...also be said as personal. Discerning the right and wrong when facing dilemmas can be the simplest way of describing the ethics. Ethics begin with the moral reasoning of the individual and as the moral reasoning of the individual can be formed by the individual's cultural, religious, social and educational values and backgrounds. So the ethics can be personal to each individual and it may not be possible to have different individuals share identical ethical values although similarities could be possible. Like many professions, nursing also have the code of ethics to assist the professionals to resolve the dilemmas and discern between the accepted and non accepted practises. The nursing profession, like many other professions, has its own code of ethics to help the nurses to determine the acceptable and non acceptable situations and actions, the rights and responsibilities that are approved by the nursing board and society. (Garrett, Baillie, McGeehan, & Garret, 2010). The protection of individual’s rights is well defined in the code of ethics while it also set forth a standard of care for the patients under the professional care of the nurses. In this essay, the writer is attempting to discuss the impacts of one’s personal, spiritual and cultural aspects on the ethical situations of the professional nursing practice. Personal, cultural, and spiritual principles and outlook of the world and nursing philosophy. Principles or values are policies that the individuals use...
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...other health care providers are constantly challenged to make ethical decisions about life and death issues in providing care to individuals, families and communities. To be relevant and ethical, these decisions need to be considered in the broader context of personal, societal, cultural and professional values and ethical principles (Fry & Johnstone, 2002). Tesfamicael GhebrehiwetThe nursing profession uses regulatory mechanisms, codes of ethics and other means to ensure ethical behavior. For example, The ICN Code of Ethics for Nurses asserts, “Inherent in nursing is respect for human rights, including the right to life, to dignity and to be treated with respect” (ICN, 2000, p. 2). To locate ethical issues within the context of nursing, it is vital to understand the International Council of Nurses (ICN) definition of nursing itself: “Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled, and dying people. Advocacy, promotion of a safe environment, research, participating in shaping health policy and in patient and health systems management, and education are also key nursing roles” (ICN, 2005). This definition incorporates the three components of bioethics as outlined by Fry and Johnstone (2002), including norms of nursing practice, expansion of knowledge, and advocacy or policy development...
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...Do Not Resuscitate Orders in Pediatric Patients Ethical Issues in Healthcare Abstract Children with terminal illnesses frequently have do not resuscitate orders. Dealing with dying children, and letting them die without major intervention can be hard issues for nursing and other health care professionals to cope with, and can cause an internal ethical dilemma. The seven nursing ethical principles are discussed in regards to do not resuscitate orders, and ethical theory is applied. The ethical dilemma faced by nurses with do not resuscitate order is discussed, and how to resolve it. Do Not Resuscitate Orders in Pediatric Patients Children throughout the United States are diagnosed with terminal diseases daily. Once medical treatments begin to not further the quality of life of the child, discussions will begin with the family to consider a do not resuscitate order. A do not resuscitate order is intended to protect the patient from resuscitative efforts that are not wanted by the patient and family (Baker et al., 2010). As a charge nurse at a pediatric ventilator unit, do not resuscitate status comes into discussion frequently, and it is an uncomfortable topic for some. A do not resuscitate order on a child can cause an internal ethical dilemma for nurses. Children are seen as lively beings, and are supposed to outlive their elders. Also there are many myths surrounding do not resuscitate orders with both family members and members of the healthcare team. Some...
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...Introduction Ethics are the principles that guide an individual, group, or profession in conduct and also it is a theory that analyses the differences between right and wrong. Nurses are not only expected to comply to their professional morals and values, but are also encouraged to comply to 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...
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...Nursing Ethics Shannon Gonnelly Grand Canyon University: NRS-437V July 02, 2016 Nursing Ethics Numerous individuals see the nursing profession as an honorable profession with high ethical standards. When a nurse graduates from college they take the Florence Nightingale Pledge, which implies they have a moral obligation to their patients (American Nurses Association, 2015). Nurses additionally take after a Code of Ethics that gives them a guide to what their obligations are in providing quality of care to patients and what their ethical commitments are (American Nurses Association, 2015). Despite the fact that there is a Code of Ethics, nurses still face numerous predicaments when caring for their patients. This paper will examine the author's moral compass, nursing philosophy, and ethical dilemmas. Author’s Moral Compass The author's moral compass has high confidence in God and follows the Nurses Code of Ethics. The author's energy to be a nurse began at just ten years old. The author has always wanted to take care of the elderly and trusts that nobody should have to die alone. The author believes that nursing was a calling from God, and this is what spurred the author to become a nurse. The author had difficulties becoming a nurse due to already having one child while being pregnant with another. However, the calling to be a nurse was sufficiently high enough to overcome the difficulties. For instance, the author had a four-year-old daughter and had only four weeks...
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...Summary Introduction to Nursing Research Grand Canyon University Nurse to Patient Ratio 2 Abstract The healthcare industry stands in the face of many changes, one of which is the forecasted shortages of registered nurses in acute care settings. Unless action is taken and resolutions are not put in place evidence shows that this problem will only worsen in the coming years. Left unaddressed this shortage deprives the acute care patient of quality care, overburdens current staffing and detracts from the facilities overall performance. A further complication to the already strained workforce is the predicted retirement of the “ baby boomer” generation, which is forecast to increase the patient care needs at a rate that cannot be met by the current staffing levels. According to the “United States Registered Nurse report Card” issued by the American Association of Colleges of Nursing (2012) this shortage is predicted to spread across the United States through 2030. Nurse to Patient Ratio 3 Summary A quantitative approach to understanding this problem is the most appropriate choice to gather information such as low morale, increasing workload, high attrition levels and difficulty hiring replacement staff. The previously mentioned problems need to be understood and addressed to effectively solve the problem of attracting and retaining quality-nursing staff. Recent years have...
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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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...COURAGE IN NURSING Objectives: 1. Recognize the characteristics of moral courage. 2. Discuss the concept of moral courage in nursing. 3. Identify steps to recognize moral courage. 4. Discuss strategies for developing moral courage. 5. List inhibitors of moral courage. 6. Ways to enhance the ability to demonstrate moral courage in nursing. 7. Describe organizational Structures that Support Moral Courage 8. Case studies "Stand up for what is right even if you stand alone." Anonymous Examples of unethical behaviors are seen today in academia, politics, sports, entertainment, banking, and the legal system. Healthcare professionals working in clinical practice, education, research, and administration are not immune to these unethical behaviors. They face ethical dilemmas on a regular basis. Shortages in the numbers of clinicians to deliver patient care, inadequate staffing levels, cost containment measures, consolidation of healthcare organizations and ineffective leadership have resulted in the escalation of ethical dilemmas nurses face today in healthcare environments. How individuals respond to these ethical dilemmas depends on their previous experiences with unethical behavior, their individual personality traits, their ethical values as well as their knowledge of ethical principles...
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...Professional Moral Compass Professional moral compass is something every professional has and lives by especially in the field of nursing. When we look into nursing practice, philosophy of nursing and worldview are contributed by an individual’s personal, spiritual and cultural values. It is evident that one’s personal value, worldview and philosophy may conflict with her commitment to practice and also creating an ethical dilemma. Personal, spiritual and cultural values have high influence on any individual’s life. Personal Values Values and morals are something that is developed during childhood and highly influenced by religion and culture. I was born and raised in India and it is a part of Indian culture to give the best to others and that became a part of my character. Even today I make sure that I give high quality and the best care to my patients and families. As a nurse, I handle the life of my patients and I am responsible and accountable for what I do. So that made me to work hard to achieve the best and make sure that my patients get the best care and respect they deserve. Moral Values According to Frank J. Navran “morals are values which we attribute to system of beliefs, typically a religious system, but it could be a political system of some other set of beliefs” (Navran, 2010). Life experience and situations has a major role in developing values in one’s life. Morals are the difference between right and wrong doing. A nurse with a good moral value cannot...
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...Personal Nursing Ethics Laurie Stein Grand Canyon University: NRS-437V Ethical Decision Making In Healthcare October 12, 2012 Personal Nursing Ethics Growing up in a rural Midwest farming area in a family of 11 people I learned at an early age how important family and people in the surrounding community were to me. My family and the majority of my small community were devout Catholics. Our social life revolved around church, family and friends. My parents taught myself and my siblings the value of friendship, being kind to your neighbors and respect for others and their property. Sometimes I thought they were almost too strict but did realize later that this discipline provided the basis for what I am today. As I prepared to venture out into the world after graduation I knew I was a “people person” and pursued a degree in medical assisting. As a medical assistant I felt that I was an integral part of the patients’ lives. Providing medical care was important but many of these patients knew they could talk and confide in me about other things whether it was a personal problem or family problem or maybe they just needed someone to listen. It was here that the values that I was taught by my parents became so important. Sometimes I was faced with some ethic decisions in regards to my religion as a medical assistant when having to assist with vasectomies. The rhythm method is the only birth control practice accepted by the Catholic Church. To assist with this procedure...
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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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...Business Research Ethics RES/351 February 2, 2105 Business Research Ethics In the world of business, there are rules and regulations that companies must follow when conducting any type of business transaction. Being ethical means the difference between right and wrong. The focus of many businesses is revenue and profits. When this comes into play, many large corporations tend to forget about their employees and the people they might hurt and behave in an unethical manner. Let’s take nursing for example, they face many ethical issues including patient’s privacy, documentation, and pain management. These are just some of the ethical issues nursing face each and every day. Nurses have an enormous responsibility to take care of their patients when they are ill and documenting the process is crucial as well as their patient’s privacy. It is the nurse’s responsibility to respect their patient’s decisions and keep their privacy. As Patricia states, “Nurses provide respect for patient autonomy by recognizing and enhancing a patient's freedom of choice, respecting patient choices, and providing privacy” (Patricia Bratianue). Nurse’s obligation is to protect his or her patient’s privacy as well as their health. The patient has the right to choose what he or she wants that is if a certain medicine is right for them or if the patient wants a certain type of procedure done. Some of the things that should be avoided in these type of scenarios is that even though it is the nurse’s...
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...established the foundation of nursing ethics (?????). Making care of the patient the foremost important ethical duty of the patient (??????). As health care today has become more complex and challenging the fundamental principles of Florence Nightingale’s ethical principles are still in use today (??????). Over the years the adoption of more formal codes of ethics, the American Nurses Association and the International Council of Nurses, were established to guide nurses in everyday choices of care (BOOK>>>>). Understanding the fundamental necessity of professional codes of ethics in nursing is an essential skill. Therefore, this paper will discuss and compare the importance of the American Nurses Association...
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...Personal Ethics 1) Read "Chapter 3: To Heal Sometimes, To Comfort Always" (from Being Human: Readings From the President's Council on Bioethics), located at: http://www11.georgetown.edu/research/nrcbl/pcbe/bookshelf/reader/chapter3.html 2) Complete the questionnaire, "My Nursing Ethic," located within the Additional Resources folder in Canyon Connect. 3) Using the reading and the questionnaire, -write a 750-1,000-word paper that describes your professional moral compass. As you write your paper, include the following: a) What personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice? b) Define values, morals, and ethics in the context of your obligation to nursing practice. Explain how your personal values, philosophy, and worldview may conflict with your obligation to practice, creating an ethical dilemma. c) Reflect and share your own personal thoughts in regard to the morals and ethical dilemmas you may face in the health care field. How do your personal views affect your behavior and your decision making? 4) Do not be concerned with the use of ethical terminology for this paper. 5) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 6) This assignment uses a grading rubric that can be viewed at the assignment's drop box. Instructors will be using the rubric to grade...
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...The two principles that are in focus are beneficence and non-maleficence. Both beneficence and non-maleficence have played a fundamental historical role in medical ethics (Beauchamp &ump; Childress, 2009). Non-maleficence is often paired with beneficence, but there is a difference between these two principles (Rich, 2008). According to Beauchamp and Childress (2009) conflating beneficence and non-maleficence into a single principle obscures important distinctions. In addition, both of these ethical principles beneficence and non-maleficence are strengthened by state nursing practice acts, which mandate that nurses are legally obligated to safeguard patients and the profession (Bjarnason &ump; LaSala, 2011). Furthermore, it is with great purpose that we discuss the two principles beneficence and non-maleficence and their importance to the nursing profession. The principle of beneficence is concerned with a moral obligation to act for the benefits of others (Kennedy, 2004). Additionally, beneficence is the principle consisting of deeds such as mercy, kindness, and charity (Rich, 2008). There are other forms of beneficence including altruism, love, and humanity (Beauchamp &ump; Childress, 2009). We use beneficence in order to cover beneficent actions more broadly, so that it includes all forms of action to benefit other persons (Beauchamp &ump; Childress, 2009). Overall, beneficence implies that an individual takes action to do good by benefiting others and facilitating...
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