As nurses, it is inevitable that at one point or another in our careers we will come across ethical dilemmas when providing patient care. In fact, nursing has been labeled as the most ethical profession. For nurses to meet the ethical obligations of the profession, the American Nurses Association (ANA) developed the Code of Ethics for Nurses. Since ethics are fundamental to nursing practice, I believe this code is of utmost importance. Patients strongly depend on a nurse’s honesty and on their adherence to those standards. By adhering to those standards, it allows nurses to develop a trustful nurse-client relationship while displaying compassion and empathy. Although these standards are put in place for nurses, when faced with an ethical dilemma, …show more content…
This patient had suffered an intraventricular hemorrhagic stroke. Since this patient lived alone, she was found by her son unconscious; however, it was unknown how long she had been unconscious. When she arrived at the hospital, she was a GCS of three and had not improved since then. Three weeks later, when I returned to neuro-ICU I again cared for this patient and her status had remained unchanged. Therefore, an ethics consult was made with the family to recommend comfort care. However, since the patient had undergone an ischemic stroke a few years back and fully recovered, the family had hope the patient would fully recover again. Although, it was explained that the strokes were different and the amount of damage to the brain was irreversible they still were not accepting the reality of the patient’s condition. These situations are difficult since the patient’s family is in denial, but you must respect their decision and continue to provide care for the patient (What do I do now? Ethical dilemmas in nursing and health care, 2013). Overall, whatever ethical dilemma you may encounter as a nurse, it is important that you continue to provide the best possible care despite your
As a registered nurse practicing in the state of California I am responsible for practicing within my states legal regulations and nursing scope of practice. My concern for the welfare of the sick and injured allows me to practice ethical provisions of nursing. These are required if I am to carry out competent and effective nursing care. Nursing encompasses the prevention of illness, the alleviation of suffering, and the protection, promotion, and restoration of health in the care of individuals. Therefore, as health care professionals we must be familiar with the different philosophical forces, ethical principles, theories and values that influence nursing. At the same time, we must be respectful to our patient’s
The topic of ethics is prevalent in health care and addresses a broad range of topics in nursing. In almost every interaction with a patient there could be a situation that may bring up the question of ethics. Fortunately, there is the realization that placing the nurse in the care of a patient, may put the medical personnel in an environment where the ethics are questioned. There are whole departments dedicated to advising nurses in these situations. There are also ethic committees to help guide you when you find yourself in a situation that may question your practice or circumstances.
Nurses are faced with ethical dilemmas on a daily basis, each situation being unique and requiring the nurse to set aside their own values and beliefs in order to properly care for their patients. Situations requiring nurses to make an ethical decision are diverse and dynamic; the values set out by the College of Nurses of Ontario code of ethics remains the same. Therefore, all decision based on these vales regardless of the setting and circumstances ensure consistent solutions. The scenario involves a woman who was admitted to the NICU due to complications during her sixth month of pregnancy. The patient indicated that no extraordinary measures should be made to save her baby; she became further detached when the baby developed a bleed
The history of ethics has been around for a long time. Nurses have an ethical obligation to care for patientsand do no harm. Ethical conflicts and dilemmas occur every day in the health care world. “Ethics is defined as the rules or standards governing the conduct of a person or the members of a profession”(FARLEX, 2011).The nurse should have the adequate skills and experience to provide great care to the patient. Nurses should always accept their moral and responsibilities that come along with their job and
A nurse is given an opportunity to help patients, either if its by helping them through a very serious sickness or just helping a patient get to the bathroom on time, or a time when happiness is overfilling the room and a child is being born. Registered nurses provide a wide variety of patient care services (Mitchell, p.12). A Nurse must always know where to begin and where to stop, as any other career in the health field there is always something that cannot be done by everyone but only the certified person, a nurse must always remain inside her scope of practice to prevent any misunderstandings. A nurse must also follow a code of ethics , the code of ethics of the American Association of Medical Assistants states that a nurse should at all times render service with full respect and dignity of humanity, respect confidential information obtained by a patients file, uphold the honor and high principles the profession and accept its discipline, and last but not least always want to improve her services to better serve the health and well being of the community. (Mitchell, p.65).
While the nursing profession is fulfilling, it is not without challenges. Nurses are faced with a multitude of ethical dilemmas in clinical practice on a daily basis. According to Fant (2012) no matter where nurses function in their diverse roles, they are faced with ethical decisions that can impact them and their patients. Some examples of moral issues that nurses encounter in contemporary nursing practice and research include but not limited to: refusal of treatment, scarcity of resources, disagreement with caregivers, treating patients with impaired decision-making, futile treatment decisions for cancer patients, end-of-life decisions, advanced treatment directives, and euthanasia (Leuter, Petrucci, Mattei, Tabassi, & Lancia, 2013).
Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice
Ethical issues in nursing will always be an ongoing learning process. Nurses are taught in nursing school what should be done and how. Scenarios are given on tests with one right answer. However, there are situations that nurses may encounter that may have multiple answers and it is hard to choose one. “Ethical directives are not always clearly evident and people sometimes disagree about what is right and wrong” (Butts & Rich, 2016). When an ethical decision is made by a nurse, there must be a logical justification and not just emotions.
Ethics is an essential aspect of health care practice and those working in the nursing profession are often subject to frequent ethical dilemmas. It is essential for all nurses to be aware of the importance of ethics in health care and to practice within the ethico-legal parameters that govern the profession. However, while this is relatively easy in theory, ethics is not a black and white subject and often one’s culture, upbringing, attitudes and beliefs can influence what one views as ethical and this can therefore influence practice. This report will discuss the importance of ethics in nursing practice. The definition of ethics will firstly be presented followed
Nurses are subject to a plethora of legal, ethical, and professional duties which can be very challenging on a day to day basis. Some of these duties include respecting a patient 's confidentiality and autonomy, and to recognize the duty of care that is owed to all patients. As nurses our duties are always professional; however there are legal implications if these duties are breached. We also must consider when it is okay as nurses to breach these duties and therefore ethical issues arise. As nurses one of our main priorities is to advocate for our patients, without our own personal feelings on the matter taking over.
Make an ethical decision The principle of autonomy may not be honored in all situations. The total obligation of confidentiality may lead to harm being done. When the nurses recognize that maintaining confidentiality will lead to avoidable harm to innocent people, the duty to protect others from harm would take precedence. Nurses have a duty to report child abuse as Mary-Jane is still vulnerable and she is at greater risk of harm.
Ethical issues impact nursing on a daily basis. Nurses are constantly faced with decisions that wavers the legal and ethical lines. The word “Ethics” itself, though it has a dictionary meaning still leaves me with the thought of “what does this word really means? Ethics is individualized and based on what that individual believes is good or bad, wrong or right, many features play a role in ethical decisions such as culture, age, race, religion etc. We all have a different meaning of ethics means to us.
In palliative nursing care , which deals with nursing the dying patients towards the end stages of their illness or life. Many ethical and moral decisions arise. This moral and ethical stress can cause the health care workers often experiencing extreme sadness and helplessness leading often to stress on the health worker. This distress often occurs when nurse’s own beliefs are challenged due to their duty to follow Medical officers orders. This presents a dilemma in following orders of the medical officer and providing a peaceful death or dying experience to their patient (Morgan, 2009).
It is easy to talk about do the right thing always and no harm to anybody.As a nurse we face an ethical dilemma in daily work and under a professional code of ethics, we can meet it with everybody’s support. In the above situation, it is hard for a mom to take any decision.I will pray and seek for expert advice from elders. Is there any mom to make a choice between her two
The ethical dilemma is a situation by which it’s difficult to determine whether a situation is can be handled without disappointing both sides. Therefore, an ethical dilemma exists when the right thing to do is clear or when members of the healthcare team cannot agree on the right thing to do. Ethical dilemmas require negotiation of different points of view (potter, Perry, Stockert, & Hall 2011pg 78).