...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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...Professional Moral Compass Ethics, a branch of philosophy refers to the values for human conduct, considering the rightness and wrongness of actions and motives. As nursing profession is an integral part of the health care environment, the nursing ethics provides the insight to the values and ethical principles governing nursing practice, conduct, and relationships. The Code of Ethics for Nurses, adopted by the American Nurses' Association (ANA) is intended to provide definite standards of practice and conduct that are essential to the ethical discharge of the nurse's responsibility (American Nurses Association, 2012). A nurse cultivates personal ethics through personal, cultural and spiritual values which becomes a moral compass for their professional ethics. Personal ethics in combination with the code of ethics often assist the nurses in personal and social decision making during ethical dilemma. This ability prompts them to better respond to needs of the suffering patient and their own well-being. This paper will discuss the personal, cultural, and spiritual values contributing to nurses’ individual worldview and philosophy of nursing and the moral and ethical dilemma being faced in this profession. Values Contributing to Individual’s Worldview and Philosophy of Nursing Born in a Christian middle class South Indian family, the strict traditional values helped to embed the concept of service, trust, respect, integrity and responsibility through family, friends, education...
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...Issues in Nursing In this paper ethical and legal issues will be reviewed concerning the decisions and responsibilities of the nurse in the case of Marianne who has had a stroke and the decisions that the family is facing for treatment or end of life care. The legal and ethical issues in a malpractice case that occurred several years ago and the responsibility of the nurse to her employer, the nurse being sued, the client in question, and the institution’s client will be reviewed. The areas that will be reviewed include how the American Nurses Association Code of Ethics would influence a final decision in each case study, how personal and societal values can influence the ethical decision making, the fundamental legal aspects of each case study, and the legal responsibility of the nurse in the work setting. The ANA code of Ethics must be followed in practice and is an especially useful tool when there are difficult legal and ethical issues that arise in nursing practice. In the example of the malpractice case for negligence, as a witness to questionable practice, it is the nurse’s primary responsibility to protect the safety of the patient. Although the nurse was correct in reporting the episode to administration, she also had a duty to counsel the nurse about the inappropriate standard of care. The ANA is clear that when a nurse is aware of questionable practice the person must be confronted with the concern ("Code Of Ethics for Nurses With Interpretive Statements"...
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...nursing practice. The rubric prompt for a score of (4) is to provide a logical explanation, with substantial detail, of the functional differences between a regulatory agency, such as a BRN, and a PNO as it pertains to the candidate’s professional nursing practice. My advice is that this task prompt is looking for your understanding of the differences between regulatory agencies such as the Board of Nursing in your state, your State Nursing Practice Act (which is state law) and professional nursing organizations such as the American Nurses Association with their Code of Ethics (which is not law, but serves as a nursing standard upon which all American nurses may base their professional behavior and actions). Your state NPA or BRN and the Nursing Code of Ethics could be referred to in this section. If so, be sure to cite and reference them. Make sure you are discussing this prompt under its own heading in your paper. Nurse practice acts provide protection of the public and protection of the title of RN. This is accomplished through the development of specific regulations regarding education and examination of competence to practice. Each act contains guidelines for disciplinary action to protect both the public and professional nursing. The nurse...
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...Ethical and Legal Issues Paper Christel Rockwood NURS/391 March 11, 2014 Renee Martin-Thornton Ethical and Legal Issues Ethics is an integral part to nursing practice. The American Code of Ethics for Nurses (ANA) with interpretive statements acts as a guide for professional conduct by outlining the ethical values of the profession. The Code provides the profession with a statement of responsibility to the public and serves as a basis for individual nursing decisions in clinical situations when ethical dilemmas arise. The code integrates universal, ethical principles which serve as the foundation for ethical actions. Nurses face ethical dilemmas on a daily basis. Our primary goal as nurses is the commitment to protect our patients. Provision 2 of the American Nursing Code of Ethics, describes the nurse’s primary commitment is to the patient. (ANA, 2010). Another important goal is to maintain safety, dignity and accountability. Respect the patient’s confidentiality and autonomy. The Nurse acts as the person who helps and advocates for the patient and their families about health care and end of life decisions. According to the American Nurse Association Code of Ethics, Provision 1:1 states that, “a fundamental principle that underlines all nursing practice is respect for the inherent worth, dignity, and human rights...
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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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...An analysis of some of the ethical concepts identified from the American Nursing Association (ANA) code of ethics The American Nursing Associations (ANA) code of ethics for nurse practitioners was first adopted in 1950 with the sole purpose of reinforcing the ethical obligations of every individual who joins the nursing profession (American Nurses Association, 2001). The document provides a detailed and explicit elaboration of the ethical duties that nurses are expected to fulfil in their day to day routine undertakings as nurses. The following paper attempts to analyze some of the ethical concepts identified in the ANA code of ethics for nurses in the United States. Found in the first provision of the ANA code of ethics, the right to...
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...Issues Introduction Nurses are governed by their nurses’ association code of ethics. Each individual also have values and beliefs which guides their behavior, however in the work setting the nurses association code of ethics supersede. As an individual, when we commit an offence, even though we are guided by our association code of ethics it is the law of our country by which we will be judged. In this paper we will be exploring how personal and societal values, and the American Nurses Association (ANA) code of ethics would influence decision in two scenarios involving patients. One case in which a nurse is a witness against her colleague in a malpractice case, in which her colleagues negligence resulted in harm to the patient, and she have reported her colleagues acts of negligence to her administrator on several occasion. The other case involves a patient who was diagnosed hemorrhagic stroke requiring ventilator assistance. Her family is divided in what the management should be, with her husband wanting to try everything to save her life and her children believing that she would not want to do surgery to be kept alive to live a poor quality life, which they believe will occur if she did the surgery. We will also be looking at the fundamental legal aspects of each case and the legal responsibility of the nurse in the work setting. American Nurses Association Code of Nursing Ethics Influence on the Case Studies In the incident where the nurse is a witness in...
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...Code of Ethics Code of Ethics Assignment In accordance to the Code of Ethics group assignment, the selected situation discussed is scenario one, the “high profile” patient. The patient is famous and constantly overseen for their activities. As this patient’s nurse, we have been approached by People magazine and asked to serve as an informer. The magazine is offering a substantial amount of money for the patient’s information. However, using the ANA Code of Ethics, we have identified Provision Three as the best ethical approach to the scenario. Part Two Ethics is an integral part to the foundation of nursing. Historically, nursing care is vital for the welfare of the sick, injured, vulnerable, and for social justice. This concern is embodied in the provision of nursing care to individuals and the community. Nursing encompasses the prevention of illness and the alleviation of suffering. Nurses provide the protection, promotion, and restoration of health in the care of individuals, families, groups, and communities. Individuals who become nurses are expected not only to adhere to the ideals and moral norms of the profession, but also to embrace the part of what defines a nurse. The Code of Ethics for Nurses developed by the American Nurses Association explicitly states the primary goals, values, and obligations of the profession. Part Three According to the American Nurses Association’s Guide to the Code of Ethics for Nurses Interpretation and Application, Provision Three...
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...ethical reason both for and against the choice are both equally desirable (Pierce, 1997). The ANA Code of Ethics with Interpretive Statements offers a statement for every professional nurse’s ethical obligations and duties, ethical standard, and commitment to society (ANA, 2001). Nurse must continuously meet standards of care and the ANA Code of Ethics and uphold fundamental legalities. Taking a closer look into the nurses ethical responsibility and fundamental legalities associated with direct patient care and as it would apply in the case study case study of patient Marianne, a 79 year-old female, who is admitted to the emergency department with hemorrhagic stroke, a grave prognosis of recovery and no advance directive. This paper will discuss legal responsibilities of the registered nurse as witness in a malpractice case of a nurse colleague found negligent in following standards of nursing practice. “The nurse’s primary commitment is to the patient who is the recipient of nursing care,” (Rushton, Dixon, & Wavra, 2005, p. 6). This quote applies to both nursing dilemmas discussed. The primary obligation of the nurse is to protect the patient’s best interest, maintaining safety, dignity and ethical accountability, which is essential in Marianne’s case, as she is neurologically unstable and unable to self direct care and is without a living will. According to the ANA Code of Ethics with Interpretive Statements, the...
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...the thoughts, processes, nursing concepts, and theories of his nursing practice. We will examine here some of the concepts necessary for the professional practice of nursing, together with examples and implementation from the author’s practice. These will combine to show the Professional Nursing Mission Statement of the author. In reading this paper, please understand that author practices nursing in several different types of clinical settings. . Functional Differences Between Regulatory Agencies and Professional Organizations The author currently practices nursing in the state of California. Registered Nursing in the State of California is governed by the California Board of Registered Nursing (BRN). The Board of Registered Nursing is a division of the Division of Consumer Affairs. By its own definition the BRN “ protects and advocates for the health and safety of the public by ensuring the highest quality registered nurses in the state of California.”(State of California) Registered nursing is authorized and regulated by title 16 of the California Code of Regulations.(State of California ) This section of the code is also known as the California Nursing Practice Act. The responsibilities of the California Board of Nursing include, but are not limited to: setting educational standards, approving California nursing programs, evaluating licensure applications, issuing and renewing licenses, issuing certificates, taking disciplinary action, managing a diversion...
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...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) provision eight, “The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts...
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...issues of health maintenance, protection of patient safety, human rights, and dignity. Professional nurses are in a unique position as patient advocates, regardless of practice setting. Nurse’s face inherent ethical decisions making, and they are frequently involved in the ethical decisions both personally and professionally when ethical reason both for and against the choice are both equally desirable (Pierce, 1997). The ANA Code of Ethics with Interpretive Statements offers a statement for every professional nurse’s ethical obligations and duties, ethical standard, and commitment to society (ANA, 2001). Nurse must continuously meet standards of care and the ANA Code of Ethics and uphold fundamental legalities. Taking a closer look into the nurses ethical responsibility and fundamental legalities associated with direct patient care and as it would apply in the case study case study of patient Marianne, a 79 year-old female, who is admitted to the emergency department with hemorrhagic stroke, a grave prognosis of recovery and no advance directive. This paper will discuss legal responsibilities of the registered nurse as witness in a malpractice case of a nurse colleague found negligent in following standards of nursing practice. “The nurse’s primary commitment is to the patient who is the recipient of nursing care,” (Rushton, Dixon, & Wavra, 2005, p. 6). This quote applies to both nursing dilemmas discussed. The primary obligation of the nurse is to protect the patient’s...
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...Legal Issues Paper Learning Team A 1 Ethical and Legal Issues Paper NUR 391 University of Phoenix Francesca Beebe, Amanda Carvalho, Ricci Cornell, Shannon King Ethical and Legal Issues Learning Team A 2 Ethical and Legal Issues Paper How can the American Nurses Association (ANA) Code of Ethics influence a final decision in each of the case studies: Case Study A: End of life, Case Study B: Nursing Negligence? In regard to Case Study A, the ANA has a clearly stated position on end of life care and initiating a Do Not Resuscitate (DNR) with end of life decision making. It states, “Nursing care is directed toward meeting the comprehensive needs of patients and their families across the continuum of care. This is particularly vital in the care of patients and families at the end of life to prevent and relieve the cascade of symptoms and suffering that are commonly associated with dying. Nurses are leaders and vigilant advocates for the delivery of dignified and humane care. Nurses actively participate in assessing and assuring the responsible and appropriate use of interventions in order to minimize unwarranted or unwanted treatment and patient suffering” (ANA, p.7). With...
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...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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