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Ethical Dilemmas In Nursing
According to Perry and Potter (2014) Ethical Dilemma " is a conflict between two sets of human
values, both of which are judged to be "good" but neither of which can be fully served." Nurses
regardless of what healthcare setting they work and of where they function in wide ranging roles,
face ethical dilemmas on their daily practices. Ethical behavior depends on several factors because
what a person consider as moral may vary from another individual's approach to the situation.
"Resolving an ethical dilemma requires deliberate, critical, and systematic thinking" because ethical
decisions that are made could have an impact to nurses, patients and families as well." (Potter, 2014)
Therefore, an orderly process is used by healthcare ... Show more content on Helpwriting.net ...
However, his wife is opposed to Jim's wish of not be resuscitated She begins to yell at the nurse and
implored to provide a CPR to his husband. The nurse politely decline the wife's request as it is
strictly forbidden to provide a CPR in the event of a cardiac arrest and that there is nothing she can
do about it. Surprisingly, the wife initiated a CPR to his husband who has an advance directive with
a DNR order, this arises an ethical dilemma.
Gather all information relevant to the case As mentioned above, an advance directive is a legal
document in which allows the patient to make decision for himself such as stating the amount and
type of medical treatments the patient wishes to receive, and will be carried out in the event where
the patient will be incapable to decide for himself or unable to communicate or if death is imminent.
(Potter, 2014) This is created ahead of time to prevent confusion later on. Healthcare providers need
to maintain the patient's right for autonomy, and supporting patient's decision regardless of what
they may be. Furthermore, an advance directive form is used to tell or request to the attending
physician that a patient doesn't want to be resuscitated. (Am Fam
Physician, 2010) The DNR order is then placed in the patient's medical record so that
regardless
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Ethical Dilemmas In Nursing
Ethical dilemmas are a common issue in the health care setting. Since many sensitive topics have no
clear right or wrong answer, it is important for nurses to properly understand how to approach these
matters. Typically, nurses are the ones who get to know patients on a more personal level by
developing a therapeutic relationship with them overtime. Therefore, nurses recognize these
complex situations and are required to intervene when it's necessary. Two principals within the ANA
Code of Ethics that pertain to the ethical dilemma I saw are; "The nurse's primary commitment is to
the person, whether an individual or part of a family, group, or community." and "The nurse
promotes, advocates for, and strives to protect the health, safety, and rights of the person."
(American Nurses Association (ANA), 2008).
The patient I cared for during my first clinical was a 2 year old girl named Ruby. She was diagnosed
with a neuroblastoma in her abdomen at the age of 17–months and began aggressive treatment
immediately. Her tumor was unfavorable and had recently become a stage 4, since it metastasized
into her bone marrow. That day I worked with nurse Christina and further comprehended how
important ... Show more content on Helpwriting.net ...
This ethical principle demonstrates a nurse's duty to ensure that any and all decisions made, are for
the benefit of the patient. After assessing what the parents were able to comprehend, Christina was
able to decide that the parents needed more straightforward information about their daughter's
current status before they could make an informed decision. Nurse Christina contacted Ruby's
physician and requested that he come and discuss her current status once more with her
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Nursing Ethical Dilemma
Ethics #1. According to Nursing Leadership and management ATI ethics is defined as an expected
behavior of a certain group in relation to what is considered right or wrong. (Henery, McMichael,
Johnson, DiStasi, Ball, & Holman, 2016) There are six ethical principles they are autonomy which
is the ability of the client to make personal decisions, even when those decisions might not be in the
client's own best interest. The second principle is beneficence which is care in the best interest of the
client. Third is fidelity which is keeping ones promise to the client about care that was offered. The
next principle is justice which is fair treatment in matters related to physical and psychological care
and use of resources. Then there is non–maleficence which is the nurse's obligation to avoid causing
harm to the client. The last principle is veracity which is the nurse's duty to tell the truth. (Henery,
McMichael, Johnson, DiStasi, Ball, & Holman, 2016) Ethical Decision Making Process #2. 1.)
Identify whether the issue is an ethical dilemma. It must first be determined an ethical dilemma or
not in order to move on to the next step. 2.) State the ethical dilemma, including all surrounding
issues and individuals involved. It is important that the patient know what the options are who will
be involved and what issues can affect the outcome. 3.) List and analyze all possible options for
resolving the dilemma, and review implications of each option. This is similar to the
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Nursing Ethical Dilemmas
Ethical and legal dilemmas are issues that nurses face in their professional careers. Nurses are
accountable for safe and appropriate administration of medication. With the growth in malpractice
lawsuits it is important that nurses take certain precautions to limit the risk of lawsuits. "Nurses can
limit the risk of liability through maintaining open communication with patients, expertise in
practice, attention to details, and autonomy. (Burkhart &Nathanial, 2013).
Background
Laura is a nurse working in the Intensive care. The physician tells Laura that she needs to give an
injection of Vistaril to a patient. Laura makes sure that the order is documented in the medical
record. The medication comes up from the pharmacy, she checks it against ... Show more content on
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An argument against this nurse could be that it is in good practice to tell patients of the potential side
effects on this injection. Laura choose to give the Vistaril in the buttock's more than likely because is
it is a very large muscle and is much less painful for the painful. Laura gave the injection in the
correct spot when giving an injection in the buttock's, Laura could have given the injection in
another muscle. Laura could have chosen the thigh to give the intramuscular
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Nursing Ethical Dilemmas
Nurse's face ethical dilemmas every day in their nursing practice. No matter what specific role the
nurse plays, these ethical dilemmas impact the nurses as well as the patients. Sometimes it's no right
solution to some of the dilemma we nurses face. First to describe what ethics is, it is the act of doing
good by not causing harm to the individual involved. An ethical dilemma in nursing I would be
discussing would be one that is very common and all nurses at some point or another has been faced
with. Allowing patients the right to refuse. According to the Ohio Laws and Rules 3721.13,
Resident's Rights, The right to refuse, without jeopardizing access to appropriate medical care, to
serve as a medical research subject (Resident's Rights, 2001). ... Show more content on
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Nurses may place themselves in legal jeopardy when they opt for what they see as the ethical, or
"right," thing to do, in spite of what is mandated in the laws that apply (Blais & Hayes,2011, p.50).
As a nurse caring about their patient's well being, is it ethical or unethical to do some of the things
we do when patients refuse medicine. Many nurses will offer medications several times before they
accept a refusal. Some nurses that I have witnessed will trick their patients by putting their medicine
in food items that the patients like. I have seen nurses put medications in ice cream, ensure drinks,
and pudding to get the patient take their meds after they refuse. So even though the nurse wants the
best outcome for the patient, would this be unethical? Yes, because the nurse still imposed on the
resident's right which was the right to refuse medicine, but the nurse tricked the resident into taking
the medicine in another
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Examples Of Ethical Dilemma In Nursing
As nurses, it is inevitable that at one point or another in our careers we will come across ethical
dilemmas when providing patient care. In fact, nursing has been labeled as the most ethical
profession. For nurses to meet the ethical obligations of the profession, the American Nurses
Association (ANA) developed the Code of Ethics for Nurses. Since ethics are fundamental to
nursing practice, I believe this code is of utmost importance. Patients strongly depend on a nurse's
honesty and on their adherence to those standards. By adhering to those standards, it allows nurses
to develop a trustful nurse–client relationship while displaying compassion and empathy. Although
these standards are put in place for nurses, when faced with an ethical dilemma, ... Show more
content on Helpwriting.net ...
This patient had suffered an intraventricular hemorrhagic stroke. Since this patient lived alone, she
was found by her son unconscious; however, it was unknown how long she had been unconscious.
When she arrived at the hospital, she was a GCS of three and had not improved since then. Three
weeks later, when I returned to neuro–ICU I again cared for this patient and her status had remained
unchanged. Therefore, an ethics consult was made with the family to recommend comfort care.
However, since the patient had undergone an ischemic stroke a few years back and fully recovered,
the family had hope the patient would fully recover again. Although, it was explained that the
strokes were different and the amount of damage to the brain was irreversible they still were not
accepting the reality of the patient's condition. These situations are difficult since the patient's family
is in denial, but you must respect their decision and continue to provide care for the patient (What
do I do now? Ethical dilemmas in nursing and health care, 2013). Overall, whatever ethical dilemma
you may encounter as a nurse, it is important that you continue to provide the best possible care
despite your
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Ethical Dilemmas In Nursing Essay
Ethical dilemmas are familiar to most nurses, but resolving dilemmas is not an easy task for them.
The ethical decision–making framework is a good guide when dealing with ethical dilemmas.
Firstly, nurses need to identify issues from different perspectives from all those associated with the
issues (McDonald & Then 2014). Above three cases involve with nurses, patients, hospitals and
education providers. Each party has different issues such as patients being at risk, nurses not being
professional, etc.
Then, nurses need to evaluate issues: why are the issues important? In this step, nurses may apply
the ethical principles, codes and legislation (McDonald & Then 2014). Nurses can reflect issues
upon four ethical principles. In the three cases, nurses cannot undertake their role, and possibly
place their patients at risk, which is against the principles of beneficence and non–maleficence. They
do not take care of themselves, which also breaches the Code of Ethics for Nurses in Australia and
the Code of Professional Conduct for Nurses in Australia that have been developed for nurses to be
accountable and responsible for ... Show more content on Helpwriting.net ...
For example, the Work Health and Safety Act discusses that it is nurses' responsibility to maintain
their own health, and the Health Practitioner Regulation National Law Act addresses that if a nurse
becomes aware of any impairment or conduct that breaches legislation, the nurse should notify to
Australian Health Practitioner Regulation Agnecy (Starr 2012; Teng 2016). And if a registered nurse
has issues regarding the education provider, a complaint can be made to Australian Nursing
Midwifery Accreditation Council (ANMAC), and ANMAC will work directly with the education
provider to resolve issues regarding any issues on placement (Carter et al.
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Nursing Ethical Dilemmas
Nurses rely on personal knowledge and their professional skills to provide ethical care (Creasia &
Friberg, 2011). In everyday practice, nurses must balance the needs of their patients against those of
the organization, society and themselves. They strive to deliver the highest level of care for patients,
but adjusting for limited organizational and personal resources often requires difficult decisions.
This paper explores the following scenario suggested by Maville and Huerta: "You are a nurse
providing home care to a mother, and you suspect child abuse after observing the mother's reaction
to her child" (as cited by Arizona State University, 2014). When faced with a moral dilemma, a
competent nurse incorporates ethical, bioethical and legal considerations. In the proposed story,
incorporating the nursing ethics of advocacy, beneficence, nonmaleficence and collaboration will
guide the nurse towards an appropriate and legal course of action.
Primary Ethical Principle: Advocacy
Advocacy is a fundamental responsibility in nursing because patients are inherently vulnerable
(Creasia & Friberg, 2011). The scenario presented is challenging because, although the nurse
suspects child abuse, there is a lack of explicit evidence. Reporting suspected child abuse is a legal
obligation for nurses, but the result may have devastating effects for the family. To prevent
inaccurate conclusions, a professional nurse should question the mother and child separately and
attempt to uncover the
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Ethical Dilemmas In Nursing Research
Ethical dilemma is a problem without satisfactory resolution.Nurses face ethical dilemmas on a
daily basis regardless of where they work., Nurses are faced with ethical decisions that can impact
them and their patients. There is no solution to an ethical dilemma.The word ethics is originate from
the Greek word 'character'. Nurses are using ethical concepts in during patients care. Ethical
concepts include providing care which is good, correct, and rational. Ethical nursing care is based
upon rational science and decision making. The most important concepts which are using in nursing
professional are respect for patient autonomy, the duty to act with beneficence; no maleficence; and
justice.When nurses faced abortion,she believe abortion is
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Nursing Ethical Dilemmas
The demand for nursing is increasing and rising each and every single day with an increase in the
birth rate and the aging population. Unfortunately, the supply of efficient and skilled nurses is
unable to meet their demand thus leading to overworking and overstretching of the available nurses.
Nurses constitute the highest percentage of the employees in the health care industry, but this
percentage is unable to satisfy the ever–growing number of healthcare work fully. Notably, ethical
issues in nursing are one of the hottest topics in the globe today. Nurses face many difficulties and
challenges in their bid to protect and optimize health and abilities, prevent illness and injuries and
facilitate healing. Nurses are faced with an ethical dilemma ... Show more content on
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Most of the ethics formulated and developed by American Nurses Association (ANA) and help to
guides nurses and all medical practitioners towards the right direction in a difficult circumstance that
needs serious consideration before actually making a move. Ethics are meant to provide answers to
moral questions even in occurrences wherein a patient may be in terminal danger. Notably, ethics
teaches all medical practitioners the best way to handle patients who are ailing with different
infections and to provided them with the support and comfort they need and deserve. Nurses can get
a chance and opportunity to advance their skills and knowledge of ethical principles through
education and training and familiarizing themselves with the changing in a nursing environment in
the form of technology and rules. Furthermore, ethics requires nurses to follow physician's
instructions to the letter or they can be held liable for negligence or ignorance is something happens
to the patient. Also, the nurses have a moral obligation to alert and inform the physician on the
medical progress of the patient or any change of the patient's health.
One of the hardest things for healthcare professionals to accept is the fact that not everything that
they do is in the best interest of their patients. As a result, upholding ethical principles
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Nursing Ethical Dilemmas
The following assignment will seek to address the professional values and behaviours associated
within nursing from the perspective of a student nurse and the approaches that should be made in
reference to the scenario. The underlying principles of forming an effective therapeutic relationship
and communication strategies based on dignity and respect for human rights will also be highlighted
in detail in accordance to the learning outcomes. Discussion will take place on the boundaries of the
ethical and legal frameworks of nursing and the codes of conduct, demonstrating the understanding
of a nurse's role and the importance of patient engagement and collaborating with the health and
social care team. Confidentiality will be maintained in accordance ... Show more content on
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A nurse is obligated under their contract of employment to protect any disclosure of information
about a patient unless in exceptional circumstances where the decision is subsequently documented.
In such circumstances, the nurse is protected under The Public Interest Disclosure Act 1998 which
would be relevant to the scenario under 43B [d] to 'defend a professionals disclosure where the
health and safety of an individual has been, is being or is likely to be endangered' [Public Interest
Disclosure Act, 1998]. The Data Protection Act 1998 was also designed with principles to protect
private and confidential records and the distribution of these allowing the public to know how their
information is being stored and what it is being used for. The act encompasses all previous and
relevant legislation such as the Human Rights Act 1998 and made the notion that all organisations
must comply, whether they are in the public, private or voluntary sector [Phair & Winson, 2000]. To
uphold professionalism a nurse must adhere to the procedures of confidentiality both in and outside
the workplace, this can also be applied to discussing patient details with their relatives and
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Nursing Ethical Dilemmas
Nurses face ethical decisions frequently when giving patient care. These dilemmas can result from
deciding how to allocate resources such as time or materials. Caring for patients from diverse
backgrounds complicates decision–making when faced with dilemmas, because organizations that
depend on standards of patient care that may not by culturally congruent. In these situations, the
nurse must consider the patient's beliefs and values along with the organization's care expectations
and bridge the gap between the two (Andrews and Boyle, 2016–a). In this post, I will describe
ethical dilemmas with the current state of population health and health disparities, discuss the pros
and cons of the Affordable Care Act, and explain how social justice ... Show more content on
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It extended care to millions of people and prevented insurance companies from denying care to
someone based on prior health problems. It also provides free access to preventative services and
subsidies to low–income individuals and families (HealthCare.gov, 2012). Even with the passage of
the ACA, health disparities still exist. The ACA is not equivalent to some other insurers because
there in an increased requirement for prior authorization when compared to other insurance. This
delays treatment for patients who depend on government sponsored insurance because they must
complete conservative treatment before being approved for more advanced procedures. For
example, a patient who has Care Source or Molina must participate in 6 weeks of physical therapy
before an MRI or spinal injection will be authorized, but patients with other types of insurance do
not have to meet this requirement and can schedule immediately. So even with the ACA, access to
healthcare is not equal to all consumers. There is also the need to increase enrollment for eligible
individuals and to address the coverage gaps that affect individuals in states that have not expanded
Medicaid. Blacks and Native American's have the highest percentage of nonelderly people who are
not enrolled in any healthcare plan. Blacks are also twice as likely as Whites to fall into the
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Ethical Dilemmas In Nursing
The ethical dilemma is a situation by which it's difficult to determine whether a situation is can be
handled without disappointing both sides. Therefore, an ethical dilemma exists when the right thing
to do is clear or when members of the healthcare team cannot agree on the right thing to do. Ethical
dilemmas require negotiation of different points of view (potter, Perry, Stockert, & Hall 2011pg 78).
The case study briefly explains a situation between daughter and father regarding the father's health.
As a nurse, this can be very difficult to tackle due to the conflict between the father and the
daughter. The main concerning situation is the father's health, he has been admitted to the hospital
three times within 6 months. The ... Show more content on Helpwriting.net ...
A nurse may determine their values and opinion about the issue because this allows the nurse to
become a more open listener. Knowing the situation at hand, it's important to offer some solutions
such as offering education and resources such as in homecare services that can help managing
chronic health issues. And when facing with financial expenses the nurse should explore possible
ways for him to obtain coverage or to find primary providers that provide licensed care at a lower
cost. When looking at Emilio S point of view, he enjoys gardening, going to church and doing small
projects around the house. As a nurse, I would consider that his independence means a lot to him.
Trying to negotiate an outcome for both daughter and father can result in an effective solution. The
last step involves evaluating the outcomes, do the interventions work for both the daughter and
father? If E.S can have his independence while getting professional care from home. "ethical
dilemmas are commonplace, complex, and require critical thinking skills that are honed through
practice, and practice, and more practice. Airth–Kindree, N. M., & Kirk horn, L. C. (2016). Emilio
S. also seeks medical treatment from a traditional doctor, and this may present some issues with his
health. this can also be an ethical dilemma because respecting the father's wishes can create conflict
with his daughter and the healthcare team. The resolution of this dilemma will be difficult due to the
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Ethical Dilemmas in the Nursing Field
There are several dilemmas in the nursing field though nurses reactions to ethical dilemmas are
based on their individual values and beliefs as well as ethical principles, professional codes and the
climate of the healthcare setting. Nurses encounter ethical dilemmas when conflicting values and
judgments are present regarding what is the best course of patient care. Ethical dilemmas are faced
by nurses on a daily bases. I am choosing two of these dilemmas to address.
1. Empirical Knowledge vs. Personal Beliefs:
Empirical knowledge is the type of knowledge that includes empirical research, scientific enquiry,
reductionism and positivism, it is often viewed as 'true' or 'valid' knowledge that can be theoretically
explained by scientific traditional ideas like psychology, pharmacology, sociology and biology or by
rigorous empirical testing which include knowledge from books, journals and conferences.
Example: If a patient is diagnosed with cancer the nurse has a simple list of description like
observations, tables of evidence, graphs, empirical hypothesis, empirical definitions,
generalizations, and scientific laws with no personal knowledge to help the patient understand.
Personal Knowledge: This concerns being self–aware, it does not emanate from books, journals,
lectures or conferences it refers to the fact that "w e know more than we say" (Polyani 1966) or
"understanding without rationale" (Benner and Tanner 1987). Itr can be as valid as scientific
knowledge and nurses can
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Examples Of Nursing Ethical Dilemma
Introduction
Nurses face ethical dilemmas on a daily basis. As nurses, we must be knowledgeable about the tools
we have to help guide our decisions when solving an ethical dilemma. The tools we have are our
ethical principles, ethical framework, and the ANA Code of Ethics for nurses. This paper will
describe a scenario where nurses were faced with an ethical dilemma regarding a baby. The ethical
frameworks and ANA Code of Ethics will be discussed in helping guide a solution to this scenario.
Finally, an analysis will be done about this scenario and a decision will be made. As nurses we must
use these tools because they will allow us to make better decisions more comfortably.
Observation
The first scenario took place in a children's hospital. The scenario was about a baby, named TJ, who
had many birth defects; the baby was blind, deaf, mute, and not be able to walk in the future. The
baby was given up by his mother and was left in the hands on the hospital (doctors, nurses, and
other health care staff) to care for. The dilemma occurred when nurses began to question on how to
care for this baby. Being that the baby had a very poor prognosis, nurses were conflicted if they
should do everything to care for this baby, such as do push ... Show more content on Helpwriting.net
...
As humans, with experience and knowledge we learn right from wrong. We are faced with situations
where we have to decide from right and wrong depending on our own morals and ethical views.
Ethics and morality essentially guide our thoughts, choices, and actions. According to Marquis and
Huston (2017), ethics is defined as a "system of moral conduct and principles that guide a person's
actions in regards to right and wrong and in regard to oneself and society at large" (p.83). Nurses are
often faced with ethical issues on a daily basis. For this reason, ethical frameworks for decision–
making have been established to help guide the nurses in solving ethical
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Ethical Dilemmas In Nursing
RN will review documentation and request changes when needed. Because of the nature of the job
the RN must review documentation and if issues or concerns are found the RN will request that
items be corrected. Please keep in mind we function as a team. It should be everyone's goal on the
team to ensure we are providing the best service possible to our clients. If we fail, we fail as a team
not individually so if an issue is pointed out it Is not to be accusatory or to put blame it simply
means we need to fix a problem so that the team is shown in the best light. Everyone wants to be a
part of a successful winning team in order to do that we all must be open to constructive criticism so
we can improve in the respective areas. We all have areas where we need to grow. I want this to be a
... Show more content on Helpwriting.net ...
The RN is on the team for her expertise in assessing the medical needs of the client. Each RN carries
a license that she works independently under. The RN has been granted authority by the MD Board
of Nursing to make a medical assessment of a patient's needs. With this authority comes the
responsibility to provide the best care for the client. Each nurse on the team has a varied background
in nursing and bring different expertise to the team. We value that each nurse brings something
different to the team. We learn from one another and this builds a stronger team. Each coach needs
to be comfortable with the direction given by any nurse on the team. We have now implemented
weekly meeting and work together to ensure we are providing the best service for our clients. The
team has to respect each nurses practice. We may arrive at a different approach for resolving a client
issue, however, this does not mean one approach is better over another. Everyone on the team needs
to feel respected and
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Ethical Dilemmas In Nursing
Nurses must face ethical dilemmas on a regular basis during their careers. Having a solid
understanding of their own personal values, professional values, as well as, a strong understanding
of the ethical principles that guide their actions and decisions, is paramount to handling these ethical
dilemmas appropriately. The purpose of this paper is to explore personal and professional values,
and the guiding ethical principles that will ultimately lead to a decision in the case of Mrs. Clark, a
78 year old patient who has recently undergone a bowel resection for an intestinal obstruction. Mrs.
Clark is 4 days post–operative, and complains of pain that is 8 out of 10 on a numeric pain scale.
With a history of drug seeking behavior, the resident has ... Show more content on Helpwriting.net
...
Clark's abuse of narcotics, without her knowledge. Values Values are the traditions, ideals, goals that
are believed to be important individually, as well as specific to groups and organizations (Burkhardt
& Nathaniel, 2014). They are standards of behavior and the principles that guide us personally and
professionally in the way we conduct ourselves in our personal and professional lives. Personal
Values Personal values define how we conduct ourselves in our everyday lives. They are instilled in
us throughout our lives and continue to evolve and change based on our own life experiences. The 3
personal values that most closely will guide my decision in Mrs. Clark's case are honesty,
trustworthiness and fairness. From a young age, my parents, teachers, and youth group
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Ethical Dilemma In Nursing
Introduction
The choice of right versus wrong is instilled throughout childhood. However, there are some
situations where you have to choose between the two because both choices have their advantages
and disadvantages. This is an ethical dilemma. An ethical dilemma involves morals that clash
between each other, and some involve the legal aspect of the choices (Grohar– Murray). Everyone
faces some sort of ethical dilemma. There are some professions that have to battle ethical dilemmas
every day. Amongst those professions the nursing occupation and other healthcare related titles have
to keep in mind several different laws, rules, and regulations that effects these decisions. The nurse
also must remember their primary duty is to the ... Show more content on Helpwriting.net ...
What happens when the patient is legally incompetent and the patient's family agrees to the
treatment while the patient is refusing? The next section, 2.1: Primacy of the Patient's Interests,
explains what to do "when the patient's wishes are in conflict with those of other." In these situations
"the nurse's commitment remains to the identified patient" (2015). Simply put the nurse must listen
to the desires of the patient that is admitted to the hospital or care facility over the patient's family.
Background
On this particular floor, there was a patient who was legally incompetent. This patient has a history
of being noncompliant with his medicines and hypertension. He has a drug issue and a list of
medical problems. Those health problems include a left middle cerebral artery infarct with a
hemorrhagic conversion, ejection fraction of 30%, and a heart rhythm of atrial fibrillation.
Occasionally this patient's heart rhythm would switch to sinus tachycardia during the shift. Along
with the pervious complications listed this patient had other symptoms associated with strokes. The
healthcare team was not sure as to what was the cause of the sudden spikes in heart rate. The
increase happened while the patient was in the bathroom, however, the cardiologist advised his heart
rate should not drastically increase as it did from a bowel movement.
The cardiologist decided to perform a heart catheterization (Heart Cath) on this
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Nursing Ethical Dilemmas
Humans often struggle to find the right answers in life. Knowing the difference between right and
wrong is not always easy and one can be overwhelmed with the problems and ethical issues
surrounding them. As a future healthcare professional, it is imperative to understand the role that
ethics plays in nursing and how ethical dilemmas impact individuals. There are countless complex
ethical issues that confront nurses during their careers and it is crucial they understand where their
own values and beliefs lie. Euthanasia, DNR's, end of life care, privacy, stem cell research and
restraints are all great examples of some common ethical issues. "While there are many challenges
facing nurses in the work environment (nursing short–age, mandated ... Show more content on
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Statutory law can be defined as the law is facilitated by an association and is run by the government.
An example of statutory law, as stated by Townsend, is the nurse practice act that is run by Congress
(2012, p. 91). Common laws are evidence based on previous similar cases that are more focused
within smaller bodies of legislation such as a court (Townsend, 2012). These laws are varied per
state. Civil law helps defend rights of people and organizations. Criminal law on the other hand
involves criminals and punishment of those involved in misconduct. When working with psychiatric
patients, it is important for nurse to understand basic laws and regulations. Individuals that nurses
come in contact with are from all walks of life and might have criminal backgrounds. The mentally
ill population is often not able to make rational decisions and while autonomy and beneficence are
very important ethical principles, safety of the patient and staff is the most important. Another factor
regarding the legal aspects of nursing is that a nurse is responsible for his or her license and it is in
their best effort to abide by all laws and protocols when handling patient issues. Breach of
confidentiality and invasion of privacy are two types of lawsuits, as listed by Townsend (2012, p.
98). Breach of confidentiality violates HIPPA guidelines and a patient has a right for his or her
information to
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Ethical Dilemmas In Nursing Practice
Nurses face ethical dilemmas in daily work, and sometimes they struggle to make a decision
whether right or wrong.This decision depends on upon many factors like principles, experiences,
personal values, and beliefs, and it affects the patient care. Also, the nurse realizes that she must
provide individualized care that will assist the patient to obtain the safe, holistic care.There are four
essential concepts in nursing practice including justice, respect patient autonomy, no – maleficence,
duty to act with beneficence.
One of the ethical dilemmas associated with not –maleficence that explains prevent harm. For
example, the order is nothing by mouth(NPO) for a patient awaiting for procedure and patient is
hungry asking for food.The nurse
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Ethical Dilemmas In Nursing
Within the profession of nursing, individuals must be highly skilled and educated.
Nurses are expected to remain competent and provide the highest quality of care to all patients. In
the profession, nurses may face ethical situations that cause them moral distress. For instance, a
fellow nurse, who is your best friend, single mother of three young children, steals and consumes
narcotics from the pyxis. This is the second time the behavior has been witnessed, however it was
not reported the first time due to loyalty to the friendship. Integrity, one of the personal values I
uphold, would specifically influence my decision to report the behavior exhibited by my colleague.
Although the decision is difficult, I would consult with the nurse ... Show more content on
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According to the American Nurses Association Scope and Standards of Practice, Standard 5B states,
" The registered nurse employs strategies to promote health and a safe environment" (ANA, 2015, p.
65). The professional nurse has the obligation and responsibility to continually support and provide
all patients with a safe and therapeutic environment. It is each nurse's duty to ensure that all patients
are receiving the highest quality care, even if the patient is not under your direct care. If a nursing
colleague is stealing narcotics or any other wrongful behavior, it must be addressed as to not
compromise the safety of all patients. Standard 7 states, "The registered nurse practices ethically."
This simply means, all registered nurses in any environment must practice in a way that avoids
activities or behaviors that could do harm to patients or the environment. Nurses are advocates for
the safety of healthcare environments, so seeing another nurse steal and consume narcotics; it must
be addressed so the nurse is held accountable for the behavior. The nursing profession collaborates
with a vast array of professions, therefore in this situation; the registered nurse must work along
with the nurse manager in reporting the unprofessional behavior of the
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Ethical Dilemma In Nursing
Introduction The health workers are always confronted by the ethical dilemma in the process of
performing their duties and responsibilities. An ethical dilemma occurs in the situation an individual
makes a decision on the course of action that is best for him or her. It also occurs in the situation
there are different courses of actions the person should choose from. An ethical dilemma is defined
as the situation in which a person has two options to choose from, and both are morally correct but
in conflict. An ethical dilemma can lead to extremely complex and challenging choice. For instance
paramedic and a register nurse might be faced with the options of whether to continue treating the
terminally ill patient as per the request of the family members which may cause the patient to suffer
or to withhold the treatment and allow nature to take its course on the health of the patient.
Respecting the request of the family members and perform what is good for the patient are both
acceptable professionally and ethical. The choice as to which course of action is best to take is very
personal and moral (Natale, 2012). In the case study, the stakeholders are Elsie, family members of
Elsie, Paramedic, and RAC facility and register nurse. The interested parties in the case scenario
have the interest in whatever transpired in the health facility. For instance, Elsie had informed her
family members that she did not require aggressive treatment and did not want to be resuscitated
similar
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Nursing Ethical Dilemmas
Nurses face ethical dilemmas on a daily basis regardless of where they practice. Often nurses are
faced with ethical decisions that can impact them and their patients too. Ethics involves doing 'the
right thing' and causing no harm. But how one defines what is ethical can vary differently from
nurse to nurse. So what are ethics and how do they relate to nurses in the 21st century? How do
nurses' ethical values contribute to better patient care? And how can the education of nurses be
adapted or structured to aid in the development of a deeper understanding of their ethical
responsibilities? As bioethics has developed, nursing has begun to question whether there is a
unique set of ethics for nursing and how might those ethics be embodied. This ... Show more content
on Helpwriting.net ...
The education of a nurse provides the framework for their future career. At times it may be
challenging or problematic in deciphering what is ethical or what is most favourable for the patient's
welfare especially when there are not mutual or reciprocal values between the nurse and patient. To
illustrate, education programs for nurses prepare students for competent, safe, compassionate, and
ethical practice and enable them to achieve the entry–to practice competencies expected of new
graduates (Canadian Nurses Association, 2015). Graduates must demonstrate a wide range of skills
and abilities. For example, tasks requiring appropriate responses in situations of stress or conflict.
The education of nursing allows students to work through and understand ethical situations as this
will be an ongoing part of the profession. Ethical issues are part of daily nursing practice and every
nurse has an obligation to have the knowledge, skills, and abilities to recognize and address them
("Focus on Ethics", 2015, p. 14). Hence, having a strong ethical foundation is a key component to a
successful career ("Focus on Ethics", 2015, p. 14). Even the best nurses may find themselves
struggling with ethical concerns on the job ("Focus on Ethics", 2015, p. 14). The education for the
nursing profession tends to focus on professional behavior and making sure that decision–making is
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Nursing Ethical Dilemmas
Ethical standards that should be used in determining resource allocation for the aging population.
Cost of the end of life medical care is too expensive to continue at the rate it is going. The fiscal
year 2016 saw 672.1 billion dollars spent on Medicare participants with just 5% using 49% of those
monies ("NHE Fact Sheet," n.d., p. 1). The ANA provides a code of ethics that nurses should use to
help guide them in clinical practice decision making. There are four fundamental responsibilities for
nurses to adhere too they are: promote health, prevent illness, restore health and alleviate suffering.
Ethical Principals for nurses are; respect & autonomy, beneficence, justice, veracity, and fidelity
("Code of Ethics for Nurses," 2012). Attempting to keep ethical responsibilities and principals in
mind, while conducting a cost–benefit analysis to determine resource allocation for an aging
population and end of life care causes many ethical dilemmas. ... Show more content on
Helpwriting.net ...
29). I agree with this as people receiving Medicare are usually retired or unable to work due to
physical or mental disabilities and it is our responsibility as citizens to take care of our elderly or
disabled. The dilemma comes into play when we look at the cost and try to figure a way to cut cost
back. When we notice that 85% of health care monies are spent on just 25% of the population ("The
High Concentration," 2006, p. 7). This 25% of the population usually has more than one chronic
medical
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Ethical Dilemmas In Nursing
Nurses are the front line health care providers and are daily challenged with ethical dilemmas at a
growing rate in their field of work. Thus, they are bound by rules and regulation in order to perform
at the best of their abilities for any organisation to work smoothly. Therefore, dealing with each
situation requires the nurse to set their own values and beliefs in order to provide effective care.
Thus these situations are diverse and dynamic, whereby many conflicts arose concerning the best
choice for the client in ethical decision making. Moreover, there are many barriers encountered
related to relationships, beliefs and principle which inhibits ethical decision making. Thus, this
scenario is called ethical dilemma where the nurse has ... Show more content on Helpwriting.net ...
Mr X, fifty–four years old Indian male, referred case from outpatient got admitted in the male
surgical ward with the history of Aggressive prostate cancer. Mr X was diagnosis with cancer for
eight years, but he was living in the denial stage. The patient was refusing all surgical and medical
intervention and was opting for herbal treatment and traditional massage. The patient also defaults
his oncology and urology clinic. Mr X presented to outpatient with decreased appetite, lethargy,
serve anaemia and hypo proteinuria. After doing several tests, the patient was diagnosis with end
stage prostate cancer. Cancer has metastasized to his bone, spread to the lymph node, bladder and
kidney. Doctors have explained Mr X, that there is no surgical or medical intervention appropriate
for his condition since it was too late. Patient and families were advice on palliative care. While the
nurse was taking the vitals sign, patient voiced out that he does not want to be a burden on other in
taking care of his health. He knows very well that he will die soon. Mr X informed the nurse that
instead of dying slowly each day, it's better he kill himself in one go. He also informed the nurse that
he is already planning the easiest method to commit suicide. Mr X is asking the nurse to keep this
information a secret between them. Now the nurse is confused whether to share this information
with other
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Nursing Ethical Dilemmas
All health care professionals have ethical dilemmas from time to time and health care administrators
have a moral duty to question and address issues in the organization. A Johns Hopkins magazine
journal titled, Nursing is hard. Unaddressed Ethical Issues make it even harder is a detailed case
study/ current event of nurses struggling in their profession. Nurses have a tough and rewarding job
to treat, medicate, educate, and deal with emotional stress for the patients. This type of ethical issue
nurses are facing range from not speaking up from short–handedness that affects quality of care to
not having enough supply of blood and organ donations. Additionally, when it comes to end–of–life
of adults and infants there are standard procedures of handling and communicating to families about
it. Nurses are ultimately faced with a difficult dilemma of knowing the moral decision and not
carrying out the decision or simply ... Show more content on Helpwriting.net ...
Nurses deal with birth complications, sickness conditions, and end–of–life issues. Nurses in this
journal article have their courage and respect compromised when the hospital may forbid a policy or
they are afraid to speak up about an issue. If nurses are told not to say a patient died during surgery
for instance, and the nurse is told to say the patient died from natural causes to the family instead. If
the patient actually died from a medical error or lack of anesthetic then that's mistake on doctor or
nurses fault. Nurses hold a moral duty to practice ethically, obey their code of ethics, and constantly
be current of health care news. The absence of respect towards nurses is high because they often
deal with what resources or get belittled by doctors or management. Nurses should never be afraid
to speak up about problems affecting their job; they should seek the health care administrator for
guidance and
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Ethical Dilemmas In Nursing
Introduction
The very nature of who I am as a person in this world is defined by my values and beliefs. My
nursing perspective is distinctly guided by the conviction that everyone should be treated with
respect and dignity. I made a conscious decision to follow the nursing profession as a career path
because it requires entities such as patience, caring and compassion in order to provide competent
care. The level of care a nurse delivers determines the best outcomes of patient care. I would like
patients to feel not only confident in my expertise but also comfortable to know the care I provide is
genuine and comes from the heart. Another aspect of my patient care is influenced by health care
policies. Heath care policies can affect the cost ... Show more content on Helpwriting.net ...
Through utilization of health care products and supplies nursing impacts the cost of health care
services. The principle of autonomy involves the right to self–determination. The patient should be
provided with information to make an educated decision about their health. As the nurse providing
care the education that I give to my patient should be free from conflicts of interests. In an
emergency room setting, medications and procedures ordered should provide my patients the
reasons, side effects and possible outcomes of interventions. In doing so, my nursing practice is
aiming to provide care that is efficient, free from negligence and it benefits the patient. My nursing
practice is hindered by the insurance system. The variations related to the cost of services rendered
for the same procedure and medications is not fully adhering to ethical principles. The cost of
medications and procedures is not equally distributed for patients in the current insurance system.
Quality is measurable standard of care. Nursing practice provides high quality care when the
practice follows the standards set by public and private agencies for the profession. In the
emergency room setting patient education provided that is supported by evidenced–based ensures
quality information. By following the policies and protocols of the quality measures at my facility I
am keeping my patients
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Nursing Ethical Dilemmas
In Nursing Practice, there are many codes of conduct involved so that we as nurses can follow.
These codes are meant as regulations that each employee is bound to, and have to abide by these
rules order for the organization (health care) to work smoothly and to be able to provide the best
quality care for our clients. Because, in order of the organization to work well, it needs multiple
personal that work together to establish the system, there are various individual beliefs and attitudes
that come into play, when making certain decisions. When one's beliefs and attitude is in conflict
what right or wrong, it becomes an ethical dilemma. In the end, it becomes a matter of outweighing
the right or the wrong in orders of "risk and benefits",
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Ethical Dilemmas In Nursing Practice
Ethical dilemmas will always be a part of our nursing practice due to such a diverse patient culture.
In some cultural groups, religion dictates the care that is given and by whom (Pacquiao, 2016). The
purpose of this paper is to discuss an ethical dilemma that I have encountered in my nursing practice
and how the dilemma was perceived. Culturally congruent care will also be defined. Describe an
Ethical Dilemma Working in obstetrics and gynecology, the patient population is all female. We see
many Muslim patients from Arab countries. In any obstetric or gynecology scenario Muslim women
must have a female provider (Mclean et al., 2012). We had a patient scheduled with one of the male
physicians for the first obstetric appointment, where a physical exam would be completed. When the
patient arrived, her spouse informed the staff that she cannot be seen by a male provider. The male
physician was not familiar with this preference. He was frustrated because when this patient
presents to the hospital for delivery, there may not be a female on call to care for her. Fortunately,
there was another physician in clinic that day that could see her so the patient would not have the
inconvenience of being rescheduled. ... Show more content on Helpwriting.net ...
The patient and her spouse were understandably upset, because they had requested a female
provider when they scheduled the appointment. They perceived this as going against their cultural
beliefs. Also, they were not aware that a male provider may be the only one at the hospital to
delivery their
... Get more on HelpWriting.net ...
The Importance Of Ethical Dilemmas In Nursing
Becoming a nurse includes responsibilities ranging from safe patient care to handling laws and
ethical dilemmas that can happen within that patient care. One thing that falls under these
responsibilities for a nurse is the mandatory reporting law. "Nurses are mandated to report any
suspicion of abuse following facility policy" (Henry, et al., 2016). This includes clients ranging from
children to vulnerable persons, such as older and dependent adults. The time frame for reporting
abuse is within 30 days of the occurrence. Diagnoses of communicable diseases are also mandated
to report to the appropriate agencies, such as local and state health departments. The diseases that
are reported vary for each state (Data Collection and Reporting, 2017). The reporting needs to be
done by the health care provider within 30 days. The health departments have many tasks to ensure
after reports of communicable diseases. A correct treatment plan needs to be in place. Identifying the
source of outbreaks and monitoring for epidemic precautions are also things to be done after this
type of report.
Nurses face many ethical dilemmas throughout their career as well. Ethical practice is an important
concept in nursing, based on what is considered right or wrong. This is making a choice between
two options that are equally unfavorable. Ethical dilemmas are "problems for which more than one
choice can be made and the choice is influenced by the values and beliefs of the decision makers"
(Henry, et
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Nursing Ethical Dilemmas
Running head: FUTILE CARE 1 Futile Care Priscilla M. Leger Central New Mexico Community
College FUTILE CARE 2 Futile Care Nursing is an ever – changing field that oftentimes overlaps
with other areas of professional performance. The ethical dilemmas nurses are forced to face when
delivering care to their patients are just an example of this situation. Several important questions
must be answered concerning the ethical decisi ons involved in providing end of life care to patients
when this care has become futile. Identify Both Sides of the Issue The ethical dilemma to be faced in
this situation is the one between the ethical principles of beneficence and veracity. Beneficen ce is
the ethical nursing principle that defines the concept ... Show more content on Helpwriting.net ...
These two nursing ethical principles the nurse must consider are difficult to merge, but also to
exclude them altogether when delivering end of life care for the go od of their patients (Demir,
Sancar, Yazgan, Ozcan, & Duyan, 2017) Although other ethical dilemmas might be involved in
delivering medical care the nurse knows is futile, the decision about which principle to follow is of
the utmost importance. It also means that decisions of this kind are more frequent now that people
are used to liv ing longer lives with chronic illnesses and expect care to be provided to the very end
(Demir et al., 2017) . FUTILE CARE 3 Apply Ethical Principles On one side of the dilemma is the
idea that the patient should receive the best care possible according to the principle of beneficence.
The argument is sustained by the idea that the nurse is responsible for providin g care that the
terminally ill patient requires. On the other side of the argument, the nurse
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Nursing Ethical Dilemma
Case Study Questions: A. Describe the ethical dilemma that the nurse is facing? Please be specific.
What makes it an ethical dilemma? What makes this an ethical dilemma for the nurse, is that the
daughter and family are going against the patient's wishes documented in the patient's chart and the
documented DNR status signed. The decision was clear, his wishes as discussed just prior to him
becoming incapacitated. It is unethical for the nurse to go against her patient's wishes as a patient
advocate. She also did not have the advanced directives signed with the patient and family while he
was still able to sign the document. As a nurse, our job is to protect, promote, and optimize the
health and abilities, prevent illness and injury, facilitate healing, alleviate suffering through
diagnosis and treatment. Advocate for the patient, family, community and groups. (ANA, 2013) Her
failure to have the patient sign the advance directives expressing Mr. Jensen's wish not to be
resuscitated. She should have had him sign the forms to act beneficent and avoid causing harm to
him by having a feeding tube placed. Fidelity is also violated because she is not keeping her
promise, fairness, truthfulness, her advocacy, dedication, and loyalty to keep a commitment to the
patient that his wishes would be honored. Standard of Practice 5 was compromised by ... Show more
content on Helpwriting.net ...
The nurse has the right to excuse herself from the patient's care if she believes her moral integrity is
compromised and asks another nurse to step in and take over the patient's care. Fidelity by keeping
her promise, fairness, truthfulness, her advocacy, dedication, and loyalty to keep a commitment to
the patient that his wishes would be honored. The wishes of the patient take precedence over the
families wants. (2012, ANA) Justice for the patient's right to the care he
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Nursing Ethical Dilemma
A lot of dilemmas face the nursing profession. These ethical dilemmas faced by nurses is unique and
covers a myriad of issues. According to Loyola University (2017) the International Council of
Nurses' (ICN) Code of Ethics posits that, alongside the inherent responsibilities of promoting health,
easing suffering, and preventing illness, a respect for human rights: cultural rights, the right to life
and choice, right to dignity, and the right to be treated with respect, is a critical part of the job.
Certain values and principles guide the decision–making process in nursing (Loyola University,
2017). These are the building blocks of nursing ethics, thus raising the subject of ethical dilemma.
According to Purtilo & Doherty (2016), an ethical dilemma is a common type of situation that
involves two or more morally correct courses of action that cannot both be followed simultaneously.
This involves both ethical conflict and conduct, in which one course of action precludes the other
(Purtilo & Doherty, 2016). According to the American Nurses Association [ANA] (2017), there are
regulatory mechanisms instituted that are focused on ensuring the best standards of ethics in the
nursing profession and practice. These rules are referred to as the Code of Ethics for Nurses with
Interpretive Statements (The Code). The code was established as a guide for executing nursing
responsibilities in a style consistent with quality of care in nursing, as well as the ethical obligations
of the nursing profession.
The ethical dilemma covers a broad range, ranging from; challenging the impacts of staffing
shortage on patient quality of care, to the decision on the allocation of scarce resources, or blood to
patients (Johns Hopkins University (2015). They comprise birth complications and end–of–life
issues and all the other issues between these two extremes (John's Hopkins Magazine, 2015).
Notable amongst these dilemma is the ethical dilemma depicted in the debate on empirical
knowledge and personal belief for blood transfusion, which is the focus of this paper.
One of the basic aspects of nursing practice is blood transfusion. Its safe practice is determined by
nurses' knowledge (Hijji, Parahoo, Hussein & Barr (2013). What is blood
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Ethical Dilemmas In Nursing
Brittany, your posting displayed the significance of incorporating different styles of leadership in
dealing with ethical dilemmas in healthcare. Ethical dilemmas play a pivotal role in nurse managers
making decisions that are related to "nursing quality, patient satisfaction, finance allocation, ethical
climate, and professional dignity" (Zydziunaite & Suominen, 2014). Transformational leadership
and the application of other leadership styles identified by Zydziunaite and Suominen (2014)
contribute to the enhancement of nurse managers constructing ethical dilemmas in decision making
issues. Therefore, it is essential for nurse leaders to obtain skills in the various leadership styles in
relation to their "strengths and weaknesses". Marquis
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What Are The Ethical Dilemma In Nursing
In addition to technical support provided to patients, nurses must address the psychosocial
challenges and ethical conflicts associated with caring for critically ill patients and their families.
More often Nurses are left with dilemmas when it comes to decision making and trying to up holds
the ethics of autonomy, who to listen to, the client or the family? Ethically the patient has the right
to choose what's best for self, but is powerlessness when one is brought to hospital in a critical
condition.
Ethical dilemmas are the main common challenges faced by nurses, during practice almost on daily
basis. These dilemmas can erupt amongst nurses themselves, or nurses and doctors and the worst
between nurses and patients.
Conflicting obligations arises when the nurse is supposed to make ethical decisions between what to
be done versus what not to be done, making it difficult to choose between the two. There are several
factors that brings about ethical dilemmas such as, increase in consumer demands, shortage of
resources, truth telling, withholding information, withdrawing ... Show more content on
Helpwriting.net ...
One is to help the bereaved to develop their own ways of coping and the other is to ensure that their
own difficulties, needs and attitudes relating to death and dying of their patients do not compromise
their psychological well–being. It was noted by the same author that the psychological impact and
after events prevalent in a critical care nurses' working environment remains relatively unexplored.
Michell (2010) also felt that repetitive exposure to resuscitative measures, end–of–life care needs,
prolonging life by pharmacological and mechanical means and the continuous adjustment of these
critical care nurses to this hostile environment, results in psychological disorders such as post–
traumatic stress
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Ethical Dilemmas In Nursing
Moral and Ethical dilemmas are encountered constantly in a lot of different career paths. Ethics
consists of doing "good" and causing no harm. However "good" can have different meanings to
people. Several different ethical dilemmas come up in other careers, but they tend to appear a lot
within the health field, especially when dealing with someone's health and their lives are basically in
your hands as a medical professional. I am studying to become a Nurse here at Elmira College,
which is probably the most challenging goal I will have ever worked for once it is accomplished.
Nurses encounter ethical dilemmas daily in which they must make a decision and will be affected by
so many factors. Codes learned in school and their own personal ... Show more content on
Helpwriting.net ...
A lot of people have different beliefs about medicine and nurses have to respect their beliefs.
However there comes a point where the nurse and her leader must decide, and if there is a point, that
the patient should no longer have the freedom to make a medical choice for themselves. I believe
that the only way a patient should no longer have the freedom to make a medical choice for
themselves anymore is if they are not able to communicate, understand, comprehend, comatose,
have brain damage, are demented, etc. However, those who are physically able to comprehend
should be fully in charge of their medical
... Get more on HelpWriting.net ...
Ethical Dilemma In Nursing
Nurses encounter multitude dilemmas while carrying out their job duties in delivery provision care
to patient especially in ethically complex situation. Mr. Lim, an elderly who has Alzheimer disease
has to be fed via nasogastric tube (NGT) due to his mental ability which has severely affected his
ADL including swallowing. Restrainer was used to prevent patient from pulling out his NGT. The
NGT and restraints have caused him a lot of discomfort and stress. His family has requested not to
feed and restrain upon seeing bruises on Mr. Lim 's arm. has an Advanced Medical Directive and
wishes to die with dignity This essay identify the issues faced by Staff Nurse in deciding whether to
stop both NG tube feeding and restraint or continue. This will analyze the ethical dilemma arising
from Autonomy, Beneficence and Non–maleficence as well as the legal issues pertaining to patient's
rights. Implications for nursing practice will also be discuss in later part.
ETHICAL AND LEGAL ISSUE
The ethical dilemma of respecting patient's autonomy, beneficence and non–maleficence has been a
challenge for the nurse to deliver provision care to patient. According to Singapore Nursing Board
(1999) under Statement Value 2: Respect and promote clients' autonomy, it is the right of every
patient to make their own choices and nurses should respect their preferences. However, beneficence
is referring to an act in the best interests of the patient (Mary Cipriano & Ruth, 1999). To be
competent in order to
... Get more on HelpWriting.net ...
Ethical Dilemmas In Nursing
Nurses face ethical dilemmas everyday and it's important to know how to address them
appropriately to not cause conflict. To handle this particular scenario the nurse should respect the
patients privacy always, communicate honestly about their diagnosis, treatment, and prognosis, and
be an advocate for the patient's spoken interest. As nurses we are obligated to tell the truth, and at
times it may be painful for our patients to hear, but honesty is one of the core virtues. Nurses can
still deliver bad news in a knowledgeable and caring way. In this particular scenario, before I would
discuss any of the adverse effects of the medication I would ask the patient if she understands her
diagnosis of pneumonia. This would allow me to understand if
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Ethical Dilemmas In Nursing
Introduction: Ethics is the department of philosophy concerned with what is good for people and
society. The term is derived from the Greek word ethos that could suggest custom, habit, man or
woman or disposition. At its most effective, ethics is a device of moral standards. They influence
how human beings make decisions and lead their lives. (Spencer, Massing, & Gough, 2017)
An moral predicament is a selection–making problem between feasible ethical imperatives, neither
of which is acceptable or most advantageous. The complexity arises out of the situational conflict in
which obeying one might bring about transgressing some other. once in a while referred to as ethical
paradoxes in moral philosophy, ethical dilemmas may be invoked to counter ... Show more content
on Helpwriting.net ...
character of society counts on the all individual to preserve the ones values and follow the good for
sake of first–rate. whilst any of fee is violated or whatever accomplished morally incorrect is taken
into consideration as unethical and brings down the morale of individual. In defined scenario
following social values were breached:
religion: As people have faith in health care experts that they are here to help them and that they
have faith that their sufferings will be alleviated together with your help. but by doing unethical
moves, people's faith from nursing career will be lose.
trust: humans will lose agree with from nursing profession, if nurses maintain making equal errors
again and again and after they harm them rather than helping and being concerned them.
Social Justice: Incompetent to provide care and comfort to purchaser and advocacy for identical
treatment and shield the customers proper, brings the career down. personal Values private values
are specific person beliefs, attitudes, requirements, and beliefs that manual conduct, existence revel
in, and decision making. In that scenario my core values: honesty, service to humanity, loyalty
towards my career, truthfulness and dignity had been
... Get more on HelpWriting.net ...

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Ethical Dilemmas In Nursing

  • 1. Ethical Dilemmas In Nursing According to Perry and Potter (2014) Ethical Dilemma " is a conflict between two sets of human values, both of which are judged to be "good" but neither of which can be fully served." Nurses regardless of what healthcare setting they work and of where they function in wide ranging roles, face ethical dilemmas on their daily practices. Ethical behavior depends on several factors because what a person consider as moral may vary from another individual's approach to the situation. "Resolving an ethical dilemma requires deliberate, critical, and systematic thinking" because ethical decisions that are made could have an impact to nurses, patients and families as well." (Potter, 2014) Therefore, an orderly process is used by healthcare ... Show more content on Helpwriting.net ... However, his wife is opposed to Jim's wish of not be resuscitated She begins to yell at the nurse and implored to provide a CPR to his husband. The nurse politely decline the wife's request as it is strictly forbidden to provide a CPR in the event of a cardiac arrest and that there is nothing she can do about it. Surprisingly, the wife initiated a CPR to his husband who has an advance directive with a DNR order, this arises an ethical dilemma. Gather all information relevant to the case As mentioned above, an advance directive is a legal document in which allows the patient to make decision for himself such as stating the amount and type of medical treatments the patient wishes to receive, and will be carried out in the event where the patient will be incapable to decide for himself or unable to communicate or if death is imminent. (Potter, 2014) This is created ahead of time to prevent confusion later on. Healthcare providers need to maintain the patient's right for autonomy, and supporting patient's decision regardless of what they may be. Furthermore, an advance directive form is used to tell or request to the attending physician that a patient doesn't want to be resuscitated. (Am Fam Physician, 2010) The DNR order is then placed in the patient's medical record so that regardless ... Get more on HelpWriting.net ...
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  • 5. Ethical Dilemmas In Nursing Ethical dilemmas are a common issue in the health care setting. Since many sensitive topics have no clear right or wrong answer, it is important for nurses to properly understand how to approach these matters. Typically, nurses are the ones who get to know patients on a more personal level by developing a therapeutic relationship with them overtime. Therefore, nurses recognize these complex situations and are required to intervene when it's necessary. Two principals within the ANA Code of Ethics that pertain to the ethical dilemma I saw are; "The nurse's primary commitment is to the person, whether an individual or part of a family, group, or community." and "The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the person." (American Nurses Association (ANA), 2008). The patient I cared for during my first clinical was a 2 year old girl named Ruby. She was diagnosed with a neuroblastoma in her abdomen at the age of 17–months and began aggressive treatment immediately. Her tumor was unfavorable and had recently become a stage 4, since it metastasized into her bone marrow. That day I worked with nurse Christina and further comprehended how important ... Show more content on Helpwriting.net ... This ethical principle demonstrates a nurse's duty to ensure that any and all decisions made, are for the benefit of the patient. After assessing what the parents were able to comprehend, Christina was able to decide that the parents needed more straightforward information about their daughter's current status before they could make an informed decision. Nurse Christina contacted Ruby's physician and requested that he come and discuss her current status once more with her ... Get more on HelpWriting.net ...
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  • 9. Nursing Ethical Dilemma Ethics #1. According to Nursing Leadership and management ATI ethics is defined as an expected behavior of a certain group in relation to what is considered right or wrong. (Henery, McMichael, Johnson, DiStasi, Ball, & Holman, 2016) There are six ethical principles they are autonomy which is the ability of the client to make personal decisions, even when those decisions might not be in the client's own best interest. The second principle is beneficence which is care in the best interest of the client. Third is fidelity which is keeping ones promise to the client about care that was offered. The next principle is justice which is fair treatment in matters related to physical and psychological care and use of resources. Then there is non–maleficence which is the nurse's obligation to avoid causing harm to the client. The last principle is veracity which is the nurse's duty to tell the truth. (Henery, McMichael, Johnson, DiStasi, Ball, & Holman, 2016) Ethical Decision Making Process #2. 1.) Identify whether the issue is an ethical dilemma. It must first be determined an ethical dilemma or not in order to move on to the next step. 2.) State the ethical dilemma, including all surrounding issues and individuals involved. It is important that the patient know what the options are who will be involved and what issues can affect the outcome. 3.) List and analyze all possible options for resolving the dilemma, and review implications of each option. This is similar to the ... Get more on HelpWriting.net ...
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  • 13. Nursing Ethical Dilemmas Ethical and legal dilemmas are issues that nurses face in their professional careers. Nurses are accountable for safe and appropriate administration of medication. With the growth in malpractice lawsuits it is important that nurses take certain precautions to limit the risk of lawsuits. "Nurses can limit the risk of liability through maintaining open communication with patients, expertise in practice, attention to details, and autonomy. (Burkhart &Nathanial, 2013). Background Laura is a nurse working in the Intensive care. The physician tells Laura that she needs to give an injection of Vistaril to a patient. Laura makes sure that the order is documented in the medical record. The medication comes up from the pharmacy, she checks it against ... Show more content on Helpwriting.net ... An argument against this nurse could be that it is in good practice to tell patients of the potential side effects on this injection. Laura choose to give the Vistaril in the buttock's more than likely because is it is a very large muscle and is much less painful for the painful. Laura gave the injection in the correct spot when giving an injection in the buttock's, Laura could have given the injection in another muscle. Laura could have chosen the thigh to give the intramuscular ... Get more on HelpWriting.net ...
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  • 17. Nursing Ethical Dilemmas Nurse's face ethical dilemmas every day in their nursing practice. No matter what specific role the nurse plays, these ethical dilemmas impact the nurses as well as the patients. Sometimes it's no right solution to some of the dilemma we nurses face. First to describe what ethics is, it is the act of doing good by not causing harm to the individual involved. An ethical dilemma in nursing I would be discussing would be one that is very common and all nurses at some point or another has been faced with. Allowing patients the right to refuse. According to the Ohio Laws and Rules 3721.13, Resident's Rights, The right to refuse, without jeopardizing access to appropriate medical care, to serve as a medical research subject (Resident's Rights, 2001). ... Show more content on Helpwriting.net ... Nurses may place themselves in legal jeopardy when they opt for what they see as the ethical, or "right," thing to do, in spite of what is mandated in the laws that apply (Blais & Hayes,2011, p.50). As a nurse caring about their patient's well being, is it ethical or unethical to do some of the things we do when patients refuse medicine. Many nurses will offer medications several times before they accept a refusal. Some nurses that I have witnessed will trick their patients by putting their medicine in food items that the patients like. I have seen nurses put medications in ice cream, ensure drinks, and pudding to get the patient take their meds after they refuse. So even though the nurse wants the best outcome for the patient, would this be unethical? Yes, because the nurse still imposed on the resident's right which was the right to refuse medicine, but the nurse tricked the resident into taking the medicine in another ... Get more on HelpWriting.net ...
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  • 21. Examples Of Ethical Dilemma In Nursing As nurses, it is inevitable that at one point or another in our careers we will come across ethical dilemmas when providing patient care. In fact, nursing has been labeled as the most ethical profession. For nurses to meet the ethical obligations of the profession, the American Nurses Association (ANA) developed the Code of Ethics for Nurses. Since ethics are fundamental to nursing practice, I believe this code is of utmost importance. Patients strongly depend on a nurse's honesty and on their adherence to those standards. By adhering to those standards, it allows nurses to develop a trustful nurse–client relationship while displaying compassion and empathy. Although these standards are put in place for nurses, when faced with an ethical dilemma, ... Show more content on Helpwriting.net ... This patient had suffered an intraventricular hemorrhagic stroke. Since this patient lived alone, she was found by her son unconscious; however, it was unknown how long she had been unconscious. When she arrived at the hospital, she was a GCS of three and had not improved since then. Three weeks later, when I returned to neuro–ICU I again cared for this patient and her status had remained unchanged. Therefore, an ethics consult was made with the family to recommend comfort care. However, since the patient had undergone an ischemic stroke a few years back and fully recovered, the family had hope the patient would fully recover again. Although, it was explained that the strokes were different and the amount of damage to the brain was irreversible they still were not accepting the reality of the patient's condition. These situations are difficult since the patient's family is in denial, but you must respect their decision and continue to provide care for the patient (What do I do now? Ethical dilemmas in nursing and health care, 2013). Overall, whatever ethical dilemma you may encounter as a nurse, it is important that you continue to provide the best possible care despite your ... Get more on HelpWriting.net ...
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  • 25. Ethical Dilemmas In Nursing Essay Ethical dilemmas are familiar to most nurses, but resolving dilemmas is not an easy task for them. The ethical decision–making framework is a good guide when dealing with ethical dilemmas. Firstly, nurses need to identify issues from different perspectives from all those associated with the issues (McDonald & Then 2014). Above three cases involve with nurses, patients, hospitals and education providers. Each party has different issues such as patients being at risk, nurses not being professional, etc. Then, nurses need to evaluate issues: why are the issues important? In this step, nurses may apply the ethical principles, codes and legislation (McDonald & Then 2014). Nurses can reflect issues upon four ethical principles. In the three cases, nurses cannot undertake their role, and possibly place their patients at risk, which is against the principles of beneficence and non–maleficence. They do not take care of themselves, which also breaches the Code of Ethics for Nurses in Australia and the Code of Professional Conduct for Nurses in Australia that have been developed for nurses to be accountable and responsible for ... Show more content on Helpwriting.net ... For example, the Work Health and Safety Act discusses that it is nurses' responsibility to maintain their own health, and the Health Practitioner Regulation National Law Act addresses that if a nurse becomes aware of any impairment or conduct that breaches legislation, the nurse should notify to Australian Health Practitioner Regulation Agnecy (Starr 2012; Teng 2016). And if a registered nurse has issues regarding the education provider, a complaint can be made to Australian Nursing Midwifery Accreditation Council (ANMAC), and ANMAC will work directly with the education provider to resolve issues regarding any issues on placement (Carter et al. ... Get more on HelpWriting.net ...
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  • 29. Nursing Ethical Dilemmas Nurses rely on personal knowledge and their professional skills to provide ethical care (Creasia & Friberg, 2011). In everyday practice, nurses must balance the needs of their patients against those of the organization, society and themselves. They strive to deliver the highest level of care for patients, but adjusting for limited organizational and personal resources often requires difficult decisions. This paper explores the following scenario suggested by Maville and Huerta: "You are a nurse providing home care to a mother, and you suspect child abuse after observing the mother's reaction to her child" (as cited by Arizona State University, 2014). When faced with a moral dilemma, a competent nurse incorporates ethical, bioethical and legal considerations. In the proposed story, incorporating the nursing ethics of advocacy, beneficence, nonmaleficence and collaboration will guide the nurse towards an appropriate and legal course of action. Primary Ethical Principle: Advocacy Advocacy is a fundamental responsibility in nursing because patients are inherently vulnerable (Creasia & Friberg, 2011). The scenario presented is challenging because, although the nurse suspects child abuse, there is a lack of explicit evidence. Reporting suspected child abuse is a legal obligation for nurses, but the result may have devastating effects for the family. To prevent inaccurate conclusions, a professional nurse should question the mother and child separately and attempt to uncover the ... Get more on HelpWriting.net ...
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  • 33. Ethical Dilemmas In Nursing Research Ethical dilemma is a problem without satisfactory resolution.Nurses face ethical dilemmas on a daily basis regardless of where they work., Nurses are faced with ethical decisions that can impact them and their patients. There is no solution to an ethical dilemma.The word ethics is originate from the Greek word 'character'. Nurses are using ethical concepts in during patients care. Ethical concepts include providing care which is good, correct, and rational. Ethical nursing care is based upon rational science and decision making. The most important concepts which are using in nursing professional are respect for patient autonomy, the duty to act with beneficence; no maleficence; and justice.When nurses faced abortion,she believe abortion is ... Get more on HelpWriting.net ...
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  • 37. Nursing Ethical Dilemmas The demand for nursing is increasing and rising each and every single day with an increase in the birth rate and the aging population. Unfortunately, the supply of efficient and skilled nurses is unable to meet their demand thus leading to overworking and overstretching of the available nurses. Nurses constitute the highest percentage of the employees in the health care industry, but this percentage is unable to satisfy the ever–growing number of healthcare work fully. Notably, ethical issues in nursing are one of the hottest topics in the globe today. Nurses face many difficulties and challenges in their bid to protect and optimize health and abilities, prevent illness and injuries and facilitate healing. Nurses are faced with an ethical dilemma ... Show more content on Helpwriting.net ... Most of the ethics formulated and developed by American Nurses Association (ANA) and help to guides nurses and all medical practitioners towards the right direction in a difficult circumstance that needs serious consideration before actually making a move. Ethics are meant to provide answers to moral questions even in occurrences wherein a patient may be in terminal danger. Notably, ethics teaches all medical practitioners the best way to handle patients who are ailing with different infections and to provided them with the support and comfort they need and deserve. Nurses can get a chance and opportunity to advance their skills and knowledge of ethical principles through education and training and familiarizing themselves with the changing in a nursing environment in the form of technology and rules. Furthermore, ethics requires nurses to follow physician's instructions to the letter or they can be held liable for negligence or ignorance is something happens to the patient. Also, the nurses have a moral obligation to alert and inform the physician on the medical progress of the patient or any change of the patient's health. One of the hardest things for healthcare professionals to accept is the fact that not everything that they do is in the best interest of their patients. As a result, upholding ethical principles ... Get more on HelpWriting.net ...
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  • 41. Nursing Ethical Dilemmas The following assignment will seek to address the professional values and behaviours associated within nursing from the perspective of a student nurse and the approaches that should be made in reference to the scenario. The underlying principles of forming an effective therapeutic relationship and communication strategies based on dignity and respect for human rights will also be highlighted in detail in accordance to the learning outcomes. Discussion will take place on the boundaries of the ethical and legal frameworks of nursing and the codes of conduct, demonstrating the understanding of a nurse's role and the importance of patient engagement and collaborating with the health and social care team. Confidentiality will be maintained in accordance ... Show more content on Helpwriting.net ... A nurse is obligated under their contract of employment to protect any disclosure of information about a patient unless in exceptional circumstances where the decision is subsequently documented. In such circumstances, the nurse is protected under The Public Interest Disclosure Act 1998 which would be relevant to the scenario under 43B [d] to 'defend a professionals disclosure where the health and safety of an individual has been, is being or is likely to be endangered' [Public Interest Disclosure Act, 1998]. The Data Protection Act 1998 was also designed with principles to protect private and confidential records and the distribution of these allowing the public to know how their information is being stored and what it is being used for. The act encompasses all previous and relevant legislation such as the Human Rights Act 1998 and made the notion that all organisations must comply, whether they are in the public, private or voluntary sector [Phair & Winson, 2000]. To uphold professionalism a nurse must adhere to the procedures of confidentiality both in and outside the workplace, this can also be applied to discussing patient details with their relatives and ... Get more on HelpWriting.net ...
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  • 45. Nursing Ethical Dilemmas Nurses face ethical decisions frequently when giving patient care. These dilemmas can result from deciding how to allocate resources such as time or materials. Caring for patients from diverse backgrounds complicates decision–making when faced with dilemmas, because organizations that depend on standards of patient care that may not by culturally congruent. In these situations, the nurse must consider the patient's beliefs and values along with the organization's care expectations and bridge the gap between the two (Andrews and Boyle, 2016–a). In this post, I will describe ethical dilemmas with the current state of population health and health disparities, discuss the pros and cons of the Affordable Care Act, and explain how social justice ... Show more content on Helpwriting.net ... It extended care to millions of people and prevented insurance companies from denying care to someone based on prior health problems. It also provides free access to preventative services and subsidies to low–income individuals and families (HealthCare.gov, 2012). Even with the passage of the ACA, health disparities still exist. The ACA is not equivalent to some other insurers because there in an increased requirement for prior authorization when compared to other insurance. This delays treatment for patients who depend on government sponsored insurance because they must complete conservative treatment before being approved for more advanced procedures. For example, a patient who has Care Source or Molina must participate in 6 weeks of physical therapy before an MRI or spinal injection will be authorized, but patients with other types of insurance do not have to meet this requirement and can schedule immediately. So even with the ACA, access to healthcare is not equal to all consumers. There is also the need to increase enrollment for eligible individuals and to address the coverage gaps that affect individuals in states that have not expanded Medicaid. Blacks and Native American's have the highest percentage of nonelderly people who are not enrolled in any healthcare plan. Blacks are also twice as likely as Whites to fall into the ... Get more on HelpWriting.net ...
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  • 49. Ethical Dilemmas In Nursing The ethical dilemma is a situation by which it's difficult to determine whether a situation is can be handled without disappointing both sides. Therefore, an ethical dilemma exists when the right thing to do is clear or when members of the healthcare team cannot agree on the right thing to do. Ethical dilemmas require negotiation of different points of view (potter, Perry, Stockert, & Hall 2011pg 78). The case study briefly explains a situation between daughter and father regarding the father's health. As a nurse, this can be very difficult to tackle due to the conflict between the father and the daughter. The main concerning situation is the father's health, he has been admitted to the hospital three times within 6 months. The ... Show more content on Helpwriting.net ... A nurse may determine their values and opinion about the issue because this allows the nurse to become a more open listener. Knowing the situation at hand, it's important to offer some solutions such as offering education and resources such as in homecare services that can help managing chronic health issues. And when facing with financial expenses the nurse should explore possible ways for him to obtain coverage or to find primary providers that provide licensed care at a lower cost. When looking at Emilio S point of view, he enjoys gardening, going to church and doing small projects around the house. As a nurse, I would consider that his independence means a lot to him. Trying to negotiate an outcome for both daughter and father can result in an effective solution. The last step involves evaluating the outcomes, do the interventions work for both the daughter and father? If E.S can have his independence while getting professional care from home. "ethical dilemmas are commonplace, complex, and require critical thinking skills that are honed through practice, and practice, and more practice. Airth–Kindree, N. M., & Kirk horn, L. C. (2016). Emilio S. also seeks medical treatment from a traditional doctor, and this may present some issues with his health. this can also be an ethical dilemma because respecting the father's wishes can create conflict with his daughter and the healthcare team. The resolution of this dilemma will be difficult due to the ... Get more on HelpWriting.net ...
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  • 53. Ethical Dilemmas in the Nursing Field There are several dilemmas in the nursing field though nurses reactions to ethical dilemmas are based on their individual values and beliefs as well as ethical principles, professional codes and the climate of the healthcare setting. Nurses encounter ethical dilemmas when conflicting values and judgments are present regarding what is the best course of patient care. Ethical dilemmas are faced by nurses on a daily bases. I am choosing two of these dilemmas to address. 1. Empirical Knowledge vs. Personal Beliefs: Empirical knowledge is the type of knowledge that includes empirical research, scientific enquiry, reductionism and positivism, it is often viewed as 'true' or 'valid' knowledge that can be theoretically explained by scientific traditional ideas like psychology, pharmacology, sociology and biology or by rigorous empirical testing which include knowledge from books, journals and conferences. Example: If a patient is diagnosed with cancer the nurse has a simple list of description like observations, tables of evidence, graphs, empirical hypothesis, empirical definitions, generalizations, and scientific laws with no personal knowledge to help the patient understand. Personal Knowledge: This concerns being self–aware, it does not emanate from books, journals, lectures or conferences it refers to the fact that "w e know more than we say" (Polyani 1966) or "understanding without rationale" (Benner and Tanner 1987). Itr can be as valid as scientific knowledge and nurses can ... Get more on HelpWriting.net ...
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  • 57. Examples Of Nursing Ethical Dilemma Introduction Nurses face ethical dilemmas on a daily basis. As nurses, we must be knowledgeable about the tools we have to help guide our decisions when solving an ethical dilemma. The tools we have are our ethical principles, ethical framework, and the ANA Code of Ethics for nurses. This paper will describe a scenario where nurses were faced with an ethical dilemma regarding a baby. The ethical frameworks and ANA Code of Ethics will be discussed in helping guide a solution to this scenario. Finally, an analysis will be done about this scenario and a decision will be made. As nurses we must use these tools because they will allow us to make better decisions more comfortably. Observation The first scenario took place in a children's hospital. The scenario was about a baby, named TJ, who had many birth defects; the baby was blind, deaf, mute, and not be able to walk in the future. The baby was given up by his mother and was left in the hands on the hospital (doctors, nurses, and other health care staff) to care for. The dilemma occurred when nurses began to question on how to care for this baby. Being that the baby had a very poor prognosis, nurses were conflicted if they should do everything to care for this baby, such as do push ... Show more content on Helpwriting.net ... As humans, with experience and knowledge we learn right from wrong. We are faced with situations where we have to decide from right and wrong depending on our own morals and ethical views. Ethics and morality essentially guide our thoughts, choices, and actions. According to Marquis and Huston (2017), ethics is defined as a "system of moral conduct and principles that guide a person's actions in regards to right and wrong and in regard to oneself and society at large" (p.83). Nurses are often faced with ethical issues on a daily basis. For this reason, ethical frameworks for decision– making have been established to help guide the nurses in solving ethical ... Get more on HelpWriting.net ...
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  • 61. Ethical Dilemmas In Nursing RN will review documentation and request changes when needed. Because of the nature of the job the RN must review documentation and if issues or concerns are found the RN will request that items be corrected. Please keep in mind we function as a team. It should be everyone's goal on the team to ensure we are providing the best service possible to our clients. If we fail, we fail as a team not individually so if an issue is pointed out it Is not to be accusatory or to put blame it simply means we need to fix a problem so that the team is shown in the best light. Everyone wants to be a part of a successful winning team in order to do that we all must be open to constructive criticism so we can improve in the respective areas. We all have areas where we need to grow. I want this to be a ... Show more content on Helpwriting.net ... The RN is on the team for her expertise in assessing the medical needs of the client. Each RN carries a license that she works independently under. The RN has been granted authority by the MD Board of Nursing to make a medical assessment of a patient's needs. With this authority comes the responsibility to provide the best care for the client. Each nurse on the team has a varied background in nursing and bring different expertise to the team. We value that each nurse brings something different to the team. We learn from one another and this builds a stronger team. Each coach needs to be comfortable with the direction given by any nurse on the team. We have now implemented weekly meeting and work together to ensure we are providing the best service for our clients. The team has to respect each nurses practice. We may arrive at a different approach for resolving a client issue, however, this does not mean one approach is better over another. Everyone on the team needs to feel respected and ... Get more on HelpWriting.net ...
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  • 65. Ethical Dilemmas In Nursing Nurses must face ethical dilemmas on a regular basis during their careers. Having a solid understanding of their own personal values, professional values, as well as, a strong understanding of the ethical principles that guide their actions and decisions, is paramount to handling these ethical dilemmas appropriately. The purpose of this paper is to explore personal and professional values, and the guiding ethical principles that will ultimately lead to a decision in the case of Mrs. Clark, a 78 year old patient who has recently undergone a bowel resection for an intestinal obstruction. Mrs. Clark is 4 days post–operative, and complains of pain that is 8 out of 10 on a numeric pain scale. With a history of drug seeking behavior, the resident has ... Show more content on Helpwriting.net ... Clark's abuse of narcotics, without her knowledge. Values Values are the traditions, ideals, goals that are believed to be important individually, as well as specific to groups and organizations (Burkhardt & Nathaniel, 2014). They are standards of behavior and the principles that guide us personally and professionally in the way we conduct ourselves in our personal and professional lives. Personal Values Personal values define how we conduct ourselves in our everyday lives. They are instilled in us throughout our lives and continue to evolve and change based on our own life experiences. The 3 personal values that most closely will guide my decision in Mrs. Clark's case are honesty, trustworthiness and fairness. From a young age, my parents, teachers, and youth group ... Get more on HelpWriting.net ...
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  • 69. Ethical Dilemma In Nursing Introduction The choice of right versus wrong is instilled throughout childhood. However, there are some situations where you have to choose between the two because both choices have their advantages and disadvantages. This is an ethical dilemma. An ethical dilemma involves morals that clash between each other, and some involve the legal aspect of the choices (Grohar– Murray). Everyone faces some sort of ethical dilemma. There are some professions that have to battle ethical dilemmas every day. Amongst those professions the nursing occupation and other healthcare related titles have to keep in mind several different laws, rules, and regulations that effects these decisions. The nurse also must remember their primary duty is to the ... Show more content on Helpwriting.net ... What happens when the patient is legally incompetent and the patient's family agrees to the treatment while the patient is refusing? The next section, 2.1: Primacy of the Patient's Interests, explains what to do "when the patient's wishes are in conflict with those of other." In these situations "the nurse's commitment remains to the identified patient" (2015). Simply put the nurse must listen to the desires of the patient that is admitted to the hospital or care facility over the patient's family. Background On this particular floor, there was a patient who was legally incompetent. This patient has a history of being noncompliant with his medicines and hypertension. He has a drug issue and a list of medical problems. Those health problems include a left middle cerebral artery infarct with a hemorrhagic conversion, ejection fraction of 30%, and a heart rhythm of atrial fibrillation. Occasionally this patient's heart rhythm would switch to sinus tachycardia during the shift. Along with the pervious complications listed this patient had other symptoms associated with strokes. The healthcare team was not sure as to what was the cause of the sudden spikes in heart rate. The increase happened while the patient was in the bathroom, however, the cardiologist advised his heart rate should not drastically increase as it did from a bowel movement. The cardiologist decided to perform a heart catheterization (Heart Cath) on this ... Get more on HelpWriting.net ...
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  • 73. Nursing Ethical Dilemmas Humans often struggle to find the right answers in life. Knowing the difference between right and wrong is not always easy and one can be overwhelmed with the problems and ethical issues surrounding them. As a future healthcare professional, it is imperative to understand the role that ethics plays in nursing and how ethical dilemmas impact individuals. There are countless complex ethical issues that confront nurses during their careers and it is crucial they understand where their own values and beliefs lie. Euthanasia, DNR's, end of life care, privacy, stem cell research and restraints are all great examples of some common ethical issues. "While there are many challenges facing nurses in the work environment (nursing short–age, mandated ... Show more content on Helpwriting.net ... Statutory law can be defined as the law is facilitated by an association and is run by the government. An example of statutory law, as stated by Townsend, is the nurse practice act that is run by Congress (2012, p. 91). Common laws are evidence based on previous similar cases that are more focused within smaller bodies of legislation such as a court (Townsend, 2012). These laws are varied per state. Civil law helps defend rights of people and organizations. Criminal law on the other hand involves criminals and punishment of those involved in misconduct. When working with psychiatric patients, it is important for nurse to understand basic laws and regulations. Individuals that nurses come in contact with are from all walks of life and might have criminal backgrounds. The mentally ill population is often not able to make rational decisions and while autonomy and beneficence are very important ethical principles, safety of the patient and staff is the most important. Another factor regarding the legal aspects of nursing is that a nurse is responsible for his or her license and it is in their best effort to abide by all laws and protocols when handling patient issues. Breach of confidentiality and invasion of privacy are two types of lawsuits, as listed by Townsend (2012, p. 98). Breach of confidentiality violates HIPPA guidelines and a patient has a right for his or her information to ... Get more on HelpWriting.net ...
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  • 77. Ethical Dilemmas In Nursing Practice Nurses face ethical dilemmas in daily work, and sometimes they struggle to make a decision whether right or wrong.This decision depends on upon many factors like principles, experiences, personal values, and beliefs, and it affects the patient care. Also, the nurse realizes that she must provide individualized care that will assist the patient to obtain the safe, holistic care.There are four essential concepts in nursing practice including justice, respect patient autonomy, no – maleficence, duty to act with beneficence. One of the ethical dilemmas associated with not –maleficence that explains prevent harm. For example, the order is nothing by mouth(NPO) for a patient awaiting for procedure and patient is hungry asking for food.The nurse ... Get more on HelpWriting.net ...
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  • 81. Ethical Dilemmas In Nursing Within the profession of nursing, individuals must be highly skilled and educated. Nurses are expected to remain competent and provide the highest quality of care to all patients. In the profession, nurses may face ethical situations that cause them moral distress. For instance, a fellow nurse, who is your best friend, single mother of three young children, steals and consumes narcotics from the pyxis. This is the second time the behavior has been witnessed, however it was not reported the first time due to loyalty to the friendship. Integrity, one of the personal values I uphold, would specifically influence my decision to report the behavior exhibited by my colleague. Although the decision is difficult, I would consult with the nurse ... Show more content on Helpwriting.net ... According to the American Nurses Association Scope and Standards of Practice, Standard 5B states, " The registered nurse employs strategies to promote health and a safe environment" (ANA, 2015, p. 65). The professional nurse has the obligation and responsibility to continually support and provide all patients with a safe and therapeutic environment. It is each nurse's duty to ensure that all patients are receiving the highest quality care, even if the patient is not under your direct care. If a nursing colleague is stealing narcotics or any other wrongful behavior, it must be addressed as to not compromise the safety of all patients. Standard 7 states, "The registered nurse practices ethically." This simply means, all registered nurses in any environment must practice in a way that avoids activities or behaviors that could do harm to patients or the environment. Nurses are advocates for the safety of healthcare environments, so seeing another nurse steal and consume narcotics; it must be addressed so the nurse is held accountable for the behavior. The nursing profession collaborates with a vast array of professions, therefore in this situation; the registered nurse must work along with the nurse manager in reporting the unprofessional behavior of the ... Get more on HelpWriting.net ...
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  • 85. Ethical Dilemma In Nursing Introduction The health workers are always confronted by the ethical dilemma in the process of performing their duties and responsibilities. An ethical dilemma occurs in the situation an individual makes a decision on the course of action that is best for him or her. It also occurs in the situation there are different courses of actions the person should choose from. An ethical dilemma is defined as the situation in which a person has two options to choose from, and both are morally correct but in conflict. An ethical dilemma can lead to extremely complex and challenging choice. For instance paramedic and a register nurse might be faced with the options of whether to continue treating the terminally ill patient as per the request of the family members which may cause the patient to suffer or to withhold the treatment and allow nature to take its course on the health of the patient. Respecting the request of the family members and perform what is good for the patient are both acceptable professionally and ethical. The choice as to which course of action is best to take is very personal and moral (Natale, 2012). In the case study, the stakeholders are Elsie, family members of Elsie, Paramedic, and RAC facility and register nurse. The interested parties in the case scenario have the interest in whatever transpired in the health facility. For instance, Elsie had informed her family members that she did not require aggressive treatment and did not want to be resuscitated similar ... Get more on HelpWriting.net ...
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  • 89. Nursing Ethical Dilemmas Nurses face ethical dilemmas on a daily basis regardless of where they practice. Often nurses are faced with ethical decisions that can impact them and their patients too. Ethics involves doing 'the right thing' and causing no harm. But how one defines what is ethical can vary differently from nurse to nurse. So what are ethics and how do they relate to nurses in the 21st century? How do nurses' ethical values contribute to better patient care? And how can the education of nurses be adapted or structured to aid in the development of a deeper understanding of their ethical responsibilities? As bioethics has developed, nursing has begun to question whether there is a unique set of ethics for nursing and how might those ethics be embodied. This ... Show more content on Helpwriting.net ... The education of a nurse provides the framework for their future career. At times it may be challenging or problematic in deciphering what is ethical or what is most favourable for the patient's welfare especially when there are not mutual or reciprocal values between the nurse and patient. To illustrate, education programs for nurses prepare students for competent, safe, compassionate, and ethical practice and enable them to achieve the entry–to practice competencies expected of new graduates (Canadian Nurses Association, 2015). Graduates must demonstrate a wide range of skills and abilities. For example, tasks requiring appropriate responses in situations of stress or conflict. The education of nursing allows students to work through and understand ethical situations as this will be an ongoing part of the profession. Ethical issues are part of daily nursing practice and every nurse has an obligation to have the knowledge, skills, and abilities to recognize and address them ("Focus on Ethics", 2015, p. 14). Hence, having a strong ethical foundation is a key component to a successful career ("Focus on Ethics", 2015, p. 14). Even the best nurses may find themselves struggling with ethical concerns on the job ("Focus on Ethics", 2015, p. 14). The education for the nursing profession tends to focus on professional behavior and making sure that decision–making is ... Get more on HelpWriting.net ...
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  • 93. Nursing Ethical Dilemmas Ethical standards that should be used in determining resource allocation for the aging population. Cost of the end of life medical care is too expensive to continue at the rate it is going. The fiscal year 2016 saw 672.1 billion dollars spent on Medicare participants with just 5% using 49% of those monies ("NHE Fact Sheet," n.d., p. 1). The ANA provides a code of ethics that nurses should use to help guide them in clinical practice decision making. There are four fundamental responsibilities for nurses to adhere too they are: promote health, prevent illness, restore health and alleviate suffering. Ethical Principals for nurses are; respect & autonomy, beneficence, justice, veracity, and fidelity ("Code of Ethics for Nurses," 2012). Attempting to keep ethical responsibilities and principals in mind, while conducting a cost–benefit analysis to determine resource allocation for an aging population and end of life care causes many ethical dilemmas. ... Show more content on Helpwriting.net ... 29). I agree with this as people receiving Medicare are usually retired or unable to work due to physical or mental disabilities and it is our responsibility as citizens to take care of our elderly or disabled. The dilemma comes into play when we look at the cost and try to figure a way to cut cost back. When we notice that 85% of health care monies are spent on just 25% of the population ("The High Concentration," 2006, p. 7). This 25% of the population usually has more than one chronic medical ... Get more on HelpWriting.net ...
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  • 97. Ethical Dilemmas In Nursing Nurses are the front line health care providers and are daily challenged with ethical dilemmas at a growing rate in their field of work. Thus, they are bound by rules and regulation in order to perform at the best of their abilities for any organisation to work smoothly. Therefore, dealing with each situation requires the nurse to set their own values and beliefs in order to provide effective care. Thus these situations are diverse and dynamic, whereby many conflicts arose concerning the best choice for the client in ethical decision making. Moreover, there are many barriers encountered related to relationships, beliefs and principle which inhibits ethical decision making. Thus, this scenario is called ethical dilemma where the nurse has ... Show more content on Helpwriting.net ... Mr X, fifty–four years old Indian male, referred case from outpatient got admitted in the male surgical ward with the history of Aggressive prostate cancer. Mr X was diagnosis with cancer for eight years, but he was living in the denial stage. The patient was refusing all surgical and medical intervention and was opting for herbal treatment and traditional massage. The patient also defaults his oncology and urology clinic. Mr X presented to outpatient with decreased appetite, lethargy, serve anaemia and hypo proteinuria. After doing several tests, the patient was diagnosis with end stage prostate cancer. Cancer has metastasized to his bone, spread to the lymph node, bladder and kidney. Doctors have explained Mr X, that there is no surgical or medical intervention appropriate for his condition since it was too late. Patient and families were advice on palliative care. While the nurse was taking the vitals sign, patient voiced out that he does not want to be a burden on other in taking care of his health. He knows very well that he will die soon. Mr X informed the nurse that instead of dying slowly each day, it's better he kill himself in one go. He also informed the nurse that he is already planning the easiest method to commit suicide. Mr X is asking the nurse to keep this information a secret between them. Now the nurse is confused whether to share this information with other ... Get more on HelpWriting.net ...
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  • 101. Nursing Ethical Dilemmas All health care professionals have ethical dilemmas from time to time and health care administrators have a moral duty to question and address issues in the organization. A Johns Hopkins magazine journal titled, Nursing is hard. Unaddressed Ethical Issues make it even harder is a detailed case study/ current event of nurses struggling in their profession. Nurses have a tough and rewarding job to treat, medicate, educate, and deal with emotional stress for the patients. This type of ethical issue nurses are facing range from not speaking up from short–handedness that affects quality of care to not having enough supply of blood and organ donations. Additionally, when it comes to end–of–life of adults and infants there are standard procedures of handling and communicating to families about it. Nurses are ultimately faced with a difficult dilemma of knowing the moral decision and not carrying out the decision or simply ... Show more content on Helpwriting.net ... Nurses deal with birth complications, sickness conditions, and end–of–life issues. Nurses in this journal article have their courage and respect compromised when the hospital may forbid a policy or they are afraid to speak up about an issue. If nurses are told not to say a patient died during surgery for instance, and the nurse is told to say the patient died from natural causes to the family instead. If the patient actually died from a medical error or lack of anesthetic then that's mistake on doctor or nurses fault. Nurses hold a moral duty to practice ethically, obey their code of ethics, and constantly be current of health care news. The absence of respect towards nurses is high because they often deal with what resources or get belittled by doctors or management. Nurses should never be afraid to speak up about problems affecting their job; they should seek the health care administrator for guidance and ... Get more on HelpWriting.net ...
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  • 105. Ethical Dilemmas In Nursing Introduction The very nature of who I am as a person in this world is defined by my values and beliefs. My nursing perspective is distinctly guided by the conviction that everyone should be treated with respect and dignity. I made a conscious decision to follow the nursing profession as a career path because it requires entities such as patience, caring and compassion in order to provide competent care. The level of care a nurse delivers determines the best outcomes of patient care. I would like patients to feel not only confident in my expertise but also comfortable to know the care I provide is genuine and comes from the heart. Another aspect of my patient care is influenced by health care policies. Heath care policies can affect the cost ... Show more content on Helpwriting.net ... Through utilization of health care products and supplies nursing impacts the cost of health care services. The principle of autonomy involves the right to self–determination. The patient should be provided with information to make an educated decision about their health. As the nurse providing care the education that I give to my patient should be free from conflicts of interests. In an emergency room setting, medications and procedures ordered should provide my patients the reasons, side effects and possible outcomes of interventions. In doing so, my nursing practice is aiming to provide care that is efficient, free from negligence and it benefits the patient. My nursing practice is hindered by the insurance system. The variations related to the cost of services rendered for the same procedure and medications is not fully adhering to ethical principles. The cost of medications and procedures is not equally distributed for patients in the current insurance system. Quality is measurable standard of care. Nursing practice provides high quality care when the practice follows the standards set by public and private agencies for the profession. In the emergency room setting patient education provided that is supported by evidenced–based ensures quality information. By following the policies and protocols of the quality measures at my facility I am keeping my patients ... Get more on HelpWriting.net ...
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  • 109. Nursing Ethical Dilemmas In Nursing Practice, there are many codes of conduct involved so that we as nurses can follow. These codes are meant as regulations that each employee is bound to, and have to abide by these rules order for the organization (health care) to work smoothly and to be able to provide the best quality care for our clients. Because, in order of the organization to work well, it needs multiple personal that work together to establish the system, there are various individual beliefs and attitudes that come into play, when making certain decisions. When one's beliefs and attitude is in conflict what right or wrong, it becomes an ethical dilemma. In the end, it becomes a matter of outweighing the right or the wrong in orders of "risk and benefits", ... Get more on HelpWriting.net ...
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  • 113. Ethical Dilemmas In Nursing Practice Ethical dilemmas will always be a part of our nursing practice due to such a diverse patient culture. In some cultural groups, religion dictates the care that is given and by whom (Pacquiao, 2016). The purpose of this paper is to discuss an ethical dilemma that I have encountered in my nursing practice and how the dilemma was perceived. Culturally congruent care will also be defined. Describe an Ethical Dilemma Working in obstetrics and gynecology, the patient population is all female. We see many Muslim patients from Arab countries. In any obstetric or gynecology scenario Muslim women must have a female provider (Mclean et al., 2012). We had a patient scheduled with one of the male physicians for the first obstetric appointment, where a physical exam would be completed. When the patient arrived, her spouse informed the staff that she cannot be seen by a male provider. The male physician was not familiar with this preference. He was frustrated because when this patient presents to the hospital for delivery, there may not be a female on call to care for her. Fortunately, there was another physician in clinic that day that could see her so the patient would not have the inconvenience of being rescheduled. ... Show more content on Helpwriting.net ... The patient and her spouse were understandably upset, because they had requested a female provider when they scheduled the appointment. They perceived this as going against their cultural beliefs. Also, they were not aware that a male provider may be the only one at the hospital to delivery their ... Get more on HelpWriting.net ...
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  • 117. The Importance Of Ethical Dilemmas In Nursing Becoming a nurse includes responsibilities ranging from safe patient care to handling laws and ethical dilemmas that can happen within that patient care. One thing that falls under these responsibilities for a nurse is the mandatory reporting law. "Nurses are mandated to report any suspicion of abuse following facility policy" (Henry, et al., 2016). This includes clients ranging from children to vulnerable persons, such as older and dependent adults. The time frame for reporting abuse is within 30 days of the occurrence. Diagnoses of communicable diseases are also mandated to report to the appropriate agencies, such as local and state health departments. The diseases that are reported vary for each state (Data Collection and Reporting, 2017). The reporting needs to be done by the health care provider within 30 days. The health departments have many tasks to ensure after reports of communicable diseases. A correct treatment plan needs to be in place. Identifying the source of outbreaks and monitoring for epidemic precautions are also things to be done after this type of report. Nurses face many ethical dilemmas throughout their career as well. Ethical practice is an important concept in nursing, based on what is considered right or wrong. This is making a choice between two options that are equally unfavorable. Ethical dilemmas are "problems for which more than one choice can be made and the choice is influenced by the values and beliefs of the decision makers" (Henry, et ... Get more on HelpWriting.net ...
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  • 121. Nursing Ethical Dilemmas Running head: FUTILE CARE 1 Futile Care Priscilla M. Leger Central New Mexico Community College FUTILE CARE 2 Futile Care Nursing is an ever – changing field that oftentimes overlaps with other areas of professional performance. The ethical dilemmas nurses are forced to face when delivering care to their patients are just an example of this situation. Several important questions must be answered concerning the ethical decisi ons involved in providing end of life care to patients when this care has become futile. Identify Both Sides of the Issue The ethical dilemma to be faced in this situation is the one between the ethical principles of beneficence and veracity. Beneficen ce is the ethical nursing principle that defines the concept ... Show more content on Helpwriting.net ... These two nursing ethical principles the nurse must consider are difficult to merge, but also to exclude them altogether when delivering end of life care for the go od of their patients (Demir, Sancar, Yazgan, Ozcan, & Duyan, 2017) Although other ethical dilemmas might be involved in delivering medical care the nurse knows is futile, the decision about which principle to follow is of the utmost importance. It also means that decisions of this kind are more frequent now that people are used to liv ing longer lives with chronic illnesses and expect care to be provided to the very end (Demir et al., 2017) . FUTILE CARE 3 Apply Ethical Principles On one side of the dilemma is the idea that the patient should receive the best care possible according to the principle of beneficence. The argument is sustained by the idea that the nurse is responsible for providin g care that the terminally ill patient requires. On the other side of the argument, the nurse ... Get more on HelpWriting.net ...
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  • 125. Nursing Ethical Dilemma Case Study Questions: A. Describe the ethical dilemma that the nurse is facing? Please be specific. What makes it an ethical dilemma? What makes this an ethical dilemma for the nurse, is that the daughter and family are going against the patient's wishes documented in the patient's chart and the documented DNR status signed. The decision was clear, his wishes as discussed just prior to him becoming incapacitated. It is unethical for the nurse to go against her patient's wishes as a patient advocate. She also did not have the advanced directives signed with the patient and family while he was still able to sign the document. As a nurse, our job is to protect, promote, and optimize the health and abilities, prevent illness and injury, facilitate healing, alleviate suffering through diagnosis and treatment. Advocate for the patient, family, community and groups. (ANA, 2013) Her failure to have the patient sign the advance directives expressing Mr. Jensen's wish not to be resuscitated. She should have had him sign the forms to act beneficent and avoid causing harm to him by having a feeding tube placed. Fidelity is also violated because she is not keeping her promise, fairness, truthfulness, her advocacy, dedication, and loyalty to keep a commitment to the patient that his wishes would be honored. Standard of Practice 5 was compromised by ... Show more content on Helpwriting.net ... The nurse has the right to excuse herself from the patient's care if she believes her moral integrity is compromised and asks another nurse to step in and take over the patient's care. Fidelity by keeping her promise, fairness, truthfulness, her advocacy, dedication, and loyalty to keep a commitment to the patient that his wishes would be honored. The wishes of the patient take precedence over the families wants. (2012, ANA) Justice for the patient's right to the care he ... Get more on HelpWriting.net ...
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  • 129. Nursing Ethical Dilemma A lot of dilemmas face the nursing profession. These ethical dilemmas faced by nurses is unique and covers a myriad of issues. According to Loyola University (2017) the International Council of Nurses' (ICN) Code of Ethics posits that, alongside the inherent responsibilities of promoting health, easing suffering, and preventing illness, a respect for human rights: cultural rights, the right to life and choice, right to dignity, and the right to be treated with respect, is a critical part of the job. Certain values and principles guide the decision–making process in nursing (Loyola University, 2017). These are the building blocks of nursing ethics, thus raising the subject of ethical dilemma. According to Purtilo & Doherty (2016), an ethical dilemma is a common type of situation that involves two or more morally correct courses of action that cannot both be followed simultaneously. This involves both ethical conflict and conduct, in which one course of action precludes the other (Purtilo & Doherty, 2016). According to the American Nurses Association [ANA] (2017), there are regulatory mechanisms instituted that are focused on ensuring the best standards of ethics in the nursing profession and practice. These rules are referred to as the Code of Ethics for Nurses with Interpretive Statements (The Code). The code was established as a guide for executing nursing responsibilities in a style consistent with quality of care in nursing, as well as the ethical obligations of the nursing profession. The ethical dilemma covers a broad range, ranging from; challenging the impacts of staffing shortage on patient quality of care, to the decision on the allocation of scarce resources, or blood to patients (Johns Hopkins University (2015). They comprise birth complications and end–of–life issues and all the other issues between these two extremes (John's Hopkins Magazine, 2015). Notable amongst these dilemma is the ethical dilemma depicted in the debate on empirical knowledge and personal belief for blood transfusion, which is the focus of this paper. One of the basic aspects of nursing practice is blood transfusion. Its safe practice is determined by nurses' knowledge (Hijji, Parahoo, Hussein & Barr (2013). What is blood ... Get more on HelpWriting.net ...
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  • 133. Ethical Dilemmas In Nursing Brittany, your posting displayed the significance of incorporating different styles of leadership in dealing with ethical dilemmas in healthcare. Ethical dilemmas play a pivotal role in nurse managers making decisions that are related to "nursing quality, patient satisfaction, finance allocation, ethical climate, and professional dignity" (Zydziunaite & Suominen, 2014). Transformational leadership and the application of other leadership styles identified by Zydziunaite and Suominen (2014) contribute to the enhancement of nurse managers constructing ethical dilemmas in decision making issues. Therefore, it is essential for nurse leaders to obtain skills in the various leadership styles in relation to their "strengths and weaknesses". Marquis ... Get more on HelpWriting.net ...
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  • 137. What Are The Ethical Dilemma In Nursing In addition to technical support provided to patients, nurses must address the psychosocial challenges and ethical conflicts associated with caring for critically ill patients and their families. More often Nurses are left with dilemmas when it comes to decision making and trying to up holds the ethics of autonomy, who to listen to, the client or the family? Ethically the patient has the right to choose what's best for self, but is powerlessness when one is brought to hospital in a critical condition. Ethical dilemmas are the main common challenges faced by nurses, during practice almost on daily basis. These dilemmas can erupt amongst nurses themselves, or nurses and doctors and the worst between nurses and patients. Conflicting obligations arises when the nurse is supposed to make ethical decisions between what to be done versus what not to be done, making it difficult to choose between the two. There are several factors that brings about ethical dilemmas such as, increase in consumer demands, shortage of resources, truth telling, withholding information, withdrawing ... Show more content on Helpwriting.net ... One is to help the bereaved to develop their own ways of coping and the other is to ensure that their own difficulties, needs and attitudes relating to death and dying of their patients do not compromise their psychological well–being. It was noted by the same author that the psychological impact and after events prevalent in a critical care nurses' working environment remains relatively unexplored. Michell (2010) also felt that repetitive exposure to resuscitative measures, end–of–life care needs, prolonging life by pharmacological and mechanical means and the continuous adjustment of these critical care nurses to this hostile environment, results in psychological disorders such as post– traumatic stress ... Get more on HelpWriting.net ...
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  • 141. Ethical Dilemmas In Nursing Moral and Ethical dilemmas are encountered constantly in a lot of different career paths. Ethics consists of doing "good" and causing no harm. However "good" can have different meanings to people. Several different ethical dilemmas come up in other careers, but they tend to appear a lot within the health field, especially when dealing with someone's health and their lives are basically in your hands as a medical professional. I am studying to become a Nurse here at Elmira College, which is probably the most challenging goal I will have ever worked for once it is accomplished. Nurses encounter ethical dilemmas daily in which they must make a decision and will be affected by so many factors. Codes learned in school and their own personal ... Show more content on Helpwriting.net ... A lot of people have different beliefs about medicine and nurses have to respect their beliefs. However there comes a point where the nurse and her leader must decide, and if there is a point, that the patient should no longer have the freedom to make a medical choice for themselves. I believe that the only way a patient should no longer have the freedom to make a medical choice for themselves anymore is if they are not able to communicate, understand, comprehend, comatose, have brain damage, are demented, etc. However, those who are physically able to comprehend should be fully in charge of their medical ... Get more on HelpWriting.net ...
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  • 145. Ethical Dilemma In Nursing Nurses encounter multitude dilemmas while carrying out their job duties in delivery provision care to patient especially in ethically complex situation. Mr. Lim, an elderly who has Alzheimer disease has to be fed via nasogastric tube (NGT) due to his mental ability which has severely affected his ADL including swallowing. Restrainer was used to prevent patient from pulling out his NGT. The NGT and restraints have caused him a lot of discomfort and stress. His family has requested not to feed and restrain upon seeing bruises on Mr. Lim 's arm. has an Advanced Medical Directive and wishes to die with dignity This essay identify the issues faced by Staff Nurse in deciding whether to stop both NG tube feeding and restraint or continue. This will analyze the ethical dilemma arising from Autonomy, Beneficence and Non–maleficence as well as the legal issues pertaining to patient's rights. Implications for nursing practice will also be discuss in later part. ETHICAL AND LEGAL ISSUE The ethical dilemma of respecting patient's autonomy, beneficence and non–maleficence has been a challenge for the nurse to deliver provision care to patient. According to Singapore Nursing Board (1999) under Statement Value 2: Respect and promote clients' autonomy, it is the right of every patient to make their own choices and nurses should respect their preferences. However, beneficence is referring to an act in the best interests of the patient (Mary Cipriano & Ruth, 1999). To be competent in order to ... Get more on HelpWriting.net ...
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  • 149. Ethical Dilemmas In Nursing Nurses face ethical dilemmas everyday and it's important to know how to address them appropriately to not cause conflict. To handle this particular scenario the nurse should respect the patients privacy always, communicate honestly about their diagnosis, treatment, and prognosis, and be an advocate for the patient's spoken interest. As nurses we are obligated to tell the truth, and at times it may be painful for our patients to hear, but honesty is one of the core virtues. Nurses can still deliver bad news in a knowledgeable and caring way. In this particular scenario, before I would discuss any of the adverse effects of the medication I would ask the patient if she understands her diagnosis of pneumonia. This would allow me to understand if ... Get more on HelpWriting.net ...
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  • 153. Ethical Dilemmas In Nursing Introduction: Ethics is the department of philosophy concerned with what is good for people and society. The term is derived from the Greek word ethos that could suggest custom, habit, man or woman or disposition. At its most effective, ethics is a device of moral standards. They influence how human beings make decisions and lead their lives. (Spencer, Massing, & Gough, 2017) An moral predicament is a selection–making problem between feasible ethical imperatives, neither of which is acceptable or most advantageous. The complexity arises out of the situational conflict in which obeying one might bring about transgressing some other. once in a while referred to as ethical paradoxes in moral philosophy, ethical dilemmas may be invoked to counter ... Show more content on Helpwriting.net ... character of society counts on the all individual to preserve the ones values and follow the good for sake of first–rate. whilst any of fee is violated or whatever accomplished morally incorrect is taken into consideration as unethical and brings down the morale of individual. In defined scenario following social values were breached: religion: As people have faith in health care experts that they are here to help them and that they have faith that their sufferings will be alleviated together with your help. but by doing unethical moves, people's faith from nursing career will be lose. trust: humans will lose agree with from nursing profession, if nurses maintain making equal errors again and again and after they harm them rather than helping and being concerned them. Social Justice: Incompetent to provide care and comfort to purchaser and advocacy for identical treatment and shield the customers proper, brings the career down. personal Values private values are specific person beliefs, attitudes, requirements, and beliefs that manual conduct, existence revel in, and decision making. In that scenario my core values: honesty, service to humanity, loyalty towards my career, truthfulness and dignity had been ... Get more on HelpWriting.net ...