Ethical issues in advanced practice nursing. ETHICAL ISSUES IN ADVANCED PRACTICE NURSING 2022-11-10
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Advanced practice nursing is a highly specialized field that involves the provision of advanced levels of care to patients. With this increased level of responsibility comes a greater need for ethical awareness and decision making. In this essay, we will explore some of the ethical issues that advanced practice nurses may encounter in their practice.
One major ethical issue that advanced practice nurses may face is the balancing of autonomy and beneficence. Advanced practice nurses often have a great deal of autonomy in their practice, which can allow them to make decisions that are in the best interest of their patients. However, this autonomy can also lead to ethical dilemmas if the nurse's actions conflict with the desires or wishes of the patient. For example, an advanced practice nurse may feel that a certain treatment is in the patient's best interest, but the patient may refuse this treatment due to personal beliefs or values. In these situations, the nurse must weigh the benefits of the treatment against the patient's right to autonomy and make a decision that is ethically sound.
Another ethical issue that advanced practice nurses may encounter is the need to respect patient confidentiality. As healthcare providers, advanced practice nurses have access to sensitive information about their patients. It is crucial that they maintain the confidentiality of this information and only share it with those who have a legitimate need to know. This can be challenging in situations where the nurse may feel that the patient's safety is at risk, or where the nurse has a legal obligation to report certain information. In these cases, the nurse must carefully consider the ethical implications of their actions and make a decision that is in line with their professional obligations.
In addition to ethical issues related to patient care, advanced practice nurses may also encounter ethical issues related to their professional roles and responsibilities. For example, they may be asked to participate in research studies or to serve on committees that make decisions about healthcare policy. In these situations, it is important that the nurse carefully considers the potential conflicts of interest and ensures that their actions are in the best interest of their patients.
Overall, ethical issues are an inherent part of advanced practice nursing. It is crucial that advanced practice nurses are aware of these issues and take them into consideration when making decisions about patient care and their professional responsibilities. By doing so, they can ensure that they are providing the highest level of care to their patients and upholding the ethical standards of the nursing profession.
Ethical Issues in Advanced Nursing Practice
Wesley has been diagnosed with intestinal amebiasis, for which the doctor has prescribed Tinidazole 2 grams once daily for five days. The Growth of Palliative Care in U. The nurse promotes, advocates for, and protects rights, the health, and safety of the patient. Nursing staff of many specialities are taking on and developing their roles in new and advanced practice areas. Inadequate staffing How To Identify Ethical Dilemmas In Nursing? Other values will be noted where appropriate. The nurse should provide information in a way the patient understands, allowing him to ask questions and have the option to allow or refuse treatment. .
Therefore, in this scenario, it is justifiable for the patient to enjoy the comfort care he requires based on his References Ekman, B. The paramedic stated she had bouts of confusion prior to arriving to the hospital. Ethical Dilemma: The concept of informed consent is a common ethical dilemma in nursing. How to Deal with this Ethical Dilemma: Nurses are invaluable resources of help for patients and their loved ones during end-of-life transitions. Despite efforts to help manage the disease, including dialysis three times weekly, his condition has worsened. Autonomous directs the nurses to follow the patient's medical preference. Kantian ethics require the test of universalizability in all ethical decisions.
Ethical Legal Dilemma in Advanced Practice Nursing Case Study
The emergency physician will not write an order for pain medication stating Mr. Isaacs sign a consent form before a scheduled colonoscopy. All health care practitioners must be aware of the patient's thoughts so that they know the kind of relationship to establish with the patient. You must be prepared to critically analyze ethical situations, and develop an appropriate plan of action. The first response for Nurse Saundra should be to encourage Nurse Micah to document the patient's change in vital signs and report the spike and return to normal to the physician. Jenkins had a perforated bowel that resulted in full-body sepsis.
In this case, the health providers feed the patient with facts concerning his health status and the effect on his Legal reasoning Failure to adhere to nursing standards constitutes either a civil or a criminal violation. Example 15: Patient Does Not Have an Advanced Directive Scenario: Mrs. The doctor recommends hospice at home with comfort measures only, including oxygen and opioid pain relievers. The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities. This principle emphasizes on making the patient comfortable and Nurses face difficulties expressing emotional statements about the dying patients, but, they must provide facts about the health status of the patient in order to assist create harmony around the immediate medical decisions and course of action. In the same time it calls for a clear and precise response as. Moral practitioners create a safe, non-judgmental caregiving environment.
There are other ethical theories that may be relevant and helpful guides to health care practitioners. Having a keen sense of cultural awareness can serve caregivers well, especially when they are faced with dilemmas regarding care for patients from diverse backgrounds. Thomas' physician suggests the next step is amputation. Although the doctor examined Michael and told him about his diagnosis privately, Michael's mother is in the waiting room and wants to know what the doctor said. The nurse should then prioritize care based on patient needs or status.
NURS 6565 Week 2: Consequences of Ethical Issues in Advanced Nursing Practice
It is essential that all nurses develop and implement ethical values into nursing practice. Wesley's chart says he is allergic to Flagyl and knows Tinidazole is contraindicated in patients with a Flagyl allergy. The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth. In most cases, physicians will change the order when a medication is contraindicated. She wants to know what the nurse would do in her position. Proper documentation will protect the nurse and healthcare facility from legal ramifications if the client or his family later feels treatment should have been provided. Bio-ethicists implemented ethical theories with a principlist approach as a way to examine ethical conflicts.
Ethical issues in advanced practice nursing • Faculty • Penn Nursing
Patient autonomy can go against medical directives, despite clearly defined needs. As a rule of thumb, it is always best to acknowledge dilemmas and seek help from leaders to help deal with them before your job or license is on the line. This includes making sure they distribute limited healthcare resources based on need. He has several injuries, and it has been determined he is experiencing internal bleeding. Therefore, it is necessary for nurses to be aware of their state laws and to work closely within those laws and with supervisors to adhere to their organization's guidelines. By having open dialogues about ethical issues, nurses can learn from the mistakes others have made and learn how to approach ethical issues and challenges.
The negative argument is that it is not ethical for the health care team to act on her request for no further cancer treatment. By doing this, the nurse may now have enough supplies to care for the patients who require wound care services until supplies are delivered. We haven't seen him since Austin was discharged. Simms's quality of life will rapidly deteriorate. Example 4: Parent Refuses to Vaccinate Child Scenario: Mr. In this scenario, Nurse Jordan faced an ethical dilemma because her sense of duty and compassion for her patient did not align with the safety protocols the hospital had in place to protect nurses.
Advanced Practice Nurses Face Ethical Issues Free Essay Example
How to Deal with this Ethical Dilemma: This situation requires the nurse to use her triage skills and determine which patients if any, could safely have orders changed or amended. They can rely on the guidance of nurse managers when it comes to situations they may not know how to address. In some cases, the decisions they must make test their professional and personal morality. His reason for refusing a blood transfusion is Mr. While waiting for x-rays of his left leg which appears broken, Mr. Family members may want to withhold medical information from sick patients to protect their emotions. This book will offer insight and guidance on a variety of issues that are likely to be encountered by the Nurse Practitioner in everyday practice.
