Ethics are fundamental to nursing. All nurses have the duty to treat patients with dignity, while protecting the patient’s rights and privacy. Nurses should be treated to patients equally and fairly for age, ethnicity, citizenship, economic status, disability, and sexual orientation. They also need to be concerned with their religious, language, lifestyle and literacy levels.
And also nurses must listen to the patient’s concerns. It is important to create a trust and a mature, interactive environment between patients and health professionals.The nurses work with themselves and other health professionals. Nursing, colleagues and doctors are very important to provide a good health service. Nurses are advised on the basis of the advice of doctors and use their judgment whenever necessary.
Ethics are introduce for the provide good healthcare service and improving standard of professional behaviour. important ethics can listed as below,Nonmaleficence The Hippocratic Oath expresses the duty of nonmaleficence together with the duty of beneficence. We dedicate the following oath to as a nurse. “I will use treatment to help the risk according to my ability and judgment, but I will never use it to injure or wrong them.” As a nurse we have a duty to protect the patient safety. As a caregiver we can not inflict harm on patient, do not cause pain or suffering, do not incapacitate, do not cause offence, do not deprive patient and do not kill the patient.Beneficence The second principle, beneficence is an action that is done for the benefit of others.
As a nurse we have wrong things and harassment during the patient care. Nurses are always commitment to doing good. Beneficent action can be taken to help prevent or remove harms or to improve the situation of others. We can improve beneficaly action by talking to the community about STD prevention and noncommunicable disease prevention, encouraging a patient to avoid smoking etc. we can improve beneficence by doing of active goodness, kindness or charity, including all actions intended to benefit others. Fidelity The Fidelity that can address the responsibility to be trustworthy and keep promises. This principle also relate to duty of reciprocity-consideration of the other point of view.
In between nurses patient relationship, we have to be faithful to agreement and promises. As an example nurses make promises such as i will find out for you about your medication or i will be back with your pain relief medications etc… Nurse should to take these promises seriously, otherwise patient has not rust you. And it is not good for your professional life. We can build up fidelity by being faithful, keeping promises, always doing what is right, being trustworthy, confidential, showing respect and dignity, respecting autonomy and acting in their best interest.Justice Justice is fairness or faithfulness. Nurses must be faithful when the distribute their care.
As a example, among the patients in the group of patient that they are taking care of. The care must be faithful, fairly, justly and equitably distributed among a group of patients. The word justice stand for closely attached with the legal system. Also justice relates to equal treatment of all patient. Ensuring fair allocation of resources and determining the order in which client treated are nursing implications for promote. Autonomy Autonomy is an individual’s right of self determination and freedom of decision making. Most of the time that principle is difficult to apply when the patient care given. In autonomy, nurse can not force or coerce patient to do things.
Before doing nursing intervention or medical intervention we have to get informed consent from our client. Patient choice and autonomy are considered key in palliative care. Also autonomy is about patient’s right to make their own decision.
To do this effectively patient need to have enough information about his/her disease condition, medical treatment, surgical treatment and complication of his/her disease. Nurse have an ability to explain the patient condition, current treatments follow up care for the patient and get informed consent from the patient. Decisions are best made without undue influence, and the person making the decision should also be deemed capable of doing so. Sometimes it may be difficult to stand when the patient decides against medical advice to take an action that is not considered acceptable or appropriate. In that kind of situation the patient is capable of making such a decision and it is well informed of the consequences of their actions they must be allowed to exercise their autonomy to do so.VeracityVeracity is being completely truthful with patients, nurses must not withhold the whole truth from clients even when it may lead to patient distress.
Truth, telling has become the basis for most relationship between healthcare professional and patients.Ethical question is “Are there any circumstances where a healthcare professional should be ethically excused from telling the truth to their patients”. There are two kind of veracity violations:Dishonesty (Lie).Willful omission (Not telling the whole truth is a lie).Making a decision depends on knowing the truth of both parties have the right to choose. Also both parties must tell the truth.Everyday I believe that everyone in some small or large way are indeed faced with this dilemma. It’s just different magnitudes that determine the severity of the situation.
There have been few empirical studies into what non-medical factors influence physicians and nurses when deciding about admission and discharge of hospital patients. One day while I was in working in hospital, a pregnant mother who were facing a road accident were admitted to ICU. The patient was 36 years old and also she was 8 month pregnant Women. After performing an ultrasound scan, doctors concluded that internal bleeding was taking place in the uterus, and there is a further increase. According to the doctor’s recommendation, the patient should be able to undergo an operation to save the woman’s life as soon as possible and stop internal blood flow. However, the conclusion of the doctors was that 50% of the child’s living probability was found. In that case, had to explain myself the illness situation of the patient. But this baby is the first pregnancy of this mother, and it is a praise for the pregnant woman who was successful after using the IUI method after being 5 years subfertile.
So she want rescued her baby and begging for her baby survive. Because of that problem she didn’t get consent for the surgery. Since this baby is already better than the minimum weight, it was explained to the mother that she has able to deliver the baby and after that we have chance for the baby survivor by giving neonatal care. If it is not successful, she has enough time to born another baby. We emphasized this to patient’s relatives. After that complex situation, she gave her informed consent for the surgery.
As a nurse, we have to face such dilemmas in our career. This is just such an example. Our experience is often useful when faced with such situations. We acted to give the patient the proper understanding of his condition.
And also tell to them whole truth about the situation. finally after all this, we were able to save both mother and the baby.Nurses face ethical dilemmas on a daily basis.
Ethical behavior is determined by many factors. What one person considers ethical may be vastly different from a person approaching a situation with a different point of view.Let’s take a closer look at the above example. As a nurse we have a duty to protect the patient safety.
Here we followed our principles and continued to speak beyond that. we was always listening to patient and acquainted with the patient’s knowledge level. We had to tell the patient the right things as of the patient’s lack of knowledge. We are going to have to deal with dilemma in order to take these actions. Sometimes it can be affect our professional life.
However, by using our professional experience can make our right decisions come true. In the end, a good health care service can be provided to the public society.