Question one: Which ethical principles are being violated in this scenario according to the ANA Ethics Definitions? According to ANA, autonomy means “agreement to respect another 's right to self-determine a course of action; support of independent decision making” (Beauchamp & Childress, 2009). In this case autonomy of the first nurse was violated as he was not able to administer pain medication when he needed to. The autonomy of the second nurse was jeopardized as she was going to face serious consequences if she advocate for the patient. Also the autonomy of the second patient was jeopardized as she wanted to transfer to another hospital but was misled by false information.
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
Ethical Theory The importance of ethical theory plays a large role in nursing practices. It is often difficult to understand where the lines of confidentiality should be drawn, so in order to help decipher the feelings nurse practitioners have of what they consider to be fair or unfair, there are a number of ethical theories that can be used in order to understand a problem (McGowen, 2012). Morally, each individual has their own personal compass, but in terms of medical practice, there needs to be a unanimous understanding of what constitutes correct behavior for the best interests of the patient. Practices such as Utilitarianism, Deontology/Kantianism, Virtue Ethics and Moral Particularism all play a vital role when it comes to understanding the application of rules and consequences in nursing practice. Each theory has a specific approach for dealing with ethical issues.
One notable example of an ethical dilemma presented within this report is the battle of belief referring to a situation where some patients tend to reject specific medical procedures attributed to the religious, cultural, or personal beliefs. Every patient has the right to decision based on his or her beliefs thereby meaning that patients may reject specific medical procedures based on what they believe (Guido, 2014). However, this conflicts with the position of the nurses who are mandated with providing their patients with the best quality of medical services as part of promoting positive health outcomes. The best remedy for this specific ethical dilemma would involve having to hold a discussion between the nurse and the patient where the nurse would accord the patient his or her clinical
Berman, A. J and Burke, K. (2000), looked at nursing ethics as an integral part of nursing, that has t has to do with moral principles and values that guide nurses to make decisions and choices that lead to quality and effective client care. In providing nursing care, nurses find themselves in situations where sensitive decisions are made about the best way to treat illness and solve healthcare problems. Values influence decisions and actions and value clarification promote quality decisions by fostering awareness,
The nursing practice is governed by a wide range of ethical standards that regulate the behaviour and performance of the practitioners in this field. Being a delicate profession, personal morals and virtues influence the behaviour of the practitioners at various levels. On various occasions, health professionals are faced with ethical dilemmas that require critical decision making to arrive at a resolution that conforms to the standards that govern this profession. Therefore, all practitioners should be armed to face numerous challenges within their experience in nursing practise and be equipped with strategies to work out quick solutions to these challenges. In my nursing experience, there are various personal, cultural and spiritual values that contribute to my worldview and philosophy in nursing.
Refusal of care potentially leads to a situation that could be harmful or detrimental to their health. Ethnocentrism leads to assumptions and stereotype that can cause nurses to fail in treating patients as an individual. Consequently patient centred care is neglected meaning individual care requirements are no met. Additionally there would be negative feelings from patients towards nurses thus the relationship build is one that lack trust. The possible result of the mistrust and lack of comfort could be reluctance to communicate.
The nurse must be competent and use nursing judgement when delegating tasks to other personnel. The skills and knowledge should be assessed when a task is needed to be delegated and it must be within the individuals’ scope of practice to perform such task. (American nursing Association, 2017) Ethical Dilemma Example Telling the truth to a patient might cause them to become anxious or hypertensive, but it is the nurses’ duty to give the facts because the patient has rights to information pertaining to their healthcare. Telling the truth then gives the patients autonomy (the right to make one’s own decision) which is a moral principle the nurse should follow. Lying to the patient also causes loss of trust therefore; veracity is a moral principle that is involved with this dilemma.
As a nurse I will be knowledgeable in ethical principles and models which will help me to be a major influence in patient care decision-making. By choosing to become a nurse I am making a moral decision to provide care to all patients. I will have a moral obligation to serve others without thinking of myself first. As a nursing professional I will need to be altruistic. While working as a nurse, I will also need to take into consideration the values and cultural beliefs of others when providing care.
Nurses have a professional duty and legal obligation to provide ethical nursing care. There may be situations of contrasting values and beliefs between the client and the nurse about what actions are beneficial or harmful, which leads to an ethical dilemma. An ethical dilemma that challenges two or more values, “values that support diverging courses of action” and weighs individual judgment (CNO, 2009, p.5). The solution to the ethical dilemma often leads to dissatisfy either one or both ends of the nurse-client relationship. Regardless of the solution, the primary goal is to improve resident’s well being.