Nursing Ethical Principles
Principles, Methods and Ethical principles of communication The purpose of this paper is to discuss the 7 principles of patient- nurse communication and how it applies to me and my interaction with patients, The 3 Methods of interdisciplinary communication and the SBAR communication applies to my own practice and the ethical principles that are applied to patient- clinician (Paget, Han, Nedza, Kurtz, Racine, Russell, Santa, Schumann, Simha & Von Kohorn, I. (2012) states that the seven principles of patient- clinician communication are Mutual respect is where both the patient and the nurse listen and show respect to each other no matter what the problem is. The relationship is based on trust and is focused just on the patient while discussing
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health goals. Harmonized goals are where both the nurse and the patient will agree on the goals that are planned. The patient will also have an understanding of the care with the risks, benefits and cost while planning the patient’s health goals. A supportive environment should be secure feeling and calm, where the patient feels comfortable to talk to the nurse about anything. Appropriate decision partners are when patients are assigned to people that have the right skill level and knowledge to treat the patient's current problem and that there is communication between all of the staff on the patient's care plan. The right information is when the patients are aware of all of the pro’s, cons and cost of all the different treatments offered. The nurse should be conscious of the patient's views, symptoms and life events that may affect treatment and how to work with them to manage them. Transparency and full disclosure is when the patients are aware of all the information about treatment options and cost. They are also informed about the limits regarding treatment options like cost and delivery of medical treatment that may be available to patients. Continuous learning it is an important tool for the patient and clinician to continue communication after the plan of care is initiated. There should be a continuous discussion regarding growth and challenges to the course of treatment. Communication is never completed until the patient is discharged from the nurse’s care. Some principles of patient- clinician communication that I use to talk to my patient are mutual respect by listening to them and hearing what they have to say. I apply harmonized goals by talking to my patients and providing paper information about the cost, benefits and risks of procedures and we talk until we can reach common health goals. A supportive environment is always provided by providing privacy and a secure feeling environment. Appropriate decision partners are involved in the patient's care from getting dietary, PT/OT, doctor and even nurse aids in to help with care. The right information is provided through research and checking information and asking if there are any questions. There are 3 methods of interdisciplinary communication. Dingley, Daugherty, Derieg & Persing, (n.d.) states that the SBAR is used for communication between nurse and doctor. It gives the situation, the patient’s background, what the problem is and what as the nurse what they think needs to be done. It can be used in any situation between any team members of the health team. Dingley et al (n.d.) states that team Headlines is a 10-minute quick meeting between each other on what person is doing what and highlighting key patients. Usually it is at the same time each day in the same room. They make this meeting mandatory. Multidisciplinary rounds are when doctors and nurses or any other health team member talks daily about the patient and what the goals for that patient need. Usually this is with the patient in their rooms. The method of interdisciplinary communication I would choose would be the SBAR method because I don’t deal this many health team members since I work at night. I do however need to call the doctor from time to time for an emergency of to get them to do telephone orders for my patients need. Just last week I had to use the SBAR to call the doctor about a patient who had a blood sugar over 400. I gathered my information from my patient’s background information, V.S., my assessment, the situation and what I was going to ask the doctor for on paper. I then I called the on call doctor and used the SBAR method which then the doctor gave me specific orders which I repeated back to make sure that I got everything right.
Burkhardt& Nathaniel (2014) states that there are 4 ethical principles that are applied to issues in patient-clinician communication.
Justice is treating everyone equally no matter age race of gender. Meaning if a person with cancer wants to receive chemotherapy treatment but does not work and has no means to pay they should still receive the chemotherapy treatments. Non-maleficence is to avoid hurting a patient either it is intentional or intentional. For example a mother just gave birth to a baby who was detoxing from illegal drugs and was going home with the mother and the mother was still going to take drugs and breastfeeding her baby. As nurses if we let the mother take the baby home without intervening for the safety of the child we are not doing our jobs and not using non-maleficence. Beneficence is to purposely do good for the patient. It is making sure the patient is taken care of to the best of the nurse’s ability in all aspects of the patient’s health from their physical, social and spiritually well-being. Autonomy is the patient's right to make decisions without someone telling them what to do. Patient exercise autonomy all the time every year they must decide if they want flu shot or not. They are given the information and then they must decide. How we communicate with each other can influence patient safety. If the nurse is talking to the doctor and we tell the doctor what we think is best for the patient but the patient does not want what that we would be in breach of Non-maleficence. Good communication is very crucial it can cause a patient to die if there was not good communication. When there are bad communication details could be missed and that could lead to
death. In conclusion communication is an import skill to have that nurse’s use every day on and off the job. Nurses need good communication skills to talk with many people from patients, doctors, family members, pharmacy etc to reduce confusion and medical errors. I think principles of patient- nurse communication, interdisciplinary communication and ethical principles that are applied to issues in patient-clinician communication are great tools to work with when using communicant. I think that the SBAR is one of the best tools to use no matter what situation the nurse is in.
health goals. Harmonized goals are where both the nurse and the patient will agree on the goals that are planned. The patient will also have an understanding of the care with the risks, benefits and cost while planning the patient’s health goals. A supportive environment should be secure feeling and calm, where the patient feels comfortable to talk to the nurse about anything. Appropriate decision partners are when patients are assigned to people that have the right skill level and knowledge to treat the patient's current problem and that there is communication between all of the staff on the patient's care plan. The right information is when the patients are aware of all of the pro’s, cons and cost of all the different treatments offered. The nurse should be conscious of the patient's views, symptoms and life events that may affect treatment and how to work with them to manage them. Transparency and full disclosure is when the patients are aware of all the information about treatment options and cost. They are also informed about the limits regarding treatment options like cost and delivery of medical treatment that may be available to patients. Continuous learning it is an important tool for the patient and clinician to continue communication after the plan of care is initiated. There should be a continuous discussion regarding growth and challenges to the course of treatment. Communication is never completed until the patient is discharged from the nurse’s care. Some principles of patient- clinician communication that I use to talk to my patient are mutual respect by listening to them and hearing what they have to say. I apply harmonized goals by talking to my patients and providing paper information about the cost, benefits and risks of procedures and we talk until we can reach common health goals. A supportive environment is always provided by providing privacy and a secure feeling environment. Appropriate decision partners are involved in the patient's care from getting dietary, PT/OT, doctor and even nurse aids in to help with care. The right information is provided through research and checking information and asking if there are any questions. There are 3 methods of interdisciplinary communication. Dingley, Daugherty, Derieg & Persing, (n.d.) states that the SBAR is used for communication between nurse and doctor. It gives the situation, the patient’s background, what the problem is and what as the nurse what they think needs to be done. It can be used in any situation between any team members of the health team. Dingley et al (n.d.) states that team Headlines is a 10-minute quick meeting between each other on what person is doing what and highlighting key patients. Usually it is at the same time each day in the same room. They make this meeting mandatory. Multidisciplinary rounds are when doctors and nurses or any other health team member talks daily about the patient and what the goals for that patient need. Usually this is with the patient in their rooms. The method of interdisciplinary communication I would choose would be the SBAR method because I don’t deal this many health team members since I work at night. I do however need to call the doctor from time to time for an emergency of to get them to do telephone orders for my patients need. Just last week I had to use the SBAR to call the doctor about a patient who had a blood sugar over 400. I gathered my information from my patient’s background information, V.S., my assessment, the situation and what I was going to ask the doctor for on paper. I then I called the on call doctor and used the SBAR method which then the doctor gave me specific orders which I repeated back to make sure that I got everything right.
Burkhardt& Nathaniel (2014) states that there are 4 ethical principles that are applied to issues in patient-clinician communication.
Justice is treating everyone equally no matter age race of gender. Meaning if a person with cancer wants to receive chemotherapy treatment but does not work and has no means to pay they should still receive the chemotherapy treatments. Non-maleficence is to avoid hurting a patient either it is intentional or intentional. For example a mother just gave birth to a baby who was detoxing from illegal drugs and was going home with the mother and the mother was still going to take drugs and breastfeeding her baby. As nurses if we let the mother take the baby home without intervening for the safety of the child we are not doing our jobs and not using non-maleficence. Beneficence is to purposely do good for the patient. It is making sure the patient is taken care of to the best of the nurse’s ability in all aspects of the patient’s health from their physical, social and spiritually well-being. Autonomy is the patient's right to make decisions without someone telling them what to do. Patient exercise autonomy all the time every year they must decide if they want flu shot or not. They are given the information and then they must decide. How we communicate with each other can influence patient safety. If the nurse is talking to the doctor and we tell the doctor what we think is best for the patient but the patient does not want what that we would be in breach of Non-maleficence. Good communication is very crucial it can cause a patient to die if there was not good communication. When there are bad communication details could be missed and that could lead to
death. In conclusion communication is an import skill to have that nurse’s use every day on and off the job. Nurses need good communication skills to talk with many people from patients, doctors, family members, pharmacy etc to reduce confusion and medical errors. I think principles of patient- nurse communication, interdisciplinary communication and ethical principles that are applied to issues in patient-clinician communication are great tools to work with when using communicant. I think that the SBAR is one of the best tools to use no matter what situation the nurse is in.