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Describe professional boundaries as related to nursing practice
Importance of advocacy in nursing
Ethical issues for healthcare professionals
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Code of Ethics In provision 2, nurses are taught that the primary commitment is to the patient. The patient may be referred as an individual, a group, family, or a community. As an example, the nurse may provide care and education to a low socioeconomic status in a community on the importance of prenatal care in a women’s pregnancy. The nurse is aware that low socioeconomic status affects the availability and resources that women need in order to seek the proper care for her pregnancy. In the example above, the nurse is also placing the patients need first, which is paramount, in serving the unique needs of the patients. The nurse is aware of the low socioeconomic status and the impact it has on each individual women who needs to learn of …show more content…
The professional boundary is of particular importance as a student nurse in clinical settings, Professional boundary is an important concept to grasp early on as this is how nurses learn to distinguish a therapeutic relationship versus a mutual relationship. Nurse’s are the caregiver and a therapeutic relationship is based on the patient’s needs. Equally of importance, the nurse should include the patient in part of his or her planning of care. In a clinical setting, a student, should recognize that in order for the patient to achieve the desired outcome, the patient needs to be involved in that process. As an example, educating a new diabetic patient on how to self -monitor the glucose levels, the nurse evaluates his or her teaching by allowing the patient to demonstrate the proper way of checking his or her glucose level and understanding what the level means in terms of treatment. To have an effective clinical experience, components of provision 2 should be accounted for in any …show more content…
The ANA offers nine provisions, with each provision addressing ethics and morality. The Canadian divides its’ work into two parts; Nursing values and ethical responsibilities and ethical endeavours. The ANA provisions one thru three touch base on principles such the relationship between the nurse and patient, advocacy for the patient, and upholding the integrity of nursing practices. The CNA code presumes nurses to be able to self-reflect and evaluate one’s own values. This is an important trait for nurses to be able to adhere to everyday ethical values in nursing practice. In part 1 of the CNA code, seven nursing values are identified as ethical responsibilities. This differs from the ANA as the code does not focus with self-reflecting and the codes serve more as principles to follow. For example, in the ANA code, provision 1, nursing practice should practice respect, dignity of each individuals. Treating individuals with respect is known to be a humanity principle. The CNA code holds each nurse to ethical responsibilities and not principles. Throughout the CNA ethical principles are placed as ethical responsibilities for a nurses to adhere in the nursing practice. In the second part of the CNA, ethical endeavours are discussed. The CNA draws attention to the system, in creating equality and addressing disparities in boarder global
In the todays century, the responsibilities, roles, and opportunities for nursing and nurse education has grown abundantly to that of modern day nurses. Many nurses in the eighteen century were not educated nurses and never attended nursing school; however, they still provided care for the sick, poor, and needy and played a vital role in health maintenance. With the hard work from many notable nurses in history such as Florence Nightingale, Clara Barton, and Isabel Robb and the persistence and dedication for change from influential nurses such as Mary Mahoney and Mabel Staupers; nursing today has transformed in many aspects of practice. Although nursing as a profession is continuously evolving throughout the years, the core foundation of nursing hasn’t changed in that nursing is a profession of caring for others and servicing those in need.
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 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
A code of ethics provides a standard by which nurses conduct themselves and their practice, observing ethical obligations of the profession and providing quality care. To achieve its purpose, a code of ethics must be understood, internalized, and used by nurses in all aspects of their work” (Aliakvari, 2015, p. 494).
Every nurse will be faced with a decision making dilemma at some point in his or her career. Being familiar with the nursing code of ethics, what is ethically and morally expected in society and how to approach the situations can help make dilemmas less of a nightmare. “The purpose of nursing ethics is to inspire questions and examine what would be the ethically right action in health care situations demanding a choice between at least two undesirable alternatives” (Toren & Wagner, 2010, p. 394). There are many different ways one can approach a situation to reach a resolution, finding a method that works best with the situation at hand is ideal.
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.
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.
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
The main points of provision five of the ANA code of ethics are as follows: section 5.1, which is moral self-respect, suggests that nurses must care for themselves as much as they care for their patients. Nurses must do their best to maintain professional respect to themselves in regards of their competence and moral character. Section 5.2, which is professional growth and maintenance of competence, suggests that nurses must continue to self and peer evaluate themselves throughout their careers. Nurses must continue to learn current, up to date nursing practices through self, peer, and higher education. Section 5.3, which is wholeness of character, suggests that nurses must develop and take into consideration their own moral perspectives when practicing in their careers. Nurses are encouraged to express their moral viewpoint when it is helpful to the recovery of their patients, but must never express moral beliefs based on social stigmas that could negatively affect patient outcomes.
The Code of Ethics for Nurses with Interpretative Statements (American Nurses Association [ANA], 2015) serves as a guide for nurses in making ethical decisions in their daily practice. While all nurses are called to put this code into action, the use of leadership skills in nursing is what sets apart superior leaders from the average. For example, all nurses have an ethical obligation to care for a patient; however, a nurse utilizing ethical principles and leadership skills jointly, investigates further into what the underlying structures are that impact patient care and safety (Grande, 2015). Ethical principles that apply to my practice on the mission field and in parish nursing are similar to those in any practice. Autonomy, beneficence,
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
Friendships may be formed; however, having 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 a 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 indifferent.
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 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)
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