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Foundations for Professional Practice 2 (CNA153)


Added on  2020-02-24



Foundations for Professional Practice 2 (CNA153)

   Added on 2020-02-24

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Running Head: ATIF- BACHELOR NURSING ASSIGNMENTATIF- Bachelor Nursing AssignmentName of the StudentName of the University Author Note
1ATIF- BACHELOR NURSING ASSIGNMENTIntroductionThe paper deals with the case study involving an ethico-legal issue. After a clinicalplacement of student nurse under a RN in busy urban hospital she was instructed to administer apatient with the insulin injection. The RN instructs the undergraduate nurse to recap the needleHowever; the nurse has been taught by her tutor to dispose the needle after use and is alsorecommended in the Australian government’s website to never recap the needle as it can causeneedle stick injury. Obliged by the RN’s instruction, the nurse tries to cap the needle butaccidently punctures the skin on the left thumb. Further, the RN instructs for blood test f thepatient to see any contraction of rare disease due to this imbecile. In response to the case studythe paper discusses the key ethical concepts, ethico-legalcomplexities inherent in the situationand the implications. Further, the paper discuses the importance of ethical awareness and selfreflection in nursing. Key concepts of ethical practiceThe key concepts of ethical practice in Australia are based on ethics and morality. Ethicalpractice is underpinned by the Consequentiality and Deontological moral theories. The formertheory emphasise on actions that are morally correct and leads to positive outcomes of all thepeople involved in it (O'Gorman et al. 2013). However, in this situation, the action of RN did notlead to positive outcomes. These theories aligns with the concept of utilitarianism, which is toobtain the “greatest good for the greatest number”. It means that no action can be intrinsicallywrong or right and depend on the produced outcomes. In this case, depending on the outcome ofinfection that caused by accident, recapping the needle was not intrinsically right act (Johnstone2015.).
2ATIF- BACHELOR NURSING ASSIGNMENTThe Deontological theory opposes the Consequentiality theory, which emphasise on themoral duties irrespective of the consequences. For instance, patient may take end of life caredecision that may involve denial of end of life care. However, the physician may not want to killthe person owing to the moral principles guided by the religious texts like Bible. This forms thebasis of the duty. However, in this case, the RN does not fear the consequences as she instructedthe nurse to recap the needle. This act does not demonstrate morality as it caused harmfulconsequences (Sellman 2017). In addition to these single principle theories, the four principles that guide the ethicalpractice are beneficence; autonomy; non-maleficence; and justice. The principle ofbeneficence seems to be applicable in this situation. This principles guides health careprofessionals to take actions that are intended to benefit other people by weighing the benefitagainst the risks (Coombs & Grech 2016). However, in this case the RN did not weigh theconsequences of her strict rule that lead to injury of the undergraduate nurse. Similarly the RNbreached the ethical principle of non-maleficence which emphasise on “do not kill” and do notcause pain”. In the given case, the RN has caused pain to the undergraduate nurse. Similarly, inthis case the RN has violated the ethical principle of non-maleficence, which is an obligation toavoid harming or injuring others (Heale & Shorten 2017). Thus, the case study shows that theRN is lacking the ethical awareness. Ethico-legalcomplexities inherent in the situation The legal complexities may involve lawsuit against the RN for not adhering to the ethicalprinciples and nursing protocol. Under the civic law, the, the RN can be asked for compensationin the form of money for doing wrong. This course of action will have positive implications in

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