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Law and Ethics in Nursing

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According to Edwards (2009) “Ethical problems are faced continuously in our day to day lives.” He then goes on to discuss various examples of the types of ethical issues many individuals can face during a typical day, such as a homeless person asking for money for food and explains how this common dilemma has an ethical dimension to it that most ordinary people may not be aware of. When defining an ethical dilemma, the Royal College of Nursing (RCN) (1997) bring a human element to the definition and explain how choices are made with the consideration personal feelings, principles, beliefs and personal opinion of what is good or bad within a situation (Jones, 2007). Nurses are faced with many more ethical problems on a day to day basis within health care environments than ordinary members of the community and the increasing variety of ethical issues that arise within modern nursing practice is why it is essential that nurses study law and ethics (Edwards, 2009).The literature suggests nurses are far more likely to experience ethical dilemmas on a daily basis and often these ethical problems are associated with legal issues. Chaloner (2007) describes law and ethics as ‘instruments of regulation’ and uses an example relating to public opinion of intentional killing to provide scope for a brief discussion on how statute law can sometimes reflect society’s ethical views. It is also imperative that registered nurses have a sound legal knowledge and understand the legal consequences of their actions (Dingwall, 2007) Chaloner (2007) believes that understanding ethics within nursing is essential to providing skilled nursing care in practice. The advances in modern medicine have directly affected the role of nurses and as a result nurses are now faced with decision making that may conflict their own moral values (Edwards, 2009). The study of ethics can enhance nursing practice by ensuring that nurses have the skills and knowledge to tackle ethical dilemmas



References: Allmark P. (2005) Can The Study of Ethics Enhance Nursing Practice? Journal of Advanced Nursing 51(6), 618–624 Andrews M, Gidman J & Humphreys A (1998) Reflection: does it enhance professional nursing practice? British Journal of Nursing 7 (7) 413-417 Atkins, S, Murphy K. (1993) Reflection: a review of the literature. Journal of Advanced Nursing 18, 1188-1192 Barnett, M Beauchamp, T L, Childress, J F (2008) Principles of Biomedical Ethics. 6th edition Oxford, Oxford University Press Burns, S, Bulman, C Chaloner, C (2007) An introduction to ethics in nursing. Nursing Standard. 21, 32, 42-46. Chaloner, C (2007) Ethics in nursing: the way forward. Nursing Standard. 21, 38, 40-41. Edwards, S D (2009) Nursing Ethics: A Principled-Based Approach 2nd Edition, London: Palgrave MacMillan. Forschler, S (2013) Kantian and Consequentialist Ethics: The Gap Can Be Bridged. Metaphilosophy 44(1-2) Gibbs, G Hussey, T (2011) Just Caring. Nursing Philosophy 2012. 13, 6-14 Johns C (1995) Framing learning through reflection within Carper’s fundamental ways of knowing in nursing Mental Capacity Act (2005) The Stationary Office, London Mezirow J (1990) Fostering Critical Reflection in Adulthood Jossey-Bass San Fransisco Noble-Adams R (1999) Ethics and Nursing Research 1: Development, Theories and Principles. British Journal of Nursing, 8(13), 888-892 Nursing and Midwifery Council (NMC) (2008) Royal College of Nursing (1997)Ethical Dilemmas: Issues in Nursing and Health 43. RCN, London Schon, D Somerville, D & Keeling, J (2004) A Practical Approach To Promote Reflective Practice Within Nursing. Nursing Times 100(12) 42 Taylor, B Tweddle, F. (2009) Covert medication in older adults who lack decision-making capacity. British Journal of Nursing (18) 15 936-939

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