Analysis of Legal and Ethical Decision-Making in a Nursing Scenario

This report delves into the legal and ethical decision-making framework within nursing, focusing on a case study involving a nurse (Ning) and a patient (Sabrina). It explores key ethical principles such as autonomy, beneficence, non-maleficence, and justice, illustrating their application in patient care scenarios. The report analyzes the nurse's actions through the lens of the ICN code of ethics, examining the nurse's responsibilities to patients, practice, the profession, and co-workers. It also addresses the legal issues and regulations governing nursing practice, emphasizing the importance of ethical conduct and patient confidentiality, particularly when dealing with underage patients. The analysis highlights the nurse's commitment to providing care, respecting patient rights, and making informed decisions in complex situations, thereby showcasing the importance of ethical considerations in nursing.

The legal and ethical decision-making framework
Institution
Name
Date

1. The parties involved
Ning
Sabrina
Sabrina parents
2. Evaluation
The main primary profession of the nurse is to work at the standard since they are the heart of the
individuals. In providing care, they enhance and boost the environment for human right.
Therefore, they promote the human right, values, customs and the spiritual beliefs of the
individual in the social set up. Based on the ethics and the conducts of the nurses, they are
required to treat the individual with a lot of care and concerns. This is more evident with the
work of the Ning and Sabrina. Therefore, the role of the nurse is to provide accurate and
procedural information based on the evidence they have received from the patients. Thus they
are expected to hold some of the personal confidences when they are treating individuals with
some of the conformational diseases. However, they also have some of the preliminaries action
which they ministers to the communities such as the role of educating common individual based
on the matters which pertained their life. Some of these activities are normally being carried out
in some of the communities associated with communicable diseases. Therefore, nurse have the
mandate to engaged individual especially under age through vaccination against polio in the
community. Above all, they demonstrate some of the values like respectfulness, responsibility,
compassion, trustworthy and integrity.
2.1 ethical principles:
Autonomy:
This is merely based on the person mind of decision. Nurses are required to have preferable
conducts when handling patients. Some of the practices which are allowed to doctors are
deprivation act of demands information about privacy of the patients. With reference to the case
of the Ning and Sabrina, it was more evident that Ning decision was not marred by the influence
of nature and made some of the decision which is right based on the respects of the Sabrina
privacy and in line with ethics of the hospitals. The validity of this instance was witnessed,
when Ning made some advice based on the story which she was told by the Sabrina based on the
stunned behaviour of her father (patient’s father). Therefore, the patient's choice, as well as
autonomy, are considered as a key aspect in palliative care. Thus the decision making is complex
sense is rooted in the cultural and social aspects that are not always acknowledged
Beneficence:

These are some of the values which constitute the ethos of the nursing and doctors. It is
characterized by mercy, kindness, as well as charity. It normally involves the maximizations of
the treatments to the patients thus less harming them when administering some of the treatment
to them. therefore, it involves the following aspects, that is resuscitating a drowning victims,
providing pain reliever to the injured patients that is during the emergency matters, lifting rails
on the patients in the hospitals so that the patients may not fall, providing the vaccinations as
well as performing the routinely task on the patients who are unable to help themselves. All these
activities aim at helping the patients in the hospitals. With the case of the Ning and the Sabrina, it
was evident that, Ning who was qualified nurse introduces Sabrina to the some of the basic
approaches on her condition that is pregnancy test, actually she did it with a lot of respects that
Sabrina did not feel offended and shy off during the discussion. The respectful nature and
behaviour were seen when she readjusts her attitudes in having the interest to call the parents of
Sabrina in relation to her condition. She also sympathized with the Sabrina in all the
circumstances where she appeared to offer pieces of advice to her based on her condition health
Non-maleficence
This is based on the duty of the nurse and the doctors to provide the correct and the proper
treating of the patients at all cost. It stipulates some of the safety which is guaranteed by the
nurse to ensure that the nurse is at a good condition. It contains some of the basic principles
which are adopted by nurses and the doctors that there must be some of the proper
communication before and after treatment of the patients. Therefore, it involved safety measures
which are adopted by the nurses and the doctors to help the patients recover. However, some of
the failures which may intrude in the health unit are like, over-crowded by the patients or the
high number of the patient against one or two doctors thus makes it difficult for them to handle.
However, some failure of the doctors and the patients are intentional or due to due to fatigue
which incurs in the provision thus make them failing to convey accurate information or ends
giving wrong information. Sometimes the harm can be life-threatening such that they can cause a
stroke or heart attack. in the case of the Sabrina and the Ning who was a nurse, it was clearly
evident that Ning did not take her time to dispute what she has done but instead decided to offer
simples advised to her and further, she has even gone beyond to give her some of the medicine
which was to aids her condition (Knoppers, &Thorogood, 2017). Therefore based on the
condition of the Sabrina and the courtesy of the Ning as a nurse bring us into the discussion of
the some of the legal and the decision making which is considered important in the field of
nursing. She uses her times well to understand the Sabrina's conditional in all dimensions.
Justice:
This is the fourth principles of the ethics of healthcare. It generally means giving someone the
right thing especially in the hospital cases. Therefore, it can be administered in terms of the
fairness, quality, or any other means of the just decision on the equitable attention and the
recourse which given to an individual at a specific time. In the general healthcare environment, it
normally means equitable access to nursing care which nurses or the doctors are offered to
render support as well as that of the patients care. Therefore, the nurse is required to be

logistically prepared in giving all in terms of handling the patients. This generally involved
using some of the scarce resources to help the patients. Through the justice and the sacrifice of
the nurses, the majority of them finds themselves in the remotes places to offer the services to the
people. Based on the epic of the Ning and Sabrina, it was clear that Ning sacrifices for the
Sabrina in all the situations. She made some of the efforts to ensure that her patient gets better
treatment. When she realizes that her parent does not know anything to do with her pregnancy,
she decided to give some of the advanced which was appropriate to her. Therefore, Ning not only
proved the worth of a real nurse but she also managed to involve some senses of humanity which
are required by the health care ethics.
2.2) ICN code of ethics for nurses
International code ethics of the nurse was first enacted and adopted by the body known as the
international councils of the nurses in the late nineties. Therefore, the ethics of the nurse has got
some of the four principles elements which regulate the behaviour of the nurse in the general set
up.
1 nurse and the people
The main work profession of the nurse is to work at the standard level since they are the core
esteemed of the individuals’ life. In the realization of care, they promote and boost the
environment for the human right (Westrick, 2016). Therefore, they boost and enhance the human
right, values, customs and the spiritual beliefs of the individual in the social set up. Based on the
ethics and the conducts of the nurses, they are required to treat the individual with a lot of the
care and concerns. This is more evident with the work of the Ning and Sabrina. Therefore, the
working nurse is to provide accurate and procedural information based on the evidence they have
received from the patients. Thus they are expected to hold some of the personal confidences
when they are treating individuals with some of the conformational diseases. However, they also
have some of the primary action which they ministers to the communities such as the ability to
educate common individual based on the matters which pertained their life. These activities are
normally being carried out in some of the communities associated with communicable diseases
as well as engaging in vaccination of the children against polio in the community. above all, they
demonstrate some of the values like respectfulness, responsibility, compassion, trustworthy and
the integrity, based on one on one discussion between the Ning and Sabrina, it was clear that
Ning applied the correct criteria of being a nurse.
2. Nurse and practice
Generally, the nurse usually endures the burdens of carrying the responsibility and the workload
of the nursing as well as maintaining the correct means competence in continual learning. They
also use some of their judgments based on the patient’s description of their condition. Usually,
they maintain the high rank of he conducts in most of their activities. This is by ensuring that
patients receive better means of the treatment at all cost. Finally, nurses also aim at foster and

maintain the practice of the ethical in promoting of the dialogues with patients. This is clearly
demonstrated by Ning and patients Sabrina (Win land, Lachman, & Swanson, 2015).
3. Nurse and the profession
The work of the nurse is not only practical clinical heath, but they are also involved in
implementing some of the ethical standards. The ethical standard includes maintaining a safe
environment, equitable social and working condition in the nursing, set example in preserving
the environment as well as the general health of the individuals. This was also seen in the case of
the Ning and patients Sabrina (Aden, Beauchamp, &Kass, 2014)
4. Nurse and the core workers
It states that the nurse provides the collaborative and a good relationship with other workers
within the healthcare. Therefore, they take action in providing safety comforts for those who are
sick as well as giving the best medication for those who are sick. With reference to the case of
the Sabrina and the Ning, it clearly illustrated how the nurse Ning treated her.
The legal issues
In any hospital, there is regulation which controls the conducts of the nurses and the doctor.
Based on the ethical means of the nursing and regulation which conducts the behaviours of the
nurses towards the patients is are considered with high respects? Therefore, when Ning who was
qualified nurse introduces Sabrina to the some of the basic approaches on her condition that is
pregnancy test, actually she did it with a lot of respects that Sabrina did not feel offended and shy
off during the discussion. The respectful nature and behaviour were seen when she readjusts her
attitudes in having the interest to call the parents of Sabrina in relation to her condition. She also
sympathized with the Sabrina in all the circumstances where she appeared to offer pieces of
advice to her based on her condition health. In the epic of the brief story between the Ning and
the Sabrina, brings us to a simple summary that nurses act with a lot of respects in all the
activities which they are doing especially if they are handling someone who is underage. Being
Sabrina was underage, Ning did not take her time to dispute what she has done but instead
decided to offer simples advised to her and further, she has even gone beyond to give her some
of the medicine which was to aids her condition (Knoppers, &Thorogood, 2017). Therefore
based on the condition of the Sabrina and the courtesy of the Ning as a nurse bring us into the
discussion of the some of the legal and the decision making which is considered important in the
field of nursing(Westrick, 2016).
Cond of conducts
This is a set piece of the information which give guidelines to the nurse based on their practices
within and outside the hospital. It gives the nurse some of the direction which they are likely to

follow based on the conditions of the patients. Since it stipulates that, the work of the nurse not
only confined within the hospitals but it stipulates that, they can generally involve in some of the
activities which aim at helping the entire community or the society (LAURIE, Harmon, & Dove,
2019). Many of the nurses will internalize many of the of it basic values and the core principles
the code of the conduct states some of the responsibility which aims in by the nurses that are
treating of the patients with high respects and following their request however challengeable it
might be. With reference to the case of the Ning and Sabrina, nurse displays some of the correct
procedure which is acceptable as the nurse. She gave the patients enough time to listen to her.
Through this, she made some of the general conclusion based on what she was told. She went
straight to her urination test due to prior knowledge she obtained from her. She also applied
some skills of the nurse, where she told her if she reached home she searched a means of
reaching her through a phone call. Therefore, code of conducts breads some respects, integrity as
well as understanding of one situation at a difficult moment (Førde, &Aasland, 2014).
Discussion
Just like any other organization, such as the political arena, the employees need to be apt with
skilful nature, which may help them to not only rely on the assistance of the lab result but also
equipped themselves with skilful nature of the assessing appearances of the patients and thus
applied simples techniques. This so since some of the diseases are persistent and have the same
signs and symptoms when they attack an individual. This is true based on the arguments of the
West rick, (2016). Who suggests that, nursing students’ use of electronic and social media: Law,
ethics, and e-professionalism. Nursing education perspectives. Therefore, one way in which
patients may have full support from the nurses and the doctors is by giving full information about
them. This clearly pictured in the epic of the Sabrina and the nurse. She decided to be open about
herself which made the nurse conclude before doing attest to her (Castellano, 2014). With
references to the Hall et al., (2018). Health care law and ethics.Wolters Kluwer Law & Business.
Suggests that the healthcare plays a significant role in the life of the common individual;
therefore a clear framework of the ethical approached should be considered with high passion,
precision and should be followed by every healthcare individual. Therefore, the nurses and the
doctors should be ready to risk at all cost to save the life of the patients. The ethos of the
healthcare is subjects of the life of the patients; therefore in saving of life, the doctors should put
uncertainty and doubts asides when administering (Baruch, D'Adamo&Seager, 2014).
Implement
Based on the advice which Ning gave Sabrina, she opts to have followed strictly. These are some
of the advice and the drugs which she was given to help her in the course of her pregnancy.
Reflection
With reference to the epic condition of the Sabrina and the courtesy nature of the nurse Ning
clearly indicates the importance of the application of the ethical act in healthcare. The essay

brings us into the discussion of some of the legal and the decision making which is considered in
the field of nursing. Therefore essay analyzes some of the channels which are being used by the
nurses especially to individuals with a difficult situation like the case of the Sabrina. It also
touches on some of the basic ideas which is being offered by the hospitals such as counselling to
peer before and after they have been treated.

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