Nurses are subject to a plethora of legal, ethical, and professional duties which can be very challenging on a day to day basis. Some of these duties include respecting a patient 's confidentiality and autonomy, and to recognize the duty of care that is owed to all patients. As nurses our duties are always professional; however there are legal implications if these duties are breached. We also must consider when it is okay as nurses to breach these duties and therefore ethical issues arise. As nurses one of our main priorities is to advocate for our patients, without our own personal feelings on the matter taking over. There are many legal and ethical situations that healthcare providers will be faced with when providing medical treatment to either a child or an elderly adult. While there is often much discussion regarding the elderly and do not resuscitate orders, there are often times when the decisions for health care of a child may be overlooked. Some of the legal issues that may be faced by healthcare professionals are informed consent, confidentiality, reproductive services and child abuse. Patients have the right to decide what is done to their own bodies, but for children under eighteen, their parents decide for them. A major issue faced by healthcare professionals is parental refusal for treatment. Healthcare providers will be faced with many conflicting ethical and legal situations regarding refusal of a minor’s healthcare and treatment. These issues
As a registered nurse practicing in the state of California I am responsible for practicing within my states legal regulations and nursing scope of practice. My concern for the welfare of the sick and injured allows me to practice ethical provisions of nursing. These are required if I am to carry out competent and effective nursing care. Nursing encompasses the prevention of illness, the alleviation of suffering, and the protection, promotion, and restoration of health in the care of individuals. Therefore, as health care professionals we must be familiar with the different philosophical forces, ethical principles, theories and values that influence nursing. At the same time, we must be respectful to our patient’s
The topic of ethics is prevalent in health care and addresses a broad range of topics in nursing. In almost every interaction with a patient there could be a situation that may bring up the question of ethics. Fortunately, there is the realization that placing the nurse in the care of a patient, may put the medical personnel in an environment where the ethics are questioned. There are whole departments dedicated to advising nurses in these situations. There are also ethic committees to help guide you when you find yourself in a situation that may question your practice or circumstances.
A nurse owes a duty to her profession's own code of ethics. Patient autonomy, justice, and respect for patients' dignity are central to nursing practice. The Canadian Nurses' Association (CNA), through the publication of the codes of ethics for nurses, calls upon nurses to
Healthcare professionals have an ethical obligation to respect patient’s wishes. Consequently, many legal and ethical dilemmas arise in healthcare in response to clinical decisions related to the needs, beliefs, and preferences of patients and families. Other dilemmas result over concerns about the integrity, competence, or actions of other healthcare professionals. Preserving human dignity, relieving suffering, equality, integrity, and accountability are essential nursing values (Kangasniemi, Pakkanen, & Korhonen, 2015). Nurse leaders have an
Healthcare provider’s perception and judgment in the patient’s well being as well as taking into account the right of the patient in every action is one of the key elements in nursing practice. International Council of Nurses (ICN), (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3). Furthermore, nursing action guided by theory and principles of moral and legal
The ethical issues involved in this topic include age limits, medical ethics, informed consent, and autonomy. It is unethical and immoral to allow adolescents to make their own medical decisions, because the judgment and capacity to make coherent decisions is unstable. However, adolescents should be involved and have a voice in the process of decision making, nonetheless I believe that the concluding medical decision should be made by the guardian and the doctor. An adolescent is between the ages of thirteen and nineteen. Society permits the legal determination of decision making for health care at the age of eighteen years. It is very important to consider developmental issues which will influence both reasoning and information processing, the brain not being fully developed causes a sense of a lost identity, and low self esteem challenges adolescents to develop a logical decision. An adolescent brain is not yet fully developed, the lack of grey matter and an
One reason why teenagers should have the right to confidential medical treatments is so they can deal with their issues as effectively and timely as possible. When minors present their medical problems to their physicians, some of them can be emergencies. These situations can appear in a circumstance such as the patient waiting so long to get a doctor’s opinion of their illness or injury that they are at risk of serious consequences if it is not treated immediately. In some cases, there is no time to receive parental consent or approval, and medical procedure must happen as soon as possible. The patient is most desperate for attention in emergency situations and they should be able to consent to procedures so that they can be performed quickly. “Emergency physicians shall
Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as
Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice
Care can be considered simply an ethical task and thus a burden of one more thing to do, or it can be considered a commitment to attending to and becoming enthusiastically involved in the patient’s needs (Lachman, 2012). It is important for nurses to understand their role as a patient care provider and the commitment to providing the best care possible that is safe and effective. The commitment to preserving and respecting the patient’s autonomy is one key ingredient in maintaining a good nurse/patient relationship. A nurse must also ensure that the patient is being informed and consulted about his treatment and plan of care regardless of the patient’s decision-making capacity. Protecting patient’s privacy and confidentiality is one way of gaining the trust and confidence of the patient. There will always be an ethical issue in the nursing field that comes daily in which a nurse must make a decision. This ethical decision will be affected by many factors including their own personal values and beliefs; however, the code of ethics set by the organization provides the nurse a tool guide in which they can base their ethical decisions on. It also provides the nurse guidance for legal and ethical responsibility to the patients. Geriatric nurses may encounter difficult ethical issues in patient care but proper ethical training class for elderly care and geriatric education will better equipped them to confront the ethical issues and dilemmas they are likely to encounter in nursing homes. With education qualification, knowledge and compassion, nurses, can make conscious, moral choices that have long lasting impact on the
Ethical issues in nursing will always be an ongoing learning process. Nurses are taught in nursing school what should be done and how. Scenarios are given on tests with one right answer. However, there are situations that nurses may encounter that may have multiple answers and it is hard to choose one. “Ethical directives are not always clearly evident and people sometimes disagree about what is right and wrong” (Butts & Rich, 2016). When an ethical decision is made by a nurse, there must be a logical justification and not just emotions.
Ethics is an essential aspect of health care practice and those working in the nursing profession are often subject to frequent ethical dilemmas. It is essential for all nurses to be aware of the importance of ethics in health care and to practice within the ethico-legal parameters that govern the profession. However, while this is relatively easy in theory, ethics is not a black and white subject and often one’s culture, upbringing, attitudes and beliefs can influence what one views as ethical and this can therefore influence practice. This report will discuss the importance of ethics in nursing practice. The definition of ethics will firstly be presented followed
Every child should be treated with their best interest in mind. Physicians have to make the choice that may benefit the patient when the parents have different views or religious beliefs that harm the health or well being of the child. In scenario three, the parents state they are willing to allow their child to suffer and die than for the child to receive the life saving medical treatment (Weiss and Lonnquist, 2015). The physician must advocate for the best interest of the minor
Currently, in the common laws mature minor doctrine, a minor patient may possess the maturity to choose or reject a particular health care treatment without the knowledge or agreement of the parents. This common law policy averts the need for parental consent. Within Canada, the Ontario Health Care Consent Act also indicates the law’s approach to children’s decision-making capacity in relation to medical treatment. Section four of the Act indicates that children have the capacity to make a medical decision if they can understand the information and can appreciate the consequences therefore, it is not driven by age, but by the level of wisdom and understanding capacity . This legal element was taken into
Over the years patients have become more invested in their healthcare and on the decisions that involve their bodies. People have taken more account that they have a lot more rights than they initially believed. Prior to 1960, patients were less likely to obtain and discuss health information. This was until The American Medical Association created a code of medical ethics. The code included that the patient has a right to obtain and discuss health information which related to the benefits, risks and costs of treatments. Overall this states that patients can make decisions which pertain to their health. The patient has the right to an adequate health care, confidentiality, the right to refuse treatment. Historically, nurses have played a key role in caring for patients across multiple healthcare settings. Nurses provide expert care throughout their careers. They contribute to the spiritual needs of patients and families, and which they are there to help achieve the optimal recovery to any health problems.