Sometimes, according to a nurse, it can be effective for a patient not being informed about the medication, to get positive outcomes for patient’s health. The legal and … Many Americans consider nursing to be the most honest and ethical of all professions. i These duties are supplemented by the principles of beneficence, meaning promoting or doing, good and acting in patients’ best interests, and non-maleficence, meaning to avoid harm. These duties are ethical duties as well because ethical considerations arise when these duties are breached, considerations such as when can these duties be contemplated, so there for these duties are ethical duties as well. The nurse has a duty to prevent the patient from anything worse happening to the patient but if the patient is not mentally ill, he/ she should have full right to take any decision for them. When choices need to be made concerning ethical issues, but the “best” course of action isn’t clear and the treatment options aren’t ideal, nurses are often faced with an ethical dilemma. You can view samples of our professional work here. Legal and Ethical Issues in the Provision of Adolescent Reproductive Health in the United States by Katherine Ferrell Fouquier, CNM, PhD, FACNM Introduction Adolescent sexuality is one of the most morally charged issues in reproductive health, and health care providers may find themselves unprepared for the legal and ethical dilemmas surrounding These issues affect both patient care and a nurse' sjob satisfaction and mental well-being. This assignment will discover ethical and legal implication of the nurse who disguises the information of the lethal ill patient at the request of his family. Bioethics. This article discusses the hypothetical case of Jack, a two-day-old infant diagnosed with trisomy 13 (syndrome), a life-limiting condition. In this scenario, the patient states the pain score as 8/10 after three hours of having morphine and the doctor thinks the patient has become dependent on morphine. But, ethical dilemmas in nursing aren't all the same. 11th Feb 2020 Many nurses do not have formal education in legal and ethical issues, and as such as often unqualified to address these questions when they arise in the medical environment.xxx… Any opinions, findings, conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of NursingAnswers.net. Law is the result of the minimum level of shared values or ethics of a community of people. The main point of concern in this scenario is that the patient is given a placebo instead of the morphine, so that the patient would not ask for morphine again and again. Identify various patient care, employment and administrative level issues. xxxiii Kleiman, S. (2007). In some cases if a patient is unable to express what he wants, only then a nurse can decide what is best for the patient but a person like Mr. S, who can state his condition must be informed of the placebo of saline. In the Nursing and Midwifery Order 2001, the Nursing and Midwifery Council (NMC) must establish minimum, standards and requirements for nursing education in professional and ethical issues.iv The NMC, is an organisation established by parliament to protect the public and regulates the medical and nursing professional standards using the Register of, Medical Practitioners (RMP). SPECIFIC OBJECTIVES The students will be able to; Describe code of ethics, professional conduct, and legal system, ethical and legal issues in nursing. 1989 words (8 pages) Nursing Essay. Ethics regards standards of moral judgement and professional conduct. New York: Springer, p. 102. xxix Martin, R. (2010, August 26). This lesson will introduce you to the basic legal concepts and terminology of today's professional nursing. Nursing ethics revolves around the concept that nursing is collaborative, hence patients have an inherent right to bodily autonomy wherever possible, and, this includes a human rights component and the need to allow informed consent, or the withholding of this consent. Nurses being culturally safe with clients have become the nursing practice more powerful. As a nurse, she needs to have courage, honesty and should maintain the advocacy role. xiv When read with Article 3, it can be implied that there is a fundamental right for all, individuals to determine their own lives, without interference from the government, including the right to choose medical treatment – treatment must, be either consensual, or if the patient is in fact incapable of consent, it must be therapeutically necessary. The nursing practice is expected to comply at an individual level with these guidelines on a daily basis. It is imperative they have a sound understanding of various ethical, legal and professional issues they will face during their careers. Professional ethics involves the use of reasonable and regular communication, information, medical skills, emotions and doctrines in nursing practice. What are the legal and ethical issues in healthcare? Nursing case study assignment help experts across Australia feel that there are a number of legal and ethical issues in nursing that need proper attention. The Register acts to allow the GMC to monitor entry to the profession only by achieving the standards required to become an, RMP, and also by monitoring ‘fitness to practice’ proceedings to ensure all practitioners maintain consistently high standards of conduct. xxxvii Further, when acting under necessity, the nurse must prove she did no more than was, immediately necessary and in the patient’s best interests.xxxviii The question of what. Awareness of ethical problems involves rational reflection of what action should be taken in particular scenarios, and adhering to principles guiding this behaviour. These occur when the medical surgical nurse is put in a position where she has to ignore the principles surrounding provision of ethical care. Nurses are highly accountable to patients, the … Nurses should respect patient’s decisions and their autonomy to develop a trustworthy and professional relationship. 11th Feb 2020 In this essay, the whole critical discussion will be about the professional, ethical and legal issues that arise according to the given scenario. The Human Rights Act, Article 8, also allows, people to take action against public authorities who have no upheld their right to a private life. Available on: http://www.tampabay.com/news/health/research/moffitt-cancer-center-discoverspatient-consent-was-falsified-for-study/1117483 [1 November 2014]. All work is written to order. xv. Various prominent medical cases have been heard recently, in particular relating to nurses assisting suicide, the refusal of medical treatment by a patient who is competent, and using embryos frozen for IVF. Autonomy is a very powerful aspect of ethical framework of almost all over the world. 1989 words (8 pages) Essay. In this case Mr. S is making constant requests for having 40mgs of morphine which is prescribed to him every 4hours PRN. Yet, given their position within the hierarchy of the medical institution, nurses also face some nursing-specific challenges in providing medical care. The GMC will be unable to protect nurses if disclosure, amounts to a significant breach towards the particular individual, despite assessment of legal and ethical questions. Ethical Issues. Several experts on clinical ethics provide their insights. What can or should be done for the patient versus the wishes of the patient’s physician conflicting with the personal beliefs the nurse holds to be true. In Mr. S case, if placebo of saline instead of morphine is administered to the patient without his consent, then he has the right of action to say that the medication was given to him without the consent and it can make legal implications. is immediately necessary, not acting further and in breach of patient autonomy, is not legislated and remains an ethical dilemma in the nursing practice. They are often considered as the vital part of nursing. Reference this. 1 ). Ways by which Nurses can Negotiate Conflicts Existing between the Law and Ethics. The autonomy of patients is usually affected by circumstances such as family, health care provider, community etc. The result could be declines in the quality of patient care; problematic clinical relationships; and moral distress, which is defined as knowing the right thing to do but not being allowed or able to do it. While the public had an interest in publication of the matter, it was held that it did not outweigh the, right to confidentiality in the medical context, in particular regarding an AIDs patient. The career is full of tough decisions and caring for other people. Copyright © 2003 - 2020 - NursingAnswers.net is a trading name of All Answers Ltd, a company registered in England and Wales. Jack's prognosis is poor, and he is not expected to live past two weeks of age. Constantly changing values, in health, behavioural science, and society mean that medical practitioners must be aware of new ethical issues for the medical sector, and learn how to, The nursing practice upholds its own code of ethics and this is regulated by strict disciplinary guidelines, with the governing body having more influence, over its member than legislative entities in medical matters. Under no circumstances should the nurse carry out the order without clarification. circumstances is integral in enabling nurses to perform their roles following ethical standards. Finally, damages, being monetary payment intended to compensate the patient for the detriment. Examples are unsafe nurse-to-patient ratio, nonresponse by a physician, inappropriate medication orders and refusal of lifesaving treatment by a competent adult patient. Standards and ethics guidance. The second principle is beneficence and is at the heart of everyday nursing practice. Performing an abortion is legal but may not be considered ethical by other health care professionals or … It is believed that the autonomy issue can only be resolved by a team effort, which can include processes of health education, self management etc (Proot et al: 2002). Legal issues are beyond the scope of this discussion, but nurses must always be aware of the relationship between ethical and legal issues. If the patient says that morphine is not relieving his pain it means that it is not really working for him. According to the scenario, these main ethical and legal duties will be respect of patient’s autonomy and the duty of care which is given to all the patients. Issue 6, p. 13. iii Slowther A, Bunch C, Woolnough B, Hope T. (2001). This point has both positive and negative impacts on the patient and on the health practitioners and the nurses. Neonatal nurses regularly face complex legal and ethical dilemmas. These principles include beneficence which is doing no harm to the patient, maleficence which is doing harm to a patient for positive outcome, justice in allocating care based on need not status and patient autonomy which is respecting the patients right to make health decisions. Disclaimer: This work has been submitted by a student. of nursing failed to address ethical issues in practice. Health professionals have no right to deny patient’s decision. xxviii Lachman, V. (2006). 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