Largely understood, ethics consist of principles, which guide the behavior of entities, groups or professions (Wilkins 2007). Nurses as professionals make autonomous decisions on how they will care for patients. But they are still held accountable to their profession as a whole as regards these autonomous decisions. A nurse’s deportment has been vastly scrutinized from the start. The famous Florence Nightingale pledge in 1893 included the vow to “abstain from anything deleterious and mischievous… or harmful drug. ” The profession evolved into a very complex arena in the last century.
Nurses now must confront life-and-death decisions and in short periods, even on an hourly basis. Medical advancements in new technology have the equal potential of benefit and harm. Today’s nurse makes her own decisions, that is, without the influence of her employer. But how she does is under the control of a Code of Ethics to which she swears (Wilkins). In general, nurses are employed by a hospital, clinic or some private entity (Wilkins 2007). Yet seemingly “independent” decisions made on patient care not really totally independent.
Each decision, especially a critical or end-of-life decision, creates a ripple effect, which extends to At first glance of reading the ANA code of ethics it seemed way beyond my “scope” of practice. I took a lot of time to read since it was kind of repetitive in a sense. I’m a new graduate to nursing field and without experience I don’t have ample nursing philosophy yet. I have worked as a hospice nurse now for 3 weeks, and have a nursing perspective of 3 weeks. It’s hard to imagine the code of ethics being realistic, 100% of the time.
As nurses we are humans and not robots. The ANA Code of Ethics for Nurses serves as a prototype for me just entering the field. It’s what I will attempt to stand by. It serves as the framework to what I will strive for. The first three provisions describe the most fundamental values and commitments of the nurse, the next three address boundaries of duty and loyalty, and the last three address aspects of duties beyond individual patient encounters. The first 3 provisions emphasize the fundamentals, commitment, and advocacy of the nursing profession.
Acknowledging a someone’s dignity is an integral component of nursing care. This is Not that I have a whole lot of experience being a nurse but when I’m able to make the patient feel comfortable, I get a lot more accomplished. Getting the patient to feel comfortable with you makes a huge difference. I try and decrease any awkward barriers between the patient and I . In the short time I have been a hospice nurse, it has already humbled me tremendously. When you are present in the aide for the moment in life where people are so vulnerable, it changes you.
It adds to the dynamics you carry as a nurse. One of my patients is a 93 year old female who lives with her husband of 75 years in an ALF. Not any physical co morbidities besides her old age. Upon her assessment she began talking in stated that she was tired of living and that her and her husband fall asleep and pray to not wake up. Which about made me want to cry. I immediately asked why she felt that way, she stated that she has no reason to live, and the ALF gets old and boring. I replied stating that there is a reason for her living, and that everything has a purpose.
I of course didn’t know exactly why, didn’t have those kind of answers. I was learning from her that I was grateful and appreciative to experience this time with her. As I was leaving she expressed that I gave her some push to smile and that I made her feel so much better. The The ANA code of ethics sounds crazy to me. It makes me feel like a robot nurse, so repetitive. Realize it’s a set of standards that were to work up and be about. So many elements in what makes a good nurse. At times I feel like how is a possible to be a perfect nurse in every situation.
Were human too and can from suffer from burnout and may need to be the patient. Helps me to be a better nurse, is what if I was in that situation, how would I want to be treated. Sample Essay Reviews of the outcomes of the nursing trends are a must. This I believe is because it could tell us whether the current trends have positive or negative outcomes and whether the goal of such trends has been achieved or not. In this regard, I believe nurses can play a very major role. This conclusion can be drawn easily if one takes a good look at the responsibilities of nurses.
It is my responsibility as a nurse to maintain a professional standard during practice as is obvious from the ANA code of ethics. She should plan, implement, and evaluate researches that are carried out for the betterment of the patients but she is also responsible for safeguarding the privacy of the patient, although this responsibility is not absolute when it comes to the well-being of the patients and society at large. The ANA’s Code of Ethics (1-2) consists of several ethical statements called provisions. There are a total of nine provisions.
The first three of these provisions describe ethical values and nurse commitments while the second three provisions address the parameters of nursing obligations and duties as well as loyalties. The final three provisions examine nurses’ duties and obligations beyond the general practices associated with caring for individual patients. 1. The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.
2. The nurse’s primary commitment is to the patient, whether an individual,family, group, or community. 3. The nurse promotes, advocates for, and strives to protect the health,safety, and rights of the patient . 4. The nurse is responsible and accountable for individual nursing practiceand determines the appropriate delegation of tasks consistent with thenurse’s obligation to provide optimum patient care. 5. The nurse owes the same duties to self as to others, including theresponsibility to preserve integrity and safety, to maintain competence, andto continue personal and professional growth .
6. The nurse participates in establishing, maintaining, and improving healthcare environments and conditions of employment conducive to the provisionof quality health care and consistent with the values of the professionthrough individual and collective action. 7. The nurse participates in the advancement of the profession throughcontributions to practice, education, administration, and knowledgedevelopment. 8. The nurse collaborates with other health professionals and the public inpromoting community, national, and international efforts to meet healthneeds.
9. The profession of nursing, as represented by associations and theirmembers, is responsible for articulating nursing values, for maintaining theintegrity of the profession and its practice, and for shaping social policy Provisions 1-3 The nursing ethics provisions start at the patient level and progress to a wider sphere of influence. Provisions 1-3 deal specifically with the nurse’s relationship to individual patients, including respecting their dignity and advocating for their care. Provisions 4-7
These provisions deal with nursing education and the nurse’s right (and responsibility) to improve the nursing profession and patient environments by keeping up with education and training, both for the individual nurse and for facilities, to promote more efficient and compassionate care. This is where I feel the DNR applies. It’s an Provisions 8-9 These provisions deal with nursing from a more global standpoint, urging nurses as a professional group to join with other health professionals to shape public policy and improve worldwide health and wellness. Abstract