...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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...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 several...
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... 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 that is making a decision that is favorable...
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...Nursing Crystal Kingcade Grand Canyon University Ethical Decision Making in Health Care NRS 437V April 30, 2010 Personal Ethics of Nursing Ethics in nursing is a set of principles relating to what is morally right or wrong. It is used in the health care field as a standard of conduct or code for how healthcare workers should behave. As nurses it allows us to analyze information and make the best decisions based on what we believe is right and good conduct. Everyday nurses are faced with making ethical decisions when providing quality care to their patients. However, as nurses we must be able to identify our personal values and morals to be able to make the best decision in regards to the ethical dilemmas. Values, Morals and Ethics play a vital role in influencing the nurse-patient relationship because each one determines the behavior on how the nurse and patient respond to the relationship and issue. As nurses we use our beliefs such as values, morals and ethics to guide us on how we should act and to determine the choices we must make. Personal ethics is very vital in the art of nursing. As nurses it is important to know and be able to identify the values of nursing for the safety of the patient and nursing practice. The purpose of this paper is to identify how an individual’s worldview and philosophy of nursing affect their values, morals and ethics in the art of nursing. Health is best known as the condition in which includes...
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...University: NRS-437V Ethical Decision Making in Health Care 10/23/2011 An ethical dilemma occurs when options include conflicting moral claims, health care providers face ethical dilemma on a daily basis. The ethical dilemma presented in this paper is whether to respect a patient’s autonomy not to receive blood and blood products due to her religious belief and compromise standard of care. In the article, An Ethical Dilemma Involving a Dying Patient, the writer addresses ethical issues related to a 20 years old female who is 32 weeks pregnant, involved in an accident and sustained a life threatening injury which required an emergency blood transfusion and surgery in order to save her life and that of her unborn child. Due to her religious faith as a Jehovah witness she and her husband reject blood products and blood transfusion as option. The ethical dilemma “A conflict can be experienced when there is evidence to indicate that a certain acts is morally right and evidence to indicate that the act is morally wrong, but no evidence is conclusive” (Burkhardt, 2008, p. 118.). The ethical dilemma faced by the health care providers in this case is the patient’s decision to refuse blood transfusion in other to stay true to her religious belief, the end result of her decision was death, if she had hearken to the medical plan of care and received blood transfusion, she would have lived but be faced with the guilt of betraying her religious faith. The main ethical dilemma was that by...
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...Running head: MY PROFESSIONAL MORAL COMPASS My Professional Moral Compass Pamela Chesnut Grand Canyon University Ethical Decision Making in Health Care NRS 437V July 26, 2012 My Professional Moral Compass A professional moral compass is something everyone has and lives by. It helps assist in making decisions and is based on morals or virtues. My personal moral compass is directed by various inspirations, passions, and values that I try to live by. Compassion, loyalty, integrity, honor, faithfulness, hard work, service unto others, self-discipline, accountability, and a good sense of humor contribute to my worldview and philosophy of nursing. I try to give the same quality of care to all patients and their family members, which I would want to be given as if it were I or my loved one. A nurse uses their professional moral compass to make the best decisions for their patient. Nursing is all about the patients and without values, morals, and ethics nurses lose the focus on the patients. Values are the moral principles and beliefs or accepted standards of a person or social group (“Value“, n.d.). Values are important because they can help influence decisions, actions, even nurse’s ethical decision making. Morals in nursing are the principles of behavior in accordance with standards of right and wrong. Ethics is about what kind of persons we are becoming – our character and how our choices shape us (“Ethics”, n.d.). The ethics of nursing is the nurse's...
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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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...The foundation of nursing is molded by ethics and values. Nurses provide nursing care for the sick and suffering. Nurses are highly efficient in planning; implementing and evaluating the nursing care for the patient. They are efficient in decision-making and have adequate technical skills. Nurses provide compassionate care for the patient and families during the time of treatment. Nurses are very cautious while assessing their patient to assure that they get the accurate treatment, and to avoid unwanted treatment leading to suffering. Nurses provide safe environment for the patient, family and protect the patient privacy. Nurses must advance the knowledge of profession by education, and they implement these knowledge in planning, implementing and evaluating the patient care. They are able to collaborate with other health care professionals in promoting health and welfare of the individual, families, communities, nation and world to bring a social change by extending towards health related socio- cultural issues (The American Nurses Association, 2010). My philosophy of nursing has derived from what I believe to be a core nursing characteristics. The concept of my personal philosophy-nursing carrier was derived from the value system, and the influence of academic and clinical instructors of my profession. The principles of my philosophy are, reverence, awareness, compassion, morality, encouragement, holism, critical thinking...
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...Ethical Frameworks in Practice Judith Navarrete Grand Canyon University NRS-437V Ethical Decision Barbara Trabelsi February 21, 2011 Ethical Frameworks in Practice For any relationship, whether it may be, personal or business, trust is the ultimate component of its success. In a nurse and patient relationship, trust is extremely crucial. An accurate assessment and history is obtained only if the patient is confident about the nurse’s integrity. This is absolutely essential in order for the patient to receive the appropriate medical attention and treatment. At the same time, the patient is entitled to a private and confidential encounter with the health care provider. Privacy refers to the right of the patient to control any personal information that is disclosed to others. The ethical principle of confidentiality demands nondisclosure of private information about another person with which one is entrusted (Burkhardt, M. A., & Nathaniel, A. K., 2008). It is up to each nurse, as a patient advocate, to protect the rights of a patient’s privacy. Any other medical personnel are on a “need to know” basis. This is necessary to avoid any breach of trust or confidentiality. Sometimes “Duties of confidentiality, may need to be modified in order to protect the patient, other innocent parties and in circumstances of mandatory disclosure for public health reasons” (American Nurses Association, 2001). Occasionally, ethical dilemmas can occur when particular information is necessary...
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...refers to standards of behavior that tell us how human beings ought to act in the many situations in which they find themselves-as friends, parents, children, citizens, businesspeople, teachers, professionals, etc. (Velasquez, Moberg, & Meyer, 2009).” The genuine procedure of moral choice making alludes to the procedure of assessing and picking among choices in a way reliable with moral standards. In making ethical decisions, it is important to see and take out untrustworthy choices and select the best moral option. This paper will inform the reader about the four ethical principles and the methods of ethical decision making, which all will assist with resolving ethical dilemmas. Ethical principles are the establishments of moral examination since they are the perspectives from which direction can be gotten along the pathway to a choice. “Ethical principles assist care providers in making choices based on moral principles that have been identified as standards considered worthwhile in addressing healthcare-related ethical dilemmas” (Pozgar, 2011). The four ethical principles are autonomy, beneficence, non-maleficence, and justice. There is a 96 year old male who has been diagnosed with terminal liver cancer. Currently the patient is admitted to the ICU for the proper treatment. The patient is confused and disoriented, very skinny and appears underfed, and is covered with bruises, which are common in patients with liver disorders. “The principle of autonomy involves recognizing...
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...Managed Care and Case Management Care Marvin Lloyd BSHS/402-Case Management 27 August 2012 Virgil Miller Managed Care are techniques employed to help reduce the cost for providing health benefits and a system for improving organizations quality of care. The United States National Library of Medicine describes managed care as, “programs that are intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases” (National Library of Medicine). Manage care has presented many issues for social service workers that include ethical responsibilities to the clients. These ethical responsibilities include self-determination, informed consent, competence, conflicts of interest, privacy and confidentiality, and the interruption and termination of services (Apgar, 2000). Manage care companies may attempt to contain cost by limiting the types and length of...
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...presents their own economic, social and cultural differences. While nurses work to provide care for the sick, injured and dying, they are always working within the boundaries of their professional codes of ethics. The nursing code of ethics is more than laws and common etiquette, and upholding the code of ethics is understood and agreed upon by people in the nursing profession. The two kinds of ethical theories discussed most in nursing are consequentialist and nonconsequentialist theories. By examining these two theories, nurses are able to evaluate the principle of confidentiality and how to apply the principle within reasonable limits. Further understanding of these normative theories gives nurses the abilities to evaluate conflict avoidance and resolution. As nurses further navigate the world of ethics, they discover how the code of ethics is influenced by a person’s culture, and they acquire a solid foundation for current ethical decision-making models used in their industry. Ethics in Nursing Practice, Values and Decision Making Nurses who take care of patients are encouraged to do so with a certain level of politeness. Other than being polite, nurses are required to be skilled, and they must follow the laws which govern them in their field of practice. Between all of the skills, politeness and laws are a nurse’s professional code of ethics. The code of ethics is generally understood and agreed upon by people in health care, and upholding these guiding...
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...described as one of the most popular term heard in the health systems these days. While ethics can be said as a important part of the care, ethics is 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...
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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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...Nurses and 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...
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