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Ethics and Values in Nursing Practice

Aug 25, 2024

Ethics and Values in Nursing Care

Introduction

  • Ethical dilemmas are common in nursing practice.
  • Discuss the differences between values, morals, and ethics.
    • Values: Personal principles that determine right and wrong.
    • Morals: Beliefs formed from core values influencing behavior.
    • Ethics: Moral principles guiding application of morals.

Framework for Ethical Dilemmas

  • The A.A. Code of Ethics provides a framework for guiding nurses through ethical dilemmas.
  • Important nursing attributes to keep ethics at the forefront:
    • Commitment to the Client: Avoid letting personal values impede client needs.
    • Advocacy: Promote health and wellness; crucial for ethical dilemmas.
    • Responsibility and Accountability: For all care given.
    • Advancing Nursing Practice: Stay updated with current practice and education.
    • Holistic Nursing: Recognize dignity and uniqueness of individuals.
    • Collaboration: Work with healthcare teams to promote wellness.

Ethical Dilemmas in Nursing

  • Quality of Life:
    • Includes end-of-life care, cancer therapy, physician-assisted suicide, DNR orders.
    • Nurses must advocate for patient decisions against potential family opposition.
  • Genetic Screening:
    • Detecting genes without symptoms or cure, relevant in maternal nursing.
  • End of Life Care:
    • Consideration of invasive interventions and their impact on quality of life.
  • Access to Healthcare:
    • Ensure everyone has the right to healthcare resources.

Moral Distress

  • Occurs when unable to act according to personal values.
  • Alleviation methods:
    • Interdisciplinary Ethics Education: Enhance preparedness.
    • Sharing Professional Perspectives: Increase collaborative practices.
    • Addressing Clinical Situations: Discuss common dilemmas in advance.
    • Engage in Constructive Conversations: With peers or trusted individuals.

Interprofessional Collaboration

  • Essential in resolving ethical dilemmas.
  • Consensus building on patient cases helps guide decisions.
  • Nurse's perspective is unique and valuable, often requires collaboration.