Nursing Process Ethical Decision Making - 1879 Words

Nursing Process Approach to Ethical Decision Making A career in nursing is a challenging one. There is a high demand for physical strength when working a long, twelve-hour shift, and an even higher demand for emotional strength when communicating with clients and family members alike. In both cases, the best asset a nurse has available is the ability to think critically. The nurse is constantly applying themselves in therapeutic ways in order to help deliver the best possible evidence-based outcomes for clients. Behind all these processes lies the basis to choose between right and wrong; ethics. The chosen case study presents a common ethical dilemma. The night before a client’s surgery, the nurse explains the procedure to the client. When asking the client to recall the procedure he describes a different procedure altogether, indicating that the client is not informed of the surgical outcomes. According to the College of Nurses of Ontario, under the Consent Practice Guideline, this becomes a breach of consent, as the client is incapable of making an informed decision. Therefore the surgeon must explain the procedure to the client and the client must be reassessed. If they are still found incapable of decision-making, a hierarchy of substitute decision makers must be followed. The client’s surgeon must be contacted as soon as possible in this situation (CNO, 2013). The dilemma herein is when to call the surgeon after obtaining the information from the client. The two mostShow MoreRelatedEthical Principles Of Nursing Practice974 Words   |  4 PagesWhen ethics in nursing in respect to decision making is looked upon, various key areas are taken into consideration. These key areas include the nursing values, the standards, subject ethical principles and finally the fundamental beliefs in nursing. When a reflection is made on the on the key mentioned areas, it is presumed that each of them is mainly aimed at protecting human dignity and restoring respect to patients (Bush 2007). Ethical values in nursing When looking at nursing values in regardRead MoreNursing Ethic Involving Informatics : Daniel O Brien Essay1183 Words   |  5 Pages Nursing Ethic Involving Informatics Daniel O’Brien University of Louisiana Lafayette Author Note Correspondence regarding this paper should be addressed to Daniel M. O’Brien, Baton Rouge, LA, 70817. E-mail: dmo9257@louisiana.edu Abstract Ethics is part of the decision making process that a nurse uses and is a foundation of nursing. Nursing needs ethical standards to rely on in order to provide quality care for patients and to keep them from harm while respecting their wishes (da SilvaRead MoreThe Role Of Nurse Practitioner1749 Words   |  7 Pagesinterpreting tests results, and educating and counseling for patients of health and wellness (Giddens, et. al., 2014). The transition of the role from RN to NP can be a challenge, as now the NP must start to think beyond the nursing process by â€Å"bridging the gap between the philosophy of nursing and medicine† (Kelley, et al., 2007, pg. 137 p 1). The advanced health assessment skill needed for a NP is more comprehensive than that of a RN. The advanced health assessment skill of a NP expands upon the basic healthRead MoreEthical Decision Making Essay638 Words   |  3 Pageshave led to new and increased awareness of the ethical dimension of nursing and its impact on the delivery of high-quality care (Coverston Rogers, 2000). In their daily practice, nurses are constantly confronted with decision-making that is ethical in nature. An ethical dilemma is a situation wherein moral precepts or ethical obligations conflict in such a way that any possible resolution to the dilemma is morally intolerable. In other words, an ethical dilemma is any situation in which guiding moralRead MoreEthical a nd Legal Issues in Nursing1221 Words   |  5 PagesEthical and Legal Issues in Nursing University of Phoenix Nursing 391 Ethical and Legal Issues in Nursing Marianne, the 79-year old woman who presented with a hemorrhagic stroke in a recent case study, brings up thought for ethical debate. Her outlook is poor, with or without surgery, and she has no advanced directive. Her husband and children cannot come to an agreement on whether life support should end or if all resuscitative measures should be attempted. The following paper will discussRead MorePatient Confidentiality Essay926 Words   |  4 Pagesï » ¿Patient Confidentiality: Ethical Implications to Nursing Practice Patient Confidentiality: Ethical Implications to Nursing Practice Patient confidentiality is a fundamental practice in healthcare and it is integral part of healthcare ethical standards (Purtilo Dougherty, 2010). According to the American Nurses Association (ANA) code of ethics â€Å"the nurse has a duty to maintain confidentiality of all patient information† (Nursing world, p.6). Also, when a patient confidentialityRead MoreEthical Decision Making : The Sad Formula, And Nash s 12 Questions1205 Words   |  5 Pages It is important to not only reflect how we make ethical decisions to better understand our personal approach, but also incorporate a systematic approach that fits our code of ethics and guide us in solving ethical conundrums. Specific actionable steps should be taken and incorporated into our ethical decision making. Four psychological sub-processes affecting our ethical action include (a) moral sensitivity, (b) moral judgment, (c) moral focus, and (d) moral character. The following paper will addressRead MoreThe Importance Of Acting Ethically When Working As A Nurse1318 Words   |  6 Pageshealth 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 practiceRead MoreEthical, Moral, And Legal Implications Essay1463 Words   |  6 PagesTaking a Stand As nursing leaders, we will need to understand how to process and respond to a variety of challenging circumstances. According to Manson (2012), there are four domains of ethical constructs that include codes of professional conduct, ethical principles, law, and personal/moral values (p. 262). As leaders, being prepared with knowledge related to these domains can support decisions. These steps include consideration for the nursing code of ethical conduct, state and federal healthRead MoreThe Ethics Of Nursing Ethics1540 Words   |  7 Pagesand respirators are terms typically appalling and scary to society. In the nursing profession, it is often that nurses will deal with these two appalling terms. A case involving these two terms has been analyzed in regards to nursing ethics. Nursing ethics involves several different complex ideas and with the aid of the four way method one is able to analyze and make a decision in regards to controversial and difficult nursing situations. The four way method helped analyze a fourteen year old boys,