Ethical Legal Dilemmas In Nursing

Monday, June 13, 2022 11:39:08 AM

Ethical Legal Dilemmas In Nursing



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IX: CONFIDENTIALITY / INFORMATION SECURITY: Ethical And Legal Issues

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David Cole January 22, Abstract This paper will present an argument of how the process of do not resuscitate DNR results in an ethical dilemma for workers in the healthcare field. In presenting the argument, this. The goal of nursing is to work for the good of the patient and is viewed as an ethical practice. Each day, nurses, and leaders are faced with ethical, moral, and legal challenges. One of the most powerful ways to promote ethics in healthcare is to role model ethical performance in the leadership levels.

A leader 's awareness of the ethical constructs of ethics, moral, and legal standards is necessary and can influence the ethical. Nurses should be aware of the dilemmas facing the use of informatics in the health care facilities. It is important to note the legal issues facing nursing because of the charges of negligence that can be incurred on the nurse if not aware. Ethical dilemmas of privacy including security breaches. Ethical Legal Dilemma in Advanced Practice Nursing Ethical Legal Dilemma in Advanced Practice Nursing The profession of advanced practice nursing is characterized by several attributes, one of them being the delicate balance between the law and the ethical code.

One may argue that the legal system was designed around ethical principles but in the following paper, the author will attempt to point out the distinctions that separate and define legal and ethical reasoning. A thorough discussion regarding legal interpretation, coherence and logic will be supported by case law as well as analysis. When budget cuts strike, nurses are hit hard, as nursing is the Kimmel Center's largest expense.

That can lead to overworked and overwhelmed nurses who feel they can't give the best care. If your numbers are cut, you can't sit and hold a patient's hand while they're working through some emotional issues because you've got two IVs to hang," she says. There's always more that we could be doing. It's a matter of resources, honestly. The path to nursing was more of a squiggle than a straight line for Brian Wise, Nurs ' After getting a bachelor's degree in philosophy, Wise enrolled in seminary school.

He was halfway to a master's degree in divinity when, as he describes it, "I stopped believing in God as a literal thing. He sees nursing as similar to theology that way. Nurses play a balancing role, he says: learning what's best for the patient, what the family wants, and what the health care team has planned. Especially in the Hopkins PICU, where the sickest of sick kids end up, he says nurses play that role against a backdrop of ever-advancing technology that can keep these kids' hearts pumping, perhaps when that's not the best thing.

Or are we just doing that because that's what the family wants. And is that OK? He cites a recent case. The patient was a child with a complex medical history and a poor prognosis. The patient's doctors and family were talking about more invasive procedures that would be painful and hard on the child. Children are resilient, Wise says, and they can surprise with how well they respond to a procedure. But there's always a chance that the doctor will go forward with a painful, invasive procedure only to have the child die anyway. Wise was asked by the parents what he would do were the roles reversed.

When they asked me what I would do, it was hard to even know how to respond to that. But we did end up having a good conversation about the patient as a person, about what clues the child had been giving as to whether they could survive something like this. We're in the middle of families trying to wrestle with decisions that nobody ever wants to deal with, and I don't know that there is always a right answer.

It's so complicated and murky. Wise says issues like this are constantly discussed, but usually it's in the break room. It's more like, 'We're in this bad situation, and our job is to keep these kids alive, even if we don't think that's the best thing for them. Nurses need to be trained and intent on acknowledging and discussing the ethical challenges they face, he says. With his background in philosophy and theology, as well as ethics training in nursing school, he thinks he's pretty good about taking a step back and articulating what ethical issues are at play and why they're bothering him.

But he knows he's in the minority. Wise is working with Rushton and others on a moral distress research project in the PICU, where he's asking doctors, nurses, respiratory therapists, and other health care workers what brings on moral distress and how they deal with it. PICUs generally have a high turnover rate, he notes, and new employees are understandably more concerned with learning the mechanics of the job—where equipment is, who does what, and so on—than with conversations about ethics. But it's necessary. There's a nationwide shortage of nursing faculty, and only a small percentage of those instructors have been educated in ethics, Rushton says.

Many of the instructors who do lead ethics courses have no formal background. Seldom will you hear about formal ethics training for working nurses, or even brown-bag lunches to discuss the topic. There are just huge gaps everywhere," Rushton says. To Rushton, all the forces at play in the past year have finally started coming together so that real change could be effected in policy, education, and research.

That makes sense,'" she says. The American Nurses Association spent much of the past year preparing to release the first revision since to its Code of Ethics for Nurses with Interpretive Statements , which serves as guidelines for ethical practice for all nurses. Released in January, the updates don't change the foundation of the document but include "small changes in perspective and focus," says ANA's Martha Turner, the co-lead writer for the project.

The changes are intended to reflect the evolution of the health care landscape and technology. Among the material changes, Turner says, is the addition of terms like "social media" and "genetics. Just months before, Rushton made her own major contribution. She says Johns Hopkins is the perfect forum for discussions of nursing ethics, given its history. Isabel Hampton Robb, who in wrote Nursing: Its Principles and Practice , widely regarded as the first nursing ethics textbook in the United States, was the first superintendent for nurses at Johns Hopkins. The summit helped break down boundaries that sometimes exist between nursing organizations, she says, to unite the voices of educational organizations, professional nursing nonprofits, policymakers, and others with a stake in the profession.

Its resulting Blueprint for 21st Century Nursing Ethics laid out, step-by-step, what could be done to ensure that nurses are prepared through education and supported in clinical practice. The blueprint also addressed the need to track the outcomes of these efforts through additional research. The revision of the Code of Ethics and the summit, all of that sort of coalesced together to create a kind of momentum that has never happened before. It's not just one little voice out here making noise. Now we've got a collective voice. One of the most exciting things to come out of the summit, she says, is engagement with student leaders. After the summit, a group of Hopkins nursing students worked to get the National Student Nurses' Association's House of Delegates to pass a resolution supporting the vision laid out in the summit's blueprint.

In April, Rushton was invited to serve as keynote speaker for the association's national convention. She says it's thrilling to see students getting involved, leading the charge for the next generation of nurses. Ever the optimist, Rushton thinks it's possible to mobilize the collective voice of nurses to participate in conversations with policymakers, hospital administration, physicians organizations, and insurance companies to create a culture where ethical practice is valued and encouraged.

Above all, she says, "we want to get to a place where it's safe for nurses to speak up and speak out. We want it to be normative that people are expected to speak out. It should not be a heroic act to say, 'Look, here's an unsafe situation,' or, 'Here's a situation where we are really compromising our ethical values. That would be a good outcome. Tagged nursing , bioethics , berman institute of bioethics , ethics. Nursing is hard. Unaddressed ethical issues make it even harder. Credit: Cornel Rubino. Image credit : Cornel Rubino. Either the nurse is unclear about the right thing to do, or the nurse can see what should be done but cannot do it.

The work is protected by local and international copyright laws and is provided solely for the use of instructors in teaching their courses and assessing student learning. You have successfully signed out and will be required to sign back in should you need to download more resources. If You're an Educator Download instructor resources Additional order info. Description A complete guide to applying the law and ethics in nursing, across settings. For courses in nursing law and ethics. Preface Preface is available for download in PDF format. About the book Overview of basic law and ethics affecting nurses in all clinical arena An introduction to the law, judicial process, and ethics in Parts 1 and 2 gives students a foundational understanding to set the stage for content throughout the rest of the text.

Legal liability issues are covered in dedicated chapters on standards of care, tort law, nursing liability, informed consent, patient self-determination, documentation and confidentiality, and professional liability insurance. Revised - In the new edition, the topics of informed consent and patient self-determination are now addressed in two separate chapters , making way for three-part case studies in each of these chapters.

Interplay of law, ethics, and nursing practice Updated - The text offers the most up-to-date coverage of laws, ethics, and trends in professional nursing. Students learn the impact of the law on nursing practice in dedicated chapters on topics such as advanced nursing practice roles, corporate liability issues and employment laws, and delegation, supervision, and patient advocacy. New - The addition of organizational ethics in Chapter 3 prepares students to handle ethical issues pertinent to nursing management and supervision, such as conflicts that can affect the ethical climate of a health care setting. Real-world applications New - Two- or three-part ongoing case studies , starting in Chapter 5, are new to this edition. They help readers apply chapter content to an individual patient, patient family, or practitioner.

Expanded - Additional ethical scenarios give readers practice applying legal and ethical concepts in compliance with the American Nurses Association Code of Ethics. Expanded - A broadened set of decision-making guidelines in Chapter 17 gives students a quick reference guide to ensure their actions comply with all pertinent legal and ethical standards. Benefits of creating a Pearson eText course Share highlights and notes with students. Add your personal teaching style to important topics, call out need-to-know information, or clarify difficult concepts directly in the eText. Access reading analytics. Use the dashboard to gain insight into how students are working in their eText to plan more effective instruction in and out of class.

Schedule readings. Add due dates so that students know exactly what to read to come to class prepared. Download the mobile app to read wherever life takes you, even offline. Integrate with your LMS. Get up and running quickly on the first day of class. NEW - Listen and learn. Play the full eText audiobook on the go or at home. Available with select titles. Engage learners with compelling media. Videos and animations bring key concepts to life, helping students place what they are reading into context. Flashcards help students review key terms and concepts.

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