Reflection Of Ethical Dilemmas In Nursing

Bridgett Beuckens How sad it is that nursing leaders allow, much less participate in such acts.  The stress and responsibilities this author was subjected to are not fair nor safe.   The ANA Code of Ethics addresses occurrences as in this scenario.   Provision 4.1 states nurses are responsible and accountable for the nursing care

It is the responsibility of nurses to keep it confidential or disclose only the relevant information when required by law or if the person is at risk or a child is involved. It incorporates the fact that the nurses should not be taking advantage of the vulnerable health consumers such as children, older, frail and mentally ill people. It is the duty of nurses to encourage the health consumers to advocate for themselves when they are not happy about the care being delivered. It is also the duty of the nurses to create awareness about the professional relationship of health consumers with health practitioners. It guides nurses, not to get over-involved in therapeutic relationship, control emotions and reduce negligence.

Task No. 1: The J Case A. The Role of Nursing-Sensitive Indicators in Identifying Interfering Issues in Patient Care Nursing-sensitive indicators (NSIs), particularly those listed in the National Database of Nursing Quality Indicators (NDNQI), identify care structures and processes that are influential to patient care outcomes (Montalvo, 2007). A robustly prepared indicator can accurately measure the structure or process it is designed to measure at a desired level of quality. Any deviation from this clearly defined outcome will hint on interfering issues in patient care.

During my visit to the BRN meeting, I observed disciplinary hearings in which former nurses could petition to have their licenses reinstated or petition the length of a probation period. Death threats, gross negligence, and drug and alcohol abuse were some violations performed by these nurses. This presented an opportunity for me to have an outsider’s perspective on the situations presented and learn about some qualities that a nurse should or should not have. For instance, multiple bags of drugs were found in the possession of a nurse while on duty.

The codes and principles that have been put in place such as The Nursing Code of Ethics, are there to ensure that patients are subject to and receive the best possible care that Health Professionals can give them. If a health professional is to disregard or ignore the codes and principals, then the wellbeing of the patient is being jeopardized and the health professional has fulfilled their duty of care, as shown in ‘Assignment 3 Scenario 3’ when Sally administers the incorrect medication to Mrs Thompson after Mrs Thompson tried to tell Sally the medication was incorrect yet Sally ignored her, not showing good Patient-Centred Care. All though there were no significant negative effects with the mistake, the scenario demonstrates the incorrect procedures and low level of competency demonstrated by the nurse as she chose the “‘least said soonest mended’” and did not fill out an incident report

One mistake can be caught on camera by those who are distrustful of nurses. Overall, Fowler article was extremely unsuccessful at pusadering her audience to take action and become a part of policy making in healthcare because of her structural errors and usage of irrelevant sources in a failed attempt to build credibility with her audience. Fowler’s structural weaknesses in her organization and thesis statement was not persuasive, thus leaving her readers confused. Fowler first begins her article with background information about her topic, stating the history of Nursing. She outlines extensive details about the founding of the code of ethics for three paragraphs, which was not necessary for her argument.

Being truthful and not withholding information from patients can be found in the ANA code of ethics provision two. This code implies that nurses have an obligation to put the patient first. This code recognizes patient’s rights, including their right to know and their right to have a discussion about their health status so that they can make healthcare decisions. The ethical principal relating to being truthful and not withholding information from the patient can also be found within beneficence (act of doing good), justice, truth telling, and promise keeping (Fowler,

Provision one, a provision in the American Nurses Association Code of Ethics for Nurses, entails that nurses should pursue their nursing career with empathy and respect towards all patients. In other words, patients should be viewed as separate individuals with separate values and beliefs. Nurses and other healthcare professionals should respect their individual decisions, whether they agree with them or not. This code of ethics provision relates to the ethical dilemma of a patient refusing medical treatment. Although nurses are trained to do all that they are capable of doing to save patients’ lives, sometimes nurses reach a dilemma that puts a strain on their practice.

As a registered nurse, we face ethical issues every day. Some days we understand the clear cut ethical issue at hand; however, other ethical issues can be disguised. In my year and half of being an RN I have come across many ethical issues. As mentioned before, some are clear cut and others are hard to tread through. Initially, these ethical issues can make you question your job; however, after some reflection I believe these issues make us stronger nurses.

If we as nurses respect the confidentiality of a patient, we should do so for all the patients. However, Griffith (2007) argues that the duty of confidence should not be absolute and nurses should always consider sharing information if required. Though the principle of respecting patient autonomy and their right to confidentiality is broken here, the principle of beneficence and non-maleficence is uphold. Nurses have an obligation to protect patient’s confidentiality but the duty to warn an innocent party of imminent harm is far more critical. Therefore, breaking confidentiality here is potentially doing more good than

Ethical dilemmas, also known as a moral dilemma, is a situation in which there is a choice between two options, neither of which resolves the situation completely. In other words, both options will result in negative results based on society and/or personal guidelines. Labor and delivery nurses are often confronted with ethical dilemmas in practice. To help student nurses prepare for this eventuality, nursing programs do their best to incorporate education about ethics and professionalism into courses. This introduction to ethics in nursing school also assists future nurses to begin recognizing and managing their own personal values in a way that can help guide them in resolving ethical conflicts they will encounter throughout their professional careers.

This, in turn, lead to the incidental disclosure of Joseph Stevens’ health information. To help prevent this mistake in the future, Sue and the compliance officer should work together to institute training that educates employees on incidental disclosure and how to minimize the occurrence. Another aspect of this mistake, is that Sue did nothing to dissuade the nurse from continuing the discussion in front of the patient and in a public space. Sue should have invited the nurse to come to her office

Military Nurse’s Dilemma Chi Tiet University of Michigan - Flint Nurses are a group of professionals who faces a variety of ethical dilemmas while working. Therefore, these dilemmas cannot only impact on their personalities but also affect their patients. However, ethical dilemmas are argumentative and difficult to deal with, so there is no “right” or “wrong” answer for them. In a military nurse’s dilemma, a military RN is ordered to force feeding a terrorist prisoner while he is undergoing interrogation, and the prisoner is on a hunger strike protesting. The nurse is torn, but fearing of reprisal if orders are disobeyed, so the nurse is appalled at the over-riding a patient’s wish by force feeding him agains his wish.

Nurse’s come across ethical dilemmas daily, as working in a hospital is tough and strenuous. Ethical decisions must be made all the time, as nurses and doctors are working with peoples lives. The advice I would give myself in the future while confronting and dealing with this issues would be to remember back to the different types of ethical views, and ask which view best fits the situation and my personal moral and ethical belief system. Dependent on the situation at hand, I would most likely look back to the Utilitarian View, Moral-Rights View, or Justice View of Ethics.

Mike’s Voice in his Cancer Treatment Nurses will frequently be put into situations where they are left to determine if they should respect the client’s wishes when these wishes conflict with medically ordered care. “Ethical dilemmas occur when there are conflicting moral claims” (Burkhardt & Nathaniel, 2014, p. 527). Ethical dilemmas help shape nurses by requiring them to think critically about situations and determine the appropriate decision in order to create the best outcome for their patient.