...October 28, 2012 Personal Ethics Ethics is a systematic study of and reflection on morality (Purtilo). It assists individuals to differentiate between choices given in a situation. The author of this paper will examine how her personal, cultural, and spiritual values contribute to worldview and philosophy of nursing, how these values shape or influence nursing practice, how they conflicts with obligation to practice, while defining values, moral and ethics. Many individuals go through life looking for answers; some answers are easy and well defined, while some poses a challenge to comprehend. As nurse I am called upon to provide answers, but these answers and gestures are guided by my learnt behavior and inner moral values. Values is the language that has evolved to identify intrinsic things a person, group, or society holds dear while moral values are character traits of persons or societies (Purtilo,2011.p. 6). To be responsible, honest and caring in all my actions are hallmarks of my cultural and spiritual value, hence, to date I hold this during the practice of my profession. Practicing responsibility, honesty and offer care to individuals who are ill has assisted me in creating my worldview and philosophy of nursing. I take responsibility for all my actions while practicing my profession seeks not to blame others for my shortcoming while exercising my duties. Attending work as schedule, administering medications timely as ordered, offering accurate information...
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...Aims. This paper is a report of a methodological review conducted to analyse, evaluate and synthesize the rigour of measures found in nursing and health-related literature used to assess and evaluate patient spirituality as more than religiosity. Background. Holistic healthcare practitioners recognize important distinctions exist about what constitutes spiritual care needs and preferences and what constitutes religious care needs and preferences in patient care practice. Data sources. Databases searched, limited to the years 1982 and 2009, included AMED, Alt Health Watch, CINAHL Plus with Full Text, EBSCO Host, EBSCO Host Religion and Philosophy, ERIC, Google Scholar, HAPI, HUBNET, IngentaConnect, Mental Measurements Yearbook Online, Ovid MEDLINE, Social Work Abstracts and Hill and Hood's Measures of Religiosity text. Review methods. A methodological review was carried out. Measures assessing spirituality as more than religiosity were critically reviewed including quality appraisal, relevant data extraction and a narrative synthesis of findings. Results. Ten measures fitting inclusion criteria were included in the review. Despite agreement among nursing and health-related disciplines that spirituality and religiosity are distinct and diverse concepts, the concept of spirituality was often used interchangeably with the concept religion to assess and evaluate patient spirituality. The term spiritual or spirituality was used in a preponderance of items to assess or evaluate...
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...Negligence Paper University of Phoenix Health Law & Ethics Negligence Paper Being a medical professional has many challenges when dealing with direct patient care. Sometimes in the best of circumstances, incidents occur with patients that cause undue harm. This paper will differentiate between negligence, gross negligence, and malpractice. It will also discuss the article “Amputation Mishap; Negligence” from the Neighborhood newspaper. It will discuss the importance of documentation and the ethical principles that would guide my practice as a nurse. Negligence can be defined as the failure to use reasonable care that a reasonably prudent person would exercise in like circumstances. (West, 1998). Negligence occurs when a medical health professional fails to perform his or her duties with the patient in question. If a nurse fails to give medications as ordered, and as a result the patient's condition worsens or he dies, the nurse may be found negligent. If a nurse has inadequate nursing skills or fails to pay attention to tasks, it may result in a suit of negligence against a nurse who fails to provide approved standards of care. A good nurse knows their duties and has good communication between the patient and the physician. The nurse knows board regulations and practices within legal guidelines. Gross negligence can be defined as a conscious and voluntary disregard of the need to use reasonable care which is likely to cause foreseeable grave injury or...
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...School of Health Nursing & Midwifery Assessment Title Page Title Page Information | Module Code | NURS09189 | Module Title | Research Evidence and Practice | Assessment wordage (if applicable) | 3,000 word assignment – no more than 3,300 words | Submission deadline (Date and Time)**The assessment must be submitted prior to this deadline to avoid penalty | Date: 11th December 2015Time: 9am(If the submission is via drop box, the time must be 9am) | To be completed by the student prior to submitting assessment | Assessment Title- please specify the question you have chosen | People experience distress in different ways and so attempting to measure it Is pointless | Banner ID number(this is an 8 digit number, preceded by the letter ‘B’, e.g. B00123456) | B00188060 | Have you been granted a formal extension? | YES Audrey Cund Revised submission deadline for extension: 18th DEC 15 | Contents page Page 2 Introduction Page 3 Literature search Page 5 Critical Appraisal of a Quantitative Study Page 8 Critical Appraisal of a Qualitative Research Study Page 10 Conclusion Page 12 Appendix 1 Page 15 Appendix 2 Page 18 Appendix 3 Page 21 References Critical Appraisal of Quantitative and Qualitative Nursing Research Introduction Contemporary nursing continues to not only strive for evidence based practice, which according to the Nursing and Midwifery Council (NMC) 2008 Code of Performance and Ethics should be part of nurse’s professional...
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...Ethical and Legal Issues in Nursing University of Phoenix Nursing 391 Ethical and Legal Issues in Nursing Marianne, the 79-year old woman who presented with a hemorrhagic stroke in a recent case study, brings up thought for ethical debate. Her outlook is poor, with or without surgery, and she has no advanced directive. Her husband and children cannot come to an agreement on whether life support should end or if all resuscitative measures should be attempted. The following paper will discuss how the American Nurse’s Association Code of Nursing Ethics would influence a final decision, how personal and societal values can influence ethical decision making, the fundamental legal aspects of each case study, and the legal responsibilities of nurses in the work setting. Regardless of any situation that may arise, every nurse has a set standard in place that must be followed. These are nonnegotiable, ethical standards, obligations and duties that every individual swears to when entering the nursing profession. These standards are all found within the American Nurses Association’s code of Nursing Ethics and Conduct. Whether dealing with patients and families during end of life decision making or dealing with nursing negligence within the court of law, the first provision in the code of ethics is the most imperative to remember. Nurses are always obligated to their patient’s best interest, therefore making them an unrelenting patient advocate. Many provisions are pointed...
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...Week One Paper: 8/19-8/25 NUR 3826: Ethical & Legal Issues in Health Care Week One Paper: 8/19-8/25 Nursing is a profession that is diverse and those practicing have the potential to adopt their own standards and competencies. However, thanks to the American Nurses Association, standards and competencies have been adopted, stating that all registered nurses regardless of role, population, or specialty are expected to perform competently (ANA, 2010, p. 2). The 2004 Scope and Standards were revised in 2010 secondary to the change in dynamics of the nursing profession. The current 2010 Scope and Standards (1-16) are thoroughly stated, leaving those reading minimal occasion for misinterpretation, in comparison to the 2004 Scope and Standards (1-15). For example, the 2010 Standard 1. Assessment, specifically states the competencies in collecting data, recognizing the impact of personal attitudes values and beliefs, and the fact that the health care consumer’s care preferences is to be honored because they have the authority over their health. The 2004 Scope and Standard 1. Assessment, gives very general authoritative statements. It never highlights the attitudes, values and beliefs of the nurse and the impact it has on the health care consumer or the fact that the health care consumer has the authority over their health and the nurse has to honor their preferences (ANA, 2010, pp. 32-33, 119). The 2010 Standard 7. Ethics competencies states that that the registered nurse...
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...School of Nursing Visionary learning for a lifetime of influence N-460 Leadership for Change in Healthcare Philosophy of Nursing Introduction: The American Association of Colleges of Nursing (AACN) embodied the view that values “are beliefs or ideals to which an individual is committed and which are reflected in patterns of behavior. Professional values are the foundation for practice; they guide interactions with patients, colleagues, other professionals, and the public. Values provide the framework for commitment to patient welfare, fundamental to professional nursing practice” (AACN, 1998, p. 8). Through your previous coursework, you have explored various concepts, frameworks, and theories in previous courses; liberal studies and nursing courses. In this senior course, you will continue to explore these concepts by focusing on the course outcomes that involve integration of disciplinary frameworks to communicate effectively with individuals and aggregates in diverse settings, apply ethical frameworks, principles, codes and professional standards of practice in clinical decision-making and professional conduct, and conduct a reflective self-assessment to demonstrate attitudes and behaviors of responsible membership in the profession and community. This exploration will continue throughout your senior year of study, which will affirm, alter and/or expand the philosophy you develop this semester. Outcome: You will succinctly articulate a personal philosophy of nursing, clearly...
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...healthcare providers’ obligation to themselves, their patients, and to society as a whole. The nurse is an integral part of the healthcare team that contributes to accountability realm. How does this concept translate into everyday professional nursing practice? According to the American Nurses Association, “accountability means to be answerable to oneself and others for one’s own actions. The nurse acts under a code of ethical conduct that is grounded in moral fidelity and respect for the dignity, worth and self-determination of patients.” (p. 9). The ANA developed the Code of Ethics for Nurses as a tool or guideline for the nurse to “carry out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession” (ANA, n.d.). Nurses have a responsibility for the care they provide during their nursing practice. To whom is the professional nurse responsible and accountable? Nurses are accountable to the profession, their patients, their employers, and to themselves. Using evidence based practice encompasses all aspects of this obligation. This paper will explore this fundamental idea. Nurses have the responsibility to their patients to be clinically competent and provide safe nursing care to them. Nurses need to have a strong knowledge base to provide care in this ever...
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...Essay on Code of Ethics In nursing there is so much emphasis placed on ethics. The reason being is that ethics is a vital part deeply rooted within the field. This paper will look at certain ethical codes in nursing. For example, beginning with a historical overview of the evolution of nursing ethics, and followed by a discussion of the moral principles important to nursing. Next, the paper will look at the outcomes of critical thinking on nursing ethics, and the importance of moral improvement in nurses will be discussed. The following paragraph will discuss the historical introduction of ethics in nursing. The Nursing Code of Ethics began in 1893 with the "Nightingale Pledge" which was patterned after the Hippocratic Oath in medicine, and is understood as the first code of nursing ethics (ANA, 2005). Even though the “Nightingale Pledge is hardly used or enforced by many institution today, much of the same messages or meanings is still practiced today. For, instance in the pledge itself states that “I will abstain from whatever is deleterious and mischievous, and will not take or knowingly administer any harmful drug” (Edelstein 1943). I have come to find that this statement means that the nurse giving care should always take precaution when giving medication. A Nurse should deliver optimal care to all patients. Mistakes are made when nurses leave out what is very important. Later on the Nurses' Associated Alumnae of the United States of America and Canada...
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...Nursing is a diverse and dynamic profession, with many layers that influence how care is ultimately delivered. This paper will explore some of these influences, and outline a Professional Nursing Mission Statement, with a keen look at nursing organizations, ethics, accountability, and professional practice. Mishel’s Theory of Uncertainty in Illness will be explained as a support to the mission statement and support of my personal professional practice. Additionally, two personal anecdotes will be shared regarding the ethical principles of respect for autonomy and beneficence. Functional Difference between Regulatory Agency and Professional Nursing Organization The major functional difference between a regulatory agency like a board of nursing and professional nursing organization is that a regulatory agency governs the education and licensing of nurses; actual nurse practices on the job, and discipline if the nurse falls short of governing practices (National Coumcil of State Boards of Nursing, 2015). The rules and regulations enacted by the board of nursing, after public review, “have the full force and effect of law.” (National Council Board of Nursing Nurse Practice Act 2) In contrast, a professional nursing organization is comprised of voluntary groups of nurses which provide educational opportunities, share information, and promote the profession. (Matthews, 2012) According to the National Council of State Boards of Nursing website, each state board of nursing...
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...My Nursing Practice Analysis Nursing has been a significant part of my life for more than 31 years. During my career, I have taken care of thousands of patients, and knowing that I have been a part of a patient’s healing process and grieving process is satisfying. The American Nurses Association (ANA) (2010) states, “The art of nursing is based on caring and respect for human dignity” (p. 23). As a nurse, respecting my patient’s dignity is part of my role. I am upholding the ethical values set by the ANA by respecting the dignity of my patients with respect to his or her medical and personal decisions concerning treatment. ANA (2010) provision seven states, “The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development” (Fowler, p. 143). I have an obligation as a nurse to be actively involved in health policy and with organizations that engage in community activities such as volunteering for free health clinics and free medical care for the underprivileged. I have an obligation as a nurse to become a mentor in my community. I would like to educate my community on the importance and ramifications of unhealthy eating and its effect on a person’s health. I would also attend state and budgetary meetings and provide testimony on the benefits of healthy eating and the health care problems that unhealthy eaters face, and assist those who do not have the funds to eat healthy. According to ANA (2010)...
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...HERITAGE ASSESSMENT PAPER Lara G. Heier Grand Canyon University: NRS- 429 4/9/2016 The Heritage Assessment tool is used by healthcare professionals in order for them to find out the patient’s cultural, religious and ethnic background. Culture is defined as an element of ethnicity, consisting of shared values and behaviors associated with a particular group. (Edelman, et al, 2014) In order to improve the quality of care, it’s important to understand the patient’s culture and the health practices they traditionally use. Regarding the Heritage Assessment tool’s usefulness, it will allow the healthcare professional to understand the patient as a whole due to the fact that it addresses the individual’s heritage, cultural, religious and ethic background and behaviors and how they may relate to the patient’s views on health and wellness. To be Culturally Competent, one has to be able to provide healthcare based on the total patient situation- ethnically, culturally and spiritually. The Heritage Assessment Tool is designed to open up dialogue in order for the healthcare professional to have a better understanding of their patient and allow them to provide more effective healthcare with the patient’s own health traditions having been assessed. This, ideally, will result in a holistic approach to healthcare. (Giger & Davidhizar, 1990) Common Health Traditions Based on the cultural heritage information received from the Heritage Assessment Tool filled...
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...Code of Ethics Paper A code of ethics is a document that serves as a foundation for the profession or health care specialty, providing ethical guidance. Nursing is a very reputable profession, and as a nurse, it is vital that I provide safe, compassionate, and competent nursing care. It is expected that all nurses carry out their responsibilities and tasks while respecting all patients’ rights and sensitivities. That is why it is so important that nursing care be guided by a code of ethics. For this paper, I have chosen to analyze and discuss the contents of the American Nurses Association’s Code of Ethics for Nurses, also referred to as The Code within the nursing profession. I will clarify the goals of The Code and identify ethical principles, including grievance procedures. I will then discuss my personal opinion of The Code, including recommendations for strengthening weak areas within the written code. Nurses Code of Ethics According to the American Nurses Association (2011), “The Code of Ethics for Nurses was developed as a guide for carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession” (para. 1). All nurses regardless of position or specialty practice nursing under this code. As health care changes and advances, nurses struggle with advanced and complicated ethical dilemmas. Nurses need the ethical support and guidance provided by The Code, and every nurse has an obligation to uphold...
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...Abstract This paper discourses my nursing philosophy and the ways the ANA Standards of Professional Performance has influenced over my career. It further dissects the standards of practice by using a chronic disease, congestive heart failure. Details about my 5 year career plan and what I intend to accomplish is explored. I chose to discuss what the role of an advocate as a professional nurse and which set of skills are required for it. My strengths and the area that is needed to improve are identified. There are two examples of what can reinforce my nursing skills and how the ANA Standards of Professional Performance influences it. It is concluded by my understanding the nursing profession. Professional Role Development My understanding of the nursing practice is more focused on my patients’ safety and doing what is most beneficial to my patient. It is necessary to explore our own personal values deep within ourselves and realize principles that will guide our nursing practice. My philosophy of nursing joins the knowledge of nursing practice with spiritual, interpersonal, and compassionate care which takes into consideration each patients individual dignity. Spirituality is a concern in how we define ourselves as individuals and seek meaning and purpose in this life. It influences how we deal with obstacles and how we relate not only to ourselves, but also to others. Nursing is more than what people just assume, it is more than administering medications; rather...
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...Collegiality has proven to be a key aspect of nursing as well. I experienced this through the mega simulation that I was able to participate in this semester which focused on interprofessional education. This simulation combined nursing students with students in areas such as occupational therapy, athletic training, social work, and health administration. By working together as a team throughout this simulation, we were able to implement interventions related to the case of a young, pre-diabetic college student in order to provide her with optimal healthcare. A few of the key interventions that took place were assessments performed by the nursing students within our scope of practice, creation of a care plan and healthcare goals, involvement from social work students to assist the patient in obtaining a...
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