...Ethical Framework in Practice Nursing is an admirable, dignified career. Nurses respect the self-sufficiency and self-esteem of all their patients in every matter. Patients share their confidential information to the nurses, because they trust the nurse. Nurses care for the sick and needy population. Nurses take care of the patient’s deepest and painful needs in an intimate way compared to other disciplines in the health care team (Nazarko, 2009). Nurses frequently encounter ethical dilemmas and issues related to providing confidential information. This paper analysis is about the ethical recommendations on breach of privacy act between the nurses and the patient. Hippocratic Oath evidently explains about the importance of confidentiality in medical ethics. The oath is like this," That whatsoever I shall see or hear of the lives of my patients that are not fitting to be spoken, I will keep in confidence" (Hippocratic Oath, 2010). In Nightingale’s pledge for nursing, says that ‘‘I will hold in confidence of all personal matters in the practice of nursing” (Gretter, 1893). All nurses take Nightingale’s pledge at their graduation oath. Nurses are dedicated to provide better care for their patient based on their patient’s values and beliefs to maintain confidentiality. The provision of health care is comprehensive and people’s needs are often complex. Modern technology has made advanced changes in healthcare. With the many advances changes in health care a equivalent...
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...HCS/355 OUPX 12-12-2013 Katherine Rossiter, EJD, MSN, APRN-NP, CDNP-PC, CDE The Ethics of Distribution The healthcare organizations’ deals with peoples’ lives on a daily basis, and the health care professions posse’s special knowledge and responsibility for medicating the needs of the patient and the social resources available to care for the patients. Furthermore, the health care professions social responsibility includes direct participation in the decisions such as what constitutes a disease, and the appropriate treatment for the patient. However, the health care professionals, patients, and family members sometimes face difficult decisions about medical treatment, and these decisions may conflict with a patient or family’s morals, religious, and beliefs. The health care has an obligation to the society to prevent disease, and to maintain the patient health is important for the health care professional understands the psychosocial nature of health and disease. . In the field there can be many scenarios that will go on and take place. Making sure to always have composure and to make sure that you are dealing with it the best you can and using the best judgment possible will then go a very long way. Ethical dilemmas can include discrimination in race, age, gender, religion, and sexual harassment which includes inappropriate comments or actions. Conflict of interest may arise such as bribes or someone...
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...Directives Irene was a 78-year-old female getting ready to leave for an appointment with her daughter. The nursing home staff assisted Irene out to her daughter’s car but then Irene collapsed. Concerned, the staff dialed 911 per facility protocol and made Irene comfortable, waiting with Irene’s daughter, for the ambulance to arrive. The ambulance personnel arrived to the scene and immediately proceeded with performing cardiopulmonary resuscitation (CPR). Do Not Resuscitate (DNR) Ethical Dilemma Irene’s daughter and nurse instantly stated that Irene was a DNR resident of the facility. Emergency personnel stated that they would have to view the DNR documents and would continue procedures until they examined the required paperwork. Irene’s nurse ran into the facility to grab her record; however, by her return the emergency personnel had already resuscitated Irene. There are many scenarios where ball dropping can occur in healthcare and it is at those times when ethical legal decision-making dilemmas appear. Marjorie is a 91-year-old female residing in a long-term care facility (Kase, 2013). Marjorie’s daughter filed a lawsuit against the long-term care facility and the hospital for attempting to resuscitate Marjorie and perform multiple and painful interventions to sustain her...
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...ETHICAL ISSUES OF HUMAN RESOURCE MANAGEMENT IN HEALTH CARE MANAGMENT HIRA TOOR HCAD 660 11/01/2015 TURN-IT-IN SCORE: 13% Total paper content: 18 pages Abstract This paper deals with ethical issues encountered by human resource managers in various healthcare settings. The ethical problems that the paper highlights includes issues related to overworked employees, employee discrimination, disabled worker disparities, age-related employee discrimination, difficulties in maintaining employee relations, problems with downsizing workforce, workplace bullying, conflict of interest and compliance issues. The research paper also gives recommendations on how to maintain an ethical environment by: hiring of adequate staff, conducting fair employment testing, rewarding disabled employees, educating on age-discrimination, creating a diverse workforce, communicating to build employee relationships, executing a strategic plan to mitigate bullying and presenting fair judgments. The paper also address issues associated with ethics of flu shots, employment hurdles of medical marijuana patients, inequality of women’s compensation and safety hazards of employees. In conclusion, my personal experience with ethical issues at laurel regional hospital is discussed. Introduction: The human resource department is the heart of every healthcare organization. The human resource functions deals with variety of ethical challenges on daily basis. Human resource includes...
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...Perspective Grand Canyon University: NRS-437V Ethical Decision Making in Health Care Ann Yurco, RN June 15, 2014 Patient Confidentiality: A Nurse’s Perspective One of the first things we learn in nursing school is in regard to a patient’s privacy and the confidentiality we are to abide by when caring for them. We learn the rules and regulations of the “Privacy Rule” and HIPPA (Health Insurance Portability and Accountability Act of 1996). These were put in place to ensure confidentiality and accountability in cases where patient’s health information is compromised, (U.S. Department of Health & Human Services, 2014). During an episode of the television series “ER” a main character, “Nurse Hathaway”, struggles with an ethical dilemma in which she must decide whether or not to break confidentiality with her patient who is also a minor in the name of the law. This patient’s diagnosis turns out to be a serious condition, cervical cancer. The author will discuss this dilemma in terms of ethical implications, ethical theories, alternative solutions, if any, as well as the author’s position on this dilemma. The author will also refer to a landmark case, “Tarasoff vs. Regents” in which “a psychologist failed to warn a woman or her family when his patient threatened to murder the woman,” (Nathanson, 2000) to discuss confidentiality ethics. Ethical Implications of a Breach of Confidentiality There are several implications when referring to the dilemma of a nurse who must decide whether...
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...their own personal ethics as well. The code of ethics (ANA 2001) advises nurses on ethical and legal responsibility to their own patients, as well as the community in which they serve. In today's health care system nurses are faced with many ethical issues in their daily task and they have to make clear and logical ethical choices of their own. These ethical choices are generally inspired by ethical doctrines that include beneficence, confidentiality, autonomy, fidelity, veracity, and other (Burkhardt & Nathaniel, 2008, p53). Nursing is a noble profession and I enjoy most about being a nurse is simply caring, helping and nurturing people. In addition, I also thank God for giving me this opportunity to make a difference in someone's life, whether that is done by providing care, teaching, or even supporting a family. Personal, cultural and spiritual Values According to the International Council of Nurses (ICN), a nurse's primary responsibility is to attend their patients, and be able to respect the patient's customs, values, beliefs, and rights. In addition, nurses should choose to extend their education because they are held accountable for their own practice. Nurses should practice cooperating with other healthcare team members, but if they suspect a threat for patient's safety or health by others, they should take quick action to protect them (ICN). As a nurse, I am obliged to render healthcare services to people those are in need without considering their caste or creed and...
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...Ethics In the healthcare profession management and employees have developed policies and procedures to help the general staff understand their role and what they are able to do according to their job description. Each hospital develops their own policies and procedures according to their needs always staying within the law. These policies and procedures help to work through ethical problems or dilemmas that a healthcare professional encounter daily. In the healthcare profession ethical dilemmas/problems are encountered every day by all of the healthcare professionals. As a registered nurse and throughout the years, I have encountered many problems of different magnitude; different situations that can affect physically and emotionally, sometimes nurses need to be reminded of it throughout the nursing career. In the case of the troubled teen by the name Rachel Banks, is a very special and delicate situation because you do not only have to worry about her well-being, but in addition you need to worry about the well-being of her unborn baby. When analyzing this case you need to make a list of all the people you need to take into consideration Mr. and Mrs. Banks, because the couple is very unhappy due to the daughter's pregnancy. A short conversation with Rachel's brother made the staff aware that her parents want to punish her because of her pregnancy. As a healthcare professional you understand that punishing a person does not solve the problem it only makes it worse in this...
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...Running head: ETHICAL FRAMEWORKS Applying Ethical Frameworks in Practice NRS 437V September 01, 2012 Appling Ethical Frameworks in Practice A conclusive ethical foundation in the healthcare arena is confidentiality. It is referred to the standard of maintaining secure and private from others health care information revealed during a professional consultation. This is an essential legal right of every client and an ethical duty of the medical community (Bourke, 2008). Maintaining confidentiality between the client and healthcare professional translates to a trustworthy relationship, especially with adolescents. This paper will discuss implications to breach confidentiality, ethical principles, alternatives and ethical committee applications to an ethical dilemma. Implications of Breach of Confidentiality To promote trust between the patient and healthcare provider is a good reason to appreciate confidentiality in health management. To release information to a third party without consent of the patient is considered a breach of confidentiality and illegal. For example, adolescents are encouraged to participate in health care prevention. Many are depressed and even sexually active, but the challenge to provide access and receive adequate care is necessary. Confidentiality is the primary reason this juvenile group deter from health care prevention and management (English & Ford, 2007). A breach of confidentiality in juvenile health care has...
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...complexities and dynamic healthcare needs of the population that DMEC serves, it is imperative to have a variety of healthcare resources available to assist the DMEC in revitalizing back the City of Amsterdam to a state of optimal health. The APN, in collaboration with other members of the healthcare team will address the needs of the clients, whether it is obtaining a glucometer, offering nutritional support, or other treatments that might be relevant to their illness. This will increase the patients’ ability to reach their state of optimal health. Through collaboration,...
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...Professional EThics Professional Ethics Legal and ethical issues are frequently encountered in the health care setting and present unique challenges to health care professionals. Practicing nurses need to be knowledgeable with these concepts to ensure patient’s rights. In this paper, the author will describe the relationships between legal and ethical issues. In addition, the author will identify personal values and professional ethics and examine ethical theories and principles. Examples of applications of legal and ethical issues to current practice will also be provided. Relationships Between Legal and Ethical Issues “Ethics is the branch of philosophy concerned with evaluating human action” (Guido, 2010, p. 3). It is based on the principles of right and wrong and provides structure to behaviors and actions. Ethics are closely intertwined with morals and values. Morals are “personal principles that are acquired from life experiences, family and peer relationships, religion, culture, and the law” (Guido, 2010, p. 3). Values are “personal beliefs about the truths and worth of thoughts, objects, or behavior” (Guido, 2010, p. 3). Therefore, ethics are subject to an individual’s personal interpretation. In contrast, laws are rules and regulations established by some authority and enforced by judicial decision (Dictionary.com, 2011). The legal system governs actions and behaviors without regard to personal values, beliefs, and views. Laws are constantly evolving to...
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...Running head: APPLYING ETHICAL FRAMEWORK IN PRACTICE Applying Ethical Framework in Practice Jaclyn Hughes Grand Canyon University: NRS-437V August 21, 2011 Applying Ethical Framework in Practice Patient confidentiality is one thing that cannot be breached nor as a patient that you would want to be breached. In this day and age as healthcare professionals it is a very fine line of what breaching confidentiality is. We all want to know that when we are sick and in the hospital, the one thing that we can keep personal is our privacy which would include our health information. It is hard to imagine that in a state of vulnerability that some things must be disclosed to certain departments regardless of your desire to keep it private and confidential; some examples include: domestic violence, child abuse, rape, psychiatric evaluations, and communicable diseases. These situations if not taken care of could cause more harm to the patient. Knowing your ethical principles and nursing code of ethics allows for the nurse to make a moral and ethical decision based on the five basic principles without breaching confidentiality and doing what is morally and ethically right for the patient. A patient’s trust is sacred and breaching that information is a violation of the trust between the relationship of the nurse and the patient (Burkhardt & Nathaniel, 2008). An ethical implication of a breach of confidentiality would include: patient confidentiality and informed consent for...
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...CONFIDENTIALITY Patient Confidentiality: Ethical Implications to Nursing Practice Grand Canyon University: NRS 437 April 3, 2012 Patient Confidentiality: Ethical Implications to Nursing Practice Patient confidentiality is a fundamental practice in healthcare and it is integral part of healthcare ethical standards (Purtilo & Dougherty, 2010). According to the American Nurses Association (ANA) code of ethics “the nurse has a duty to maintain confidentiality of all patient information”(Nursingworld, p.6). When confidentiality is breached the nurse may jeopardize the wellbeing and safety of a patient. There are some exceptions to this duty such as a greater need to protect the patient and other parties or mandatory laws that protect public health (Nursingworld, 2012). The situation presented in the article Betraying Trust or Providing Good Care? When is it okay to break confidentiality? Creates an ethical dilemma for the fictional nurse caring for a teenage patient diagnosed with a sexually transmitted disease as well as related cervical cancer. The nurse eventually notifies parents because of the need for further treatment that will require consent of parents. She also notifies the teenage patient’s school because of a concern for public health. Several valid concerns are presented in this article. First, when a patient’s confidentiality is betrayed that patient may not give full information to the healthcare team in the future. The patient might decide not...
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...Margaret Johnson BSHS/332 October 7, 2013 Bradley Leedy Workplace Ethical Dilemma This paper will present an argument of how the process of do not resuscitate (DNR) results in an ethical dilemma for workers in the healthcare field. In presenting the argument, this paper will also address the following three course learning objectives: 1) explain the legal rights of individuals as they interact with health care services, 2) analyze the monitoring systems that ensure human rights, legal aspects, and quality health care, and 3) analyze selected ethical and legal case studies that have promulgated precedent setting decisions. Even though the physician may believe CPR would be the appropriate decision, “many a deserving patient loses out on the opportunity for such treatment” as a result of an DNR order (Thomas, 2002, 412). Decisions about resuscitation have become a matter of concern and highly debatable issue because the legality of a patient’s right to request DNR. The order must be approved in advance by a written statements signed by a physician upon order of the patient or surrogate in cases which the patient cannot give consent. A DNR order must not confused with giving care, whereas, do not resuscitate does not mean do not give care. “It means a different kind of care that can best be achieved through end-of-life protocols and education” (Field, 2007, 294). The process causes ethical dilemmas for health care workers in several ways. For example, in cases which...
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...Excerpted from The Tracks We Leave: Ethical and Management Dilemmas in Healthcare, Second Edition, by Frankie Perry, RN, LFACHE (Health Administration Press, 2013) CHAPTER 1 Understanding Your Ethical Responsibilities Hea lt h c a re l eader s and those aspiring to be leaders must recognize first and foremost that character and integrity constitute the very cornerstone of leadership. Organizations have failed and promising careers have been derailed when ethics have been relegated to secondary importance or, worse yet, ignored in the pursuit of more bottom-line considerations. Healthcare managers must understand their role and responsibility in creating an ethical healthcare environment that is honest, just, and always in the best interests of those being served. Whether you are the CEO, an assistant administrator, a department head, a program manager, or a clinician, if you are “in charge,” you have the ultimate responsibility for establishing the culture and setting the standards of conduct in your sphere of influence. This task is not always an easy one. Nor is it easy for well-intentioned managers to always make ethical decisions themselves. BARRIERS TO ETH ICAL D ECIS I O N M A K I NG In our book Healthcare Leadership Excellence: Creating a Career of Impact, James Rice and I identify some of the common barriers to ethical decision making and seven pitfalls for managers to avoid (Rice and Perry 2013, 29–37). We then make recommendations for building...
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...Analysis of an Ethical Dilemma Grand Canyon University Analysis of an Ethical Dilemma Euthanasia is considered “assisted suicide” (Ethical key issues- Euthanasia., 2011). Terminally ill, old age, and poor disease prognosis’s are some population of patients that research euthanasia. Euthanasia is currently illegal due to many ethical implications. Euthanasia is an ongoing ethical dilemma that affects nursing as a profession, has legal implications, and stirs up ethical debates over social values, morals, and norms. “Standard 7, under the heading “Standards of Professional Performance,” reiterates the moral obligation of the nurse to practice ethically and to provide care “in a manner that preserves and protects healthcare consumer autonomy, dignity, rights, values, and beliefs” and “assists healthcare consumers in self determination and informed decision-making”” (ANA position statement, 2013). Nurses in all healthcare related settings play a key role in patient care at end-of –life. Nurses’ care for the physical and spiritual needs of patients and their families while, also collaborating with all members of the interprofessional healthcare team. Nurses witness the devastating effects of life-threatening diseases. It is difficult to balance amongst saving a life and the enabling of a dignified death. Nurses need to keep their own feelings in check because they could have an influence on clinical decision making. “It is within the framework of the Code for Nurses and...
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