✎✎✎ Nursing Ethics Definition

Sunday, October 10, 2021 12:37:33 AM

Nursing Ethics Definition

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Ethics \u0026 Ethical Principles

A patient always has the right to know about diagnoses and care options. In health care, fidelity is the most important of the ethical principles because it governs the other six. Nurses promise to provide competent care to patients and to do so in a way that is honest, responsible and fair. Fidelity is considered by many nurses to be the most common source of ethical conflict. Health care professionals may find themselves caught between what they believe is right, what the patient wants, what other members of the health care team expect, and what is required by organizational policy and the law. Fidelity requires that nurses treat all patients with respect. It's not always easy, especially if a patient is disagreeable, uncooperative or rude. Nurses need to put aside any negative feelings they might have about such patients and adhere to the standard of care.

Nurses should talk with their team members if they believe their feelings toward a patient could compromise care. Health care professionals are often faced with ethical dilemmas. They are called upon to make decisions about and on behalf of their patients. They may be charged with acting under legal guidelines but in ways that may feel morally questionable.

Here are some examples:. John is a year-old man with terminal cancer. The doctors believe he has just a few months to live. It is painful for the family to listen to John talk about all the things he wants to do when he gets out of the hospital. They believe it's best for John to maintain his positive attitude, so they ask the nurse not to tell John the whole truth about his condition. However, failure to talk honestly with John violates the nurse's ethical principle of fidelity. The nurse has an obligation to a patient's right to know. In some cases, a family may say that a patient didn't want to know about a terminal diagnosis. The nurse has no way of knowing if this is true. The family may want a nurse to keep a secret from a patient for reasons known only to them.

It may be difficult to go against a family's wishes, but the patient's rights come first. What if the situation is reversed, and the patient does not want to disclose a diagnosis, even a terminal one, to the family? It is the patient's right to keep that information confidential. The nurse's responsibility is to the patient, and the patient's wishes must be honored. Mary is a quiet, shy young woman. She does not understand her doctor's explanation about her diagnosis and treatment options. The doctor reminds Mary of a stern professor she had in college, and she does not feel comfortable asking him many questions. She would rather ask the nurse for clarification. The nurse should not assume individual responsibility in interpreting the doctor's oral and written statements.

Nurses should rely on interdisciplinary teams for ethical decision-making. Eric and Susan are nurses who work together. They also see each other socially because Eric and Susan's husband are good friends. Eric has seen, on several occasions, examples of Susan's incompetence in certain situations. He is not sure what to do. He has an obligation to patients to ensure that they receive safe, competent care.

At the same time, he is hesitant to say anything because he knows Susan needs the job, and he doesn't want to do anything that might get her fired. He values his friendship with Susan's husband. Besides, if Susan loses her job, her absence creates a staffing shortage for the unit. Eric's first obligation is to the patients. He should talk with Susan, who might not realize she has done anything wrong. If additional training or education can rectify the situation, Eric should encourage Susan to take the proper steps.

If Susan is unable or unwilling to make the necessary changes to the ways she makes decisions and provides care, Eric must report what he has seen to his superior. To earn a nursing degree, candidates typically take foundational classes in life sciences, social sciences and the humanities. They also take classes that introduce them to clinical skills. In the final months of training, students complete clinical rotations that afford them the opportunity to begin practicing those skills in a supervised setting. Students may witness ethical dilemmas but may not get any practice in navigating them. Hospitals and nursing schools are increasingly using patient simulation as a learning tool.

Just as student pilots first "take flight" in a simulator, nursing students can use high-fidelity patient simulation HPS in the form of computerized mannequins. The HPS mannequins, originally used primarily in medical schools and the military, simulate real-life scenarios. Student nurses gain practice with complex situations without the potentially dire real-life consequences. Studies have shown that using the mannequins promotes more than the acquisition of skills.

They also help nurses develop clinical judgment. Nurses get practice in the kinds of decision-making they will be called upon to perform in their professional lives. As a nurse, adhering to the professional code of ethics is not a matter of choice. What is the principle of autonomy? The principle of autonomy, broken down into "autos" self and "nomos rule , views the rights of an individual to self-determination. The definition of autonomy is the ability of an individual to make a rational, uninfluenced decision. What are the six basic principles of ethics? Autonomy, nonmeleficence, beneficence, justice, veracity, and confidentiality.

Self-determination, right to freedom of choice, self-responsibility. What does fidelity mean in healthcare? Justice means fairness. When nurses care for a group of patients, care must be given equitably, fairly and justly to each individual. What are the five moral principles? Moral Principles The five principles, autonomy, justice, beneficence, nonmaleficence, and fidelity are each absolute truths in and of themselves. By exploring the dilemma in regards to these principles one may come to a better understanding of the conflicting issues. What are examples of ethical issues in healthcare? Some examples of common medical ethical issues include: Patient Privacy and Confidentiality.

The protection of private patient information is one of the most important ethical and legal issues in the field of healthcare. Transmission of Diseases. End-of-Life Issues. What is the best definition of professional accountability? What are ethical issues in nursing? The five most frequently-occurring and most stressful ethical and patient care issues were protecting patients' rights; autonomy and informed consent to treatment; staffing patterns; advanced care planning; and surrogate decision-making. What are the 5 core values of nursing? Caring is best demonstrated by a nurse's ability to embody the five core values of professional nursing. Core nursing values essential to baccalaureate education include human dignity, integrity, autonomy, altruism, and social justice.

The caring professional nurse integrates these values in clinical practice. What are the 8 ethical principles? Basic Ethical Principles Justice. The principle of justice assumes impartiality and equality. The principle of autonomy assumes that individuals have the right to decide how to live their own lives, as long as their actions do not interfere with the welfare of others. Why is ethics important in nursing?

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