Most hospitals respond to the increasing patient demands by providing overtime pay for nurses. Education can help address this type of scenario.
The Core Ethical Principles of Nursing Even when laws and medical practices change, the fundamental ethical principles of the nursing profession stand firm. Adding to this challenge is that nurses often have to resolve ethical quandaries quickly to make decisions that significantly affect the lives of their patients and their families.
Moral Distress Nurses working in health care settings with inadequate staff may suffer from moral distress because they feel that they compromise their ethical responsibility of protecting patients from harm by providing inadequate patient care. Job dissatisfaction results from finding an inappropriate working environment whereby nurses lack the time to communicate with the patients and provide meaningful nursing care.
The Top Legal and Ethical Issues Facing Nurses Nurses, along with other healthcare professionals, practice in an environment that is rapidly evolving due to technology, advances in medical science, and pressure to contain costs. Nursing professionals are obligated to respect the decisions made by their patients, even if the choice the patient makes differs from what the nurse would make in a similar situation.
In addition, they end up working overtime to cater to the rising patient demands while at the same time compromising the quality of nursing care. Walton made the argument for moral advocacy, speaking up and discussing options early. Nurses working in non-acute care settings, such as schools and prisons, have concerns related to bedside nurses but they can differ, Turner explained.
Ethical decisions related to justice often involve allocation of scare resources. The basic elements of caring related to the nursing profession include the following: According to plaintiff counsels, the public can readily access the data about the inadequate staffing levels in health care settings and use it to trigger lawsuits even in the absence of other systematic problems.
Since medicine constantly evolves, nurses have an obligation to stay up to date on the latest developments and best practice of their profession. In so doing, the hospital emphasizes only the technical aspect of nursing care and forgets about the ethics of care, a personal value that most nurses cherish.
For example, the Federal Office of Inspector General announced that it would treat failure of care resulting from inadequate nursing levels as grounds for criminal and civil prosecution using the Federal Civil False Claims Act.
Legal Implications The public is aware about the problem of understaffing and view it as a major fundamental issue in health care centers.
As part of a multi-disciplinary treatment team, nurses are typically the professionals that have the most amount of regular contact with the patient. In all cases, nurses need to follow the core ethical principles of the nursing profession. Nurses are ethically mandated to be loyal, fair, and truthful with their patients.
Nurses are ethically obligated to attend not only to their patients, but also to the needs of their colleagues, employer, and community.
Pavlish found nurses also were concerned that patients and families were not fully informed about treatment options and their clinical prognosis and whether the patient voice was represented.
Moreover, in the past few years, health care facilities have continued to receive lawsuits relating to low staffing levels. Did you learn something? Did the patient or family feel cared for? She explained that ethical concerns may change as the nurse matures in his or her role.
In worse circumstances, nurses might end up making a medical error that leads to the death of a patient simply because the hospital overwhelms them with too many responsibilities.
In fact, having conversations with the health care team and holding family conferences can help ease the ethical conflict, Pavlish reported. Ulrich discussed the importance of education in nursing programs to prepare undergraduate and graduate students for clinical practice.
Such nurses may suffer from mental anguish because they believe that they would have provided better care to patients were it not for the multiple duties. For instance, a nurse may decide to only give the basic mandatory care to a patient, such as injections or medicine, but lack the time to give them a back rub or take them out for a walk.
When faced with an ethical dilemma, some of the questions nurses need to ask as part of their decision-making process include the following: Priorities also are reset as new patients arrive and colleagues need something.
Burnout Constant ethical conflicts at work may lead to emotional stress and physical and mental burnout. However, due to acute staffing shortages, nurses may feel constantly dissatisfied with their jobs.
Does the decision demonstrate fidelity to the patient? Start Your Job Search. Doctors and nurses faced the ethical challenge of choosing which patients would receive treatment and which patients they would merely make comfortable. The ethical dilemmas nurses typically have no clear-cut answers that fit with every situation with all patients.
One of the challenges nurses encounter is that they find their beliefs differ from those of their patients, especially when it deals with pro-life versus pro-choice issues and end of life issues.
The ANA also publishes separate ethics guides for different specialties and controversial areas, such as the ethics involved in end of life decision making. The Joint Commission requires nursing ethics resources be available--be it a committee, an individual or a community organization, Turner said.
Because of this shortage, many nurses complain that they experience emotional distress and job dissatisfaction and end up not providing quality care to their patients.Hi everyone! I am currently a nursing student taking an ethics course for anyone going into a health or human resource field.
I am currently working on a. A persistent shortage of nursing staff across the United States challenges the belief and values of this profession. Many nurses may find it. Mar 08, · The scene raises ethical, moral, legal and emotional issues. What is the right thing to do?
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