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Ethical and moral issues in nursing
Acting ethically as a nurse
Importance of quality care in nursing
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Nursing is defined as simply caring for an ill or injured individual. It takes years of schooling to become a nurse, but patience, compassion and the ability to care are needed to be a good one. Although Nursing seems like an excellent profession, it is believed that “the ability of the health system to deliver consistent quality health care continues to be debated on a national level, and nursing’s moral obligation is not only to be a part of the debate, but also to advocate for communities and as individuals deserving quality health care” (Pope, B., Hough, M. C., & Chase, S. 2016). It is highly important that the professionals in the nursing field keep an ethical and moral perspective within the community. It also takes having respect for …show more content…
An important goal of nursing is to “maximize benefit and minimize harm to patients” (Gadow, 1990). It is the nurse who understands the differences between beneficence and the knowledge that patients play a role in decision making. Beneficence is an obligation in the nursing field of ethics. It is the nurse’s duty to understand that decisions may not always be in the patient’s best interest. There are times when nurses are required to make decisions that go against the patient’s wishes, but need to be done for the patients’ well-being. Patients should always be treated with respect and feel like they have the ability to make their own decisions, but nurses should also have the overall well-being of the patient and community in mind. For example, public health programs that include childhood immunizations and vaccinations show goodwill on a community level. The programs weigh the pros and cons of immunizations and vaccinations, but also recognized that harm could be done to a few, but majority of people will benefit (Beauchamp & Childress, 2013). Nursing’s background stems from ethics because of its individual and community …show more content…
For nursing to maintain its moral obligation in policy decisions, understanding that the community is autonomous and whole must be further understood (Watson, 1990). Values are needed to reflect all the individuals in a community and they can implement policies that boost community freedom. The difference between one on one healthcare and community healthcare is that the nurse needs to identify community health patterns instead of a single individual. Problems arise when technicalities like healthcare access come into play. A lot of people believe that we should all have equal access to healthcare. While it seems like a progressive idea, many forget how we should gather money to fund it. The United States is considered a liberty, meaning if someone has the resources to obtain insurance then they could expect to have their healthcare needs met (Rich, 2013; Beauchamp & Childress, 20). On the other hand, for someone who doesn’t have the financial means for insurance will not have access to healthcare unless they have a life-threatening emergency that would be covered under the Emergency Medical Treatment and Active Labor Act (EMTALA) passed by the United States Congress in 1986 as part of the Consolidated Omnibus Budget Act (COBRA). By 2009, the U.S. Census reported that over 50 million people in the U.S. did not have insurance. After the implementation of the Affordable Healthcare Act, access to healthcare became a
The frameworks are (a) utilitarian, (b) rights-based reasoning, (c) duty-based reasoning, and (d) intuitionist. The utilitarian framework infers that decisions should be for the greater good. In other words, the decision made should take into consideration the needs of a group versus that of an individual. Conversely, rights-based reasoning is more concerned with one person's rights. Duty-based reasoning focuses on the rights of the people and a caregiver’s duty to maintain these rights. Lastly, the intuitionist framework is based on the decision maker's feelings and instincts about a situation. It is the individual’s intuition that drives the decision. In addition to frameworks, there are ethical principles. The nursing profession is based on a group of ethical principles. As nurses, we strive to promote good (beneficence) and to do no harm (non-maleficence). Nurses support patient autonomy and self-determination. Society expects that nurses will be trustworthy, respectful and act with integrity (fidelity and veracity). Nurses have an obligation to tell the truth and treat patients fairly and equally; and, deal with them with respect and dignity (justice). These ethical principles, in addition to the ethical frameworks, help us, as leaders, to make the right decisions at the right time in all situations. The situations may be patient or staff-centered; ultimately, all healthcare
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.
As a nurse, we serve a society which is very culturally diverse. We provide care to many individuals whom have their own unique set of ethics, values, morals, and beliefs by which may be very different from our own. Because of our professional role, we must use lifelong learning as a tool to broaden our views, increase our knowledge, and understand the influences which affect it. To make this possible, we have to continually educate ourselves about the nursing laws, professional standards, and code of ethics all of which we are committed to.
In an effort to better prepare nurses for ethical dilemmas education should be provided. Nurses need continuing education on this topic and should continuously review and discuss cases involving ethical dilemmas such as the case presented in this article. I also believe that future research should be conducted to study the effects of ethical dilemmas on nurses in order to better help nurses deal with those issues effectively.
Florence Nightingale once said, “apprehension, uncertainty, waiting, expectation, fear of surprise, do a patient more harm than any exertion.” Nurses face ethical dilemmas daily while caring for patients and patients’ families, and while working in a multidisciplinary environment. Many ethical dilemmas faced by a nurse are often difficult to resolve, which often times, leads nurses to withhold care due to the conflicting values of self, of patients’ values, and employers values and expectations of its employees. It is of the essence that nurses recognize this dilemma and resolve it without delay to preclude compromise of patient’s care and wellbeing. But this is not always an easy fix as in the case study of nurse PT and her ethical dilemma during the H1N1 pandemic in Ontario (CNA, August 2008)
To properly serve the public, health professionals are entrusted with the responsibility to comply with the standards of ethical practice and conduct. For registered nurses, the foundation of ethical practice is specified in the Canadian Nurses Association’s Code of Ethics, containing values and ethical responsibilities for nurses. In this paper, we will focus on the seventh primary value- Being Accountable- and the seventh ethical responsibility stating that a patient requesting care “that is in conflict with the nurse’s moral beliefs and values… the nurse provides safe, compassionate, competent and ethical care until alternative care arrangements are in place…” (Association, 2008). Although there are numerous nursing situations that can create
Provision 7 through 9 focus on the nurse’s ethical duties beyond patient encounters, including addressing social injustice through direct action in developing health policy and contribute to nursing through scholarly inquiry and research (Lachman, Swanson, & Windland-Brown, September-October 2015). These principles align with the public health ethical principle that nursing practice should be based on justice, virtue, human rights, building and maintaining public trust (Thomas, 2004). These ethical principles guide the PHN’s as advocates for the client’s human rights and dignity. Advocacy is an important part of my practice. I have participated in political events supporting equal access to neighbors and living situations. The homeless and the poor are discriminated against and considered to be undesirables in certain neighborhoods. The Home Act would not allow landlords to discriminate against applicants based on their income source. This referendum did not pass, but we continue to advocate on behalf of our clients and their right to live in a neighborhood of their choosing.
Ethics provides a framework for making the best decision in any given situation where a dilemma arises. Nursing ethics has a very unique prospective to provide to respect and we will be exploring how language and principles can be used in everyday situation with complex decision required to be made. Every day nurses face ethical dilemmas. Ethical dilemmas allow nurses to learn more about themselves and help shape their morals and values. During my nursing journey as a health care professional, I took care of patients of different cultures and different beliefs. Some were very ill and because of my good care, they were able to recover faster than anticipated. On the other hand, there were other patients I took care of with hardships. All these
Ethical Principles is one of the main issues in research and other healthcare related professions nowadays. These principles has been formed due to the needs of protecting the human rights and in-order for the professionals to work and treat patients Equitably and fairly. Contributions from different professions and nursing are very important in forming the Ethical Principles in Healthcare. Thompson (1987) said to his journal that, aside from the Hippocratic oath formed by the doctors there are other professions who did their own Codes to protect the professions and so as the patient. International Council of Nurses Formulated its own Code of Nurses in 1953, and its bodies (related nursing organizations) followed Code that is formed. In 1976
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).
Ethics is defined as, “a way of understanding and reflecting upon social morality that encompasses moral issues, norms, and practices.” (Kelly & Quesnelle, 2013., p 459). In today’s society nursing professionals plays many important roles and are looked upon as being leaders, advocates and carers among other titles and most of all nurses have an obligation to uphold the Ethical Standards set out by College of Nurses of Ontario’s (CNO), despite their beliefs or values.
The third and final prong of a strategy to deal with ethical issues is to provide support for the American Nurses Association (ANA) Code of Ethics. The code is available online with interpretive statements and according to the ANA is an “integral part of the foundation of nursing.” In addition to being readily available, the ANA recognizes that ethics is a dynamic field with continuously changing information. This allows for current research and findings to be available for the public.
Ethics is defined as moral principles that govern a persons or a group’s behavior, ethical principles apply to both personal and professional relationships (Webster, 2015). The field of nursing is a profession that has been highly regarded and respected in society. Most nurses enter the profession in order to utilize their clinical skills to help others in their time of need. Those in failing health rely on nurses to care for them in their most vulnerable states, and expect a level of compassion and humanity while receiving care. Nurses have an ethical responsibility to their patients, clients, and their community. Compassion, empathy, and integrity are staple characteristics that nurses possess that allow them to successfully perform their
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
Nurses must maintain constant professional growth and commitment to lifelong learning. Ethical rules command a nurse to create a positive atmosphere, they are expected to be honorable and express honesty. The nurse must advocate for their patients and work to advance their legal rights. More so, as their advocate, the nurse has the responsibility to ensure that they meet all qualification and state regulations in the interest of the patient. “At all times, nurses have the professional duty to accept personal responsibility for their actions and are accountable for nursing judgment and action or inaction” (Reid,