Discuss about the Nurse Ethics for Ethical Responsibilities.
The confidence between a patient and a nurse is paramount in the diagnosis and treatment process as it forms the basis for their relationship (Dinc & Gastmans 2013, p. 501). For the nurses to make the correct diagnosis and provide the best treatment, the patient must be able to express him/herself and provide all the relevant information about the illness. This paper will cover the fiduciary models of nurses and patients, the key ethical responsibilities of nurses as part of the nurse/patient relationship and their importance. The fiduciary models are classified into; paternalistic model, educational model, interpretive model and the deliberative model (Grace & Pamela 2013, n.p). All these fiduciary standards entail the ethical responsibilities of a nurse-patient relationship (Mok & Chiu 2004, p.475). For informal discussions of the ethical issues, they can be divided into provisions on different platforms. Nurses operations should be based on practices with recognition and compassion applicable human dignity in all professional relationships. Nurses should be committed to patients whether individual, group or community. Nurses should aim at protecting safety, health, and rights of patients (Liaschenko 1997, p.230). Nurses should also be responsible and insist on accountability in their work. Enhancing ethical responsibilities as nurses perform their tasks has a lot of advantages (Mok & Chiu 2004, p.475). This paper identifies some of the fundamental ethical responsibilities between nurse and patient as well as their positions.
Nurses can be termed as leaders from the fact that they deliver human care. The task of nurses includes providing care to the sick, administration, education, researching, and consultation (Dinc & Gastmans 2013, p. 501). They play an important role in assessing the extent of illness to patients, therefore, minimizing unnecessary treatments and patient suffering. Nursing also involves intervening to relieve pain and symptoms to patients. All activities pertaining nurses operations should be guided by respect for human dignity. Nurses should value the worth of patients and attend them with the due respect they deserve (Borges et al 2017, n.p). Nurses should be guided by professional relationships. The practice of nursing is universal since it entails health. A close and relationships should be established between patients and nurses. The relationship ensures that the nurses offer the best services as they respect human needs and values as well as care for all patients (Grace & Pamela 2013, n.p). Nurses should not treat patients on health problems. They should realize that the worth of person infection or disability. The respect for human dignity should be extended to all patients requiring the services of the nurse. The care nurses show to patients helps in building up social, physical, emotional and spiritual well-being. The care aims at meeting the needs of the patients as well as the family (Mok & Chiu 2004, p.475).
As respect for human dignity, nurses should also have the right of self-determination. Self-determination gives the nurses the ability to perform their duties with their confidence (Liaschenko 1997, p.230). They also realize the rights of patients, therefore, treating them with the respect they deserve. The right of patients involves determining what will be done to them and receive accurate and complete treatment. The nurses should also give the patients duty to participate in their treatment through involving them in planning their health. Nurses are also advised to include the patients in discussions regarding their health. The process of patient involvement gives the patients hopes of recovering because of the care. Respect does involve not only treatment but also the meaning the patient is also seen as great respect. The principle of respect applies to any individual interacting with nurses (Tarlier 2004, p.230). The nursing process incorporates compassionate and caring relationships with all persons. The nurses should treat the patients with respect pertaining human dignity in providing quality health services.
Nursing practices significantly entail commitment to the recipient whether individual, family, group or community. Patients especially those admitted in wards regularly need regular checkups and attendance. Nurses should insist on the primacy of the patient’s interests (Liaschenko 1997, p.230). Advocating patient interests involves recognizing the views of the patient or his or her people before making a crucial decision. When patients wish conflicts, the nurse should be in a position to resolve(Mok & Chiu 2004, p.475). Nurses should find a way of eliminating the conflict of interests amongst themselves in their operations. Conflicts usually arise from the nurses own personal and professional values and other people responsible for patient care (Tarlier 2004, p.230). To insist on ethical responsibilities nurses should identify a way of resolving those conflicts thus insisting on patient safety, protect the interest of the patient as well protecting career integrity.
The nursing process should also insist on collaboration. Collaboration entails cooperation of the nurse and patient as well as joining effort towards attaining a particular objective (Dinc & Gastmans 2013, p. 501). In nursing, the goal to be achieved is the complete recovery of the patients. Discipline is required in all operation of nurses. Establishment of training in health centers ensures that nurses fully perform their duties and in time. When regulation is linked with satisfactory professional skills goods results are likely to be observed (Tarlier 2004, p.230). To ensure that patients receive the best treatment, nurses should have good relationships with other officers in the hospital to make sure that they get assistance quickly whenever they need it (Liaschenko 1997, p.230). The relevant parties in treatment parties should be involved in decision-making. Nurses should conduct consultation amongst other health officers to ensure that patients get the better services. An intra-professional relationship should exist amongst nurses so that health needs are adequately addressed (Mok & Chiu 2004, p.475). Appropriate care of patients can be obtained through the interdependence of nurses in different roles.
While attending patients, nurses should be keen on professional boundaries (Borges et al 2017, n.p). The relationship between nurses and patients should not go beyond a certain limit as far as profession is applied. A nurse-patient relationship should not be personal. Although nurses should always be there for the patients, it is necessary the professional boundaries are maintained. Respect should be observed as well (Liaschenko 1997, p.230).
In their operations, nurses should safeguard patient’s right to privacy. Nurses should not give any information concerning any patient to random people (Borges et al 2017, n.p). Information regarding patients should only be revealed to the health officers and relatives of the sick. Nurses should insist on confidentiality to all patients’ information. The patient’s progress should only be between the patient and the nurse. Any data containing the patient information should be destroyed immediately after the use.
To ensure the safety of patients, the nurses should be verified to own the required skills and experience before handling patients. The nurses should also participate fully in promoting the security of patients (Liaschenko 1997, p.230). When handling patients, they should avoid making unnecessary errors. Nurses should also be in a position to protect patients from harm.
Patient’s recovery greatly depends on nursing adherence to ethical standards. Nurses should performance their duties in such a way that they gain trust from patients (Borges et al 2017, n.p). Application of ethical issues in nurses operations results in various benefits. The advantages are diverse to the patients as well as health centers. The patient care is achieved since there exist respect for human dignity among the nurses (Tarlier 2004, p.230). Patients get quick attendance which is distributed equitably among the sick. Respect is also developed between the patients and the nurses who bring about professional boundaries. Cooperation is also established between health workers, therefore, giving the patients the best treatments (Grace & Pamela 2013, n.p). Ethical responsibilities also call for safe environment research and participating in the education of the public (Mok & Chiu 2004, p.475). Patients are assured of privacy since the nurses keep all the information confidential. Once nurses apply ethical considerations in their operations, the health department performs well, and a lot of lives are saved.
Conclusion
Ethical responsibilities are very crucial in any profession. In nursing, they are very applicable since the direct connection is involved between nurses and patients. Nursing ethical responsibilities bring about the good relationship between nurses and patients. The good rapport henceforth facilitates the achievement of the objectives which involves the recovery of the sick. The ethical consideration in nursing is mostly made of trust, respect, intimacy and fiduciary duty. Nurses are expected to discharge their functions respectively such that patients can trust them. The commitment of nurses ensures that patients receive the best services. Therefore, the quality of treatment is increased. Nursing ethical responsibilities bring about a lot of importance to patients, nurses and the health department as a whole.
References
Borges, P., Wicto, J., Magalhães Moreira, T.M., Braz da Silva, D., Oliveira Loureiro, A.M., de Meneses, B. and Viana, A., 2017. Adult Nursing-Patient Relationship: Integrative Review Oriented By The King Interpersonal System. Journal of Nursing UFPE/Revista de Enfermagem UFPE, 11(4).
Dinç, L. and Gastmans, C., 2013. Trust in nurse–patient relationships: A literature review. Nursing ethics, 20(5), pp.501-516.
Grace, Pamela June. Nursing ethics and professional responsibility in advanced practice. Jones & Bartlett Publishers, 2013.
Liaschenko, J., 1997. Ethics and the geography of the nurse-patient relationship: Spatial vulnerabilities and gendered space. Scholarly Inquiry for Nursing Practice, 11(1), pp.45-59.
Mok, E. and Chiu, P.C., 2004. Nurse–patient relationships in palliative care. Journal of advanced Nursing, 48(5), pp.475-483.
Tarlier, D.S., 2004. Beyond caring: the moral and ethical bases of responsive nurse–patient relationships. Nursing Philosophy, 5(3), pp.230-241.
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