Ethical issues And Nursing Malpractice In Nursing Practice Discussion
Introduction
Rainer et al. (2018) define ethical issues in nursing practice as circumstances where moral conflicts arise in a health facility. Such disputes in nursing commonly occur when a nurse has to make choices without the ideal options and where the expected answers are unclear. A poor patient care, troubled clinical relationships, and moral distress, defined as knowing what is right to do but not being able to do it, could be the outcomes. This paper summarizes the article titled ethical issues in nursing practice. It proposes to review the ethical issues experienced by oncology nurses and the approaches they use to solve them Ethical issues And Nursing Malpractice In Nursing Practice Discussion.
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Article summary
Technological advancements have drastically led to the improvement of treatment, especially under the most critical conditions. It has made it easier for the healthcare provider to process patient information and respond to emergencies faster than the traditional document way of keeping records processing information (Park, 2009). However, these technological advancements are believed to threaten moral and ethical issues. The integrity of patient information is prone to leakage and is likely to land in unauthorized hands. Therefore, the nursing staff needs to gain the necessary expertise and knowledge to help them ethically deliver care. The nurses should be well trained and qualified and possess ethical confidence to approach ethical problems most feasibly. Despite the recent concern by the medical schools on the moral development of their trainees, the reality in the medical facilities is yet to reflect these efforts.
The dynamic standard for the nurses’ professional moral behavior should address all the ethical issues that nurses face. There is also a need to understand the specific ethical issues found in the healthcare setting and their impacts on nursing practice(Park, 2009)Ethical issues And Nursing Malpractice In Nursing Practice Discussion. Several pieces of research have been conducted, aiming at understanding the ethical issues confronted by nurses in their practice (Park, 2009). The most common issues identified include; do-not-resuscitate orders, advance directives, medication errors, documentation and patient privacy, pain management, and informed consent. Each main ethical issue was placed in each setting. For example, for the administration, the issue was the inadequacy of resources for care, refusal of treatment, under treatment, and consent in oncology, and protection of the child’s right to the pediatric nurse practitioner. Patient care, end-of-life treatments, and human rights issues are the full range of ethical issues nurses in the current practice face(Park, 2009).
The end-of-life treatment ethical issues identified by the article include: prolonging the dying process with the measure that is appropriate; removing or use of life support, including hydration and nutrition; not considering the quality of life of the patient; organ transplantation or procurement, underuse of overuse of pain management, ordering too few or many tests or procedures, and refusing to participate in euthanasia. Patient-based care ethical issues highlighted by the article include; staffing patterns, resource allocation, managed care policy implementation, ignoring family or patient autonomy, discriminatory treatment, and unsafe treatments(Park, 2009). Finally, human rights-based ethical issues mentioned in the article include the nonuse or use of chemical or physical restraints, advance directives, informed consent, and the protection of human dignity. The most problematic ethical issues faced by the nurses were found to be spousal, child, elderly, or patient neglect, the prolongation of the dying process, staffing patterns limiting patient access, acting personal or religious views, unethical, incompetent, or irresponsible colleagues, and non-treatment or treatment despite the wishes (Park, 2009)Ethical issues And Nursing Malpractice In Nursing Practice Discussion.
According to Park (2009), nurses used various strategies to solve the ethical issues and dilemmas they faced in their nursing practice. Some of these nurses preferred approaching the problems using their values. The second approach that the nurses employed was discussing the issues with their peers and deciding how to deal with the situation. Some nurses preferred addressing the matter to the higher administrative authorities like the directors, managers, or supervisors. Few nurses consulted the ethics committees(Park, 2009)Ethical issues And Nursing Malpractice In Nursing Practice Discussion.
Conclusion
In conclusion, the article has addressed the most common and frequent ethical issues related to human rights and patient care that nurses face. These ethical issues have been categorized into three main types: patient care issues, end-to-life treatment decisions, and human rights issues. The patient care category represents the most frequent issues nurses face in the article. According to the article, peer discussions, using their values, consulting ethics committees, and addressing high authorities are the strategies nurses use to solve ethical issues. The article’s findings can therefore be helpful when it comes to improving and designing ethics education programs for the trainees and as pragmatic evidence for practice nurses. Ethical issues And Nursing Malpractice In Nursing Practice Discussion
References
Park, M. (2009). Ethical issues in nursing practice. Journal of Nursing Law, 13(3), 68-77. doi:10.1891/1073-7472.13.3.68
Rainer, J., Schneider, J. K., & Lorenz, R. A. (2018). Ethical dilemmas in nursing: An integrative review. Journal of Clinical Nursing, 27(19-20), 3446-3461.
Article Summary and review Essay Instructions
Choose one of the articles below, and address the essay prompt associated with it. You will need to log in to the WCU library to access the full article.
Park, M. (2009). Ethical issues in nursing practice. Journal of Nursing Law, 13(3), 68-77. doi:10.1891/1073-7472.13.3.68
Link: Ethical issues in nursing practice Links to an external site.
Essay Prompt: Identify primary areas for legal and ethical issues faced by oncology nurses in this study (Park, 2009), and strategies they may have developed to work with those ethical issues.
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Croke, E. (2006). Nursing malpractice: determining liability elements for negligent acts. Journal of Legal Nurse Consulting, 17(3), 3.
Link: Nursing malpractice: determining liability elements for negligent actsLinks to an external site.
Essay Prompt: Identify primary problems that led to the malpractice suits (Croke, 2006), and identify the role the nurse played and what the nurse did wrong.
Your 1-2 page paper should include adhere to APA formatting and references/ citations for the article. Additional sources are optional.
244944__Ethical_Issues_In_Nursing_Practice_521_wk_4_article_6381362d77141.pdf
Ethical issues And Nursing Malpractice In Nursing Practice Discussion