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According to Porter-O’Grady and Malloch (2013), a nurse has ethical responsibilities that are streamlined by the ANA Code of Ethics for Nurses. The incorporation of the patient’s and family’s needs as the primary obligation to delivering optimal care is a standard that a nurse should uphold to. Other characteristics attributed to delivering adequate patient care are executing with compassion, respect, and dignity for the patient and the family. The nurse’s role is to advocate for the well-being of the patient, their safety, and to have the ability to implement their rights (p.10).
According to Cronenwett et al. (2007) patient-centered care can be outlined as delivering care with respecting the patient’s predilections, beliefs, and necessities (p.123).
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As we progress through our clinical rotations our focus of care revolves around the patient. One instance that is relevant to providing patient-centered care is one that I recently encountered in my capstone rotation. I am assigned to ICU and a Code 5 was called in the ED. The resource nurse was called to assist and she took me along with her. The patient involved was a young man who was brought in by EMS, he was receiving chest compressions as he was in asystole. I was part of the group rotating to apply compressions while the rest of the team worked on him. It was my first time being involved in delivering care to this extent. I was amazed at the willingness for the staff to involve the family although things were moving at such a fast pace. Patient-centered care was not compromised even through the urgency of the situation. The knowledge aspect, characterized as “understanding of multiple dimensions of patient-centered care” (Cronenwett et al., 2007, p.123) was applied when the family was allowed to be present while we did compressions and they worked on him as this permitted the family to be involved in the plan of care for the patient. In regards to the skills portion, we delivered “care
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).
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 interest of the patient and practicing sound nursing ethics.
Although this definition is competent, I recognize, as I reflect on my nursing education, that I have unknowingly created a set of values and beliefs that aid in the creation of my own nursing definition or philosophy. It is a product of my knowledge obtained from classroom lectures, and my interactions with a diversity of patients, family members, and healthcare professionals during my CNA clinical rotations. In my opinion nursing is a service in which efficient patient centered care is provided using core principles such as safety, professionalism, communication and collaboration,
After being diagnosed with her chronic illness her family needed to develop coping skills and change their daily routine. In order make a plan of care that is designed to suit the needs of Alyssa’s family, a nurse would need to use family-centered care. A statement made by Mitchel (2010) showed that, family members enjoy participating in their relative’s care in order to individualize care. Family-centered care is an approach that views the families needs in the context of their circumstances, environments, and past experiences (Gottlieb,
Patient-centered care recognizes the patient or designee as the source of control and full partner in
“Ethics is a systematic study of principles of right and wrong conduct” (Taylor, Lillis, Lynn, & LeMone, 2015, p. 96). The American Nurses Association Code of Ethics has nine provisions to it. All nine are important to the nursing field in their own way. There are two provisions that I find most important in helping my career as a nurse. Provision one, The nurse, in all professional relationships, practices with compassion and respect of 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. Secondly provision two, the nurse’s primary commitment is to the patient whether an individual, family, group, or community.
Patient-centered care is an easy nursing competency for me as now. As a student nurse on the floor, I found that I gave my best nursing care delivery by recognizing that each patient is unique and that each has different needs, values, and preferences. After the end of baccalaureate program, I will be at 9/10 rating and a year after pre-licensure program, I will be very competent on the floor delivering respect and compassion to my
In contemporary nursing practice, nurses need to integrate scientific knowledge and nursing theories prior to providing optimal health care. Nursing theories guide nurses to treat clients in a supportive and dignified manner through client centred approaches. However, it is challenge for nurses to practice client centred care in daily realities due to heavy workloads. In order to assist nurses to decrease the gap between ideal and real practice, Registered Nurses Association of Ontario (RNAO) develops Best Practice Guideline of Client-centred-care (Neligan, Grinspun, JonasSimpson, McConnell, Peter, Pilkington, et al., 2002). This guideline offers values and beliefs as foundation of client-centred care, and the core processes of client-centred care can facilitate provision of optimal nursing care. These four core processes of client-centred care include identifying concerns, making decisions, caring and service, and evaluating outcomes. According to RNAO (2006), ongoing dialogue with clients and self-reflection are essential for nurses to develop their nursing skills and knowledge on client-centred care. As a nursing student, I reflected on written transcripts of interactions between patients and me, so that I could gain insights into client-centred care for further improvement. Therefore, the purpose of this paper is to discuss importance of the core processes of client-centred care in nursing practice through identifying and critiquing blocks to conversation. Based on the guideline of RNAO (2006), respect, human dignity, clients are experts for their own lives, responsiveness and universal access will be elaborated in each core process of client-centre care as reflecting on three dialogues with patients.
Nurses provide care for patients with different physical, emotional and social needs. Building trustful relationships with patients is a crucial determinant of positive healthcare outcome (Brennan & Monson, 2014). A concentration on professional care shows concern and respect for patients and their families. Nurses are patient advocates, it is part of nursing professionalism to provide high-quality care to each of the patients, and ensure that each patient receives respectful and holistic care,
Client centered care is what creates the foundation for the therapeutic nurse-client relationships. The Registered Nursing Association of Ontario (RNAO) recommends that nurses embrace the values of respect, human dignity, client as expert, and clients as leaders, to foster patient centered care (RNAO, 2002). A study done at Coventry University found that there were serious implications to care that was not family-center. Effective communication plays a large role in how the care is perceived by families and patients. It is extremely important for clients to receive constant and continual information from their healthcare professionals (Beckwitt, 2014). Relaying critical, sensitive information is difficult, but when t...
According to the Code of Ethics for Nurses (ANA), all nurses have a responsibility to care for patients under their care.
I think it is important that I clarify my own values to ensure that my care is client-centered. Self- reflection during care is also fundamental as it makes me aware of my actions and whether they are establishing a therapeutic relationship or doing the opposite.. Finally, I need to learn to be more empathetic towards my patient’s situations by being interactive, gaining insight and avoid being focused on the task and more on being with the situation. Some things that I will preserve are attentively listening, demonstrating attending behaviours and maintaining my patient’s dignity by ensuring privacy and
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
The four fundamental nursing responsibilities of promoting health, preventing illness, optimizing health and alleviating the ill are represented in the code of ethics. (Arnold & Boggs, 2016) One can say that the code of ethics are rules that a nurse needs to follow in order to effectively communicate and protect the patients. The American Nurse Association provided the code of ethics to guide nurses to ensure that patient’s care, safety, rights and health are well cared for and well managed. Models like Utilitarian, deontological, and the human rights-based all contribute in answering dilemmas that can arise with a patient. Thus, explaining what some of the code of ethics are, and how the code of ethics influence our responsibilities as a nurse will impact the overall care of the
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