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Values in the nursing code of ethics
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Recommended: Values in the nursing code of ethics
In this situation, my initial reaction was that I was not really surprised about what his mistake and I understand him because I have heard similar accidents where they administered wrong medications. However, I got astonished about what he disclosed at the end that he was not going to report it and ask me to keep it as a secret. As a nurse being in that situation, I will feel guilty for not reporting the incident to other health care professional. On the other hand, He is not just a nurse but also my friend, I will feel bad because he could loss his job and he got children to take care of.
Clients are unique from each other. In other words, they have different values and beliefs. As a health care professional, these values and beliefs of
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According to College of Nurses of Ontario Ethics (2009), maintaining commitments and truthfulness are some of the ethical values that are significant in delivering care. In this situation, those two values were in question. Firstly, the nurse broke his promises to provide effective, ethical and safe care for the client. Incorrect dosage of medication is totally not safe for the patient and could put patient’s health in danger. The nurse clearly did not maintain his commitments. Secondly, the nurse did not inform the client about the incident. The client was not aware about the error that the nurse committed. Clients have the right to know all the information about her/his health (CNO Ethics, …show more content…
First, I will talk to my friend who did the mistake in a respectful and empathetic manner. I will let him know that medication dosage error is very serious and life threatening. The incident had happened before and it could possibly happen in the future. Even though, the patient did not experience any adverse effect about the dosage error that does not mean that we should just not care about it. As a nurse, we want to improve patient’s health and protect them from harm. Another option is I will report it to the nurse manager so that he/she could take an appropriate action so that my friend and fellow nurse will take cautions and other health care professionals can learn from the incident as well and that could improve patient’s safety and so that error like this will be reduced, eliminated and it would not happen
I agree with you that the nurses violated provision 9 of the nursing code of ethics. Nurses have an obligation to themselves, their whole team and to the patients to express their values. Communication is key in a hospital, so everyone knows what is correct and what isn’t within the workplace. In order to have a productive, ethical, positive environment. These values that should be promoted affect everyone in the hospital, especially the patients, and can have a negative outcome if those values are not lived out. Nurses have to frequently communicate and reaffirm the values they are supposed follow frequently so when a difficult situation comes along that may challenge their beliefs they will remain strong and their values will not falter.
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).
Nurse A seemed confident and calm while nurse B appeared tired. With the first patients, I noticed that both nurses were asking for first and last name and confirmed the information with the picture in the computer and the medication cup. After a few minutes, I turned my attention to nurse B because I noticed she did not ask a particular patient for his name. Instead, she relied on the name provided by a patient care technician. When she was about to give the medication to the patient, nurse A noticed that the patient on the computer screen was not the patient on the counter. She immediately told nurse B “ That is not Mr… girl ” and nurse B responded while laughing “ He looks exactly like …, I need to get some coffee ASAP”. The patient immediately realized what happened and told nurse B his name. After that, nurse B reached for the right cup and administered the medication to the patient. Even though a medication error was not committed and no harm was inflicted to the patient, by violating important QSEN competencies this incident could have caused a negative patient outcome.
The concept of moral distress can be defined in a number of different ways. Generally speaking, when individuals make moral decisions about the right course of action in a situation but are unable to carry it out, they will experience moral distress. A man by the name of Andrew Jameton defined moral distress in 1984 as “a phenomenon that arises when one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action” (Nursing Forum, 2007). Because of their particular position in the medical world and their conflicting responsibilities, nurses are especially prone to experiencing moral distress. Whether they are aware of it or not, nurses are becoming more and more involved in making ethical decisions regarding their patients. However, the doctor’s policy always rules over the nurse and the patient’s wishes must always be respected. The consequences of not being heard by fellow co-workers or having your plan of action overruled by other policies can often be frustrating and upsetting for a nurse. While there is no data that directly connects the effects of moral distress and the quality of care nurses give, it can be inferred that the feelings of moral outrage, frustration, and anger cause nurses to care for patients in a less effective way. A nurse who is at conflict with him/herself and those that surround him/her will experience difficulties in treating a patient with the best care.
Nurses come in direct contact with the patients and their families. Therefore nurses are held liable for their work. Negligence is when nurses fail to perform according to the standard of care that results it any kind of harm, damage or death of a patient. If the patient suffers any of the problems they have a full right to bring legal action against the nurse for negligence. Negligence can be civil or criminal. In this case we can look at RN Manton he has shown negligence with his duty of care towards Mr. Hammett therefore he is liable for his death. We have observed that Manton didn’t follow the hospitals protocol during the desaturation event and treated Mr. Hammett on bases of his own experience. Manton admitted that he had ignored the prescription from Dr Woller in relation to oxygen that indications negligence. This shows he has failed to apply his skill and knowledge in this case He also relied on EN valentine to do all the observation and look after the patient on that shift which shows Manton being irresponsible towards his duty of care. He should have check on Hammett himself and monitored
Hood mentions, “determining the presence of more than one ethical concern” (Hood, 2013, p. 70), which I felt was the provider asking me to do something she knew was wrong, knowing there were other available resources, and asking me to do something that I had never assisted with or trained to do. After identifying the problem, I needed to identify the morally relevant facts, which takes a closer look at the context of the dilemma (Hood, 2013, p.70). As mentioned before, the doctor seemed at ease knowing what she was doing, telling me the plan, which is a cause of concern for any future outpatient nurse who may possibly work with her, but doesn’t speak up or isn’t aware of her limitations. In this experience, I needed to stop and think to myself, is the choice that I am making legal within my institution and under my scope and license? From there I evaluated the problem, Hood mentions, “examine the ethical norms by reviewing the literature, code of ethics for nursing” (Hood, 2013, p. 70). After encountering that situation and speaking with my manager, I wanted clarification on my job duties as some nurses say it’s a “gray line”, where it depends on your comfort level or the physician you work with in doing things that the nurse possibly shouldn’t be doing. My manager clarified with me that I legally shouldn’t have even offered to go with her
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
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.
I had to include the name of the patient, medical record number, date, time, details of the incident, whether it was an actual incident or a near miss, and who was affected. Initially, I was worried that the resident doctor would think of me as spiteful but then my team leader reminded me that this was for patient safety and he needed to be aware of the mistake he had made. Also, by reporting the incident it would be helpful in avoiding problems like this in the future. As stated in the CNO Practice Standard on Medication (2015), “Nurses promote safe care, and contribute to a culture of safety within their practice environment, when involved in medication
Nurses as part of regulated health care practitioners are responsible and accountable to abide by the standards, codes and guidelines of nursing practice (NMBA, 2016). The nurse in the case study has breached the standard 1.4 of the Registered nurse standards for practice. According to standard 1.4 the registered nurse should comply with "legislation, regulation, policies, guidelines and other standards or requirements relevant to the context of practice” when making decisions because this will be the foundation of the nurse in delivering high quality services (NMBA, 2016). The nurse in the scenario did not follow the hospital policy concerning “Between the Flags” or “red zone” and a doctor should be notified in this condition. Furthermore, the nurse failed to effectively respond to a deteriorating
Complete a 1500 - 2000 WORD essay outlining your personal values and how these values help you to function in your role as a nurse. List the values that you believe are most important to the profession of nursing and state how these values assist nurses in giving ethical care to their patients.
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
Defining what a nurse is varies from person to person. Some have described a nurse as a person who shows care to their patients while others say that nurses assist to regain the ill’s health back. There is no wrong answer in defining what a nurse is. Moreover, I believe that a nurse is one who treats their patients with the dignity and respect that they deserve, and assists them in promoting and preventing their health illness and lastly, enhancing their health to optimal status. Nursing is viewed as a human science because nurse must display a connection with each patient. One must view the patients as a person, who has feelings, who behaves a certain way and who deserve to be well cared for. In addition, nursing is not a profession that treats
Kozier & Erb (2012) describes accountability as being responsible for one’s actions and cannot be passed on to another person. The nurse would be punished depending on the hospital’s rules and regulations. She may be given a verbal warning, be suspended or in the worst-case scenario be discharged from the service. The same case applies to student nurses. If a nursing student inadvertently disclosed any information to a third party without the patient’s consent then the student will be asked to leave placement. Nursing students are given their Code of Conduct Agreement prior to their clinical placement and these are to be followed because these set of rules and standards are geared to preparing them for their professional career as a registered nurse in the future. Nurses, as well as nursing students, are obliged to avoid breaching the patient’s privacy and confidentiality in order to avoid legal problems.
Near the end of the day during the last surgery, at around 1430h, I looked over at the anesthesiologist who seemed to be very relaxed on his phone. Being a nursing student, I assumed he was just bored, I was not going to question the actions of Dr.s. Then, I looked back over at the anesthesiologist and noticed his eyes were closed and his head was starting to droop. I became frantic. Trying to decide if I should say something or if I should just keep it