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Importance of code of ethics in nursing
Values fundamental to nursing practice
Importance of code of ethics in nursing
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Nurses have the greatest potential for improving a patient’s well-being. As a profession, nurses need to promote the core values and code of Ethics amongst them. Nurse practitioners are required to understand and practice the specific knowledge and skills of core values such as nurse caring, advocacy, holism and professionalism to assist the patients in their critical condition (Volp 2007a). This essay will discuss the core values of responsible nursing practice and code of ethics in relation to the young patient who is suffering from paraplegia.
Paternalism
A policy or practice of treating people patients in a fatherly manner, especially by providing for their needs without giving them responsibilities. Paternalistic practices, wherein providers confer a treatment or service upon a person or persons without their consent, ostensibly by reason of their limited autonomy or diminished capacity, are widespread in healthcare and in societies around the world. Numerous issues surround paternalistic practices (Cody WK). So doctors and nurses make decision about the treatment of patients or their clients, but it is against the patient’s choices or thoughts, according to doctors and nurses, it is beneficial for the patient (Jones). On the other hand, when patient take autonomous decision then they will get some self-harm, so, conflict arises between the nurses those are on duty of the patient care and the patient’s right to autonomy. Frequently, nurses and other medical staff used the paternalistic action to resolve the problem (Jones). According to the Jones (p.379) suggested that, paternalism and autonomy as two inversely varying parameters along a spectrum of independence’. Moreover, nurses and doctors created an imbalance between...
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Johnstone, M 2005, ‘Ethics and Professional practice’, in J Crisp & Taylor (eds.), Potter and Perry’s Fundamentals of Nursing, Melbourne, Australia.
Lane, P, O’Brien, U, Gooney, MA & Reid, T 2005, ‘The progression of holism into postgraduate curricula in critical care nursing’, Dimensions of critical care nursing, vol. 24, no. 3, pp. 131-138, viewed 6 May 2011, EBSCOhost database Academic Search Premier, item: AN 17099480.
Moore C 2008, ‘A caring nurse’, Bella Online: The Voice of Women, viewed 1 March 2011, http://www.bellaonline.com/articles/art43027.asp
Rowe, J 2005, ‘Nursing: the art of caring’, in J Crisp & Taylor (eds.), Potter and Perry’s Fundamentals of Nursing, Brisbane, Australia.
Taylor, C 2005, ‘Managing Client Care’ in J Crisp & C Taylor (eds.), Potter and Perry’s Fundamentals of Nursing, Melbourne, Australia.
During week 4, we became familiar with the application of ethics in the nursing practice settings. We learned about ethical theories and principles, which are crucial when practicing in any clinical settings during ethical decision-making and while facing one or multiple ethical dilemmas. Also, we were introduced to the MORAL model used in ethical decision – making progress. The MORAL model is the easiest model to use in the everyday clinical practice, for instance at bedside nursing. This model can be applyed in any clinical settings and its acronyms assist
Since you examined the number of moral issues you will face in this profession, look through the code of ethics that you chose for this assignment and explain
Taylor, C. (2011). Introduction to Nursing. Fundamentals of nursing: the art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
West, E., Griffith, W., Iphofen, R. (2007, April vol.16/no.2). A historical perspective on the nursing
Benner , P., Tanner, C., & Chesla, C. (1996). Expertise in Nursing Practice, Caring, Clinical Judgement and Ethics. New York, New York: Springer.
McCance,T.V.,McKenna, H. P., & Boore, J. R. P. (1999). Caring: Theoretical perspectives of relevance to nursing. Journal of Advanced Nursing,30, 1388 – 1395.
Throughout this philosophy paper, I have explored what nursing is based on my personal values and beliefs as it relates to the body of work in nursing. I value the importance of holistic nursing and the care of patients being individualized for them and their family. Also, effectively collaborating among health care professionals to ensure quality care for patients. Additionally, the importance of health promotion as one of the main roles of nurses is being a teacher, since promoting health prevents illness and increases the level of health in clients. These principles will serve as a guide for my personal standards of nursing practice.
Vice versa ethical principles clarify a nurse by eight factors which are autonomy, beneficence, confidentiality, fidelity, justice, non maleficence, and veracity. These virtues have hidden moral guidelines and the precepts to the nursing profession. Autonomy is defined as freedom to drive sound judgment in the clinical setting. Beneficence is my good in worth than the whole good for the patient care. Confidentiality is not exploiting information on the records and holds of the patient. Fidelity is the explicit and implicit oath of a person’s will. Justice is the strong force for what is righteous and morally disciplined. Non maleficence is doing no harm. Veracity is exact opposites which are truthful or deceive someone. These morals promote patient’s rights by promoting self governing, ensuring nurse, and act in a way that aids the patient, respecting a patient’s own info, and making faith filled and oaths. Also, a provision of appropriate, fair, and equal cares (Dohert & Purtilo, 2014).
Australian Journal Of Advanced Nursing, 24(3), 54-59. Sellman, D. (2005). The 'Secondary'. Towards an understanding of nursing as a response to human vulnerability. Nursing Philosophy, 6 (1), 2-10.
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.
Around the 1960s, nursing educational leaders wanted to formulate a nursing theory that contained knowledge and basic principles to guide future nurses’ in their practice (Thorne, 2010, p.64). Thus, Jacqueline Fawcett introduced the metaparadigm of nursing. Metaparadigm “identifies the concepts central to the discipline without relating them to the assumptions of a particular world view” (MacIntyre & Mcdonald, 2014). Fawcett’s metaparadigm of nursing included concepts of person, environment, health, and nursing that were interrelated. The metaparadigm ultimately contributed to conceptual framework to guide nurses to perform critical thinking and the nursing process in everyday experiences in clinical settings.
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 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 here to help the people in need in particular those of susceptible populations. The NSNA states that the code of conduct is based on an understanding that to practice nursing as a student is an agreement that trust and honesty is depended on us by society. The announcement of the code provided direction for the nursing student in the personal development of an ethical foundation and not limited to the academic or clinical environment but can assist in the holistic development of a person. (National Student Nurses Association, 2003)
Nursing is more than merely a job, an occupation, or a career; it is a vocation, a calling, a frame of mind and heart. As a nurse, one must value the general good of others over his own. He must devote of himself nobly to ensure the well-being of his patient. However, today’s well-recognized nurses are notably different from nurses of the recent past. Service is the core of the nursing profession, and the essential evolution of the vocation reflects the ever-changing needs of the diverse patient population that it serves. As a profession, nursing has evolved progressively, particularly in its modernization throughout the past two centuries with the influence of Florence Nightingale. The field of nursing continues to grow and diversify even today, as nurses receive greater medical credibility and repute, as its minority representations
Integrity, respect for persons, justice, non-maleficence, and responsibility are all identified within the code, however compassion is not directly stated but is implied. To show compassion for others during suffering is an almost automatic response in nursing. When nurses decide to act either beneficently or non-maleficently they are doing a service to those being cared for. When dealing with human lives moral value becomes especially important, and is not situationally dependent. Ethical neutrality does not have a place in professional ethics, and an obligation to respect the moral values is necessary. The code deals with specific issues related to the nursing profession, and ensures standards are upheld. Creation of code of ethics within a profession limits misconduct, create safeguards, promote trust for the profession within society, and preserves the integrity of the profession (Soskolne, 1984) It is important for me to emphasize the difference between the nurse’s code of ethics and the Hippocratic Oath. The nurses ethical code is tailored toward the care provided to the patient, and not the involved science and diagnostic aspect of the