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How does the Code of Ethics affect nursing
How does the Code of Ethics affect nursing
How does the Code of Ethics affect nursing
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Nursing is an ever-changing and growing profession. Tools such as, the scope and standards for nursing, state nursing legal regulations, code of ethics, and general principles of philosophy are used to set standards and promote growth within the profession. I use these principles and standards daily in my career as a registered nurse (RN). In this paper I will discuss the importance of these factors in my career, and how they all contribute to making outcomes successful for all involved. American Nurses Association Scope of Practice There are six set standards of the nursing practice; assessment, diagnosis, outcome identification, planning, implementation, and evaluation (ANA, 2010; pp. 9-10). Throughout a typical shift on the unit I work for, I have set tasks I am expected to complete in order to progress the patient’s care, and to keep the patient safe. I begin my shift by completing my initial assessment on my patient. During this time, I am getting to know my patient and assessing if there are any new issues that need my immediate intervention. From here, I am able to discuss appropriate goals for the day with my patient. This may come in the form of increasing mobility by walking around the unit, decreasing pain, or simply taking a bath. Next, I plan when and how these tasks will be able to be done, and coordinate care with the appropriate members of the team; such as, nursing assistants and physical therapists. Evaluating the patient after any intervention assists in discovering what works and what does not for the individual. “The nursing process in practice is not linear as often conceptualized, with a feedback loop from evaluation to assessment. Rather, it relies heavily on the bi-directional feedback loop... ... middle of paper ... ...patient. If the patient is unable to do so the patient’s power of attorney must do so. While the line is being placed I must make sure that the patient privacy is being achieved, and that the proper techniques are being used to keep the patient free of infection. This is just one example of how ethical principles and theories are used on my nursing unit. Without these principles and guidelines, I am not able to grow as a nurse. Everyday decisions about the care I give to my patients will be guided by basic philosophy and ethical standards. I feel that in my four years of nursing my practice has been consistent with these standards. As an RN, I feel it is important to always seek improvement in all aspects of my career. Taking a step back and self-reflecting will allow me to find areas of improvement necessary to improve the care that I give to my patients.
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.
At the multidisciplinary meeting, the nurse will collect and assess the information provided by the other disciplines and family members stating that the patient is not at her prior level of functioning and then analyze the information to develop a diagnosis of deconditioning. Next, the nurse identifies outcomes for the patient to get stronger, achieve prior level of function, have activities of daily living (ADL’s) met in a safe environment by planning for home health, equipment, and 24/7 supervision through family or placement in a facility. This will be implemented by coordinating delivery of a walker and a 3 in 1 chair prior to discharge to daughter’s home with the home health agency nurse, physical therapist, and aide scheduled to start that day. In a week, the nurse evaluates that outcomes are being met by following up with patient, daughter, and home health agency evaluating that the patient is getting stronger, ADL’s are being met, and will soon be able to return to living independently. To achieve these standards of practice, every nurse should be aware of her own nurse practice act to ensure to be functioning with in the laws of the nurse’s state and to ensure the best outcomes and safety of the patients. In closing, it is every nurses duty to be the best nurse they are capable of being by looking at the scope of nursing practice which gives us the framework to achieve
Professionalism in the workplace in many professions can be simplified into general categories such as neat appearance, interaction with clients, punctuality, general subject knowledge, and likability. In nursing, professionalism encompasses a much more broad and inclusive set of criteria than any other profession. Nurses specifically are held to a higher standard in nearly every part of their job. Nurses are not only expected to uphold what it seen as professional in the aforementioned categories, but they are also expected to promote health, wellbeing, and advocate for patients, but also continually provide the highest standard of care, demonstrate exemplary subject and procedural knowledge, and abide by the Code of ethics set forth by the American Nurses Association. This Code of Ethics includes the complex moral and ethical principles of autonomy, beneficence, nonmaleficence, fidelity, honesty, and integrity.
As a nurse it is our primary job to protect and promote the well being of patients throughout the health care industry. Each nurse has the responsibility to practice faithfully and to uphold all ethical values. These values are outlined and regulated by two very important entities, The Nursing Practice Acts and the Texas Board of Nursing. Nursing Practice Acts, are specific laws in each state that define a nurse’s scope of practice. These acts were first established in 1909 with the purpose of protecting public health, safety, and welfare. Their purpose is to provide rules and regulations that will protect society from unsafe and unqualified nurses. Nursing professionalism is rooted in the ethics and ...
"Philosophy is an attitude towards life that evolves from each nurses’ beliefs" (Parker, 2001). It is the philosophy that underlies our practice what brings to life our desire to be nurses. Philosophy is essential because it is the natural extension of our interest in knowing the truth (Parker, 2001). A metaparadigm is the widest perspective of the discipline and a way to describe the concepts that concern the profession of nursing (McEwen & Wills, 2014). In this paper, my philosophy of nursing will be discussed through reflection on the four nursing metaparadigm concepts to determine if anything should be added or taken out.
The nursing process is based upon five steps. The first step is the assessment phase; this can range from body system specific to head-to-toe assessment. These assessments are both subjective and objective and must be properly documented, organized and validated (Taylor et al, 2011). The second phase of the nursing process is formulating a diagnosis. The nurse identifies the patient’s needs and strengths from reviewing the previous assessments and determines what the nursing diagnosis should be. Then comes the planning phase where the nurse organizes the interventions by priority based upon the assessments and creates a plan for the patient to work on ...
Throughout this philosophy paper, I have explored what nursing is based on my personal values and beliefs as it relates to the body of work in nursing. I value the importance of holistic nursing and the care of patients being individualized for them and their family. Also, effectively collaborating among health care professionals to ensure quality care for patients. Additionally, the importance of health promotion as one of the main roles of nurses is being a teacher, since promoting health prevents illness and increases the level of health in clients. These principles will serve as a guide for my personal standards of nursing practice.
I really enjoyed reading your post, and above everything, that you mentioned the 8 moral principles from our textbook. Understanding and applying them is tantamount to ethical practice. Of course, one can be more knowledgeable of one or other principle, thus serving as cornerstone to one’s nursing philosophy. The American Nurse Association Code of Ethics for Nurses is a good guide to ethical practice.
The American Nursing Association defines nursing as ““protection, promotion, 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” (American Nurse Association, 2011, p. 7). There is so much more to nursing as a whole moreover throughout this paper I will be examining my own personal nursing philosophy, which is what I believe is the core characteristics of nursing, the approach of my nursing philosophy, along with my belief and value system of caring, compassion, advocacy, respect, honesty and integrity. I will be discussing my choice of becoming a nurse, what
As a new nursing student with limited clinical experience, my philosophy of nursing is an area that I am quickly expanding upon each day. It is exhilarating to observe the core aspects that comprise my theory of nursing in practice, such as caring for the individual’s needs or the effects of the environment on a patient. Looking forward into the future, I am eager to add to my nursing philosophy as I continue to gain clinical
My core values and beliefs are honesty, caring, family, and lifelong learning, which I use every day in my life. The core of nursing is caring, knowledge, and integrity that focuses on the patient’s needs, healing, safety, and encouragement. Personal and professional beliefs overlap the driving force of nursing. The qualities of a good nurse are not or cannot be turned off and on, and are part of the person I am. We are just helping hands that are always striving to help others. I am not perfect. I am a human being and sometimes mistakes will be made, but I always try my best. If something goes wrong, I will examine the situation, and learn from it to make me a better nurse than I was before. I will monitor and reflect on my own actions to ensure that I am staying true to what I believe are the best nursing practices. When we find conflicts between our personal beliefs and those of the patient, we should uphold our personal and professional ethical standards. We should find someone to guide us through our conflict to find a solution that will not compromise our own
As registered nurses we all of the same goal of helping others, however, there are standards that we are required to follow. The purpose of this posting is to discuss the nursing scope and standards of nursing, as well as, how I have used this in my experience and practice as a registered nurse. According to the American Nurses Association (2010) “the nursing scope of practice is the who, what, where, when, why, and how of the nursing practice that concentrates on registered nurses and there common practices and competency” (pg. 67).
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
In every nurse's career, he or she will face with legal and ethical dilemmas. One of the professional competencies for nursing states that nurses should "integrate knowledge of ethical and legal aspects of health care and professional values into nursing practice". It is important to know what types of dilemmas nurses may face
I am going to expand upon Astha Regmi’s comment about professional codes and guidelines in Nursing Practice. I have chosen it because in her writing she has mentioned about professional conduct, code of ethics, its purpose in the nursing career and some of the essential guidelines for applying these ethics in the field of nursing.