best interest of the patient. Nurses must make sure that they are all guided by the set standard to lead their action and produce desirable and ethically sound outcomes.
Burkhardt, M. A., & Nathaniel, A. K. (2014). Ethics & issues in contemporary nursing (4th ed.). Stephan Helbra.
Barnett, Wilson J.(1986). Ethical Dilemmas in Nursing. Journal of Medical Ethics. Retrieved on 12th July 2010 from
American Nurses Association. (2015, January 2015). Code of Ethics for Nurses With Interpretive Statements, 1-76. Retrieved from
As a nurse, it is within your role to safeguard the right to privacy for individuals. To ensure that nurses are adhering to this, ethical strategies have been proposed and implemented from a legal and regulatory body.
The Code of Ethics for Registered Nurses is a document that details how a nurse in Manitoba is expected to act regarding ethical matters (College of Registered Nurses of Manitoba, [CRNM] 2006). Ethical principles are laid out with the assumption that nurses value and respect the individuality of people (Burkhardt, Nathaniel, and Walton, 2014). This paper will examine a case study and discuss the ethical principles, values and laws that pertain to the case. The stance that the nurse should take in this case study will also be discussed.
Thompson, I. E., Melia, K. M., & Boyd, K. M. (2006). Nursing Ethics: Churchill Livingstone Elsevier.
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.
Garrett, T. M., Baillie, H. W., & Garrett, R. M. (2010). Health care ethics: Principles and problems (5thed.). Upper Saddle River, NJ: Prentice Hall.
Ethics asses the values, morals, and principles of nurses. Legal codes or laws are rules established by our government. It’s important that nurses have a clear and comprehensive understanding of ethical and legal codes within their career. The understanding of these codes is essential for nurses to safely practice and to protect their patients. Nurses must abide by these principles or face the consequences of legal action. These principles include autonomy, utilitarianism, confidentiality, and many others. Autonomy is the agreement to respect ones right to determine a course of action, while utilitarianism is what is best for most people as defined in American Nurses Association. In order to give you a
Medical ethics refers to the relationship between health professionals and patients. The trust of patients in physicians has been vanishing. Today a lot of health care providers primary concerns seem to be in profit rather than in providing the proper healthcare to the public. Medical ethics consist of several different principles. Nonmaleficence, beneficence, justice, and autonomy are just a few of the many principals. Nonmaleficence enacts that a health care providers, can never use treatment to injure or wrong their patients. Beneficence claims that health care providers are obligated to help others further their interest. Justice requires health providers treat every patient as equal and provide equal treatment for everyone with the same