753 results for “Nursing Ethics”.
In the late 20th and early 21st centuries, medical technology has advanced enough to provide certain measures to keep the body "alive," but not necessarily the brain or the cognitive functions that make up quality of life (O'Keefe-McCarthy, 2009). Despite the fact that death is a cyclical part of life, humans still have a very difficult time dealing with issues surrounding terminal illness: hospice, do not resuscitate, costs for survival, euthanasia, and conversations about end of life planning. For the modern Nurse leader, the core of the philosophical and psychological debate seems to focus on two viewpoints. One believes that the individual has control over their body and the decisions surrounding their quality of life. he other view takes on a more moral and religious stance, believing that life is divinely created and that nurses and doctors, in particular, have society's trust and the responsibility to preserve life at…
The nursing argument is really an argument-based ethical issue involving several aspects of medical ethics: autonomy, nonmaleficence, beneficence, and justice. From a care perspective, nursing can be considered a situationally positive of negative form of appropriate nursing care. Ironically, nursing responsibilities are used in both the pro- and con- arguments. The additional critical issue is that there is no exact answer to the issue -- no complete moral or legal answer that covers every situation and every individual. Legally, the nurse is bound by the overall rules of the State and Nation; nursing ethics may come into the picture, but not if they cause a nurse to break the law (Quaghebeur, et al., 2009).
A Code of Ethics is in place so that professionals have a clear and unambiguous way to help make decisions. With the six fundamental principles of ethics combined with the principles of informatics ethics, we find that there is a duty that is expected of the nurse to provide privacy, openness, security, and support the patient's wishes. In this sense, ethics and legality do not mesh. In the case of euthanasia, for instance, a patient may have the appropriate documentation legally signed (no intrusive measures, etc.), and the nurse must be responsible for maintaining those wishes and keeping the records private. They also have the moral duty of allowing the individual the moral right to choose what is best for them as an extension of the basis on national rights. For the nurse, every Code of Ethics says that suffering and lengthy pain are not moral. Making it easier for the patient to be comfortable when there is no hope for recover is kinder than heroic medical measures that may prolong pain and suffering (IMIA; Information for Research on Euthanasia, 2009).
This is certainly a quandary for legal scholars, moral philosophers, healthcare professionals, and anyone who has a loved one in an untenable terminal and painful, condition. We then have the trend in medical ethics in the 21st century that not seems to focus on deontology more than utilitarianism (the means are more important than the results). But, the combination of care and virtue ethics also means that besides medical ethics, we must also look at the overall benefit to society. Within medical ethics, healthcare
Identify the potential ethical dilemma
A nurse accused of stealing. She is a good nurse but cannot be allowed to continue stealing and breaking the law while she is performing her duties.
Collect, analyze, and interpret data
Nurses must protect clients' well-being, even while they strive to support other nurses. The case study is presented in such a manner which suggests that the nurse manager is fairly certain, given the evidence she has observed, that this individual is the party responsible for the series of thefts.
State the dilemma
A nurse-manager has an unequivocal ethical responsibility to report any suspected crimes. However, this could destroy the goodwill on the ward and impede the community of nurses from working together and getting things done. Also, the crime may be difficult to prove and cause divisiveness on the ward.
Can the dilemma be resolved by the nurse?
The answer to this particular conundrum is 'yes and no.'…
Blais, Kathleen K. & Janis S. Hayes. (2011). Professional nursing practice: Concepts and perspectives. 6th Ed. Pearson.
In terms of underage drinking, a nurse can act in a public health manner that identifies circumstances and situations that make a population vulnerable, and take steps to either mitigate those circumstances or educate to prevent them in the first place.
Colleagues -- Nursing is never a field in isolation. Instead, it works with a number of colleagues in various disciplines to support health issues. This would include teachers, school administrators, and members of the retail establishment that all might have an effect on underage drinking and the problems associated. Because nurses are advocates for health, they are often consulted by colleagues. In the reverse, nurses should network and advocate programs that seek to reduce situations that make a population vulnerable -- in this case, the buying and selling of alcohol to the underage; restricting venues in which drinking might be allowed; and working with the community to provide an…
Would the advance(s) keep the patient alive just to keep her/him alive, or would the patient be capable of a productive and enjoyable way of living?
These questions lead right into the code of ethics and the very first one deals with the respect for human dignity.
Human dignity can encompass a variety of components and it must be considered when applying bioethics or ethics in general to prolonging someone's life for the sake of medicine and not for the sake of human dignity. The next item on the list was values held by the patient. Respect for their individual value system should be of ultimate concern for the nurse in regards to treatment. As an example; if the patient's religion affords them the comfort of an afterlife, then it should considered. The patient's beliefs and values should be placed first in priority. Along with that value system is autonomy or…
This is more complicated by the prevalence of other mental disorders like dementia and drug induced mood swings. Nurses need to be well trained in pattern recognition and logical assessment of the condition and take suitable action to solve these problems. [Steve Lliffe, 107]
The failure to manage these symptoms would result in increased suffering and poor quality of life in the end stage. In a 1993 study conducted on 295 patients admitted for palliative care it was found that 99% of the patients had asthenia (fatigue) while more than 76% reported pain. Another study by Coyle et al. In 1990 revealed that in 75% of patients in palliative care there is usually a combination of symptoms. (Fatigue, pain, anorexia) etc. [Kim Kubler] Asides DNR, there are other morally distressing issues for the nurses to handle. For example, food intake would stop during the final hours of the patient as…
1) EPEC Team, "Last Hours of Living," Accessed on March 16th, 2007, http://www.ama-assn.org/ethic/epec/download/module_12.pdf
2) Field D, James N. 1993 "Where and How People Die: The Future of Palliative
Care," Open University press
3) Steve Lliffe, Linda Patterson & Mairi M. Gould, 1998, "Health Care for Older
A strong ethical component undergirds the nursing profession. Nurses have an express duty to care, and we are driven by the desire to help others. When completing the "My Nursing Ethic" questionnaire, I was asked to search for the roots of my passion and motivation. I was also asked to consider who or what inspires me, and to whom I am loyal. It is this latter question that becomes the most challenging, because nurses will often discover they have conflicting loyalties. Most of the ethical challenges I have encountered as a nurse stem from my grappling with conflicting roles, duties, and responsibilities.
Although we may try to cultivate objectivity, our background, beliefs, and worldviews prevent nurses from being completely unbiased in our approach. We are human beings, not robots. The personal, cultural, and spiritual values that have contributed to my worldview, and continue to do so, shape my philosophy of…
"My Nursing Ethic." Survey. Grand Canyon University.
Trevizan, M.A. et al. (2004). Spirituality: the basis for nurses' ethics. Medical Law 23(4).
Winslow, G.R. & Wehtje-Winslow, B. (2007). Ethical boundaries of spiritual care. Medical Journal of Australia 186(10).
Ethics and Morality
Ethical Analysis: A Nursing Situation
Identify the nursing issue
In ancient times, nurses used to take orders from other senior professionals where they were then permitted to initiate routine procedures. Their intellectual skills and reasoning were not valued or fostered. The approach to nursing made any decision regarding medical and ethical issues at the discretion of the doctors. However, nurses in modern settings have realized the therapeutic potential where patients are involved in treatment decisions and course of care. Changes within the nursing profession reflect their desire to be contributory and responsible to the patients' welfare (Peirce & Smith, 2013). Therefore, people who face influences from major decisions dislike policies from unilateral decision-making process. The diversion appears when nurses have good reasons to act and face treatment consequences during daily works.
A 42-year-old woman had malignant breast lump, which was realized after numerous tests were done. Her consultant called for…
Butts, J., B. Rich, K., (2013). Nursing Ethics: Across the Curriculum and Into Practice. New York: Jones & Bartlett Publishers
Fry, S., T. Veatch, R.M. Taylor, C., (2010) Case Studies in Nursing Ethics. New York: Jones & Bartlett Publishers
Peirce, A.G., & Smith, J.A. (2013). Ethical and Legal Issues for Doctoral Nursing Students: A Textbook for Students and Reference for Nurse Leaders. New York: DEStech Publications, Inc.,
Nurses can help family members by educating them on the dying process and the various signs to look for so they can plan their hospital time accordingly (Life Support http://www.deathreference.com/Ke-Ma/Life-Support-System.html).
It is important for nurses to recognize individual beliefs and traditions when it comes to the dying process and respect those in the families they work with. If a family believes a dying family member should have oil placed gently on the forehead the nurse can help the family accept the pending death of their loved one by allowing anything non-intrusive to be done. Whether the nurse agrees with the belief or not is not important, what is important is that the nurse respects the wishes of the family as much as possible while still providing required medical care.
Machines and medications keeping life support viable does not mean the person is still alive. Nursing professionals often have to help family…
Do the poor deserve life support? - By Steven E. Landsburg - Slate (www.slate.com/id/2133518/?nav=navoa)
Life Support http://www.deathreference.com/Ke-Ma/Life-Support-System.html)
Life Support (http://www.canada.com/topics/lifestyle/fitness/story.html?id=5b0c3099-be0e-4119-81ae-02caba26ffa6&k=75397)
Her carative elements strive to "honor the human levels of nursing's work and the inner life world and subjective experiences of individuals we serve" (Watson, 1997, p. 50). The 2 instances of these carative elements, which were later on altered to caritas consider 2001, in medical practice are "establishing and sustaining a helping-trusting, genuine caring relationship" and "existing to, and supportive of, the expression of favorable and adverse sensations as an association with deeper spirit of self and the one-being-cared- for" (Watson, 2001, p. 347).
Ethical decision-making model
To develop this faithful, caring connection with the client, the registered nurse has to be self-aware of any critical sensations that can promote his/her crossing limits into intimacy. Caring needs the registered nurse to have a meaningful relationship within themselves and to the spirit within the client. Watson's caring model needs the registered nurse to appear at the individuality of the specific and…
Edwards, S.D. (2009). Three versions of the ethics of care. Nursing Philosophy, 10, 231-240.
Edwards, S.D. (2011). Is there a distinctive care ethics? Nursing Ethics, 18, 184-191.
Gilligan, C. (1982). In a different voice. Cambridge, MA: Harvard University Press.
The Free Dictionary. (2002). Definition of caring. Retrieved from http://www.thefreedictionary.com/caring
ethics provided key inspiration for others looking to apply a more practical application of the ethics within a 21st century organization. The article essentially attempted to redefine ethics and the role ethics play, or should play, within the context of organizational leadership. This pedagogical approach to ethical inclusion within leadership style is highlighted throughout this article and new models, approaches and philosophies are introduced to help guide the reader through this author's writings.
To help give the new understanding of the idea of ethics in the modern world, the idea of globalization is used to help contextualize how ethics may be approached according to this author. A key definition is introduced that premised the article when the author wrote " the lack of universal, organizational ethical standard has prompted the exploration of what is right and what is wrong, often resulting in the crossing of known and perceived boundaries with…
Bishop, W.H. (2013). The Role of Ethics in 21st Century Organizations. Journal of business ethics, 118(3), 635-637.
Ells, C., & MacDonald, C. (2002, November). Implications of organizational ethics to healthcare. In Healthcare Management Forum (Vol. 15, No. 3, pp. 32-38). Elsevier.
Lutzen, K. (1997). Nursing ethics into the next millennium: a context-sensitive approach for nursing ethics. Nursing Ethics, 4(3), 218-226.
Vanlaere, L., & Gastmans, C. (2007). Ethics in nursing education: learning to reflect on care practices. Nursing Ethics, 14(6), 758-766.
This is a theoretical approach which assumes that the nurse will base all treatment decisions on an interest in achieving the patient's best overall health outcome. In light of this, there may be great value in approaching treatment with a cultural sensitivity to the diversity of needs which accompany the inherent diversity of individuals to be treated. Here, the healthcare practitioner must be particular immune to prejudices of an ethnic, racial, sexual or personal nature, with equal treatment quality and personal attention expected for all patrons of the medical system. This is why it is important for members of the healthcare community to be acquainted not just with the idea of a multitude of groups in its public, but with some level of understanding as to how different ethnic groups endure different health scenarios. The way that the nursing professional approaches healing -- with respect to the balance of personal…
ANA. (2004). The Nurses Code of Ethics. The Center for Ethics and Human Rights.
President's Council on Bioethics (PCB). (2010). Being Human: Readings from the President's Council on Bioethics-Chapter 3: To Heal Sometimes, To Comfort Always. Georgetown University.
Professional Nursing Ethics
It is not a good idea, but it is possible to become a nurse today without knowing what the Nightingale Pledge is and more important, what it represents. The reason it is not a good idea is simple; nursing is a field that carries with it a great social, moral and ethical responsibility. This accountability is now guided by the Code of Ethics with Interpretive Statements; however, the original blueprint was the Nightingale Pledge. We could consider that original pledge as nursing's equivalent to the physicians' Hippocratic Oath. In other words, the modern version of the Nightingale Pledge, the Code of Ethics with Interpretive Statements, is a thorough guide that helps both new and old nurse's alike carry out their responsibilities in a way that also meets all ethical duties required by the profession. The Nightingale Pledge has evolved for more than a century and over that…
An area where being a nurse can become difficult in regard to ethics is in the area of personal values vs. professional ethics. Nurses must maintain their competence even if they do not live by the same values of their patients. A client's race, sex, or religion, for example, must not interfere with the understood obligations of the nursing community. Everyone should be treated equally. What comes to mind about this ethical obligation is the poor judgment that was shown by some healthcare workers throughout the nation immediately following September 11, 2001. This date is famous for the terrorist attacks that were perpetrated on the nation by individuals of the Muslim faith and of Middle Eastern decent.
For several weeks after that tragic day, however, many Muslim and Middle Eastern families, and anyone who looked like they could be of Middle Eastern decent, became the victims of blatant profiling and racism. What was worst about this news is that in some of these cases of obvious hate crimes, the racism was performed by hospital emergency room staffs because they refused to treat potential terrorists (as they were considered). When performing nursing duties, nurses must have a blind eye to the differences of the client's life values. A homosexual male should not be treated poorly because of his sexual orientation. A black woman who has been raped must not be judged to be immoral anymore than a white woman. Nurses must exercise sound ethical judgment and accept the responsibilities of the profession.
Nurses provide services that include respect for human dignity and they should not change their responsibility to the patient because of some social or economic status, personal attributes, or the nature of the medical condition. This scenario of personal values and professional ethics then can also be tested when it comes to working in an extremely hazardous environment. Nurses are exposed to communicable diseases on a daily basis and there are often patients who are violent or show other ideals of noncompliance. "It was an opportunity to learn about the challenges nurses encounter in their everyday practice -- health and social inequalities, HIV / AIDS, TB, poverty and compromised
Specifically, they failed to change gloves in-between cleaning incontinent patients and subsequently applying ointment to other parts of the body, and handling patients' clean bed linens, food trays, and personal belongings. One several occasions, I witnessed nurse's aides fail to change gloves in-between different patients. I saw a phlebotomist unnecessarily contaminate sterile dressings by careless handling. When questioned, she responded that her method was more time efficient. I also noticed everyone from nurse's aides to senior residents routinely place containers used for waste collection onto food carts, in some cases after picking them up off the floor.
In general, it seems to me that the routine of sometimes mundane or repetitive tasks -- even in the healthcare profession -- leads to carelessness and an apathetic attitude on the part of people entrusted to ensure the health and welfare of vulnerable patients.
Without condemning any of my colleagues for their lapses, I…
2008).. This points to the ethical responsibility of nurse educators -- it is not enough to treat the disease, bit one must treat the patient.
Failure to provide the proper level of education to a patient is certainly one way to fail them both ethically and medically, bit the opposite can also be true. That is, it is possible to provide too much care -- what is deemed "medically futile care" -- and this also raises very serious ethical issues in the realm of respiratory illnesses (Sibbald et al. 2007). This particular stuffy found that insufficient communication among the medical team was one of the primary causes for prolonging futile care, which often means increasing and/or prolonging a patient's discomfort without any reasonable expectation of an improvement in their condition (Sibbald et al. 2007).
The ethical choice here, of course, is to end care (with the consent of the patient and/or…
Efraimsson, E.; Hillverik, C. & Ehrenberg, A. (2008). "Effects of COPD self-care management education at a nurse-led primary health care clinic." Scandinavian journal of caring sciences, 22(2), 178-85.
Selecky, P.; Eliasson, A.; Hall, R.; Schneider, R.; Varkey, B. & McCaffree, D. (2005). "Palliative and end-of-life care for patients with cardiopulmonary diseases." Chest 128(5), pp. 3599-610.
shiao, J.; Koh, D.; Lo, L.; Lim, M. & Guo, Y. (2007). "Factors predicting nurses' consideration of leaving their job during the SARS outbreak." Nursing Ethics, 14(1), pp. 5-17.
Sibbald, R.; Downar, J. & Hawryluck, L. (2007). "Perceptions of 'futile care' among caregivers in intensive care units." Canadian medial association journal, 177(10), pp. 1201-8.
Ethics in Nursing
Every professional in the field of healthcare has a special responsibility and obligation to treat patients with care and dignity -- and at all times there should be an ethical approach as well. Nurses, too, is a vitally important component of healthcare, are nurses are certainly bound by ethical rules and values, and this paper delves into the various aspects of ethics in nursing.
Ethics and Nursing
"Codes of ethics refer to systems of rules and principles by which a profession is expected to regulate the moral behavior of its members and demonstrate its responsibility to society" (Numminen, et al., 2011, p. 710).
Ethics in nursing boils down to taking responsibility for providing good care to patients, being fair, professional and just, Zane olf writes in the peer-reviewed journal Nursing. But there is more to it than just offering professional care, olf continues. The author, who is the Dean and Professor…
Kangasniemi, Mari. (2010). Equality as a central concept of nursing ethics: a systematic literature review. Scandinavian Journal of Caring Science, 24(4), 824-832.
Lachman, Vicki D. (2012). Applying the Ethics of Care to Your Nursing Practice. Nursing.
Numminen, O.H., Leino-Kilpi, H., van der Arend, A., and Katajisto, Jouko. (2011).
The main focus of this essay is going to concern the nurse-patient relationship idea, and why it is important. This was chosen because the researcher desired to achieve a better accepting of how a helpful nurse-patient relationship can be advanced and even from different theorists who have discovered this idea. In this essay, the researcher sets out to demonstrate what they have learnt regarding the nurse-patient relation concept and how this connection can utilized in the clinical practice setting. T The nurse patient connection, according to a study done by Press Gamey Associates Inc., creates the quality of the care experience and generates an influential influence on patient gratification. Nurses will a lot of their time with patients. Patients see nurses' relations with people among the care team and make their own conclusions about the hospital founded on what they are observing. Furthermore, nurses' approaches toward their vocation, those…
Berdes, C. & . (2001). Race relations and caregiving relationships: A qualitative examination of perspectives from residents and nurses aides in three nursing homes. Research on Aging, 23(1), 109-126.
Biering, P. (2002). Caring for the involuntarily hospitalized adolescent: The issue of power in the nurse-patient relationship. Journal of Child and Adolescent Psychiatric Nursing, 16(2), 65-74.
Heijkenskjold, K.B. (2010). The patients dignity from the nurses perspective. Nursing Ethics, 6(3), 313-24.
LaSala, C.A.-B. (2007). The role of the clinical nurse specialist in promoting evidence-based practice and effecting positive patient outcomes. The Journal of Continuing Education in Nursing, 38(6), 262-70.
107) could also apply here. The confidentiality clause in such a case then only applies insofar as it is estimated that there is no need to disclose confidential information to others. In the case of Mrs. Z, her family deserves to know about her situation, because it affects their lives pertinently.
Because of the increasing cultural diversity throughout the world, cultural values also play an important part in making ethical decisions in the nursing profession. In the case of Mrs. Z, for example, she appears to have no powers of decision making either in her home or in society in general. Inside the home, her mother-in-law runs the household, while her husband is in charge of important decisions. This could have a significant influence upon her decision not to disclose her condition to her family.
According to Karahanne, Evaristo and Srite (2006, p. 34), for example, also note that cultures seldom…
Alligood, M.R., Marriner-Tomey, a. (2006). Nursing Theory: Utilization and Application. Elsevier Health Sciences.
DeWolf Bosek, M.S. And Savage, T.A. (2007) the Ethical Component of Nursing Education: Integrating Ethics into Clinical Practice. Lippincott Williams & Wilkins.
Goodman, K.W. (2008, Jan) Privacy, Confidentiality, Law and Ethics. Norhteast Florida Medicine Supplement. Retrieved from: http://www.dcmsonline.org/jax-medicine/2008journals/ethics/privacy.pdf
Karahanna, E., Evaristo, J.R., and Srite, M. (2006). Levels of Culture and Individual Behavior: An Integtrative Perspective. Advanced Topics in Global Information Management, Vol. 5. Idea Group, Inc.
It is saddening to note that as hospital stays grow more expensive, patients are getting less care and families must resort to the private sector and pay still more money to feel as though their loved ones are being treated competently. The problems are rife, legally in terms of liability and medically in terms of nursing conflicts over patient treatment. There is also the ethical issue that the poor are getting less decent care than the rich, because poor families cannot provide private nurses. Clearly, hiring private nurses or assistants is not the solution to an overburdened medical system, but families will continue to do so to protect their loved ones until a better solution is achieved by policy makers.
Deutsch, Anne, Rodger C. Fielder & Kenneth J. Ottenbacher. Stroke. 37 (Jun
Rehabilitation after a stroke is a critical part of the healing process. The article attempts to assess differences in…
Rehabilitation after a stroke is a critical part of the healing process. The article attempts to assess differences in outcomes between patients treated at inpatient rehabilitative facilities (IRF) versus skilled nursing facilities (SNF). Overall, it was discovered that most patients, except for those patients who had suffered the most minor motor disabilities, had better quality of care and improved general outcomes when they went to the more expensive IRFs. Yet, although IRF payments for Medicare patients were higher, the stays were shorter than the SNF stays and this ultimately might result in lower costs overall to the health care system, when patient treatment is viewed in a long-term fashion.
This article highlights the problems of patients who have similar conditions, yet have vastly different insurance policies. Policymakers and health insurance assessors must ask, what incurs more long-term costs, and how should the value of rehabilitation be calculated? The article provides a compelling case for the superiority of IRFs as well as the difficulties of putting a price on rehabilitation, when more intensive rehabilitation can result in better outcomes for the patient later on.
Autonomy in the nursing profession states the importance of the client's role in making decisions that reflect advocacy for the client (Wade, 1999, p.310). Ultimately, this includes taking care of the patient physically as well as mentally and emotionally, developing a relationship with the patient that is beneficial to his care and actively advocating for the patient's rights and care. This type of autonomy, it is important to note, is not the same as individual or work autonomy, yet it must be considered that empowerment in nursing autonomy will inevitably lead to better professional and personal autonomy and should also lead to increased job satisfaction (Wade, 1999, p.310).
Typical definitions of autonomy would include the idea of complete independence for the person making the decisions. However, in the case of the nursing profession, the client's needs and desires must be heavily weighed and, in fact, become central to the idea…
Wade, G.H. (1999). Professional nurse autonomy: Concept analysis and application to nursing education. Journal of Advanced Nursing, 30(2), 310-8.
Gaylord, N. & Grace, P. (1995). Nursing advocacy: An ethic of practice. Nursing Ethics, 2(1),
White, L. (2004). Foundations of nursing: Second edition. Clifton Park, NY: Delmar Learning.
Is there a limit to one's professional obligation to the patient? Is that the same as advocacy?
Advocacy can be construed as a professional obligation to the patient, especially when advocacy is framed as an ethical obligation. There are therefore few limits to a nurse's ethical responsibilities to the patients, even though some situations may seem morally ambiguous. Many nursing researchers promote the concept of patient advocacy as "an ethic of practice," one that is an immutable part of the professional responsibilities of the nurse. (Gaylord & Grace, 1995, p. 11).
Are the characteristics of caring relevant to 2010?
The characteristics of caring are more relevant in 2011 than they were in 2010 or have ever been before, in part because of increasing patient diversity. Knowledge of the different concepts of health, healing, illness, and the role of the doctor helps make nurses more accountable to patient needs. Viewing the patient as a…
Beyea, S.C. (2005). Patient advocacy: nurses keeping patients safe. AORN Journal. On FindArticles. Retrieved online: http://findarticles.com/p/articles/mi_m0FSL/is_5_81/ai_n13793213/
Gaylord, N. & Grace, P. (1995). Nursing advocacy: An ethic of practice. Nursing Ethics 2(1): 11-18.
Hanks, R.G. (2008). The lived experience of nursing advocacy. Nursing Ethics 15(4): 468-477
Vaartio, H., Leino-Kilpi, H., Salantera, S. And Suominen, T. (2006), Nursing advocacy: how is it defined by patients and nurses, what does it involve and how is it experienced?. Scandinavian Journal of Caring Sciences, 20: 282 -- 292. doi: 10.1111/j.1471-6712.2006.00406.x
Before resuming my educational endeavors at the University of Phoenix I was fortunate enough to experience life and many of its travails as a business person and employee. During my tenure in those endeavors I observed a number of events that I considered unethical, and a number of actions taken by individuals that I found both reprehensible and repulsive. I was often amazed at the capabilities of mankind to justify their actions, when it was quite evident that such actions would not be considered ethical in any circumstances, no matter what the justification.
Ethics has always been a concern, whether individuals worked in education, business or even the medical field. One early study determined that there were many young managers that had reported being asked implicitly to do things they personally believed were unethical, and sometimes illegal (Badzek, Mitchell, Marra, Bower,1998). Oftentimes these young managers feel the pressure to take actions…
Badzek, L.A., Mitchell, K., Marra, S.E., Bower, M.M., (1998) Administrative Ethics and Confidentiality/Privacy Issues, ANA Periodicals, Vol. 3, No. 3
Chaloner, C.; (2007) An introduction to ethics in nursing, Nursing Standard, Vol. 21, Issue 32, pp. 42 -- 46
Dessoff, A.; (2010) Battling sexual abuse, District Administration, Vol. 46, Issue 3, pp. 50-56
Rosenkoetter, M.M. & Milstead, J.A.; (2010) A code of ethics for nurse educators: Revised, Nursing Ethics, Vol. 17, Issue 1, pp. 137-139
Nurse Patient atios and Quality of Care
This study reviews the broad level of issues that surround the nurse/patient ratio: a critical shortage of trained and experienced nurses; increased political and fiscal demands from all sectors of society; rising costs internally and externally combined with a rising number of under-insured; and the conundrum of nursing ethics and the ability to foster excellence in care and patient advocacy. We note that there remains an issue about hiring more nurses -- where will these nurses come from if the nursing schools do not increase their recruitment efforts and broaden their curriculum. In addition, we note that the large majority of patients and stakeholders primarily want two things when admitted to a healthcare facility: better paid nurses and more highly-trained professionals who are satisfied with their vocation.
Modern nursing is, by necessity, a mixture of complex balance: patient care vs. staffing; procedures vs. patient load;…
More Nurses Make the Difference. (February 2012). The Lamp. 69 (1): Retrieved from: http://search.informit.com/au/documentSummary;dn=045435426132502;res=IELHEA
Safe Nurse Staffing: Looking Beyond the Numbers. (2009). Vantage Point, CNA. Retrieved from: https://www.nso.com/pdfs/db/newsletters/Safe_Nurse_Staffing_-_Looking_Beyond_the_Raw_Numbers_20094.pdf?fileName=Safe_Nurse_Staffing_ -_Looking_Beyond_the_Raw_Numbers_2009-pdf&folder=pdfs/db/newsletters
Aiken, L. (2001). The Hospital Nurse Workforce: Problems and Prospects."Draft
For the Council on the Economic Impact of Health System Change. Retrieved from: http://council.brandeis.edu/pubs/hospstruct / Council-Dec-14-2001-Aiken-paper.pdf
While most hospitals seem to be well-run and most situations and scenarios are planned for in advance when it comes to what nurses should be doing, should not be doing and why, this is not always the case. Just one example of this would be situations where palliative care is probably or definitely called for in a given situation but there is not a defined or clear protocol as to when the palliative path should be started and what criteria should be used. Indeed, patients that are facing such a situation are typically terminal or they at least cannot be treated for what is ailing them. An easy example to point to would be a cancer patient whose disease is beyond what medicine can do for them. When there is an absence of leadership when it comes to palliative care protocols, it falls to nurses to collaborate, work together…
Engel, J., & Prentice, D. (2013). The ethics of inter-professional collaboration. Nursing Ethics,
20(4), 426-435. http://dx.doi.org/10.1177/0969733012468466
Ewashen, C., McInnis-Perry, G., & Murphy, N. (2013). Inter-professional collaboration-in-practice: The contested place of ethics. Nursing Ethics, 20(3), 325-335.
Ethics in Nursing
What current ethical issue related to nursing or access to care did you choose to describe?
Therapeutic lying is my subject of choice -- whether or not nurses/care providers cross their ethical boundaries when they lie to patients about their health conditions, or when they withhold information that they perceive as unfavorable and which they believe would be detrimental to the patient's recovery process. A nurse has an ethical and legal duty to be honest with their patient and at the same time look out for their well-being -- so how should one act when these two elements appear to be in conflict?
What are the relevant laws, regulations or policy related to this issue?
The law recognizes the nurse-patient relationship as a fiduciary relationship. Under fiduciary law, the fiduciary (the nurse in this case) is expected to act in the best interests of the agent at all times. This includes…
American Medical Association -- ANA (2014). Short Definitions of Ethical Principles and Theories: Familiar Words, What do they Mean? http://www.nursingworld.org/mainmenucategories/ethicsstandards/resources/ethics-definitions.pdf
Corner, J. & Bailey, C.D. (eds.) (2009). Cancer Nursing: Care in Context (2nd Ed.). Malden, MA: John Wiley & Sons.
Williams, A. (2013). Dementia sufferers told white lies to keep them happy: Nurses and psychiatrists admit 'therapeutic lying' to confused patients. Retrieved from http://www.dailymail.co.uk/health/article-2410811/Dementia-sufferers-told-white-lies-happy-Nurses-psychiatrists-admit-therapeutic-lying-confused-patients.html
XXXX (bibliographical details of the book sent as a resource)
Nursing and eligion Practice
ELIGION AND NUSING PACTICE
Nursing success depends on the ability to put the patient in a state of rest and comfort as much as it is about administering the prescriptions of the doctor. To secure the rest of the patient, nurses need to understand their needs and show respect to their beliefs and values. This requires courteous and open communication with the patient and adopting a patient-centric orientation. Along with other factors, the religious background of the patient makes a lot of difference to their values and expectations. eligious doctrines and practices may differ across religions and denominations such as Jehovah's Witnesses, Muslims, Seventh Day Adventists and Scientologists and may impose restrictions on certain kinds of interaction between nurse and patient or on certain forms of treatment. Moreover, people with a different religious background are not usually aware of such differences. Therefore, it is necessary for nurses to…
Banja, J.D. (2010). Overriding the Jehovah's Witness patient's refusal of blood: A reply to Cahana, Weibel, and Hurst. Pain Medicine, 10(5), 878-882. doi: 10.1111/j.1526-4637.2009.00648.x.
Charles, C.E., & Daroszewski, E.B. (2012). Culturally competent nursing care of the Muslim patient, Issues in Mental Health Nursing. 33(1), 61-63. doi: 10.3109/01612840.2011.596613.
Cort, M., & Cort, D. (2008). Willingness to participate in organ donation among Black Seventh-Day Adventist college students. Journal of American College Health, 56(6), p. 691-697. Retrieved from EBSCO Academic Search Primer.
Effa-Heap, G. (2009). Blood transfusion: Implications of treating a Jehovah's Witness patient. British journal of nursing, 18(3), 174-177.
Ethics to Practice: Analysis of 'end of life' decision making
The foregoing discussion is an incursion into nursing ethics. Implication(s) to 'omission' of information as a customary practice within our healthcare institution is reviewed in relation to best practices pertaining to 'informed consent,' and hospital policy is not definitive. Directed at the evolution of ethical decision making, the general query to the study focuses on the parameters of informed consent where individual practice is concerned.
In the nation of Canada where I am a nurse the number of situations where patient informed consent decisions might be subject to our national code of nursing ethics is many. e face critical ethical dilemmas every day, as emergency procedures and critical care interventions are standard practice. Complexity in decision making is furthered in the conduct and approaches made by international colleagues on contract in our institution by way of exchange.
The primacy of informed consent and…
Bullough, B. ed. The Law and the expanding nursing role. New York, NY: Appleton-Century-Crofts, 1980.
Callahan, Joan, ed. Ethical Issues in Profesional Life. Oxford: Oxford University Press, 1988.
Canadian Medical Protection Association (CMPA), 2010. Web.
Finlay and Fernandez. Failure to report and provide commentary on research ethics board approval and informed consent in medical journals is discussed Journal of Medical Ethics, 34.10 (2008), 761-764. doi:10.1136/jme.2007.023325.
Nursing and Ethics
The emotional debate over abortion had been mischaracterized in the media, and hence disrupted any positive attempt to make progress in resolving the ethical and medical problems which have been created by the practice. A majority of Americans recognize and desire that abortion should be available when the life of the mother is at risk, or in the cases of rape or incest. However, liberal proponets like to expand this definition under the ubiquitous definition of the 'mothers health' which has been used to justify abortion on demand, for any reason. This latter expanded definition is significantly opposed by a majority of the ameircan population. In the midst of this struggle, comes the person needing medical care, who has neither been properly informed as to the dangers of the paractive, nor adequately counseled as to the options which exist regarding the future of her unborn child. The public…
O'rourke, Kevin. PROXY CONSENT: DECIDING FOR OTHERS October 1980 accessed 23 April 2004. Available from: http://www.op.org/domcentral/study/kor/80100202.htm .
Bernard Lo, (July 2, 1987) "Behind Closed Doors: Promises and Pitfalls of Ethics Committees." NEJM 317;46.
Toward a More Natural Science, (1985) New York: Free Press,; p.211.
Curzer, Howard J. (6/22/1993) Fry's concept of care in nursing ethics. (response to Sara T. Fry, Hypatia, vol. 4, no.2, p.88, 1989) Hypatia.
y Nursing Ethic
PASSION: Why am I here?
I am here to learn and become a better person through the service and love of others. I am here because I need to earn money to stay alive and nursing provides that type of material sustenance. I am passionate about many things, and I like to accomplish goals that are challenging and transformative in nature. There are many aspects to nursing and nursing school that provide the necessary components to the things that can make me a better person, in mind body and soul.
I am also here because I love to serve others to satisfy my own personal needs. I feel better about myself when I am helping others. This may seem selfish in some ways, but those that need my help will surely welcome it if they are willing. I am passionate about making this world a better place while I…
My personal background is one of Christian faith where I strongly believe that my salvation and destiny is determined through the understanding of my Lord and Savior Jesus Christ. This philosophic stance is common in my area where I grew up and my family traditions are strongly rooted in this religious stance. My morals, ethics and spiritual values all arise out of this Christian ideal where love, forgiveness and service are emphasized as important factors in life and death.
While there are many problems with organized religion, I have found that a simple Christian attitude based on loving principles are the best means of achieving peace of mind through the exploration of personal ethics and morals. Used as a practical tool, Christianity can serve many in the medical profession when applied in the correct frame of reference.
© 2011. Grand CanyonUniversity. All Rights Reserved.
One of the most important ethical issues in nursing is how to approach end-of-life care. Nurses have a duty to provide compassionate care in ways that respects the individual’s autonomy and dignity. As patients live longer due to advancements in medical care, nurses are increasingly being faced with care options that extend life, versus options that do not extend life but which promote quality of life through a greater acceptance of death. A related issue is physician-assisted suicide. When physician-assisted suicide is legal, nurses may have this option presented to them by patients, creating ethical dilemmas. This paper will examine multiple sides of the end-of-life issue, showing that while there is no easy or “right” solution, individual cases should highlight the means by which nurses can always ascribe to their professional duties and the ethical standards of the profession.
Point of View: Quality of Life Over Quantity
With the exception…
The prescriptions include wisdom, honesty, and courage, as well as human dignity, integrity, respect, health, and independence.
Part 3: Formulate possible evidence-based practices and an action plan that could work towards achieving improvement outcomes.
Provide insight into the diagnostic processes (e.g., root cause analysis) used to determine the primary causes of the problem. Consider both qualitative (cause-effect diagram, barrier analysis), and quantitative (theory testing or drill down analysis) methods.
Analyze the cost-effectiveness of your initiative and how your initiative mitigates risk and improves health care outcomes.
Countless interventions have been used for fall prevention amongst the elderly population. These include risk-assessment and management programs, I.e. Designed to screen those who are most at risk and to design interventions that will reduce their risk of falling; exercise programs slanted dot enhancing flexibility, endurance, and strength; education programs (including one-to -one counseling on methods to prevent falls); environmental modification in homes or institutions (and amongst…
ANA Nursing-Sensitive Indicators. http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/PatientSafetyQuality/Research-Measurement/the-National-Database/Nursing-Sensitive-Indicators_1
Butts, JB Ethics in professional Nursing Practice
Broe, K et al. (2007) a Higher Dose of Vitamin D Reduces the Risk of Falls in Nursing
nursing -- caring, empathy and ethics. The author (Lachman, 2012) uses numerous examples, each of which show the positive impacts of caring. Along with examples of ethical decisions that must be made, and with theories on caring and empathy put forward by scholars, the paper examines morality, competence, and the "reciprocal" relationships between nurses and their patients. That is, caring for a patient is reciprocal because if the needs of the patient are met, there is reciprocity -- the giving of care and the receiving and acknowledgement of that care giving.
Summary of Key Points
On page 113 Lachman references several leading theorists and scholars that have provided important research and results on nursing ethics and the caring concepts alluded to in the Introduction. Dr. Jean atson has a caring theory (112) that has three main components: a) carative factors; b) the "transpersonal caring relationship"; and c) the "caring occasion/caring moment."…
French, Peter. (1999). The development of evidence-based nursing. Journal of Advanced
Nursing, 29(1), 72-78.
Lachman, Vicki D. (2012). Applying the Ethics of Care to Your Nursing Practice. Ethics, Law,
and Policy, 21(2), 112-115.
The respondents who step out to be part of the research process should be protected from any unwanted intrusion or any other form of personal or group harassment (Smith & Liehr, 2008).
It is formal to have and conduct nursing research according to the set ethical frameworks where the entire review of the proposal will be undertaken. Whether to be undertaken by the staff or students, this research should be subjected to ethical approvals, which will make sure that the research, proposal is directed at serving the nursing school dream and intentions. Using the Middle range theory, the nursing problems and challenges will be solved in various ways as follows (Smith & Liehr, 2003).
All the nursing researchers and educators, being the staff members, must have respect upon the dignity, interests, and rights of the nursing students and other staff members related and participating in practical and theoretical learning.
Any relevant legislation…
Basford, L., & Slevin, O. (2003). Theory and practice of nursing: An integrated approach to patient care. Cheltenham, U.K: Nelson Thornes.
Fitzpatrick, J.J., & Kazer, M.W. (2012). Encyclopedia of nursing research. New York:
Meleis, a.I. (2011). Theoretical nursing: Development and progress. Philadelphia: Wolters
Nursing is a challenging profession where nurses take care of patients dealing with mental or physical illness. Nurses are the primary contact points for the patients since they are the ones who check patients' vital signs before giving them appointments to the physician or professional doctor. In this paper, the healthcare stressor would be discussed in detail so that its competing needs are determined, and a policy should be recommended to reduce the stressor. Moreover, the ethical considerations would also be debated for the policy application and its strengths and issues. The two competing needs that impact nurse's burnout are increased demand for patient care and administrative procedures. The physical health problems in the form of anxiety, depression, insomnia, etc., adversely affect the nurse's health and cause burnout (Salyers et al., 2017). Nurses' functioning is negatively affected as they are forced to take frequent breaks due to tiredness, lethargy, staying absent…
Ethical Dilemma esolutions
The ethical requirements in the medical profession are greater than in most others. The issue of health and trust are most exemplified in medical practices, and the need for open and honest connections are very important. This is nothing new, but the demands of nursing in today's day and age due to technological advances and social and political reform have impacted the very core of the nursing profession. "Nurses are experiencing new ethical issues as a result of global developments and changes in health care. With health care becoming increasingly sophisticated, and countries facing challenges of graying population, ethical issues involved in health care are bound to expand in quantity and in depth. Nurses need to critically think through their decisions, be willing to be flexible, and know what they do and do not know, as well as be aware of the many ways to approach a decision.…
Butts, J.B., & Rich, K. (2013). Nursing ethics: Across the curriculum and into practice. Jones & Bartlett Publishers.
Hsu, L.L. (2011). Blended learning in ethics education: A survey of nursing students. Nursing Ethics, 18(3), 418-430.
Lee, M.I. (2013). Changes in nursing students' moral judgment and ways to evaluate the effect of ethics education. Journal of Korean Academy of Nursing Administration, 19(3), 351- 360.
Importance of the Issue
Nurse need to keep the records and specific information about their patients. The services in the hospitals require that every detail of the patients be kept in the records. For patients whose conditions recur, record helps the medical practitioners understand the health history of the patient. Proper records in the hospital are helpful in patient transfers (Voyer et al. 2014). Often, patient referrals are common in hospitals and thus records help the doctors in the new hospital to attend to the needs of the patient. The family members of the patients require the health records of their patients to arrange for better treatments. The law requires the nurses to keep records of the nature of services they offer to the patients. Often, the records of each patient are permanents in the hospital where they are kept physically or electronically. Records are essential because they indicate whether…
ethics prepared here, is based on two primary sources, (Callahan, 2012) and (achels, 2012). The article discusses the need to legalize and regulate voluntary active euthanasia in the United States (U.S.).
Can We eturn Death to Disease?
Callahan (2012) presents medical, moral and metaphysical perspectives to show the differences between active and passive euthanasia. He is of the notion that even though humans, through medicine, may be able to prevent death temporarily; there exist external factors that are beyond our control. Euthanasia refers to the act of painlessly putting to death individuals who are ailing from untreatable diseases or conditions. Some have referred to the act as a release from incurable, painful suffering. However, others argue that euthanasia initiated by a terminally ill patient as amounts to suicide. This is because it is the responsibility of physicians to treat and comfort their patients, not to use their medical expertise to kill…
Rachels, J. (2012). Active and Passive Euthanasia. Ultimate Issues in Current Nursing Ethics, 180-186.
Wolhandler, S. (1984). Voluntary Active Euthanasia for the Terminally Ill and the Constitutional Right to Privacy. Cornell Law Review, 363-383.
After spending a semester in the Newborn Intensive Care Unit (NICU) as a student nurse in training, I can report that I have learned a great deal about the vital issues and practices that are involved in the intensive care unit for newborns, and about the duties and responsibilities of a nurse in that area of healthcare. Part of my training involved treating wounds and the therapeutic communication that is involved in wound care; also, I became well familiarized with the family centric care that is part and parcel of the NICU.
Family Centered Care at the NICU
hat can be more important for a family that has just been on the emotional roller coaster of giving birth prematurely to a new member of the family than being made to feel welcomed and to be treated with a great deal of professionalism and respect? There are a number of resources…
Auckland District Health Board (2010). Car seats for babies / Information for parents. Retrieved May 2, 2013, from http://www.abhd.govt.nz.
Auckland District Health Board (2010). Establishing and Maintaining Breast Milk Supply /
Information for parents. Retrieved May 2, 2013, from http://www.abhd.govt.nz.
Aukland District Health Board (2010). Meconium and Newborn Babies / Information for Parents. Retrieved May 2, 2013, from http://www.abhd.govt.nz.
Ethical Evaluation of Dr. Pou
Ethical Evaluation of Mrs. Everett's Claims
Gert's two-step process Evaluation of Dr. Pou
Nursing Ethics in Emergency
Ethical Evaluation of Dr. Pou
From the contents of the article and the actions and the explanations given by Dr. Pou, it is clearly evident that the Kantian theory of ethics was followed by the doctor while she euthanized the seriously ill patients.
The Kantian theory of ethics was propounded by German philosopher Immanuel Kant which states that the will or intention behind an action is the sole judge of the morality of the action and morality is not influenced by the outcome or the results. The theory essentially emphasis the principles that are followed behind actions and influence the actions and not the end result of the actions. The universal principles that treat everyone equally is the motivating factor for acting according to this theory. Animal instincts are overcome when one is motivated…
Bonhoeffer, Dietrich, Clifford J Green, Reinhard Krauss, Charles C West, and Douglas W Stott. Ethics. Minneapolis: Fortress Press, 2005.
Boylan, Michael. Basic Ethics. Upper Saddle River, N.J.: Prentice Hall, 2000.
Everson, Stephen. Ethics. Cambridge [England]: Cambridge University Press, 1998.
Hallgarth, Matthew W. Bernard Gert's Theory Of Moral Rules And American Professional Military Ethics, 2003.
Nursing Ethical Theories
Ethical Theories in Nursing
Significance of Moral in Nursing
Deontology vs. Utilitarianism
Justice Ethics vs. Care Ethics
Conflict of ights
Ethical Theories in Nursing
Moral philosophy has moved from addressing Plato's question of what makes the good person, to Kant's query as to the right thing to do, to Buber's concern with relationship. Whether referring to business ethics' interest in relationships between corporations and consumers; legal ethics' focus on relationships among the legal system, clients, and society; or nursing ethics' consideration of the relationship between patient and nurse; ethics and morality are conceptualized and actualized on the playing field of relationship.
The nature of nursing as a moral endeavor is an assumption embedded in any philosophical or theoretical consideration of the discipline and practice of nursing. An the goal of nursing is a moral one, namely, the good of those for whom nurses care, no aspect of practice exists that does not…
Bandman, E.L., & Bandman, B.(1995). Nursing ethics through the lifespan (3rd ed.). Stamford, CT: Appleton & Lange
Buber, M.(1965). Between man and man (R.G. Smith & M.Friedman, Trans). New York: Macmillan. (Original work published 1947).
Carper, B. (1979). The ethics of caring. Advances in Nursing Science, 1(3), 11-19
Cooper, M.C. (1991). Principle-oriented ethics and the ethic of care: A creative tension. Advances in Nursing Science, 14(2), 22-31.
Nursing Theories Practices
Sister Callista oy initiated the Adaptation Model of Nursing in 1976. The theory has since then evolved to be one of the prominent nursing theories. The nursing theory defines and explains the nursing care provisions. The model by oy sees an individual as a composite of systems with an interrelationship (including biological, social, and psychological). According to Haaf (2008), a person strives towards retaining a balance across the systems and the outside world, although absolute balance levels do not exist. Individuals work towards living in unique bands that they can adequately cope. The model has four major concepts of environment, person, nursing, and health and its application has six steps.
According to Kraszeski & McEwen (2010), a person is a representation of societal standards, principles, or focus. oy's model positions the individual as the bio-psychosocial being throughout a continually changing environment. The person allows for open and adaptive…
Butts, J.B., & Rich, K., (2012). Nursing Ethics: Across the Curriculum and Into Practice. New York: Jones & Bartlett Publishers
Clark, C., (2008). Creative Nursing Leadership and Management. New York: Jones & Bartlett Learning
Clarke, V., & Walsh, A., (eds) (2009). Fundamentals of mental health nursing. Maidenhead: Open University Press.
Cowen, M. Maier, P. Price, G. (2009). Study skills for nursing and healthcare students. Harlow: Pearson Longman.
An estimated 1.5 million “preventable adverse drug events” occur each year in the United States alone; the number of medication errors that did not lead to adverse effects but remained undisclosed is unknown (Jenkins & Vaida, 2007, p. 41). The scenario is this: You are working as an advanced practice nurse at a community health clinic. You make an error when prescribing a drug to a patient. You do not think the patient would know that you made the error, and it certainly was not intentional.
Disclosure is an ethical and legal prerogative, showing respect for the patient and a willingness to accept professional responsibility. Consequentialist ethics do not apply to situations like these, because the broader issue is about changing advanced nursing practice and ensuring a culture of safety for all patients. Likewise, disclosure empowers the patient to make informed choices about reactions to the medical error while encouraging the…
Nursing Practice Act of Virginia:
The scope of practice in medicine, nursing, law, dentistry, and various other disciplines are usually established and regulated at the state level. This implies that the legislative body in every state establishes practice law and allocates authority for the implementation of the law to suitable regulatory agencies and boards. In relation to the nursing field, the established laws are usually in the form of professional practice acts that act as the basis for licensing standards. Licensing is in turn geared towards the protection of public health and well-being, safety, and welfare. Generally, the statute that defines and manages the nursing profession and practice is known as a nurse practice act. There are four major objectives of the nurse practice act in each state including defining the nursing professional practice, establishing the minimum academic qualifications and requirements for licensing, defining the legal titles and abbreviations that nurses…
Black, B.P. (2013). Professional nursing: concepts & challenges (7th ed.). St. Louis, MO:
"Complaints Against Licensees." (2012, October). A Public Information Brochure. Retrieved from West Virginia State Board of Examiners for Licensed Practical Nurses website: http://www.lpnboard.state.wv.us/Disbro3pub1.PDF
"Regulations Governing the Practice of Nursing." (2014, February 27). Virginia Board of Nursing. Retrieved from Virginia Department of Health Professions website: http://www.dhp.virginia.gov/nursing/leg/Nursing_02272014.doc
hat are the spiritual and cultural values that come into play for me as a nurse, when I'm on the job and caring for a patient or giving an otherwise healthy patient a physical checkup? Ethics and moral values play a huge part in the healthcare field, especially with a nurse, who is often providing patient-centric, one-on-one care in a hospital or clinical setting. A nurse must set the bar high when it comes to integrity, ethics, morals, and respect for all people, to include other cultures. This is the mantra I try to follow not just on the floor as a nurse but in my personal life with my family and friends; after all, a nurse could not be a cold, heartless, indifferent person in private life and suddenly be an ethical, caring, moral professional on the job. This paper uses scholarly research to accurately portray the ethical…
Kangasniemi, M. And Haho, A. (2012). Human Love -- the inner essence of nursing ethics
According to Estrid Rodhe. A study using the approach of history of ideas. Scandinavian Journal of Caring Sciences, 26(4), 803-810.
Nutting, M.A., and Dock, L.L. (1912). A History of Nursing: The Evolution of Nursing
Systems from the Earliest Times to the Foundation of the First English and American
Throughout my life, I have exemplified core Christian values like faith and temperance. Christian role models have helped me to shape a character and identity that is conducive to a life of selfless service, which I view the nursing profession to be. I want nothing more than to participate in a Christian nursing community, with the goals of making the world a better place one patient, and one community, at a time. Effective nurse education will allow me to develop my skills in all areas of nursing: from leadership to bedside practice. The Mark and Huldah Buntain School of Nursing is unique in that it offers a perfect fusion of Christian values with cross-cultural awareness, and correspondingly, cultural sensitivity.
I have always valued my spiritual health every bit as much as my physical and psychological health. This is why I gravitated towards the Mark and Huldah Buntain School of Nursing…
The death of a child is significant and in this case avoidable and a plaintiff has the right to seek compensatory damages as is allowed by law.
Case Study 1 Part B
At the end of the night shift, Nurse Brown took a verbal handover and then noticed the observation chart had not been filled in. To assist her friend, Nurse Harvey, whom she knew had a busy night, filled in the observation chart and fluid balance chart for the hours from 0200-0600 hrs.
Overcome by the events of the last 24 hrs, Nurse Harvey and Nurse Brown go to the local tavern for a few drinks before Nurse Harvey goes on duty. They discussed Mr. Spencer and his son. John, a friend of Mr. Spencer, overheard the conversation and joined them. He was also upset by the events of the day and was most keen to discuss the accident and subsequent care.
Hall, J. (1960). General Principles of Criminal Law (2nd ed.). Indianapolis: Bobbs-Merrill.
Markesinis, B.S., & Deakin, S.F. (1999). Tort Law (4th ed.). Oxford: Clarendon Press.
ANCI Competency Standards for the Enrolled Nurse at http://www.anmc.org.au/docs/Publications/Competency%20standards%20EN.pdf
Scope of Nursing Practice Decision Making Framework, 2006 at http://www.nursingboardtas.org.au/nbtonline.nsf/attachment/SoPDMFFinal/$File/Scope%20of%20Nursing%20Practice%20Decision%20Making%20Framework.pdf
Ethical Compassion in Nursing
hat personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice?
The role played by the nurse professional is highly consequential to the health outcomes experiences by patients. This means that the nursing profession must be highly regulated by clearly defined and positively reinforced ethical provisions. These provisions are given by the ANA Nursing Code of Ethics and, in my personal experiences, are imperative as a way of dictating how we, as professionals, are expected to engage patients, required to relate to colleagues and trained to respect human dignity. This connection between ethicality and treatment quality contributes both to my personal worldview and to the broader field of nursing. ith specific reference to my experiences in the NICU and maternity wards, this connection takes on particular importance. Here, quality outcomes mean sound, healthy births, the…
Allen, D.E., & Vitale-Nolen, R.A. (2005). Patient care delivery model improves nurse job satisfaction. Journal of Continuing Education in Nursing, 36(6), 277-282.
ANA. (2004). The Nurses Code of Ethics. The Center for Ethics and Human Rights.
As a new graduate of six months working night shift on a small cancer unit, I am faced with a dilemma. Mr. V has been in and out of the unit several times over the last few months. He has liver cancer and has gone through several episodes of chemotherapy. His wife has been staying with him since his admission. There are two RN's on this unit.
Mr.V recently joined the hospice program. His current admission is for pain control with orders to start a morphine drip to be regulated for pain control.
The only set parameters indicated by hospital policy are to decrease the drip when respirations are less than twelve breaths per minute. Mr. V has requested that the drip be increased several times during my shift. Even though he does not appear to be in any discomfort, I increase the drip. On my final round of the shift, Mr.…
Strevy, S.S. Myths & facts about pain. RN, 42-45. 1998, February.
C. Junkerman and D. Schiedermayer, Practical Ethics for Students, Interns, and Residents, 2nd Ed, Frederick, MD: University Publishing Group, 1998.
American Nurses Association. Code for Nurses With Interpretive Statements. Kansas City, MO: the Association. 1985.
Strevy, S.S. (1998, February). Myths & facts about pain. RN, 42-45.
It is critical that NHAs are first qualified nurses, as their ability to relate to other nurses is essential to the organizational success of the nursing home ("Nursing home administrator jobs," 2011). Career paths for an NHA are rooted with education background and nursing experience. Although experience is necessary for being a successful NHA, a career path at minimum requires clinical licensing (Decker, & Castle, 2009).
The NHA is the management body over the facility, and their positions are in high demand. In the U.S. In 2008, approximately 17,000 nursing home administrators were responsible for the oversight of care for 1 million elderly adults and 1.3 million employees (Leister, 2009). Overseeing a large nursing staff, as well as vulnerable residents, are the daily demands of the NHA. The future of NHA field is concerning to researchers and professionals, as the number of licensed NHAs is on the decline. In Maryland,…
Decker, F, and Castle, N. (2009). The relationship of education level to the job tenure of nursing home administrators and directors of nursing. Health Care Management, 34(2), 152-160.
Leister, D. (2009). The vanishing nursing home administrator: stress and intent to leave.
Informally published manuscript, Capella University, Minneapolis, MI. Retrieved from http://gradworks.umi.com/3359575.pdf
Nursing home administrator jobs. (2011). Retrieved from http://www.nursinghomesjobs.org/nursing-home-administrator-jobs/
My solution has the potential benefits including the following. First, our hospital would be hailed as a progressive institution that serves all members of its community. Second, our hospital would benefit from improved quality of care. As a family nurse practitioner, I value the holistic approach to nursing. All aspects of the patient's life are taken into consideration. Other benefits more directly impact the patient's outcomes, and also workplace morale. As Oberle & Hughes (2008) point out, "administrators should provide opportunities for discourse to help staff reduce moral distress and generate creative strategies for dealing with this," (p. 707). Finally, benefits include ascription to the most fundamental of tenets of nursing. The American Nurses Association (2010) states that humanist, feminist, and social ethics should at all times be adhered to in the advanced nursing practice. The only costs associated with my solution would be the time and energy spent convincing…
American Nurses Association (2010). Code of Ethics for Nurses. Silver Spring: ANA.
Kaplan, C. (n.d.). Ethical dilemmas. Advance Healthcare Network. Retrieved online: http://nurse-practitioners-and-physician-assistants.advanceweb.com/article/ethical-dilemmas-2.aspx
Oberle, K. & Hughes, D. (2008). Doctors' and nurses' perceptions of ethical problems in end-of-life decisions. JAN 33(6): 707-715.
This places an added and unfair burden upon the shoulders of nurses, as they may be able to note the emotional and physical signs of abuse, yet they may not have all of the child's medical facts and personal history at their disposal or full authority over the case.
Although the nurse may feel that he or she should defer to the physician's judgment, discussing with the physician why he or she does not wish to report the case as abuse is an important first step in taking proactive action. The physician may be reluctant to report the abuse, not because he or she does not feel that there has been some maltreatment, but because the physician does not think the child's mother is responsible. The nurse may need to remind the physician of their ethical responsibilities as health care practitioners in reporting abuse, regardless of the source. Also, the…
Child Physical Abuse Under-Reported by Healthcare Staff and 1 in 5 Worry About Getting it Wrong." (30 Oct 2006). Medical News Today. Retrieved 20 Mar 2007 http://www.medicalnewstoday.com/medicalnews.php?newsid=55269
Terry, Ruth Anne. (Aug 2004). "Abuse Reporting Requirements."
Board of Registered Nursing. State of California. Retrieved 20 Mar 2007 http://www.rn.ca.gov/practice/pdf/npr-i-23.pdf
The National Association of Clinical Nurse Specialists - The NACNS was founded in 1995, specifically to enhance and promote the unique and high-value contributions that clinical nurses make to the health and well-being of individuals, families, groups, and communities in their particular branch of healthcare. They also have a foundation, scholarship programs, a journal and discussion portal, various levels of conferences, scholarship programs, honors and awards, and the ability for advanced certification. A Clinical Nurse Specialist is a licensed N who has graduate preparation (MA or PhD) in nursing specifically as a Clinical Nurse Specialist. This field of healthcare goes beyond the duties of an LPN or N, or even charge nurse, and deals with either advanced levels of clinical specialization, or broader, community and national health concerns. The field requires a rather significant academic bent, and the association is designed to support and enhance that paradigm focus (CNS -…
About ENA. (2010, January). Retrieved October 2010, from Emergency Nurses Association: http://www.ena.org/about/Pages/Default.aspx
About the ACNM. (2010, February). Retrieved from American College of Nurse-Midwives: http://www.midwife.org/members.cfm
CNS - Who We Are and What We Do. (2010, January). Retrieved October 2010, from National Association of Clinical Nurse Specialists: http://www.nacns.org/AboutNACNS/MissionStatement/tabid/57/Default.aspx
Kozier, B., Erb, G. & Blais, K. (1997), Professional nursing practice (3rd edition),
(2008). The study measures public opinion concerning two scenarios: one in which the kidney donor is given a fixed financial compensation; and one in which the donor is provided with health insurance coverage for life. According to the findings of the study, "although almost half of the respondents (46%) were reluctant towards introducing a system with fixed compensation to increase the number of living kidney donors, still 25% of the general public reacted positively." (Kranenburg, 1039) This study would conduct a similar comparative discussion, but would expand the number of available options discussed and would use a different sample population, as discussed in the subsequent section.
Subjects and Sampling Technique:
The subjects will be drawn from amongst nursing professionals working in randomly selected renal specialty facilities and wards. Initial contact will be made by phone with a Director of Nursing at selected facilities requesting participation. Those that agree will receive surveys…
Conesa, C.; Rios, a.; Ramirez, P.; Sanchez, J.; Sanchez, E.; Rodriguez, M.; Martinez, L.; Ramos, F. & Parrilla, P. (2009). Attitude of Primary Care Nurses Toward Living Kidney Donation. Transplantation Proceedings, 37(9), 3626-3630.
Kranenburg, L.; Schram, a.; Zuidema, W.; Weimar, W.; Hilhorst, M.; Hessing, J. & Busschbach, J. (2008). Public Survey of Financial Incentives for Kidney Donation. Nephrology Dialysis Transplantation, 23(3), 1039-1042.
Neyhart, C. & Colaneri, J. (2004). Living Anonymous kidney donation: A solution to the organ donor shortage? Nephrology Nursing Journal. Online at http://findarticles.com/p/articles/mi_m0ICF/is_3_31/ai_n17207253/
Watson, J. (2007). Theory of Human Caring: Theory Evolution. University of Colorado at Denver. Online at http://www.nursing.ucdenver.edu/faculty/jw_evolution.htm
"From an historical standpoint, her concept of nursing enhanced nursing science this has been particularly important in the area of nursing education." ("Virginia Henderson's Need...," 2008) Principles of Henderson's theory, published in numerous primary nursing textbooks utilized from the 1930s through the 1960s, along with principles embodied by the 14 activities continue to prove vital in evaluating nursing care in thee21st century, not only in cases such as Keri's, but in a myriad of others benefiting from nursing.
Kearney, Kathleen M., the Nurse's Duty to eport Child Abuse vs. The Attorney's Duty of Confidentiality: The Nurse Attorney's Dilemma Journal of Nursing Law. Social Science Electronic Publishing, Inc.; January 25, 2007. etrieved September 25, 2007, at http://ssrn.com/abstract=1256366.
esuggan, ay N;PN;MN. (Last Modified: August 17, 2008). "Virginia Avernal Henderson." Nurses.info. etrieved September 25, 2007, from: http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.
Singleton, Joanne K. "Nurses' perspectives of encouraging clients' care-of-self in a short-term rehabilitation unit within a long-term care…
Kearney, Kathleen M., the Nurse's Duty to Report Child Abuse vs. The Attorney's Duty of Confidentiality: The Nurse Attorney's Dilemma Journal of Nursing Law. Social Science Electronic Publishing, Inc.; January 25, 2007. Retrieved September 25, 2007, at http://ssrn.com/abstract=1256366 .
Resuggan, Ray RN;RPN;MRN. (Last Modified: August 17, 2008). "Virginia Avernal Henderson." Nurses.info. Retrieved September 25, 2007, from: http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.
Singleton, Joanne K. "Nurses' perspectives of encouraging clients' care-of-self in a short-term rehabilitation unit within a long-term care facility," Rehabilitation Nursing, January 1, 2000. Retrieved September 25, 2007, from: http://www.highbeam.com/doc/1P348282208.html .
Trail Ross, Mary Ellen. (1993). "Linking Ethical Principles With Community Practice." Journal of Community Health Nursing, Vol. 10. Retrieved September 25, 2007, at
The author quotes Gary Zukav as emphasizing that if a nurse perceives herself as powerless and her image as negative, the idea can sink to the subconscious level and realize itself. She will be drawn to those who will reinforce the idea. Practitioner Pauline Robitaille's stresses impact each nurse has on others. Her influence on people she comes in contact at the peri-operative setting cannot be overstated. She found the published feedbacks of registered nurses in nursing journals as very positive while others were very negative. Those who gave positive feedbacks described the efforts of preceptors to teach and support them. Thus the intended learning flowed smoothly. However, other nurses reported the negative, punitive and critical behavior of their preceptors. The nurses described the difficulty of working with these preceptors. Hence, the nurses did not benefit from their experience with the preceptors.
Ulmer emphasizes that those in the profession must…
Gonzales, L. (2005). A mission for the center for nursing advocacy. 3 pages. Nevada RN Foundation: Nevada Nurses Association
Nursing BC (2002). How to create community media coverage for nursing. 2 pages. Registered Nurses Association of British Columbia: ProQuest Information and Learning Company
Ulmer, B.C. (2000). The image of nursing. 4 pages. AORN Journal: Association of Operating Room Nurses, Inc.
Willging, P (2005). it's time to take the politics out of nursing home quality. 5 pages. Nursing Homes: Medquest Communications, LLC
eport on Conditions at Brighton and Sussex University Hospitals NHS Trust
The following report is based on extensive observation of the conditions for patients living at the Brighton and Sussex University Hospitals NHS Trust. While some patients received moderate care, overall, the quality of care in this facility was appalling. All patients -- all people -- deserve to be treated with dignity, and this was far from the case. The conditions were especially distressing given that in general they could be fixed or at least ameliorated relatively easily. Not all of the ills of old age or disability can be remedied, of course. Pain and fear will be present even with the best possible care. Given that this is true, all possible efforts must be made to reduce fear, anxiety, and pain to the greatest degree possible.
The facts that this report is based on were documented by Margaret Haywood, a…
Grant, P. (2010). Ethical lessons from the 'undercover nurse': implications for practice and leadership. Medical Ethics 36: 469-472.
Margaret Haywood's diary. Retrieved from http://news.bbc.co.uk/2/hi/programmes/panorama/4701651.stm .
Online bulletin. Retrieved from http://www.southerneditorial.co.uk/bulletin/july05/breaknews.htm.
Reasons for the substantive hearing of the Conduct and Competence. Retrieved from http://www.nursingtimes.net/Journals/1/Files/2009/4/17/haywood_NMCruling.pdf
According to the South Carolina Nurse Practice Act, the practice of nursing includes "the provision of services for compensation," and the use of "nursing judgment." Nursing judgment is clearly defined as "the logical and systematic cognitive process of identifying pertinent information and evaluating data in the clinical context in order to produce informed decisions." The South Carolina Nurse Practice Act is lengthier than either of the other two definitions provided here. It deals directly with practical and mundane matters related to the profession such as monetary reward for the practice of nursing; the different classes of nurses, "commensurate with the educational preparation," and other official areas of interest: "Nursing practice occurs in the state in which the recipient of nursing services is located." While this definition lacks the inclusion of terms like "compassion," nurses must be firmly grounded in the practical matters of the profession as outlined by the Nurse…
("Summary of the LPN Declaratory Ruling, 2003)
The selected tasks and shared responsibilities of the licensed practical nurse define such nurses as responsible for being adequately prepared for the nursing responsibilities they assume because they have obtained the validation of completion of an approved preparatory program and have evidence of the successful completion of a nursing licensing examination. A registered nurse, however, as the title conveys, must be registered as a specific health care professional, within a professional organization, rather than merely possess evidence of having a license, and has passed the necessary coursework to obtain his or her master's in the nursing profession. The LPN's validation documents state that he or she has reached the achievement of mastering all theoretical and nursing skill competencies required of an entry level practical nurse in caring for individuals in any age group. It states that the licensed practical nurse has the sufficient…
Carter, Melodie R. (Jun 2004) "ABCs of Staffing Decisions." Journal of Nursing Management. Retrived 2 Sept 2005 at http://www.findarticles.com/p/articles/mi_qa3619/is_200406/ai_n9425719
Nurse Practice Act. (2004) Retrived 2 Sept 2005 at http://www.arsbn.org/pdfs/practice_act/2004/nursepracticeact_2004.pdf
Summary of the LPN Declaratory Ruling." (Feb 2003) Connecticut Nursing Journal. Retrived 2 Sept 2005 at http://www.findarticles.com/p/articles/mi_qa3902/is_200212/ai_n9305171
Nursing profession is among the oldest in history. Currently, there is much debate that surrounds the profession because of the need for more trained nurses. In recent years the nursing shortage has become a major problem for the medical profession and has resulted in poor patient care and slower patient recover. The purpose of this discussion is to provide an in depth examination of the nursing profession. We will discuss the current state of the nursing profession, including the causes for the shortage and the solution. We will also explore the status of the nursing profession in Australia. Let us begin our discussion by providing a comprehensive definition of what is means to be a nurse.
Definition of a nurse
According to the American Heritage Dictionary, a nurse is defined as " a person trained to care for the sick or disabled under the supervision of a physician." (American Heritage Dictionary, 1982)…
American Heritage Dictionary. (1982) Second Edition.
Bashford, A. (1997). Starch on the collar and sweat on the brow: self sacrifice and the status of work for nurses. Journal of Australian Studies, (52), 67+. Retrieved August 24, 2003, from Questia database, http://www.questia.com .
The dependent variable in the study is the nursing rounds (which involves undertaking the prescribed protocols and actions to be taken as well as the frequency of rounds, i.e. one hour rounding and two hour rounding). The study aims to see the behavior of the nursing rounds variable when tested against the study's independent variables (which are patient's call light use, level of satisfaction, and safety). The title of the article, as readers may notice, effectively points out the dependent and independent variables in the study.
In terms of the relationships of the dependent and independent variables, the authors hypothesized that nursing rounds will reduce the call light use (negative direction, i.e. As one variable increases, the other decreases), increase patient satisfaction (positive direction, i.e. one variable increases and so is the other), and improve patient safety (positive direction).
For the first hypothesis (nursing round and call light use), probability tests were…
Ebert, J.R. (n.d.). What Is an Abstract? Retrieved from http://employees.oneonta.edu/ebertjr/what_is_an_abstract.htm on April 9, 2009.
Meade, C.M, Bursell, a. & Ketelsen, L. (2006). Effects of Nursing Rounds on Patient's CallLight Use, Satisfaction, and Safety. AJN, 106 (9), 58-70.
Nachmias, C. & Nachmias, D. (1996). Research Methods in the Social Sciences. London: St. Martin's Press.
Patterns of Knowing in Nursing
There is a great abundance of information available to us in the universe. Every second, we are bombarded with thousands if not millions of tiny facts arriving through the unbidden working of our sensory organs, each of which is quietly and usually subconsciously processed by the brain; active study engages other parts of our grey matter, and quickly creates a store of facts and associations; and ultimately all information is judged against the framework that is continuously being constructed from previous information. In addition to these different processes for analyzing, categorizing, and associating information, there are also different types of knowledge, several if not all of them working on subconscious and unconscious levels, that help to inform the way in which the world is perceived and responded to. These are both different subject areas and different ways of viewing the world and receiving information, all…
Chinn, P. & Kramer, M. (2008). Integrated knowledge development in nursing. St. Louis: Mosby.
Lafferty, P. (1997). "Balancing the curriculum: promoting aesthetic knowledge in nursing.." Nurse education today 17(4), pp. 281-6.
Milligan, F. (1999). "Beyond the rhetoric of problem-based learning: emancipatory limits and links with andragogy." Nurse education today 19(7), pp. 548-55.
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According to the South Carolina Nurse Practice Act, the practice of nursing includes "the provision of services for compensation," and the use of "nursing judgment." Nursing judgment is clearly…Read Full Paper ❯
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("Summary of the LPN Declaratory Ruling, 2003) The selected tasks and shared responsibilities of the licensed practical nurse define such nurses as responsible for being adequately prepared for the…Read Full Paper ❯
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Nursing profession is among the oldest in history. Currently, there is much debate that surrounds the profession because of the need for more trained nurses. In recent years the…Read Full Paper ❯
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The dependent variable in the study is the nursing rounds (which involves undertaking the prescribed protocols and actions to be taken as well as the frequency of rounds, i.e.…Read Full Paper ❯
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