Nursing Ethics and Critical Aspects in Critical Healthcare Complications

Nursing ethics and critical aspects in critical healthcare
complications
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• As per Sasso et al. (2016), ethics are the fundamental aspects of nursing profession as it
helps them to understand the aspects through which they can respect their patients and
maintains their dignity and help them to achieve their rights.
• As per Chang et al. (2015), ethics help the nursing professionals to develop a critical
condition so that nurses and patients could respect each other and develop
communication to accelerate the care process.
• Ethical aspects help the patients and nursing professionals to cooperate and collaborate
each other to achieve improved health and wellbeing of the patient.
Introduction
• As mentioned in the Vryonides et al. (2015), there are multiple aspects associated with the ethical
considerations in nursing profession, however there are five ethical principles that is associated with
nursing profession.
• These ethical principles are: Autonomy, Beneficence, Non-Maleficence, Justice and Veracity.
• Autonomy: this is the respect that the nursing professionals should show to the decisions of patients
while providing them with effective care. For this, they should have understanding, ability to
understand the perspective of patent and patience.
• Beneficence: as per this principle, nursing professionals should not commit any action that could
harm others and should always take actions to benefit their patients.
• Non-maleficence: as per this principle, it is the condition that prevents the nursing professionals to
inflict harm on others. Their actions should not increase patient’s pain, cause or create offense.
• Justice: as per this it is important that nursing professionals should provide each of their patients
with effective care and should distribute benefits, costs and resources among each of them.
• Veracity: is the nursing ethics, as per which the nursing professionals should stay true to their
profession and should provide their patients with quality and effective care.
Five ethical principles
• In such complicated condition, the ethical framework or theoretical aspects that would be
implemented are the Utilitarian’s approach of nursing and the rights approach of nursing.
• Both of these are theoretical concepts are associated with nursing ethical dilemmas that arises due
to critical conditions.
• The utilitarian theory is associated with shifting the locus of ethics on the rights and wrongs
associated with the outcome of any action. If the action could bring rights for the person, then the
action is ethically correct.
• On the other hand, rights approach of nursing associated with personal and fundamental rights of
every individual and as per Drahošová and Jarošová (2016), it is the duty of nursing professionals to
maintain the rights of the individuals.
Two theoretical frameworks that is associated with this
• This poster identifies the critical ethical complication that may arise due to ethical conflict in nursing
professionals and in this process how the struggle to take effective decision for effective care of
patients.
• This poster also identifies the ethical aspects of nursing professional practice and through the help of
these principles defines the way the nursing professional would develop critical care.
• Further, through the help of nursing professional practice identifies the aspects important for nursing
practice in this identified healthcare critical condition.
Conclusion
• The critical condition that I faced while working in the healthcare facility was associated with a
patient AB (45) and while caring for his critical health complication. The patient was admitted to the
healthcare facility by his neighbours after an episode of myocardial infarction.
• As the patient was unconscious and we had to multiple steps that would require consent from patient
or their caretakers, I was unable to decide the steps that I could be taken for ethically complaint
healthcare process.
• This was a critical ethical conflict condition, that I faced in my workplace that affected my thinking
and conceptions about the ethics in nursing profession.
• I was aware the fact that in such critical conditions, nursing professionals are provided with the
authority so that they could take steps for the health and wellbeing of the patients, however this
situation created conflicts in my thought process.
Critical condition faced in nursing practice
Boswell, C., & Cannon, S. (2018). Introduction to nursing research. Jones & Bartlett Learning.
Chang, H. Y., Shyu, Y. I. L., Wong, M. K., Friesner, D., Chu, T. L., & Teng, C. I. (2015). Which aspects of
professional commitment can effectively retain nurses in the nursing profession?. Journal of
Nursing Scholarship, 47(5), 468-476.
Drahošová, L., & Jarošová, D. (2016). Concept caring in nursing. Central European Journal of Nursing
and Midwifery, 7(2), 453-460.
Rodney, P., & Varcoe, C. (2016). Towards ethical inquiry in the economic evaluation of nursing
practice. Canadian Journal of Nursing Research Archive, 33(1).
Sasso, L., Bagnasco, A., Bianchi, M., Bressan, V., & Carnevale, F. (2016). Moral distress in
undergraduate nursing students: A systematic review. Nursing ethics, 23(5), 523-534.
Vryonides, S., Papastavrou, E., Charalambous, A., Andreou, P., & Merkouris, A. (2015). The ethical
dimension of nursing care rationing: A thematic synthesis of qualitative studies. Nursing
ethics, 22(8), 881-900.
References
There are nine provisions for nursing professionals while working in critical healthcare conditions and
with patients that are critically ill.
Within these five of them could be applied in this critical healthcare incidence mentioned in this poster.
The first provision would be the provision 1, as per which it is the responsibility of nursing professionals
to include respect and compassion so that the care process could inherit dignity, and respects
individuality of care process.
The second provision would be provision 2, as per which the primary commitment of nurse is towards
the patient and then towards the community or family members.
Provision 3 would also be applied as per which it would be the duty of the nursing professional to
implement effective care, advocate for the patients, rights and safety aspects (Rodney and Varcoe,
2016).
Provisions of ANA code of ethics for nurses
• The fourth aspect that would be implemented is the provision 4 as per which it is the duty and
accountability of the nursing professionals to take effective actions for the health and wellbeing of
the patients.
• The fifth provision that would be implemented in this process would be complying with the nursing
values, maintaining integrity of care process and should be able to integrate principles of social
justice.