Discussion Board Post: Ethical principles of nursing
Discussion Board Post: Ethical principles of nursing – What are the ethical principles of nursing? Provide examples of how the ethical principles are used in practice…
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Discussion Board Post: Ethical principles of nursing
Paper details
What are the ethical principles of nursing? Provide examples of how the ethical principles are used in practice.
watch this Youtube
- Ethical Issues In Nursing — Respect: Dignity, Autonomy, and Relationships – YouTube
This is the textbook below. The ppt (attached) is from the textbook. Please can you use the textbook as a source.
- Eliopoulos, C. (2022). Gerontological nursing. (10ththed.). Philadelphia, PA: Lippincott Williams & Wilkins.
This is for a discussion board post. Aside from the assignment, can you write two possible responses I can use to respond to a classmate post.
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FIRST RESPONSE
There are several ethical principles of nursing. According to the American Nursing Associations (ANA) the nursing code of ethics is defined as a blueprint for “carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession.” The first principle is autonomy. Autonomy has to do with independence and recognizing that each individual is different and has the right to determine what is best for themselves (Hadd & Geiger, 2021).
An example of how this principle can be applied in practice is when after being provided with all the information about a treatment or medication that can potentially save their life and the client still decides to refuse treatment. Once the patient has made a decision, the nurse is now required to support that patient’s decisions and ensure that the clients wishes are carried out.
Another principle is beneficence, which means doing what is good for the client based on the benefits afforded to the patient. The American Nurses Association (2018) states defines this as” actions guided by compassion. An example of this would be helping a patient with going to the bathroom because they need help and cannot go on their own. The next principle is nonmaleficence, which means to do no harm intentionally. This principle sits as the core of nursing. When you become a nurse, your sole purpose is to take care of the patient and make them feel safe and secure.
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An example of nonmaleficence that is so simple but yet has a huge impact is speaking back to a client in a condescending or judgmental tone after they have cursed you out. Justice is based on the thought that everyone is entitled to services based on need (Eliopoulos, 2020). I think a good example of this would be intentionally providing better service to a patient because they have good insurance.
Fidelity and veracity stems from the idea that as nurses we are to be truthful and do what we say we will do. An example of this would be telling a patient that you will come back with some information that they requested and actually returning with the information for them. Lastly, confidentiality has to do with privacy and keeping the patient’s information secured. An example of this would be closing minimizing the patient’s chart when walking away from a computer or not talking about a patient’s condition with others. The ethical principles of nursing is important to always remember because it helps nurses to provide the best service and provide guidance when dilemmas occur.
2ND RESPONSE
Ethics within your profession and personal ethics can bump heads. “It is important for nurses to understand both the ethics of the nursing profession and their own personal ethics and to be aware of the ethical dilemmas facing gerontological nurses today” (Eliopoulos, 2020). Nursing code of ethics is how nursing practices are based and evaluated. There are seven ethical principles that are used to guide health practices. Beneficence is the ethic that means to do good for patients (ANA Ethics Advisory Board, 2019). “Nurses are challenged to take actions that are good for patients while not ignoring patients’ desires” (Eliopoulos, 2020). Non-maleficence is another principle that states to prevent harm to patients (ANA Ethics Advisory Board, 2019).
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“In addition to not directly performing an act that causes harm, actions such as informing management that staffing is inadequate to provide safe care support non-maleficence” (Eliopoulos, 2020). To be fair, treat everyone equally and providing services the patients need is the principle of justice. Culturally competent care of patients spearheads this principle because this type of nursing does not look for differences that could separate patients socially.
“Fidelity means to respect our words and duty to patients; veracity means truthfulness. This principle is central to all nurse–patient interactions because the quality of this relationship depends on trust and integrity” (Eliopoulos, 2020). Autonomy is a principle that ensures the protection of patients rights, preferences for care and freedoms in health care settings. Confidentiality is respect to privacy and is the last of the seven ethical principles. All of the ethical principles are great principles to live by in and out of nursing practice.
Solution
Ethical Principles of Nursing Responses
Response 1
Hi,
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I agree that the principle of non-maleficence sits at the core of nursing. It requires nurses to weigh a treatment’s risks, benefits and consequences before selecting the most appropriate treatment for the patient to avoid inflicting harm on them. Medical errors have adverse effects on the patient, including reduced health quality and, in worse cases, death.
According to Sipherd (2018), medical errors are the third leading cause of death in the United States, claiming approximately 251,000 deaths annually. These deaths are reversible if nurses practice non-maleficence in healthcare delivery. While nurses can achieve this by prescribing the appropriate medication, they can also remove any object that may threaten the patient’s safety, such as sharp objects in the patient’s environment. While this principle is closely related to beneficence, it involves constant action to prevent harm to the patient, while beneficence involves taking action to prevent harm in a specific situation.
Reference
- Sipherd, R. (2018). The third-leading cause of death in the US most doctors don’t want you to know about. CNBC. https://www.cnbc.com/2018/02/22/medical-errors-third-leading-cause-of-death-in-america.html
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Response 2
Hi,
I support that justice is critical in providing culturally competent patient care. This principle focuses on fair, appropriate, and equitable treatment of patients. Nurses deal with patients from diverse backgrounds with different healthcare needs. Therefore there is a need to uphold justice to achieve quality healthcare among all members of society. Healthcare delivery often faces inequalities, which determine the quality of healthcare an individual or society receives.
According to Liburd et al. (2020), these inequalities serve the fortunate and are a disadvantage to those already disadvantaged. However, justice would help to address these inequalities. It is a bioethical principle that focuses on equal distribution of healthcare resources and healthcare access. In this regard, nurses should uphold this principle to ensure that patients receive quality healthcare regardless of the patient’s social background. Additionally, they can advocate for marginalized communities to ensure they have access to quality healthcare services and have enough healthcare facilities in their neighborhood for easier access.
Reference
- Liburd, L. C., Hall, J. E., Mpofu, J. J., Williams, S. M., Bouye, K., & Penman-Aguilar, A. (2020). Addressing health equity in public health practice: Frameworks, promising strategies, and measurement considerations. Annual Review of Public Health, 41(1), 417-432. https://doi.org/10.1146/annurev-publhealth-040119-094119
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