Ethical-Legal Nursing Discussions Research Paper

Pages: 8 (3541 words)  ·  Bibliography Sources: 24  ·  Level: Master's  ·  Topic: Health - Nursing

SAMPLE EXCERPT:

[. . .] Communication must be repeatedly absorbed on moral distress instead of expanding into more general self-exploration; the tradeoff cannot be permitted to go beyond limits that stop relaxed working together between sessions. Also, the individual cannot be a member of the administrative chain of command and must have an honest understanding of the issue. The individual should aid to expand viewpoints and expand doctor-nurse associations. The person must be aware of the continuing condition and, in that way, be able to spot sources and emblems of sudden rises in stress, which may specify moral distress. At the present time, countless hospitals use a comparable concept, known as "Moral Distress Consult Service," where the adviser performs in much the same style as a "Liaison Psychiatrist."

Recommendation 2: Talking to a Liaison Psychiatrist

Wilder (2000) suggests regular group meetings ardent to discovering moral distress, particularly its stressful facets. These discussions can provide:

An avenue for expressing suppressed intragroup hostilities along with shared gripes.

An acknowledgment that doubts, fears, guilt and uncertainty are shared, satisfactory feelings.

The abreaction and working through of emotional state stimulated at times of stress nonetheless which cannot be expressed by reason of work demands.

The sharing of pioneering ad hoc methods which beings have found accommodating in dealing with moral distress that comes up on the job.

Recommendation 3: Extra "Vacations"

Ulrich (2004) makes the suggestion that nurses will need to should be given extra vacations so that they can get away from the stress, where "vacation" indicates a change of work. Such epochs could involve work on other nursing units instead of a true vacation, in that way providing communication and education for both staffs. One might consider as well whether there should be a predetermined tour of duty on the Intensive Care Unit, with a required break before a second trip. At the least, transferal to another unit will need to be made available and free from humiliation.

Topic 1: The Role of the Advanced Practice Nurse in Influencing the Decisions of an Ethics Committee

Explain how the advanced practice nurse can influence decisions made by ethics committees in health care and in politics.

The nurse's role in informed consent is to ensure that the patient has all the necessary information to make an autonomous decision. When influencing the decisions of an ethics committee, nurses will need to advocate to them for the rights of patients to physical privacy, privacy for their privacy and discussions of their confidential data, whether oral, electronic, or even written. The nurses would need to explain to them that this bioethical expression of the rule of confidentiality is something that derives from the code of respect for patient autonomy. Nurses need to explain to the committee that patient's information needs to be protected at all times. They would also need to explain to the committee that the Third-party payers will need to have access only to patient information under clear protocols within written strategies, and special efforts should be taken to uphold the safety of electronic communications. The nurses needs to be able to convince the committee that it is their job to simplify nursing accountability to the public, participate in critical self-reflection and self-evaluation and work as a group through political action to bring about social change.

Topic 1: Ethical-legal issues as an Advanced Practice Nurse

After ten weeks of class, explain I see my role as an advanced practice nurses form an ethical-legal perspective in many different ways. One of these ways is by seeing how important the patient nurse relationship is to both parties. Another way nurses maintain their primary commitment to the patient is to work with other members of the healthcare team to articulate clearly the healthcare needs of the patient and to make sure that all relevant parties have a voice in decision making. I understand now how the nurse's primary commitment to the patient can likewise be in jeopardy when a too-close relationship with a patient or an associate occurs. When there is some kind of intimacy with a patient or a maybe even really close relationship with a collaborator threatens to weaken the professional association with the patient, the code counsels nurses to seek out assistance from supervisors or peers or to take away from the situation.

I see my role as an advanced practice nurse from an ethical-legal perspective because I have learned that Nurses are accountable and responsible for their own practice, for their judgment and action and for the nursing duties they give to others. I also see my role as an advanced practice nurses from an ethical-legal perspective because of the accountability view. Accountability in a more and more technological healthcare environment says to me that nurses must be honest about their weaknesses and strengths (Munin, 2012). I have learned now after the ten weeks that the technically changing of a healthcare environment likewise means that nurses may need education to change with the environment. As an advanced practice nurse, this could possibly be saying that I would need to learn a new computer system to precisely record confidential patient information or learning about unacquainted patient care equipment. (Harris, 2002)

My thinking has changed since Unit 1 because now I have a whole new outlook on how ethics play a role in nursing. I understand now that Nurses are basically accountable for their actions and judgment, regardless of the directives or policies of the healthcare organization that services them. I know now that a nurse who blindly pursues a facility policy or a physician's written order is not unrestricted from the responsibility of that action (Harris, 2002). It has changed me because now I view nurses as individuals that are accountable and responsible for responsibilities they allocate to other nurses, in addition to the nursing tasks they give to nurses' aides and other workers that are in the healthcare field. My thinking has changed when it comes to how nurses may only delegate jobs to healthcare workers and nurses' aides; I know now that they are not able to delegate responsibilities for instance evaluation and assessment.

Topic 2: Time to Re-assess Comment by Ileana: Reflection and Assimilation In this unit you will have the opportunity to share with your colleagues how you envision your role as an advanced practice nurse after 10 weeks of learning about the importance of emotional intelligence and the need to engage in due diligence before jumping to conclusions. Due diligence includes taking time to weigh the pros and cons of ethics coupled with considering how the law would influence decision -- making as a nursing leader.

After re-assessing the content in all class links and course expectations including assignments and grading rubrics and formulate a list of what course elements facilitated my learning, I have at least one Recommendation about how the course can be improved. One of the ways that I believe that the course can be improved is by doing more teaching on the code of ethics. I think that this would be very important because these ethics are like a guide for an individual or group to follow in making decisions concerning ethical matters. Ethics are the values that lead an individual, profession or group in handling. I think that nurses need a more in depth training on these because we run into ethical concerns on the job every day. Comment by Ileana: Course Outcomes: By the end of this course, you should be able to:1: Differentiate ethical -legal reasoning in advanced nursing practice. 2: Critique ethical-legal concepts, principles, and dilemmas related to health, disease, and research. 3: Design a solution to an ethical-legal health care dilemma.4: Evaluate the role of the advanced practice nurse using ethical-legal decision-making and moral distress models as a framework.

References:

FEEDBACK. (2008). The Canadian Nurse, 104(1), 4-5.

Badzek, Laurie, LLM, JD, MS, R.N., F.A.A.N., Henaghan, M., L.L.B., Turner, Martha, PhD., R.N., & Monsen, Rita, DSN, MPH, R.N., F.A.A.N. (2013). Ethical, legal, and social issues in the translation of genomics into health care. Journal of Nursing Scholarship, 45(1), 15-24.

Buckley, William Joseph, P.H.D., M.A., Sulmasy, Daniel P, MD, P.H.D., F.A.C.P., Mackler, A., & Sachedina, A. (2012). ETHICS OF PALLIATIVE SEDATION AND MEDICAL DISASTERS: FOUR TRADITIONS ADVANCE PUBLIC CONSENSUS ON THREE ISSUES. Ethics & Medicine, 28(1), 35-63,3. Retrieved from http://search.proquest.com/docview/919609269?accountid=34899

Crock, E.A. (1998). Breaking (through) the law -- coming out of the silence: Nursing, HIV / AIDS and euthanasia. AIDS Care, 10, S137-45. Retrieved from http://search.proquest.com/docview/201511616?accountid=34899

Edwards, Quannetta T, DNSc, F.N.P., W.H.C.N.P., Maradiegue, A., M.S.N., Seibert, D., PhD., Macri, C., M.D., & Sitzer, L., M.A. (2006). Faculty members' perceptions of medical genetics and its integration into nurse practitioner curricula. Journal of Nursing Education, 45(3), 124-30. Retrieved from http://search.proquest.com/docview/203933370?accountid=34899

Glenn, L.M., & Boyce, J.S. (2008). Nanotechnology: Considering the complex ethical, legal, and societal issues with the parameters of human performance. Nanoethics, 2(3), 265-275. doi:http://dx.doi.org/10.1007/s11569-008-0047-6

Greenfield, Bruce, PT, PhD., O.C.S., Goldberg, Allon, P.T., PhD., Wolf, Steven L, PT, PhD., F.A.P.T.A., & Curtis,… [END OF PREVIEW]

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