Code of Ethics for Nurses, With Interpretive Statements Essay
Code of Ethics for Nurses, With Interpretive Statements Essay
Judy “The Invisible Patients” documentary – Ethical Dilemmas Several ethical conflicts arise from Jessica’s interaction with Roger B., the 30 y.o man with Duchenne’s muscular dystrophy approaching his end-of life care. According to Hamric et al., problems with communication is one element often encountered in many ethical dilemmas. In this case for instance, the challenge of maintaining an open and honest communication with the patient and the caretaker regarding Roger’s status and prognosis is predominant. Despite the patient’s expressed desire to continue with curative treatment options, Jessica was able to effectively initiate the end-of-live conversation. Code of Ethics for Nurses, With Interpretive Statements Essay. The ethical principle of veracity characterized the NP care approach. Respecting the patient’s autonomy, Jessica delays the referral to hospice care and continues to advocate for the patient’s treatment choices; she gives him the option to get admitted so the insurance pays for the ventilator. She considers the ventilator as a palliative intervention Roger should have access to (principle of justice). However, acting in the patient’s best interest (principle of beneficence), Jessica continues the hones end-of-life discussion, eventually persuading the patient to accept hospice care. On the other hand, she debates whether to transport Roger to the hospital when the gastrostomy tube malfunctions. She consults a colleague to discuss the pros and cons of the transport against the potential risk of peritonitis in an effort to avoid unnecessary stress and harm to the patient (principle of nonmaleficence). According to Hamric et al., (2019) the nurses’ difficulties with managing multiple commitments and obligations is another theme often related to ethical dilemmas in nursing practice. In the movie, Jessica struggles to set limits between her professional and personal life; she confesses she often neglects her family needs in exchange for more time to care for her patients. Furthermore, you can even see her eating while driving, sacrificing her personal time and right to a lunch break, and violating the Code of Ethics for Nurses (American Nurses Association [ANA], 2015) which states that nurses owe the same duty to themselves that they do to others. Nevertheless, Jessica recognizes she is at fault, and also confesses she wishes she could learn from other NPs that have found a way to handle this dilemma. References American Nurses Association. Code of ethics for nurses, with interpretive statements. Author: Washington, DC; 2015. Hamric, A.B., Hanson, C.M., Tracy, M. F. & O’Grady, E. T. (2019). Advanced Practice Nursing: An Integrative Approach (6th ed.). Saunders. ISBN: 978-0-323-44775-1. Code of Ethics for Nurses, With Interpretive Statements Essay.
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Content and Clarity of the Code
The ANA’s Code of Ethics (1-2) consists of several ethical statements called provisions. There are a total
…show more content…However, Fry and Veatch (32) also point out that the Code relies, to at least some extent, on the principles underlying humanist, feminist, and social ethics.
The American Nurses Association’s Code of Ethics (2) also defines and distinguishes the terms “ethical” and “moral” thereby helping nurses to better understand the nature of the principles provided. Specifically, it is noted that:
“Ethical” is used to refer to reasons for decisions about how one ought to act, using the above mentioned approaches. In general, the word “moral” overlaps with “ethical” but is more aligned with personal belief and cultural values. Statements that describe activities and attributes of nurses in this Code of Ethics are to be understood as normative or prescriptive statements expressing expectations of ethical behavior (2).
Process
According to Hook and White (1-7), the ANA’s Code of Ethics was originally drawn up and adopted by the organization in 1926. However, during this era this code merely consisted of suggestions for proper and ethical behavior. Code of Ethics for Nurses, With Interpretive Statements Essay. In 1940, a “tentative code” consisting of a substantive revision of the earlier code was drawn up and accepted unanimously by the ANA House of Delegates. This code was revised and amended repeatedly over the next decades until in 2001, the existing
Another case that was happened also in one of our hospital in Saudi Arabia about the importance of secure electronic communication. We do have a kind of electronic system called “Quadra met” pretty similar to patients’ file with all information about patients. This system access doesn’t offer for students, its only for staff nurses; however, student nurse ask one of her friend who was a RN to use Rn’s access to the Quadra met system. The student accidently checked the name of one of her family member who has AIDS. This act from Rn leaded to many bad outcomes in the student’s future in nursing school and with her family relationship. It is important to increase the awareness about this ethics code to protect nurses from any inappropriate action could be done later on. My job as an advanced nurse is to apply code of ethics by recommend health institutions to enforce all nurses and nursing students in attending code of ethics courses and workshop to enhance their knowledge in ethics. In addition, Participants in research
Nursing practice is guided by a set of code of ethics which constitutes an essential part of the profession.Code of Ethics for Nurses, With Interpretive Statements Essay. For a long time now, nursing practice has integrated the concern for the welfare of patients and the vulnerable population as well as for social justice. From a functional perspective, nurses work towards the normalization of those elements that detract from health. Not only are the nursing career prospects obliged to abide by the moral and ethical standard of nursing profession, but also to embrace them as a critical aspect of the health care profession.
Goals of the nursing code of ethics
- To serves as concise reminder of the ethical duties and commitment of all the persons who choose the nursing career.
- To outline the nursing profession’s invariable ethical standards.
- To highlight the professional’s own awareness of its obligation to the community.
Ethical principles
In the code of ethics, the term practice has been used to signify the various functions of the nurse in whatever position he or she assumes, such as immediate patient care provider, policy developer, researcher, administrator, educator among other. Therefore, the principles and commitment outlined in this code of ethics fits all the nursing positions and context (Lubkin & Larsen, 2006).
The nurses in all the aforementioned positions and context, performs with respect and compassion for the innate distinctness, worth, and dignity of each person, without any regard for his or her social or financial status, personal characteristics, or the nature of the health issue. Thus the ethical obligations of nursing practice can be summarized under the following principles (Lubkin & Larsen, 2006):
- Respect for human dignity: – represents a fundamental principle that drives the general nursing practice. This pertains to regard for human rights, self-esteem, and value of all people, including the client, colleagues, physician, and the general public. Nurses have been taught to take into consideration the demands and morals of every person in all professional liaisons (Lubkin & Larsen, 2006).
- Interaction with patients: – the nurse must develop a relationship in their provision of nursing services, taking into account respect for human requirements and standards, with no bias. Code of Ethics for Nurses, With Interpretive Statements Essay. Nurses, while planning a patient’s health care, must take into account an individual’s lifestyle, religious orientation, and value system. This consideration reflects the respects for the patient personality, as opposed to condoning or agreement with specific individual preferences.
- The characteristics of health condition: – the nurse expresses respect for privileges, dignity, and worth of each human being regardless of the characteristics of the health condition. This principle upholds that the approach fo any patient’s provision should not be influenced by the nature of the disease or injury, propensity for death, or functional potential. This perception extends to those who need the services of the nurse for improving health, prognosis, normalization of health, relief of suffering, as well as provision of compassionate care to the terminally ill individuals.
- The right to freewill: – regard for human dignity concerns the identification of certain patient’s privileges, especially, the right of freewill. Freewill or autonomy forms the philosophical basis with regard of informed consent in all medical care contexts. Patients are morally and lawfully entitled to involvement in the determination of the process that will be followed including; (a) right to accurate, comprehensive, and understandable instructions in a way that allows an informed decision; (b) to be helped with evaluating the benefits, challenges, and alternatives in their management, as well as the option of no treatment; (c) to allow, refuse, or cease treatment devoid of falsehood, undue persuasion or penalty; and (d) to be afforded considerable support in the entire decision-making and management procedure. The patient should be allowed to consult with family and other crucial persons in regard of decision making under the support and guidance of competent nurses and other health specialists. Noteworthy, patient should be allowed to participate in determining their health care extent possible and willing to participate.
- Association with peers and others: – respect for persons applies to every individual with the work context of the nurse. The nurse upholds a compassionate and caring attitude when interacting with peer and others with dedication to unbiased treatment of patient, to conflict resolution, and to integrity-preserving conciliation. This concept should be observed in all the possible nursing positions, such as direct care provider, consultant, educator, researcher, and administrator. This standards of conduct disqualify any biased action, any harassment or intimidating behavior, or disregard for the repercussion of own conduct on other people. The nurse acknowledges the unique role of different person or teams, and collaborates to achieve the common objective of availing quality health care services. Code of Ethics for Nurses, With Interpretive Statements Essay.
Grievances
All nurses are responsible for creating, sustaining, and contributing to a practice environment that upholds nurses in observing their ethical obligations. A practice background typically involves physical attributes, including the working condition, and inscribed policies and protocols outlining the prospects for nurses, and less tangible attributes like informal peer standards.
Organizational framework, function description, safety and health strategies, grievance procedure, penalty procedures, compensation system, and ethics committee, collectively contribute to the working context that impedes or enhance professional accomplishment and ethical practice.
Settings within which staff are afforded unbiased hearing of grievances, are facilitated based on the level of care, and are fairly handled to allow the accomplishment of the principles of the nursing profession that are in alignment with a proper nursing practice (Oermann & Henrich, 2005).
Conclusion
The ethical code focuses largely on health care practice, although level of practice is dependent on availability of resources. Because of this relation, an ethical code concurrent to the nursing code of ethic should be designed, so that nurses are in a position meet their ethical obligations.
Reference List
American Nurses Association. (2001). Code of Ethics for Nurses with Interpretive Statements. New York: The American Nurses Association Inc.
Lubkin, I. M., & Larsen, P. D. (2006). Chronic illness: impact and interventions. London: Sage.
Oermann, M. H., & Heinrich, K. T. (2005). Annual review of nursing education: strategies for teaching. Stamford, Mass: Cengage Learning. Code of Ethics for Nurses, With Interpretive Statements Essay.
