Tuesday, April 30, 2019
Ethical and Legal Issues in Nursing Essay Example | Topics and Well Written Essays - 1000 words
Ethical and legitimate Issues in Nursing - Essay ExampleCardiac nursing is a nursing specialty that deals with longanimouss who develop from different cardiovascular system conditions such as congestive heart failure, cardiac dysrhythmia, coronary artery disease and cardiomyopathy among others. In the course of work, nurses argon subject to a number of honorable and good progenys. This is because their professional duties can be very challenging there are good and legal implications in nearly if not all aspects of their duties. It is in the light of this fact that ethical and legal frameworks have been dance orchestra up in order to provide moral and practical guidelines that influences nursing decisions. Ethical frameworks are found by the American Nurses Association principle of Nursing Ethics and to an extent by personal and social set thereby influencing ethical decisions by nurses. According to the American Nurses Association ANA (2011), the first provision of Code o f Ethics is that, all nurses in their professional relationships should practice respect and compassion for the inherent worth, individuals uniqueness, and dignity regardless of the personal attributes, nature of health problems, or socio-economic status of the individual. The first ethical issue that arises from this provision is the principle of patient autonomy. This principle assumes that a patient is in a position to actualize what a given intervention involves and therefore in a position to refuse or combine to it the American Heart Association AHA (2005). Unless they are declared incompetent by a court of fair play or they are incapacitated, adult patients are presumed to have the ability to make decisions. The patient must be in a position to decide and choose various alternatives available and should relate the decision to values stable framework. AHA advises that in an event that the preferences of the patients are uncertain, emergency conditions should be treated first until the clarification for the preferences are made. Additionally, ANA (2011) notes, the patients interests are primary. Therefore, it raises the ethical issue of advance directings, funding wills, and patient self- determination. An advance directive allows the patient to express his or her wishes and thoughts regarding his or her end- of- life care. They can be based on living wills, attorneys durable powers for health care, written directives or conversations. A living will relates to patients direction to physicians about the medical care to be approved if he or she becomes terminally ill hence unable to make decisions. It is important to note that advance directives and living wills should be considered periodically since the medical conditions and patients desires may change over time AHA (2005). Apart from the laid- down ethical frameworks, personal and societal values play a critical role in influencing ethical decision- reservation especially among the cardiac nurses. The fundamental values of nursing include prevention of suffering, equality among patients and human dignity. As such personal and societal values should be in tandem with this values failure of which may lead to nursing ethics being compromised. Therefore, personal values that are derived from education, field of expertise, personal attributes, and refinement should be geared towards adhering to nursing ethics. Personal values such as responsibility, intelligence, and honesty among others determine the ethical decisions by nurses. If these personal values
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