Ethical and Legal Practice | Florida: Laws and Rules of Nursing
Ethical and legal practice, nursing code of ethics, the language of bioethics, ethics problems created by the practice of medicine, ethical issues in neuroscience, . Hippocrates related ethical principles to the individual relationship between. It is important to first understand the difference between law and ethics. Ethical Issues Within The Nursing Profession Essay of authority and position and reprisal for speaking out against abuses (American Nurses Association, ). Email: Introduction. Laws and ethics are influencing nursing profession, which . legal issues while taking care of patient as evidence by tort law. . In conclusion, this essay presents connection between legal and ethical.
A teenager requests medication for a painful condition, but his parents refuse, based on religious beliefs. The patient asks the X-ray technician if her doctor is disclosing everything he knows about her test results.
- Legal, Ethical, and Political Issues in Nursing 2nd Edition
- Everyday Ethics: Ethical Issues and Stress in Nursing Practice
Professional Boundaries Health care professionals must maintain appropriate boundaries. Patients are vulnerable, and that vulnerability needs to be acknowledged and respected at all times. Successful treatment outcomes can give rise to deep feelings of gratitude that may possibly mistaken for physical attraction.
Professional ethics and sexual exploitation laws prohibit inappropriate involvement with clients such as dating or accepting gifts that exceed nominal value.
Genuine concern, trust and empathy should frame all interactions. Intervention is required if mutual respect is not shown or if boundaries are crossed. A patient persists in telling sexist jokes, which offends nursing home staff.
A nursing home patient offers cash to a certified nursing assistant who has money problems. A patient asks his oncology nurse to go on a date with him the day he is discharged. A doctor treats her own family members when the family's primary care doctor is out of town.
Legally and ethically, health care professionals cannot violate patient trust, which is an essential component of treatment. When a patient dies, privacy rights still apply. Accidental or intentional disclosure of private patient information can result in litigation, huge fines and jail time for the violator.
A plastic surgeon discloses names of his well-known clients at a cocktail party. For example, some nurses in our survey responded that it is often difficult to know what the options are when faced with an ethical dilemma, and that nurses are inadequately prepared to address them.
Interestingly, nurses with less experience encountered end-of-life and surrogate decision-making issues more frequently than those with more experience.
Some research suggests that less experienced physicians and nurses are reluctant to withdraw life-sustaining treatments for critically ill patients, and have more difficulties associated with providing analgesic or sedative relief during treatment withdrawal Burns et al. Additionally, end-of-life concerns were more prevalent for Californian nurses than for those in other regions. In fact, 1 in 5 Californians will be 60 years of age or older byand the state has also seen a rapid rise in the oldest old population California Department of Aging, Older populations tend to suffer from multiple chronic diseases and disabilities, and their growing numbers in all U.
More than one third of the nurses indicated that advanced care planning issues occurred frequently, and this was equally reflected in both for-profit and not-for-profit organizations. In a study of nurses' knowledge of advance directives at a large acute care hospital in the Midwest of the USA, Crego and Lipp found that a large majority of respondents thought that neither nurses nor patients had a good understanding of advance directives and that both needed more education.
Although these conversations can be difficult, sensitive, and contentious, respect for persons is a cornerstone of the patient-provider relationship and allows individuals the right to determine their course of care. Further work is needed to understand how nurses, patients and families can best engage in advance care planning, the level of preparation that is needed to have these conversations, how well advance directives are honored by families and healthcare professionals and, finally, the factors that contribute to quality end-of-life care.
More than a decade ago, Scanlon identified important ethical problems in nursing practice that included issues of cost containment, futility, and informed consent.
Our data show that these and other issues remain concerns for nurses in today's environment. Healthcare institutions should consider the range of ethical problems that nurses encounter in their work and how it impacts their level of stress and their ability to do good for their patients. Ethics support, including ethics committees, bioethicists and senior nurse mentors are all needed to mitigate the loss of providers that regrettably might occur due to these ethical challenges. Summary Statement What is already known about the topic Ethical issues in clinical practice are increasingly problematic for nurses in all parts of the world.
Nurses often feel uncomfortable in addressing the ethical issues they encounter in patient care. Ethics-related stress may be linked to job satisfaction and retention of nurses. What this paper adds Nurses cited frequent ethical problems associated with protecting patient rights, autonomy and informed consent, staffing patterns, advance planning and surrogate decision-making, among others.
Younger nurses and those with less years of experience encountered ethical issues more frequently and reported higher levels of stress. Nurses in all regions of the United States of America reported high or very high levels of stress associated with staffing difficulties.
More dialogue is needed on the role of ethics education in reducing ethics stress and helping staff to feel comfortable in discussing ethical issues. National and international strategies are needed to address ethical issues in clinical practice and their effect on nurse- and patient-related outcomes.
The opinions expressed in this manuscript are solely those of the authors. We would also like to acknowledge the comments of the anonymous reviewers who provided critical feedback on the manuscript.
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. Footnotes Conflict of interest: No conflict of interest has been declared by the authors. Standard definitions final dispositions of case codes and outcome rates for surveys. Response rates to mail surveys published in medical journals. Journal of Clinical Epidemiology. End-of-life care in the pediatric intensive care unit: Attitudes and practices of pediatric critical care physicians and nurses.
Ethical conflicts experienced by certified pediatric nurse practitioners in ambulatory settings. Journal of Pediatric Health Care. Projected population age 60 and over. Retrieved February 24,from http: A proposed theory andresearch agenda. Nurse moral distress and ethical work environment. Nurses' knowledge of advance directives.
Ethical and Legal Practice
American Journal of Critical Care. Mail and telephone surveys: The total design method. John Wiley; New York: Mail and internet surveys.
End-of-life experiences of nurses and physicians in the newborn intensive care unit.
Everyday Ethics: Ethical Issues and Stress in Nursing Practice
The development and psychometric evaluation of the ethical issues scale. Journal of Nursing Scholarship. Does ethics education influence moral action of practicing nurses and social workers. American Journal of Bioethics. Moral distress in the neonatal intensive care unit: Ethical decision-making by individuals in organizations: Academy of Management Review.
Moral distress and providing care to dying babies in neonatal nursing.
Legal & Ethical Issues that Health Care Professionals Face
International Journal of Palliative Nursing. Moral problems and distress among nurse practitioners in primary care.
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