The master’s level prepared nurse is currently in a unique position in healthcare. They are positioned to change the direction of nursing for the future, as it is changing at an ever-increasing rate. I chose to interview M.D., a male nurse with roughly 25 years nursing experience. For the past 6 months he has guided me into a position as his Interim Director. One major draw to interview M.D. is his belief that finance, budget, overall management and advancing education are subjects that are lacking in healthcare and in the operating room. “There is an overall lack of…
I believe it is my responsibility to provide the patients with adequate information regarding the objectives, alternatives, and possible outcomes and risks of a proposed treatment. This will enable the patient to make a voluntary decision about accepting or declining care. I will respect the decision made by the patient on whether or not to perform the medical procedure. Patients should be treated “consistently with compassion even under stressful circumstances” (Morrison, 2016, p. 60).…
"Understanding a patients individual needs and perception of health issues is fundamental to implementing a treatment plan with successful outcomes".(p.144) Communication is a very important aspect through the nurse and patient. It 's…
She was pleasantly surprised that the advance degree guided her to do a better job in teaching. Additionally, it helped her to better understand adult learning behavior that leads to development and implementation of effective program courses, tools, and other resources for the new residents. The advanced study taught her how to facilitate and train using principles of learning with effective methodologies that transform New Residents from just a task providers/caregivers to competent…
B.A later pursued a Licensed Vocational Nurse program and graduated in 1996. From 1996 to 2000, she worked as an LVN, where she refined her technical skills on intravenous therapy, medication pass, catheterizations and irrigations, and also patient’s safety and support implementations (Master of Science in Nursing, 2013). Later, she went back in school and was awarded an associate degree in nursing.…
Nurses are provided guidelines for how to approach the care of patients in the American Nurses Association Code of Ethics, but they are just that, guidelines. It is simply a map to help navigate some of the more difficult decisions that are necessary for a nurse to make. Ethics, in nursing, is based on individual interpretation. A person’s values shape their individual approaches to patients and patient care. The ANA document does not tell or indicate what is an absolute right or wrong. Each and every nurse has to make those decisions individually. Ethical knowledge and guidelines help a nurse maneuver through personal/professional relationships, to give safe and ethical care in an ever-changing healthcare system.…
The nursing shortage and lack of staffing ratios have created long standing ethical dilemmas as they relate to patient care. Nurses are accountable and responsible for their own morals, decisions and behaviors. Nurses are accountable for judgments made and actions taken in the course of nursing practice, irrespective of healthcare organizations policies or providers' directives which may not always be in the best interest of the patient.…
Smith, K., & Godfrey, N. (2002). Being a good nurse and doing the right thing: A…
According to, “The American Nurses Association Code of Ethics”, this document sets standards for nurses. It exemplifies the role of the nurse and duties to be maintained. For instance, patient advocacy is an important factor to the code of ethics. Patient safety is to be a primary goal for the nurse. I believe this is crucial for all nurses to practice. Individuals in the hospital are not necessarily capable of always expressing their needs. Therefore, it is the nurses responsibility to advocate for the patient during times they cannot. For example, one time I was caring for a patient who did not understand their diagnosis. A team of residents came into this person’s room and overwhelmed them with information. Confused, the patient was unable to understand the complexity of the illness. However, I witnessed the nurse advocating for her patient. She stepped in as a voice, making sure the patient’s questions were answered before they left. For a patient it can be quite intimidating when a group of doctors come in talking about a disease process they have never encountered. So, it was satisfying to see the nurse advocate for the patient.…
In the clinical setting, nurses also encounter ethical dilemmas regarding patient care that do not appear to have a potentially simple solution (Fant, 2012). Such as, a patient’s family…
The nurse is performing her admission assessment of a patient. When grading arterial pulses, a 1+ pulse indicates:…
Nurses in their everyday practice may employ varied ethical theories, whether consciously or subconsciously, to patient situations on an individual basis. In the instance of the article “Bioethics on NBC’s ER: Betraying Trust or Providing Good…
I agree with you that it is impossible for a nurse to know every disease and treatment options. I think it is important for us as nurses to remember this as well and to stop and think before we answer a medical question. Also the medical field is changing all the time and one way of thinking in the past may not be what research says is best now. In chapter three Fain discusses evidence-based nursing stating that it is, “the conscientious, explicit, and judicious use of theory-derived, research-based information in making decisions about care delivery to” patients (Fain, 2013, p47). It is important for us nurses to take the time and do the research so that we can provide the best care.…
Promoting patient’s autonomy is showing a sense of respect the patients. This can be violated very easy, it is the nurse responsibility to provide some sort of safety to prevent this from occurring. By educating the patients is recommended in all healthcare environment. When these patients understand that they have the right to their medical information, and also they have right to make any decision, they will be able to advocate themselves and prevent it. Educating the patient as a preventive measure that will also prevent any ethical dilemma advanced practice nurses’ moral distress. As a result, this can be done by explaining to the patient all the legal aspect while they are in the hospital. Another recommendation that could be made to prevent the violation of patient veracity and autonomy which may resolve advanced practice nurses’ moral distress in the dilemma, the healthcare providers should always encourage patients to seek care that promotes the individual patient’s medical interests. It might be thought that this approach fails to respect patient autonomy.…
Uden, G., Norberg, A., Lindseth A. & Marhaug, V. (1992). Ethical reasoning in nurses ' and physicians ' stories about care episodes. Journal of Advanced Nursing , 9:1028-1034.…