Introduction Nurses are caring for vulnerable patients in healthcare organizations and face ethical, moral, and legal dilemmas or conflicts daily in the workplace situation. Nurse managers are responsible for quality of care, staff welfare and to hold organization’s values (Aitamaa, Leino-Kilpi, Iltanen, & Suhonen, 2016). The purpose of this paper is to discuss the ethical conceptual frameworks, to address an ethical dilemma as an advocate and to express how the identified leadership style impacted on solving the dilemma.
Conceptual Ethical Frameworks Nurse managers must have proper knowledge of conceptual frameworks, ethical decision-making models, and organizational processes such as instituitional review boards, ethics committees, and
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In the outpatient cancer center, patient often need additional monitoring of specific lab values along with bood counts and chemistry profile based on chemotherapy regimen. Anand, & Nikhil (2015) study showed hypomagnesaemia in 91.8% of patients receiving cisplatin based traetments. A patient who is undergoing platinum based chemotherapy was never ordered to test serum magnesium level by the patient’s oncologist which is expected to get lower with the continued treatment. Once when that particular oncologist was covered by a different physician, nurse requested to order magnesium and as suspected, it was critically low. The covering oncologist ordered magnesium replacement but when the actual oncologist returned, he refused to continue to monitor serum magnesium for any of his patients on platinum based chemotherapy …show more content…
Based on Keirsey Temperament Sorter, results indicate that my personality type is the guardian. The guardian nurse leaders motivates and works with the team, dependable, abides laws, has discipline and loyalty, and has meticulous work habits (Sunarto, 2015). The guardian personality helped to immediately bring up the situation of the patient to the team members and the problem was addressed to the authority as a team which had more stronger impact. The loyalty to the patients and the profession did not allow to neglect the patient situation and helped to be a good advocate for the
As a registered nurse practicing in the state of California I am responsible for practicing within my states legal regulations and nursing scope of practice. My concern for the welfare of the sick and injured allows me to practice ethical provisions of nursing. These are required if I am to carry out competent and effective nursing care. Nursing encompasses the prevention of illness, the alleviation of suffering, and the protection, promotion, and restoration of health in the care of individuals. Therefore, as health care professionals we must be familiar with the different philosophical forces, ethical principles, theories and values that influence nursing. At the same time, we must be respectful to our patient’s
As the nursing profession progresses throughout the years, its nature becomes more complex in meeting the professional standards and codes of ethics that are required by all nurses. The American Nurses Association has a specific code of ethics that each nurse should follow and adopt as their own beliefs. The public and the patients should be the priority when providing care in the healthcare setting. The knowledge and education that nurses’ gain is valuable and allows them to encourage health, avoid illness, restore health, and aid in coping for those who are all ill. (LeMone, pp.192) Given that the code of ethics is put into place, there are many registered nurses who violate these codes in various situations. The following will discuss
Ethical issues can cause a lot of tension and emotional turmoil. Before starting a career in the healthcare profession, nurses must know the code of, the importance of the Nurse Practice Acts and other types of laws, as well as the nurse’s liability when working with patients. Nursing is an ever-evolving profession that has gone through drastic changes in the last few decades, but ethics is still as important as ever. Ethical concepts, nurse practice acts, laws and commitment admissions will be further discussed.
The purpose of this paper is to evaluate a case study addressing ethical leadership, analyzing application of standardized code of ethics on nursing practice, and discussing issues in safety for quality patient care. This paper will support the importance of confidentiality when discussing protected patient information. In addition, the need for continuing education and training for nursing through identification of Federal and State regulations as applied to nursing practice will be
Several characteristics of advocacy and the responsibility to the nursing profession increases the possibility that at some point in time, all nurses as well as managers will be confronted with ethical dilemmas in their practices (Marquis & Huston, 2012).
Nursing is not an easy job and those who chose it as their profession are truly special people. Nurses are confronted with ethical decisions that need to be made on a daily basis. Often they know the right thing to do but because of circumstances like institutional structure and conflicts with others, obstacles are created and distress ensues (Jenner, 2001). It is during times like these that nurses must rely on the training that they have received as well as the code of ethics that has been set down for their profession in order to do the right thing.
Nurses are faced with ethical issues and dilemmas on a regular basis. Nurses must understand his or her values and morals to be able to deal adequately with the ethical issues he or she is faced with. Some ethical issues nurses are exposed to may be more difficult than others and the ethical decision making process is learned over time.
According to Doane and Varcoe (2015) ethical inquiry is essential about the question, what is good, right and just that nurse must incorporate into their nursing practice to afford ethical problem. This form of inquiry emphasizes that every moment of nursing interaction involve ethics and that ethics is a “deeply personal process that is lived in the complexity and ambiguity of everyday nursing work” (Doane & Varcoe, 2015). When complexity and ambiguity of nursing practice is apparent to nurses through the involvement in caring for patient, then ethic of care can be brought forward as a compass to guide moral decision making and ethical care. As stated by Doane and Varcoe that research has shown that when staff and other resources are scarce,
This paper will an analysis one of the nine provisions found in the American Nurses Association (ANA) Code of Ethics and compare it with the provision of the American College of Healthcare Executives (ACHE) Code of Ethics. Both codes of conduct serve as guidelines for ethical and moral dilemmas registered nurses may face. They both offer vague statements allowing for interpretation which will ensure “merit the trust, confidence, and respect of healthcare professionals and the general public (American college, 2016).” This is why Americans view the nursing profession as one of the most honest (Winland-Brown, Lachman,& O’Connor Swanson, 2015).
Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice
`Ethics' is defined as ."..the basis on which people...decide that certain actions are right or wrong and whether one ought to do something or has a right to something"(Rumbold, 1986). In relating `ethics' to nursing care, "Nursing decisions affect people... nurses have the power to good or harm to their patients" (Bandman et al, 2002). In this essay, the author will also identify the most important ethical principles and concepts of Evan's case, will outline the different stages of one's approach to ethical decision-making by utilising the "DECIDE Model for Ethical Decision-Making" founded by Thompson et al (2000) and will make a decision on the best course of action to take as a nurse in this
Ethical issues in nursing will always be an ongoing learning process. Nurses are taught in nursing school what should be done and how. Scenarios are given on tests with one right answer. However, there are situations that nurses may encounter that may have multiple answers and it is hard to choose one. “Ethical directives are not always clearly evident and people sometimes disagree about what is right and wrong” (Butts & Rich, 2016). When an ethical decision is made by a nurse, there must be a logical justification and not just emotions.
Codes of ethics contain a coherent set of normative principles underlying a nurse’s purpose and associated values (Vanlaere and Gastmans, 2007). Two perspectives of ethics are the ethics of justice and the ethics of care (Botes, 2000). The ethics of justice constitutes an ethical perspective in terms of which ethical decisions are made on the basis of universal principles and rules, and in an impartial and verifiable manner with a view to ensuring the fair and equitable treatment of all people (Botes, 2000). The ethics of care, on the other hand, constitutes an ethical approach in terms of which involvement, harmonious relations and the needs of others play an important part in ethical decision making in each ethical situation (Botes, 2000).
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).
Making the right decision in nursing requires sufficient sensitivity to ethical issues [1], and failure to attend to ethical issues in caring may result in neglecting ethical principles and values of nursing [2]. In workplaces where employees constantly receive many different messages, ethical messages can be overlooked, and the ethical leader can brings ethics to the attention of followers (employees) through frequent contacts and salient ethical messages [3] .