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Five ethical principles nursing
Ethical principles for nursing
Ethical principles for nursing
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There are four ethical principles that can be applied to issues surrounding nurse-patient communication. These ethical principles include Autonomy, Beneficence, nonmaleficence, and Justice. In communication, these principles are important when communicating between the nurse and the patient. Without the principles, ethical issues could result which could be damaging to the nurse-patient relationship as well as result in legal ramifications. Nurses must understand each of these principles when communicating with a patient. Autonomy is a principle that allows a patient or authorizing agent to make decisions regarding healthcare decisions without any outside influence (Burkhardt & Nathanial, 2014, p.440) As the nurse, it is important to understand …show more content…
The nurse should understand the patient’s health situation and provide care that will best suit the patient’s situation. This could include allowing the patient to express his or her feelings about anything and the nurse just lending an ear and being there for the patient. Nonmaleficence is an ethical principle that aims to avoid doing harm to the patient (Burkhardt & Nathanial, 2014, p.439). This principle allows a nurse to act to avoid harm or further harm to the patient. When applying this principle, the nurse may refuse or delay a discharge of an elderly patient whose house is inaccessible for the patient’s current health condition. If the nurse allows for the discharge while knowing that the patient cannot climb stairs, the nurse could be putting the patient in harm’s way. Therefore, it is the nurse’s ethical responsibility to avoid further harm to the …show more content…
I have explained three of the seven principles that I use while interacting with my patients daily. The three methods of communication were defined and explained how each is used in the healthcare setting. The communication method that works best on my unit was explained per my unit’s preference. The four-ethical principle regarding communication were explained along with how these principles and team communication affect patient safety. Overall, this paper has demonstrated why communication is important in the health care
Ethical principles are judgments that serve as a basic justification for the ethical evaluation of one’s action. They are the viewpoints from which guidance can be obtained along the pathway to a decision. According to the Journal of the American Nurse Association, ethical principles are the general goals that each theory tries to achieve in order to be successful. The widely accepted prima facie ethical principles are; Autonomy, duty to respect one’s right. Beneficence, the desire to do good. Non-maleficence refers to avoidance of harm or hurt. Justice, duty to treat one fairly. (Beauchamp, 2004). While some of the ethical dilemmas includes: ensuring informed consent, determining decision-making capacity, promoting advance care planning, surrogate decision-making, withdrawing and withholdi...
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.
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
In the code of ethics, the very first ethical principles that nurses are expected to uphold in order to exemplify that they are competent professionals are autonomy, beneficence, and nonmaleficence. That is, nurses as professionals are expected to advocate for their patients while preserving their respect and dignity and
- Nurse should place the patients well being above their personal beliefs and values. They should focus on treating the patient and making sure the patient’s needs are being met. This also means that tough decisions have to be made in the process whether it goes against what the health care team wants or it goes against what Mrs. Dawson wants.
The four major ethical principles in health care are: Autonomy – to honor the patient’s right to make their own decision (the opposite is paternalism - the health care provider knows best for the patient), Beneficence – to help the patient advance his/her own good, Nonmaleficence – to do no harm (many bioethical controversies involves this principle), and Justice – to be fair and treat like cases alike. All 4 principles are considered to be in effect at all times. In theory, each is of equal weight or importance. Ethical responsibilities in a given situation depend in part on the nature of the decision and in part on the roles everyone involved play.
In this essay the author will rationalize the relevance of professional, ethical and legal regulations in the practice of nursing. The author will discuss and analyze the chosen scenario and critically review the action taken in the expense of the patient and the care workers. In addition, the author will also evaluates the strength and limitations of the scenario in a broader issue with reasonable judgement supported by theories and principles of ethical and legal standards.
Vice versa ethical principles clarify a nurse by eight factors which are autonomy, beneficence, confidentiality, fidelity, justice, non maleficence, and veracity. These virtues have hidden moral guidelines and the precepts to the nursing profession. Autonomy is defined as freedom to drive sound judgment in the clinical setting. Beneficence is my good in worth than the whole good for the patient care. Confidentiality is not exploiting information on the records and holds of the patient. Fidelity is the explicit and implicit oath of a person’s will. Justice is the strong force for what is righteous and morally disciplined. Non maleficence is doing no harm. Veracity is exact opposites which are truthful or deceive someone. These morals promote patient’s rights by promoting self governing, ensuring nurse, and act in a way that aids the patient, respecting a patient’s own info, and making faith filled and oaths. Also, a provision of appropriate, fair, and equal cares (Dohert & Purtilo, 2014).
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a patient
Everyday in this world, elderly, adults, teens or children become ill or get into accidents and need medical attention. Whether these elderly, adults, teens or children are taken to a hospital, pediatrician, specialist, or clinic, a doctor and a nurse will tend to them. The nurse plays a role that is just as important as the doctor. Nurses work very closely with the families as part of the caring process. Every member of the family plays a role in different ways. The nurses are there to help the patient as well as the family step through the illness or injury. They provide information for the prevention of future illness and injury, and help to comfort the patient and his/her family. It is vital that a nurse understands that to be a nurse, you need a certain personality and understanding of the field.
Communication encompasses a wide range of processes such as the exchange of information, listening, posing of questions (Fleischer et al., 2009) or use of body language. In a healthcare environment where there are constant interactions among nurses, doctors, patients and other health professionals, professional and effective communication is important in ensuring high quality healthcare standards and meeting the individual needs of patients.
Autonomy is identified as another professional value and one that the nurse must possess. Autonomy is the right to self-determination. Nurse’s respect the patient’s right to make a decision regarding their healthcare. Practical application includes, educating patients and their families on their choices, honoring their right to make their own decision and stay in control of their health, developing care plans in collaboration with the patient (Taylor, C. Lillis, C. LeMone, P. Lynn, P,
The aim of the analysis is meant to clarify the meaning of the word autonomy thereby the introduction of a concept. Clarification is needed as the word autonomy does have several meanings and not all apply to medical terminology, some meanings span to philosophy, technology and general decision making. The medical meaning is significant in the care of patients for improved outcomes through choice and educated decision making on the part of the patient. Autonomy can be empowering as a concept or even as a single word.
The American Nurses Association Code of Ethics for Nurses has five elements that pertain to the Principle of Autonomy. Each individual element applies to “respect individual persons” (Baillie, McGeehan, Garrett T, M., Garrett R. M., 2013, p.33). In Chapter 2 of the Health Care ethics: Principles and problems text, it discusses thouroghly the consent of an individual to make their own decisions regarding their health and future requests of care. As a nurse or within all heath care professions, we must treat each individual patient with care, respect, and to remain mindful to the patient regarding any aspect of their lives. In the ANA Code of Ethics for Nurses, it explains ways of maintaining the empathy required in the health field. It further discusses that the respect for human dignity must be a priority, relationships to patients must remain neutral, the severity of the situation, the right to self-rule, and the professionalism that must be upheld by the nurse and their associates.
Another huge ethical topic is the patient’s right to choose autonomy in the refusal of life-saving medicine or treatment. This issue affects a nurse’s standards of care and code of ethics. “The nurse owes the patient a duty of care and must act in accordance with this duty at all times, by respecting and supporting the patient’s right to accept or decline treatment” (Volinsky). In order for a patient to be able make these types of decisions they must first be deemed competent. While the choice of patient’s to refuse life-saving treatment may go against nursing ethical codes and beliefs to attempt and coerce them to get treatment is trespass and would conclude in legal action. “….then refusal of these interventions may be regarded as inappropriate, but in the case of a patient with capacity, the patient must have the ultimate authority to decide” (Volinsky). While my values of the worth of life and importance of action may be different than others, as a nurse I have to learn to set that aside and follow all codes of ethics whether I have a dilemma with them or not. Sometimes with ethics there is no right or wrong, but as a nurse we have to figure out where to draw the line in some cases.