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Patient centered approach in nursing
Nurse example of patient centered care
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In this case, I, the nurse, can convince Marie to change her mind and receive the operation that can ultimately save her life. In doing so, I would breach her trust in me as her caregiver. However, I would decrease her risk of death and increase her family members and the health care team’s happiness. On the contrary, I can respect Marie’s choice of not undertaking the operation. I would honour her wishes and explain her position to her family and the health care team. I believe that the latter action should be chosen in this case. As Marie’s nurse, I have a duty of respecting her wishes and honouring the trust, which is the foundation of the nurse-and-patient relationship. Therefore, I choose to explain Marie’s position to her family members …show more content…
When an individual seeks treatment for his or her health problems, there is a one-on-one interview between the patient and the health care provider. In order for the patient to tell the nurse the sensitive information about him or her, trust must be established. To gain trust from the patient, the nurse demonstrates knowledge and interest in their needs. The nurse also emphasizes the confidentiality of the interview because the patient would feel safe in that environment. Trust is important because the nurse can adequately identify and prioritize the needs of the client and then implement interventions to meet those needs. Once trust is violated, then a nurse cannot earn that trust back. As a consequence, a patient’s health is compromised because the nurse cannot deliver their service adequately. If I were to approach Marie and breach her trust, in order to convince her to receive the surgery, I would violate something that is vital in the nurse-and-patient relationship. If Marie decided to take the operation after talking to her, this choice would not be solely Marie’s own decision. She would not have given the opportunity to freely make her own …show more content…
In this case, I would not jeopardize my professional relationship with Marie by breaching her trust. The care ethics approach does not undermine the patient’s values and preferences. It emphasizes the importance of the nurse-and-patient relationship. In health care, the paternalism model acknowledges that health care providers are the sole decision-makers for their patients as they know what is best for them (Collier & Haliburton, 2015, p. 87). The patients are expected to be adherent and obey the treatments that the health care providers implement (Collier & Haliburton, 2015, p. 87). However, patients should be included in the decision-making process. They have the right to be involved in their own care and make decisions that are free of coercion. Sometimes, the patient’s values, beliefs and preferences may not be in-line with the health care providers’ preferences and they have to respect those differences. In Marie’s case, she has the right to be respected in terms of her preferences and choices, especially that she was given all the information regarding her condition and treatment and she was competent enough to make those decisions. Using the care ethics approach, I am able to consult Marie first and determine why she does not want to receive the treatment that could ultimately save her life. Marie could have her own preferences such as a different surgeon that has the ability to
The ethical principle of non-maleficence demands to first do no harm and in this case protect the patient from harm since she cannot protect. Nurses must be aware in situations such as this, that they are expected to advocate for patients in a right and reasonable way. The dilemma with non-maleficence is that Mrs. Boswell has no chance of recovery because of her increasing debilitating mental incapability and the obvious harm that outweighs the intended benefits. If the decision were to continue treatment, the suffering of the patient and family would be evident. Autonomy is the right to make your own decisions and freedom to choose a plan of action.
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.
In the medical profession, doctors and nurses run into ethical dilemmas every day whether it be a mother who wants to abort her baby or a patient who has decided they want to stop cancer treatment. It is important for the nurse to know where they stand with their own moral code, but to make sure they are not being biased when educating the patient. Nurses are patient advocates, it is in the job description, so although the nurse may not agree with the patient on their decisions, the nurse to needs to advocate for the patient regardless.
“We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence
However, we are looking at a case study where patients safety has been compromised, professionalism has been voided, lack of communication, nurses aren’t liable for their work, the duty of care has been breached and lot more issues can be discovered. Which will be incorporated in this paper. Looking at the patient Christopher Hammett
Consent has been a fundamental part of nursing practice dating back as far as Hippocrates in ancient Greece. The Hippocratic Oath is an ancient form of guideline, devised for those who chose to enter the medical profession. Here these guidelines show physician-patient conversation were key components in healthcare, along with ensuring patients were kept informed on issues related to their health and the importance of gaining consent during the delivery of care (Miles, 2009).
An ethical dilemma is defined as a mental state when the nurse has to make a choice between the options and choices that he or she has at her disposal. The choice is a crucial task as the opting of the step will subsequently determine the health status of the concerned patient, hence it requires a great deal of wisdom along with proper medical and health training before any such step is opted as it is a matter of life and death. Strong emphasis should therefore be on the acquisition of proper knowledge and skills so that nurses do posses the autonomy to interact with patients regarding ethical issues involved in health care affairs and address them efficiently. It is normally argued that nurses are not provided sufficient authority to consult and address their patients on a more communicative or interactive level as a result of which they are often trapped in predicaments where their treatments of action and their personal beliefs create a conflict with the health interests of the patient. (Timby, 2008)
Ethics and integrity are essential parts of the nursing profession since they provide nurses with the capacity for weighing in on the impacts that their actions may have on the profession (Guido, 2014). However, maintaining high levels of ethics and integrity may create significant challenges for nurses some of which impact on their position as healthcare providers. One of the key challenges that nurses experience as part of their profession is increased cases of ethical dilemmas some of which impact on their abilities to make decisions based on the interests of their patients. The nursing code of ethics indicates the need for nurses to ensure that the decisions or actions they take reflect on the interests
Under the code of ethics for nurses this moral issue is also conflicting because you’re first and foremost obligation is to the patient. Now you also have your institution ethical code conduct that you also has to abide by. Provision 5. The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth (ANA, 2001, p.18). In this case the nurse owes it to herself in making the right moral decision to preserve integrity and safety of patient and
As health care providers, nurses strive to instill confidence in their patients and their loved ones. A nurse is respectful to their colleagues as well as their patients. Nurses promote patients’ independence, patients can be confident in the knowledge that a nurse will do what is best for them, respecting their privacy and dignity. This means that a nurse does not share the patient information for personal reasons nor does the nurse get involved in a patients personal relationship if it is not medically relevant (NCSBN, 2011).
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.
The delivery of healthcare mandates a lot of difficult decision making for healthcare providers as well as patients. For patients, much of the responsibility is left to them especially when serious health problems occur. This responsibility deals with what treatments could be accepted, what treatments could be continued, and what treatments could be stopped. Overall, it considers what route should be taken in regards to the health interests of the patient. However, there are circumstances in which patients cannot decide for themselves or communicate what they want in terms of their healthcare. This is where the ethical issue concerning who should be responsible for making these important healthcare decisions occur if a patient was to be in this sort of situation. Healthcare providers can play a role in the healthcare decision making as their duty is to act in the best interest of the patient.
A norm in society is when an individual sees danger they are supposed to report it to the authorities, therefore preventing any further damage. Breach of confidentiality is when a nurse shares information about a patient to others who are not authorized to know about the patients personal information. Due to this, patients are afraid to be honest with their physicians and nurses that are treating them. In order to assure pati...
Several ethical principles that are incorporated in the nursing care of patients on a daily basis are nonmalificence, autonomy, beneficence, justice, fidelity and paternalism. Nurses should strive to comply to as many of the principles as possible. In this case there are principles which support and conflict with the wishes of the patient. The first principle that supports the wish of the patient is autonomy. Autonomy means that competent patients have the right to make decisions for themselves and the delivery of the healthcare that they receive. Another factor that would support the patient’s wish to not be resuscitated is nonmalificence. Non maleficence means that nurses should not cause harm or injury to their patients. In this case the likelihood of injury after resuscitation was greater than if the patient were allowed to expire. A principle that could have negatively affected the outcome of the provision of ethical care was paternalism. Paternalism is when a healthcare provider feels that they know what is best for a patient, regardless of the patient’s desire for their own care. I demonstrated the principle of paternalism because I thought that I knew what was best for the patient without first consulting with the patient or family. This situation might have had some very negative consequences had the patient not have been competent. Practicing a paternalistic mindset might have caused a practitioner in the same instance to force their ideas about not resuscitating the loved one onto the family. This could have caused a sense of remorse and loss of control of care amongst the
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.