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Ethical standards in today's society
Summary of the book universal ethical standards
Ethical standards in today's society
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Relevant Legislation
According to section 149(b) of national law, tribunal has authority to exercise any power under subdivision 6 of National Law if the practitioner admits it in writing to tribunal. Section 149C (1) (a) and (b) of national law empowers tribunal, if it is satisfied a practitioner is not competent to practice the practitioner’s profession, or a nurse is guilty of professional misconduct, to suspend or cancel the registration.
In this case, his honor had explained that the departure from elementary and generally accepted standard that a practitioner could scarcely be heard to say could amount to professional misconduct (HCCC 2013). He added that sometimes more is required to interpret it as professional misconduct like deliberate
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Ms. Kelda failed to recognize the vulnerability of patient A as he was suffering from mental illness and she was involved in sexual misconduct with him. Ninth statement focuses on maintaining and building community trust and confidence in the nursing profession (NMBA 2013). She was found exposing patient’s information to his friend and having contact with client in public places and was also alcohol dependence .Using pseudonym to hide the unethical relationship is a fraud act and unexpected of a nurse as a professional. These acts break the community trust in the nursing profession. Tenth statement says that nurses practice reflectively and ethically. She had unethical conduct, lacked practice reflectively because she did not seek ethical course independently and did not seem to remorse much on effect of her act on patient A’s …show more content…
This means nurse should actively preserve dignity of people with kindness and understand chances for vulnerability and powerlessness in their care (NMBA 2013). Inherent power imbalance is such that patient or client is always vulnerable and liable to be exploited by health care provider. Ms. Kelda did not realize the vulnerability of patient A. He was having psychiatric problem; paranoid schizophrenia. Anyone having mental health problem is vulnerable people to exploitation because they are incapable to take sensible decision and can be led to exploitation by others. He had history of inappropriate sexual behaviors. If Ms. Kelda had been aware of this history, it seems absolutely insensible act of her to remain engaged with sexual relationship with him. In her statement also, she had stated that she had been knowingly involved in such act and continued the relationship. She was totally misguided by the thinking that she can help the patient A by her personal
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.
Healthcare provider’s perception and judgment in the patient’s well being as well as taking into account the right of the patient in every action is one of the key elements in nursing practice. International Council of Nurses (ICN), (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3). Furthermore, nursing action guided by theory and principles of moral and legal rights complements excellent nursing care. Nurse’s awareness in moral and legal codes helps them control the complicated scenario encountered and direct the nurses in the best possible action answerable by law (Lachman, 2006).
Barnett, Wilson J.(1986). Ethical Dilemmas in Nursing. Journal of Medical Ethics. Retrieved on 12th July 2010 from
Section 5.4, which is the preservation of integrity, suggests that nurses will inevitably have to deal with threats to their moral or professional integrity at some point in their careers. Nurses should do their best to maintain professional integrity when met with adversity, weather it be from uncooperative issuance companies, an unsound work environment, or from the patients themselves. When working in an unsound or unsafe work environment that violates law or the ANA code of ethics nurses must go through the proper channels to fix the problem. If a nurse feels that a procedure or treatment their patient is having conflicts with his or her own moral integrity and they cannot participate, the nurse must report they unwilling to tr...
Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as well as the nursing standards. Through education in areas such as confidentiality, boundaries can remain in tact and the patient care can remain within the zone of helpfulness.
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
1. What is the difference between a. and a. Which K, S, and A pertain to the care you provided to the patient you have chosen? Why do you need to be a member? K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort.
As a result, she breached the standard 6 which states that “registered nurse should provide a safe, appropriate and responsive quality nursing practice” (NMBA, 2016). In line with this standard, nurses should use applicable procedures to identify and act efficiently to potential and actual risk such as unexpected changing patient’s condition (NMBA, 2016). Through early identification and response by the nurse, this will ensure that the patient’s condition is recognised and appropriate action is provided and escalated (Australian Commission on Safety and Quality in Health Care, 2011). Moreover, the nurse did not immediately escalate the patient’s deteriorating condition to the members of the health care team. Therefore, she also disregards the standard 4.3 stating that nurses should have work with the interdisciplinary health care team and to collaborate, communicate and discuss the patient’s status (NMBA,2016). The purpose of collaborating and communicating with the team is to provide a comprehensive plan of care for the patient and to facilitate early treatments needed by the patient (Cropley,
There is a great importance and focus in modelling a contemporary nurse. The framework for improving this focus is accountability with three main areas: professional, ethical, legal. They all cross over and interlink with each other in many of the topics that are raised within the profession. The approach of the framework were inevitable to reduces to blame and defensive nursing attitude. This attitude can lead to nurses believing accountability is the same as blaming a professional however it is conversely nurses making decisions for individuals and engaging to improve better health outcomes. The topic around this contemporary approach is confidentiality and broken into the principles of the approach.
A lot of information has been stipulated concerning how patients should be treated and the legal rights involved in the health care system. Different values are, therefore, involved. In the correctional setting, the patient entirely relies on the nursing service offered and various services are expected to be offered by a nurse. However, in the process of providing these services, a nurse has to uphold all ethics that dictate the profession (National Commission on Correctional Care, 2011). The legal ethics include right to autonomy where the patient’s view should be respected and incorporated in the provision of nursing care. A nurse should always tell the patient the truth according to how he or she is fairing on health wise. The principle of beneficence also allows a nurse to concentrate on provision of services that are beneficial to the patient. A registered nurse also ensures equitability and fairness in the provision of care to the patient (National Commission on Correctional Care, 2011). Another principle that a nurse understands is the principle of fidelity that allows a nurse to remain committed in the process of provision of care. The principles help a nurse in making ethical decisions in the process delivering nursing care to the patient. For instance, having in mind the principle autonomy, one can be able to appreciate an advance of health care directive that enables one to act as per the patient’s
During a pandemic in India, a doctor did exploits and was praised by other team members as Fink narrates: “Colleagues credited her quick thinking with saving lives” (p.472). The respect for the person and his or her dignity is at the core of the nursing practice. The registered nurse, as a member of the discipline of nursing should always remember before any action, this strong ethical piece: First, do no harm.
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.
In the case Lunsford v. Board of Nurse Examiners, the nurse had an unprofessional conduct by violating a duty to her patient leaving the patient unattended and at risk of complications (BON, 2013a). Lunsford, as a professional nurse had the responsibility to assess the patient’s medical status and treat the patient within her scope of practice taking the appropriate measurements to prevent the worse, regardless of the doctor’s orders of sending the patient to another facility. “The Board of Nurse Examiners in Texas suspended the nurse’s license to practice after the Board found that the nurse’s conduct was unprofessional and dishonorable conduct likely to injure the public” (Wolf, 1986, p. 222). Nurse Lunsford fail to take the patient’s vital signs, and did not implement the nursing interventions required to stabilize the patient’s condition or to prevent complications. Her conduct is considered an “unprofessional conduct,” which is any act, practice, or administration that does not conform the accepted standards of nursing practice. Also, this case is a clear example of the nurse responsibility and accountability to act independently regardless of the physician’s order when this order is not safe for the patient. If the nurse has any objections about an order, the nurse has the obligation to question the physician. By no doing so, the nurse violates the nurse-patient relationship and put at risk the patient’s safety. In a situation, in which a physician’s order put the patient at risk, the nurse has the obligation to exert her professional judgement and withdraw from rendering services ordered by the physician (Wolf, 1986, p.
Nursing may be seen as very independent work even though there will be situations that will require others. Friendships may be formed; however, to have professional interactions is something that is not always followed. In terms of patient confidentiality, we may not realize that a HIPPA violation has occurred due to friendly conversation with coworkers. If a patient were to overhear their nurse discussing their information in an unprofessional manner then it may cause issues with a patient’s dignity and their rights. If a patient’s right is violated then it can lead to a patient’s mistrust in their caregiver, leading to mistrust in the facilities, and can end with a patient’s health being compromised. The patient is the reason for this career; if the needs of the patient are being unmet or violated then the purpose of our occupation will be unsuccessful and
In conclusion, there are numerous legal and ethical issues apparent in the nursing practice. Nurses should study and be as informed as they can with ethics and legality within their field in order to ensure no mistakes occur. Ethical issues vary based on patient’s views, religion, and environment. Nurses are influenced by these same views, but most of the time they are not the same as the patients. As a nurse we must learn to put the care of our patients and their beliefs, rights, and wishes before our own personal