The foundation of any successful nursing career is built with continuing education, a strong knowledge base of the history of nursing practice and theories, strong ethical principal and learning effective application of the nursing process. This paper explores different areas that have personally influenced me as a nurse. These influences include Board of Nursing (BRN), Professional Nursing Organizations (PNO), ethical principles, nursing theory, and historical influences. A. Functional Differences The differences between a regulatory agency such as the Board of Nursing and a Professional Nursing Organization is that the BRN regulates, writes laws, approves licensure and governs nurses. The BRN serves to protect patient.
Ensure your response per question is 350- words. •What primary relationships do you see between legal and ethical issues faced by nurses in their practice? How would you explain these relationships to others? In the website Nursetogether.com, author Jennifer Ward (2014) states, “Nursing ethics shares many principles with medical ethics such as beneficence, non-maleficence, and respect for autonomy. However, those in nursing can be distinguished by its emphasis on relationships, collaborative care and human dignity.” Legal and ethical issues can intertwine and can vary from person to person.
NMC – Confidentiality The essay will define confidentiality its importance to nurses as a profession and the Nursing and Midwifery Code of Professional Conduct. It will further look at possible dilemmas that could arise in course of practice between the nurse colleagues and the clients. Examples will be based on my clinical placement 1 at Blackfriars Work Centre. Confidentiality is keeping secret, the shared information depending on the situation arising. Dimond (2002) define confidentiality as one of the values of good practise that is concerned with protecting the private information obtained about the patient and client during the period of professional practice.
Heritage assessment offers an affirmative holistic structure for measurement and provision for racially proficient care. Health tradition evaluation form visualizes health as “the state of equilibrium inside the body, mind, and spirit, and with the family, community, and the powers of the natural world (Spector, 2004b). It helps nurses detect one’s classification with hereditary traditions. At first, nurses need to understand their own beliefs in order to respect each individual’s wishes to facilitate communication that can lead to healing process. Nurses intermingle with people from diverse branch of the world with a mixture of civilizing practices, so cultural alertness seems essential in creating a patient-nurse relationship during the interview phase of the health assessment, initial step of the nursing process.
An equal nurse-patient relationship is important in order to ensure that safe, effective and personal health care is delivered and that the patients’ needs are appropriately met (The Health Foundation, 2012). Briant and Freshwater (1998) discuss how the development of the nurse-patient relationship may be effected; they further this, stating that everyone differs in regards to their personal boundaries and how they perceive interpersonal interactions from others. In consideration of this, in order for a nurse to develop the required skills in order to form an effective nurse patient relationship, they must recognise the individual boundaries of their patients. The professional expectation of nurses is very high and this is something which is greatly acknowledged within society. The media is very influential in regards to how society perceives nurses; this is something which has altered the image of nursing within the past, (Benison and Voogd, 2008) Appropriate examples of cases which have been focused upon within media will be underlined and discussed throughout this essay.
Section one deals with the moral foundations of decision making in nursing and includes portions devoted to exploring the role of the nurse as client advocate and the dynamics of the nurse-physician relationship. Section Two examines specific ethical issues across the life span. A valuable appendix cites several codes for nursing Practice as well as a sample living will. Ethical Dilemma Paper Grading and Instructions Please submit an 8-10 page typed paper on an ethical dilemma of interest to you. The case may be something you have encountered in your clinical practice or a nursing ethical dilemma that is of concern to you.
Reflection of Clinical Practice Nursing Essay The purpose of this essay is to demonstrate application of core components of the NMC Code of Professional Conduct (2008) using reflective practice. The NMC Code of Professional Conduct (2008) states that nurses should act in accordance with the code, using an ethical and legal framework to ensure patient wellbeing and respect confidentiality. Nurses must act in a fair, non-discriminatory way which respects customs, values and beliefs of an individual, providing care which demonstrates sensitivity (NMC 2008, p2). Reflective practice is described by Duffy (2008, p.1405) as an active and deliberate process to critically examine practice, where an individual is challenged to undertake the process of self-enquiry. Refection allows us to look at an experience and how it makes us feel and react, asking what is good and bad, and what can be learnt (Sellman & Snelling 2010).
Application of Theory Paper Nursing theory is the framework that defines nursing practice, establishes standards of care and provides the information essential for functioning patient care. Theory presents logical and educated reasons for nursing actions, based on structured, written depictions of what nursing is and what nurses do (Rousell, 2010). When problems arise within the educational, research, administration and direct patient care settings; theory supplies a foundation for dialog. When using theory to facilitate resolution of a nursing issue it guides leaders in the direction of the common goal of affording superior patient care (Rousell, 2010). In this paper I will apply the Ida Jean Orlando’s Nursing Deliberate Nursing Process Theory to patient boarding in the Emergency Department (ED), a current issue at the facility I am employed.
Ethical and Legal Issues in Nursing American Nurses Association Code of Nursing Ethics Ethics, as it relates to the nursing profession, deals with high standards of behavior, values, and moral beliefs. On a regular basis nurses have to address some very complex ethical and patient rights issues so therefore, the American Nurses Association established the Nurses Code of Ethics in 1985. This code summarizes the responsibilities and expectations of nurses in their practice. It is a solid structure for evaluating nurses own mutual skills and offers ethical standards of practice that encourages nurses to act morally, which includes acts of alliance (Garity, 2005). According to Garity (2005), “The nurse’s ability to collaborate with patients, families, and multi/ intra-disciplinary health care professionals in the successful resolution of such dilemmas can affect the quality of health care” (p. 11).
In this way the nurse meets the ethical requirement of honoring a client’s right to self-determination (Funnel, Koutoukidis, & Lawrence, 2009). The American Nurses Association (ANA) includes advocacy in its definition of nursing as "the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations" (Nursing's Social Policy Statement, 2003, p. 6) Historically, patient advocacy has been considered a moral obligation for nurses, which is embodied in terms of specific nursing actions such as helping the patient to obtain needed healthcare, assuring quality of care, defending the patient’s rights Advocacy in nursing finds its theoretical basis in nursing ethics. Nurses work in recognized ethical and legal frameworks. For instance, the ANA's Code of Ethics for Nurses includes language relating to patient advocacy: the nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient. (Code of Ethics for Nurses - Provisions, 2001).