Deciding What Is Wrong and Right in the Nursing Ethnics - Article Example

? Rivers and Ethnic’s 3wa Institute of affiliation According to Colleen Moore in his article, deciding what is wrong and right in the Nursing ethnics, it is evident that health care professionals usually face many challenges. Here, it is pertinent to note that not everything that nurses do is in the best interest but of their patients. Therefore, the above point is what brings about nursing. This essay reviews several articles written in relation to the nursing profession, more importantly, what is expected of them in terms of ethnics Some patients wish not to survive despite the fact that nurses will wish them to live. The above is evident in situation that life was saved and afterwards, the same patients wonder why that is pertinent to him or her (Burkhardt, 2008.p.12). Having put that across, it is pertinent for every nurse to realize the important of his or her decision to the patients. The responsibility of the nurses is that they are expected to be altruistic. The above means that nursing professionals should have ethical obligation by serving others without considering self-interest. According to experts, they affirm that an altruistic nurse will only make decision that interests the patients. It follows that, being an advocate to the patient, it is important for the nurses to practice excellent nursing ethnics. Now days, with the improvised and modern technology, nurses can keep individuals alive indefinitely, argues Colleen Moore. Despite of the ability to keep a patient alive indefinitely, to some extent the same may not be a good idea to the patients themselves. Some of the difficult questions that the medics ask themselves is that, despite of exposing patients on a life supporting machine, pump nutrients in them and hook them up in several tubes, is that a patients ‘ best option?. According to the article, it is pertinent to note that new nurses usually face hard times to make hard decisions for instance to choose the decision between life and death. Further, the article evaluate the fact that nurses are required to face and respect the cultural values and beliefs of others. Even though it is right thing to do, it is not necessarily a guarantee. Some cultural and value effect is witnessed to some people for instance, a Jehovah witness follower will not accept blood transfusion even if their life is in jeopardy. As nursing, it is necessary that the above decision be respected even if there is a chance of saving the life. Further, another challenge is that some patients may refuse to receive chemotherapy and it is important to respect that decision (Aiken, 1994. p.24). The book acknowledges the fact that sometimes family can make decisions due to lack of understanding or grief. Here, if the above dilemma arises that is when a strong committee of ethnics can be invaluable service. The article further outlines that committee on ethnics can primarily make decisions that best suits the patient despite of the different cultural beliefs of the patients, the expected outcomes and the wishes of the patients (Hunt, 1996.p. 14). It is surprising to note that to some extent the ethical committee can take off the large burden that the family as well, as patient is going through. With the above in minds, it is important to note that nurse practice act and code of ethnics are vital guidelines governing the behaviors of the nurses though the documents are not specific. Here, the document has limitations to extent that one cannot know wrong or right and so, the above is a decision left for the nurses to decide for themselves. In general, it is important to know that ethnics is something that encompasses the interpretation of the individuals, since it is based on the individual values and morals. Therefore, the article concludes that despite of the availability of NPA and Code, it is pertinent for the nurses to follow their own decision basing on the interest of the patients. Another pertinent article is the nursing ethical dilemmas. Here, Cathy Fant insinuates that nurses usually face ethical dilemmas almost on daily basis regardless of the place of practice. Notably, it does not matter where the nurses in their varied roles function; the known issue is that they are always faced with ethical decision that can further affect their patients and even themselves. The article articulates that there is no right for the specific solutions to the ethical dilemma. According to the document, ethical dilemma is a problem that does not have a resolution satisfy the concern. It is wise to heed that the significance of the decision-making in an ethical manner, pertains the fact that different ethical choices concerning the same dilemma can be made from neither a wrong or a right choice of decision. Cathy goes further to explain that ethnics is causing harm as well as doing good, but again the term ethnics usually vary from nurse t nurse. To some extent, the knowledge above is usually shaped by the beliefs, values and experiences of the nurse. The article goes further to outline many different issues concerning ethnics that nurses usually encounters in the work place. Some of the issues include the quantity against the quality of life, pro-life versus pro-choice, freedom control, deception versus truth telling, personal beliefs versus empirical knowledge and lastly distribution of the resources. The above are different issues concerning ethnics that leave nurses in a dilemma. Pertinent the important issue to consider is how long the person lives or rather the number of the people to be affected by the decision and to crown it all, it is pertinent to heed that quality addresses the fact of how good the person is. Notably, the above can depend on the personal definition of the word good. In real sense, the nurses are required to decide between prolong of therapy and life even thought the quality of life will be compromised. Some how, the therapy can increase the life of the patients but on contrary he or she will live with side effects. All the above are basic dilemmas that nurses usually face when it comes to decision making as expected with the ethical rules of their profession. The document by Fant Cathy argues that nursing dilemmas as per ethnics usually come on a daily basis and it is expected that nurses should make good or rather viable decisions. The decision that the nurses will make will in one way or another affect certain factors including principles learned in schools as well as their own personal beliefs, experiences and values. The choices are supposed to be evaluated if they are right or wrong. According to the Crump and Saundra they argues that nurses face challenges in the efforts or providing end-of life in a quality manner. It is evaluated as per the document that death are caused more shortly or during critical care in care units. Again, those patients from cure to EOL can be awkward or unclear and it follows that the above is a source of stress that is experienced by the critical care nurses. By believing, nurses affirm that they have pertinent advocacy roles that are aimed at assisting patients in the above transition. However, to some extent, the nurses may be uncomfortable to do so with their kills. According to the article, it is evident that nurses perceives that a good death is the death without pain, a death with respect of the dignity of the patient, family needs for EOL should be met, enough period for the family members to say good bye and provision of comfort just to mention but a few. According to Crump and Saundra , they argues that nurses usually view consensus as between patient and family, physicians and nurses as factors that contributes to the experiences of the EOL care as well as a good death. On the side of the family, the components of EOL care that are pertinent component includes the dying process that feels at peace, pain control in its adequacy, self-respects and dignity for the patient, some control on the dying process and lastly communication that is clear. Further, the document revives the survey of experts from American Association for nurse’s critical care. Here, the main subjects are the identification of the barriers to a good EOL. The factors under discussion is lack of time, shortage in staff members, unclear communication between teams members of health care and decisions for treatment that do not meet patient’s preferences or patient needs. According to the document, there are signs of frustrations by the nurses caused by the limited role in contributing to EOL care decisions based on the unique understanding and knowledge of the experience and wishes of the patient. The article recommends that it is vital for all the nurses to embrace Palliative type of care. Here, the treatment is aimed at relieving stress, pain symptoms that usually accompanies serious diagnosis. It is worth noting that palliative is a diagnostic that should be best delivered by interdisciplinary group that respects the eight defined domains by the national consensus of the guideline of the project in a clinical care. Some of the eight domains are, process and structure , aspects that affects physicians, psychiatric and psychological factors, social factors, existential, spiritual, religious and cultural aspects, care of dying patient and lastly the legal and ethical aspects. Evidently the book denies the fact that the current system comprehends whole patients who poses feelings, desires, and both reasons for letting go and for being, that their moment to spent with the family are peaceful. It is possible that critical care and palliative care to be integrated by the shifting from disintegration to integration. Here, the above is a model that acknowledges being with patients, unlike doing things with the patients. Thus, the above can easily result in relationships that are holistic and that address the physical, spiritual and emotional part of the patients ‘well-being. The above according to the discussion in the book, involves decision making, sharing, and the aim of honoring each patient, in terms of their family preferences, goals, values just to sample but a few. It is important that for the critical patients, it is vital for the registered nurses of MDs and RNs to use an advance that bases on the provision of the critical care simultaneously as well as palliative care. First, it is advisable to provide critical care, and then if critical care is unsuccessful, then it is recommended for the nurse to provide palliative care. The above is an example of the nurse ethical’s that should be strictly followed when it comes to critical care, so that the patient may be protected. However, the above is a rule by the American Association for nurses. Additionally, the article goes ahead to distinguish between the social ethical issues and organizational issues that affects the nursing staff. The issues here according to the document include the social justice for the individuals with disability. Also the cultural competency and globalization, the ethical climate on social organization, the use of information technology as well as confidentiality, issues related to staffing and gift giving. Even though according to the literature, many ethical issues are identified, the ones known about the extent that the village nurses are experiencing with their proficiency is less. According the document, it is vivid that legal and ethical issues in nursing reflects the fact that legal issues, law as well as field of ethnics have influence on the continuity professional practices of nursing. It is agreed that responsibility and professional accountability are ever increasing; the above is linked with the fact that nurses are becoming autonomous with the move from acute settings of the ambulatory and community. Primarily, experts argue that both responsibility and accountability are enhanced as advanced practices where the nurses gain a more independence. The nurses here gain independence through the practice of the nurses in the state as well as the entire health care restructuring, delivery system situated in the United States. Fortunately, consumers are knowledgeable about their rights concerning the health care system of delivery. The above makes nursing profession to be tough since consumers are aware of their rights and so they tackle issues directly in the line of their rights. In summary, it is pertinent to heed the fact that nursing is a profession that is very delicate and because of that, American medical association has tried to incorporate nurses in their roles of administering medication. This is why; nurses are sand witched between what is right and what is wrong to the patients. Still if that is not enough, ethical issues are a core rule that every nurses should follow when dealing with patients of all categories. It follows that this essays, illustrates the importance of sticking to ethical issues when dealing with critical care and the choice between life and death. According to the passage, it is evident that nurses face rough and hard times when administering their proficiency to the clients. This is because, apart from what they are required to deliver, the patients who are their immediate customers have also their own wish. In addition, it is important for the nurse not to interfere the will of his or her patients during treatment. More over, despite of the patients’ will, also the family has their own will, which the nurse should incorporate when dealing with a certain type of disease. The above is witnessed by several scholarly authors for instance, Colleen Moore in his article, deciding what is wrong and right in the Nursing ethnics, it is evident that health care professional usually face challenges (Guido, 2006.p.12). Here, it is pertinent to note that not everything that nurses do is in the best interest of the patients. Therefore, the above point is what brings about nursing. This essay reviews several articles written in relation to the nursing profession. Some patients wish not to survive despite of the fact that nurses will wish them to survive. The above is evident in situation that life was saved and afterwards, the same patients wonder why that is pertinent to him or her. Other authors are Crump and Saundra who argues that nurses face challenges in the efforts or providing end-of life in a quality manner. It is evaluated as per the document that death are more shortly or during critical care in care units. Again, those patients from cure to EOL can be awkward or unclear and it follows that the above is a source of stress that is experienced by the critical care nurses. By believing nurses affirms that they have pertinent advocacy roles that are aimed at assisting patients in the above transition. However, but to some extent, the nurses may be uncomfortable to do so with their kills (Lancaster, 1999p. 52). Lastly, the American Association for nurses distinguishes between the social ethical issues and organizational issues that affect the nursing staff. The issues here according to the document include the social justice for the individuals with disability. Also the cultural competency and globalization, the ethical climate on social organization, the use of information technology as well as confidentiality, issues related to staffing and gift giving. Even though according to the literature, many ethical issues are identified, the ones known about the degree of challenges the village nurses are experiencing with their proficiency is less. According the document, it is vivid that legal and ethical issues in nursing reflects the fact that legal issues, law as well as field of ethnics have influence on the continuity of professional practices of nursing. This essay talks about literature review on the nursing ethnics mainly when it comes to the issue of scrutinizing patients. Here, patients have their rights and will. In addition, they tent to fight for what they deserve, and their family is concerned with the welfare of their patients. References Aiken, T. D., & Catalano, J. T. (1994). Legal, ethical, and political issues in nursing. Philadelphia: F.A. Davis. Burkhardt, M. A., & Nathaniel, A. K. (2008). Ethics & issues in contemporary nursing (3rd ed.). Clifton Park, NY: Thomson Delmar Learning. Burnard, P., & Chapman, C. M. (1993). Professional and ethical issues in nursing: the code of professional conduct (2nd ed.). London: Scutari Press. Guido, G. W. (2006). Legal and ethical issues in nursing (4th ed.). Upper Saddle River, N.J.: Pearson/Prentice Hall. Hunt, G. (1994). Ethical issues in nursing. London: Routledge. Lancaster, J. (1999). Nursing issues in leading and managing change. St. Louis: Mosby. Read More