Although this standard implies that family members should be considered a part of the health care team, HIPAA rules and regulations need to be followed as well. This standard also implies that Mr. E’s values and right to self determination should be honored. The nursing code of ethics that I feel applies to this case study is Provision 1, “The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and the uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems. (ANA, 2001) This code means to me that I, as the nurse, will do everything in my power to advocate for my patients right for self determination, to be open minded and value all
An article by Nathanson (2000) described the condition of the ethical problem when a nurse had to disrupt the confidentiality of patient information to a suitable person. In this situation, nurse faced an ethical dilemma. Take the decision for patient safety or keep patient's confidentiality is the choices in this situation. The purpose of this article is to explain the possible decisions taken by this author in the situation mentioned in the above article. Ethical Implications of a Breach of Confidentiality Confidentiality is the right of every patient.
Registered nurses are in a position to advocate for the rights of their patients and are often involved in ethical decision-making processes. Ethical decisions arise when the nurse is faced with a choice, in which he or she believes there is the potential for a bad or good outcome. In the case of Marianne the ethics committee will have to weigh the physician’s recommendation of surgery to remove the clot, her husband’s desire to “try everything” and her children’s belief that she would not want to have surgery only to live with a poor quality of life. In a malpractice case it is essential to remember the ANA Code of Ethics. According to “Code of Ethics” (2007), the second provision states, “The nurse’s primary commitment is to the patient, whether an individual, family, group, or community” (ANA, 2001, p. 18).
The study of ethics has led to the identification of basic concepts including rights, autonomy, beneficence, nonmaleficence, justice, and fidelity. Understanding these concepts assists the nurse with making decisions during difficult situations. Rights Webster defines a right as "something to which one has a just claim or
The article “Safeguarding the welfare of children: what is the nurse’s role?” written by A Sahib El-Radhi; is an article that was written to establish the nurses role in regards to safeguarding the welfare of children with in the health profession. It is important to safeguard the rights and children and protect them from harm. Before the role of the nurse can be defined in safeguarding the welfare of children; the nurse must first understand how to recognize when the welfare of a child is in jeopardy and throughout the article El-Radhi clearly describes the warning signs the nurse must beware of. The writer states his thesis of the article in the title of the article when he asks the question “what is the role of the nurse?” Throughout the article the writer explains and defines the nurse’s role in protecting children welfare he also explains situation in which children welfare are put into danger and he also gives solutions to helping maintain the welfare of children. The writer established that the role of the nurse is to identify children and young people who may be at risk and to act to safeguard them.
I am going to explore this more closely and relate it to a theory to show why caring is an important part of a nursing process. The nursing model I have selected to essentially use is Swanson’s theory and her five categories of caring which are Knowing, Being with, Doing for, Enabling and Maintaining belief (Swanson 1991). For the purpose of this essay I will concentrate on ‘Being with’, ‘Doing for’ and ‘Maintaining’ belief. Within this essay no identifiable information has been used in order to protect patient confidentiality, in keeping with the Nursing and Midwifery Council’s (NMC) Code (2008). Caring can be perceived as a relationship in which a nurse is dedicated to the needs of the cared for, but also as a moral obligation and a legal duty (Morse et al 1990).
The ethics committee may use the following two ethical principles to make the decision regarding Marianne’s proposed surgery. The first is to use the principle of autonomy. This principle, “the substituted judgment test professes to make the same decision the patient would, if he were capable.” (Austin, Brooke, & Glenn, 2004, p. 317) The second is the principle of beneficence or the best interest standard. This principle is to make the decision on “what's best for the patient, given his current circumstances.” (Austin, Brooke, & Glenn, 2004, p. 317) Critical Thinking Exercise A nurse by her professional code of ethics and licence standards is required to act as the patient advocate. When a nurse witnesses another health care provider “acting in a way that could endanger the health or safety of a patiet, they should make a report of what they witnessed.” (Austin, Brooke, & Glenn, 2004, p. 363 ) The concept of moral agency should guide the nurse when reporting witnessed or suspected malpractice.
But you aren’t able to; you have to do what is required of your job. Ethical decision making is a skill that can be learned, based on an understanding of underlying ethical principles, ethical theories or systems, a decision making model, and the Nursing Code of Ethics. The nurse is legally responsible for using their knowledge and skills to provide for the safety and comfort of their patients. The nurse is also ethically responsible for acting as a patient advocate to safeguard patients’ rights. Each situation has to be assessed; the nurse may use the Six-Step process in assessing their ethical dilemma.
The name of SU and areas of work will remain anonymous to maintain patient confidentiality, in accordance with the Nursing and Midwifery Council’s regulations (NMC 2008). Reflective practice is a process of which we can gain knowledge and learn from our experiences. It is an essential part of development for assisting students to identify the links between theory and practice and understand how learning can transpire from experience; this increases the ability to improve knowledge and skills (Jasper 2003). Rolfe et al. (2001) explore how and why we learn by practice if we reflect on our overall experience and what the outcome uncovered, be it good or bad.
Moral behavior - reflects the way the person interpret basic respect for other persons such as the respect for autonomy, freedom, justice, honesty and confidentialities C. Value clarification - process of self exploration. It’s importance to nursing is increasing understanding about why certain choices and decisions are made over others and how values affect nursing outcome. D. Malpractice - Illegal, unethical, negligent, or immoral behavior by somebody in a professional or official position, resulting in a failure to fulfill the duties or responsibilities associated with that person. E. Morality - Standards of conduct that are generally accepted as right or proper; the rightness or wrongness of something as judged by accepted moral standards; a conduct that is in accord with accepted moral standards. F. Negligence A personal wrong doing that is distinguished from a criminal law violation.