The nursing process is greater than a method that nurses use to identify and treat actual and potential health problems. The American Nurses Connection (ANA) Benchmarks of Medical Practice offers a basis for practice and identification of the individual; in addition, nurses also must abide by the profession's moral code as well. "Nurses are committed to respect humans with an impartial approach of care to variations socially, financially, culturally, racially, and other individuals traits" (Saucier, 2005, p. 80). It is the responsibility of the professional nurse to engrain ethics as an important part of the foundation of medical. The International Council for Nurses (ICN) identifies that the need for nursing is universal and that "nurses have four important responsibilities: to market health, prevent health problems, restore health, and minimize hurting" (Tomey, 2004, p. 75). Right from the start of nursing Florence Nightingale explained it so eloquently in the original Nightingale Pledge:
The Health Insurance Portability and Accountability Take action of 1996 (HIPAA) was originally intended to ensure the privacy of people and it supports those individuals responsible that might acquire very sensitive information when it comes to medical records (Garrett, Baillie, & Garrett, 2010, p. 117). However, there are also some gray areas where a nurse is often uncertain whether the information that has been passed out is acceptable, or if the person who is requesting the info is authorized to have it. When these sorts of situations happen, confusion can come up and it makes it difficult for nurses to do the job properly without concern with retaliation. Not only is confidentiality an ethical issue, but a legal need.
In chapter five, Principles of Confidentiality and Truthfulness, the terms responsibility and secrets was used. Having the understanding and knowing the difference between your types of secrets and a knowledge of harm or possible injury to the individual, family, or profession is key. These details is directly related to the Nursing Scope and Expectations of Practice, Standard 12. Ethics, The rn integrates ethical provisions in all areas of practice. The dimension standards for the rn condition: "Maintains patient confidentiality within legal and regulatory variables, maintains a healing and professional patient-nurse relationship with appropriate professional limitations, and uses Code of Ethics for Nurses with Interpretive Assertions to guide practice" (American Nurses Association [ANA], 2004, p. 39). Specifically, ethic 3. 2 Confidentiality, that is encompassed in the typical that says "the nurse promotes, advocates for, and strives to safeguard the health, safety, and protection under the law of the individual" (American Nurses Relationship [ANA], 2001, p. 12). Trust and well-being of the individual are fundamental in the area of confidentiality; keeping in mind, that when working within the multi-disciplinary team, the nurse must only show relevant home elevators a need to know bases.
As an example, the er nurses' cousin was admitted to the emergency room during the transfer at a healthcare facility. He is in critical condition. The nurses' mother is very worried about him, but she has not been able to attain the nurses aunt and uncle. The nurse is aware of the cousin's condition. While using benchmarks and ethics does indeed she notify her mommy? No, this is just about the hardest of situations, however the nurse must not tell. She should never even let on that she's any information. Instead, encourage her mother to keep calling your aunt. The nurse may decide if her aunt reaches the hospital and request her to call mother. Even doctors can only just release information to the immediate family-in this case, the cousin's parents. It is up to the aunt and uncle to inform all of those other family. This way, they can determine how much information family should have.
Maintaining confidentiality is an essential requirement of professional patterns. It is vital a nurse guard the patient's to personal privacy by carefully guarding information of the sensitive, private character. Sharing personal information or gossiping about others violates medical ethical codes and practice standards. It sends a note that the nurse can't be trusted and injuries interpersonal associations.
Informed consent
Nurses are obligated to see all patients, regardless of whether or not they have the capability or not capable of offering consent, about the attention or treatments before it is given. Nurses are obligated to assist patients understand the type of their health problems and assist them to get the information and support they need to make up to date decisions. A key principle researched in chapter two, Guidelines of Autonomy and Informed Consent, that all health care requires the consent of the individual (or somebody who is authorized to consent for the patient) prior to the attention plan is carried out. An assumption is manufactured that up to date consent recognizes that a patient needs to know about an operation, surgery, or treatment, before they decide to have it. Standard 14. Resource Utilization in the ANA Scope and Criteria of Practice explicitly denotes that nurses should "assists the patient and family in becoming up to date consumers about options, costs, dangers, and advantages of treatment and care and attention. Educated consent may have a multitude of legal ramifications, but its central and most questionable function is based on the idea of patients actually participating in medical decision making. It may be at this time that the doctor (or autonomist) and the nurse most tend to butt heads. Fortunately for nurses there is certainly Ethics Code 1. 4. The concept of up to date consent is fundamental to the delivery of healthcare. The nurse's responsibility is essential in making certain patients are completely informed and understand their options; "each nurse has an obligation to understand the moral and legal rights of all patients to self-determination" (ANA, 2001, p. 8). Educated consent is more than just signing a paper, is specific patient right.
An example case of an individual with angina who was considered for a coronary bypass surgery shows the issue of knowledgeable consent. Moral and legal areas of obtaining consent must be considered. Doctors may have personal biases, which might lead to coerced consent, or may overwhelm the patient with home elevators potential complications of any proposed treatment. Patient preconceived notion or misinformation can lead to misunderstood consent. The patient's demand to put back the decision to the physician boosts the question of whether such wanted paternalism violates patient self-determination and invalidates consent or is it a fitness of the patient's to have his doctor determines (Garrett et al. , 2010, p. 32)?
Quality and safety
Providing basic nursing care for the individual patient is an important nursing value reinforced by professional mandates and by rules of medical ethics. Referring again to Standard 14. Resouce Usage that claims, "the rn considers factors related to safeness, effectiveness, cost, and effect on practice in the planning and delivery of medical services" (ANA, 2004, p. 42). It is straightforward to tie the idea straight from the ANA specifications of performance to the nursing code of ethics 8 that says "the nursing job is focused on promoting health, welfare, and security of most people" (ANA, 2001, p. 23). In reading from chapter six, there is dialogue that quality care can be achieved by high tech equipment, credentialing, licensing, skill, knowledge, and protocols; however, an important factor in judging quality explained "professions lead the effort to enhance and protect quality in the occupations" (Garrett et al. , 2010, p. 134). If occupation conditions, agency legislation, or hospital plans create undesired working conditions that limit the grade of nursing care that may be provided, nurses become worried. Since nurses value quality of patient attention, in addition they value those conditions that allow quality patient good care.
When nurses try to balance the value of quality of patient health care with issues concerning their standard of living the action of an possible strike may come into question. As the nurse's value being able to ensure high quality care they may realize in the short term many patients might not have the highest of quality treatment while a hit is in place. When putting ethical decisions first, nurses should sort out their professional organizations and promote positive mechanisms for discussions with employers. If nurses can gain responsibility for, and control over, the grade of care delivered, they have gained great benefit for the health of the city.
Conclusion
If not nurses, who will advocate for the chronically sick (both young and old), the under and uninsured, and the most prone with complex health needs? Who will question the rightness or wrongness of aggressive care, technological progress, and determinations of quality of life? Who will talk about patient concerns related to enlightened consent, surrogate decision-making, and the risks and great things about treatment or research? And who'll challenge ineffective or inefficient medical, doctor, and administrative command requirements and styles that underestimate the importance of ethical problems on patient final results and nurse output and retention? These philosophical questions are at the core of your deeply held ideals and beliefs about who we live as a willpower. Without adequate ethical knowledge and competence; however, it is difficult to gather nursing on central moral concepts in the provision of nursing care. The nurse, as an individual advocate reveals difficult troubles; however, the main element concepts of ethics will allow all nurses to persevere in understanding the range and limits with their professional responsibilities.
