Ethics in Nursing Essay

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American Nurses Association Code of Nursing Ethics The ANA Code of Nursing Ethics consists primarily of nine statements that help guide the actions and behaviors of a registered nurse (RN). In the case study of a 79-year-old female who becomes unresponsive, has no advanced directive. The attending physician has recommended surgery to remove the blood clot but cannot offer much assurance that she will recover neurological function. The family is split between the husband who wants to try anything to save her, and her children who believe she would not want to be kept alive in a miserable state. According to the ANA code of ethics, the RN’s primary commitment is to the patient and to protect the health, safety, and rights of the patient. The RN also collaborates with other health care members to meet the needs of the patient. “The nurse plays a central role in creating an environment of mutual trust and respect among all health care professionals by engaging in an open dialogue and claiming a place in the shared decision making about patient care.” (Lachman, 2009). Therefore, it is important to consider the physician’s belief system, as there are a number of medical professionals who “…refuse to deliver care that runs contrary to their moral or religious beliefs, asserting a ‘right of conscience’ or ‘right of refusal’.” (Stein, 2007). In the second case study regarding the malpractice and negligence of a nurse, the primary obligation according to the ANA code of ethics is to the patient. Provisions II and IV of the ANA code of ethics states that the nurse is responsible to provide optimum patient care and the primary commitments are to the patient. “Business priorities may be pressing in the organization, and powerful enough to cause conflict of interests.” (Lachman, 2009). Therefore, it is important for the RN to maintain integrity as a professional and act in

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