Student Name
Chamberlain University
NR-222 Health & Wellness
Prof. Name:
Date
Nursing ethics is a discipline that encompasses the moral judgment and standards of conduct essential in the healthcare field. Adhering to specific principles of health care ethics ensures the delivery of quality care while maintaining professional integrity. Below are the key ethical principles of nursing:
Non-Maleficence
The principle of non-maleficence emphasizes competence and avoidance of harm. Nurses are obligated to report any suspected abuse and ensure patients are not harmed through negligence or malpractice. For example, if a nurse observes an incompetent or chemically impaired colleague providing care, they are ethically required to report the misconduct to protect the patient.
Beneficence
This principle focuses on promoting the well-being and best interests of the patient. Nurses often act as patient advocates to ensure understanding and comfort. For instance, if a patient feels hesitant to ask questions about a procedure they do not understand, the nurse should step in to facilitate communication and clarify doubts.
Autonomy
Autonomy upholds the patient’s right to self-determination, independence, and informed decision-making. Nurses must respect the choices of patients, even when they differ from professional opinions. For instance, discussions regarding advance directives and durable power of attorney stem from respecting autonomy, as mandated by the Patient Self-Determination Act of 1990.
Justice
Justice involves fairness and equality in treatment and resource allocation. Nurses must ensure equitable care regardless of social or economic status. For example, in a scenario where free plastic surgeries are offered to children in a low-income area, criteria for fairness must be established to ensure unbiased selection.
Fidelity
Fidelity is about being truthful, loyal, and maintaining trust in nurse-patient relationships. An example includes respecting a patient’s request to withhold bad news from their family members, as this aligns with the patient’s autonomy and builds trust.
Paternalism
Paternalism refers to making decisions on behalf of the patient, considering their best interest based on professional judgment. For example, if a patient confides that they may harm themselves after receiving an Alzheimer’s diagnosis, the nurse and physician must carefully weigh the patient’s needs while protecting their safety.
Principles of Totality and Integrity
This principle emphasizes considering the holistic needs of the patient when planning care. It ensures that the physical, emotional, and psychological aspects of the patient are addressed comprehensively before initiating treatment.
Ethical Principle | Key Focus | Example |
---|---|---|
Non-Maleficence | Avoiding harm and maintaining competence | Reporting a chemically impaired nurse to ensure patient safety. |
Beneficence | Acting in the patient’s best interest | Helping a patient understand medical procedures and advocating for their comfort. |
Autonomy | Respecting patient independence | Discussing advance directives and respecting end-of-life decisions. |
Justice | Ensuring fairness and equality | Deciding criteria for free surgeries offered to children in low-income areas. |
Fidelity | Maintaining loyalty and trust | Honoring a patient’s wish to withhold personal information from family members. |
Paternalism | Acting in the patient’s best interest | Addressing potential harm when a patient confides suicidal thoughts upon diagnosis. |
Principles of Totality | Holistic care consideration | Assessing emotional and psychological needs alongside physical health before establishing a care plan. |
American Nurses Association. (n.d.). Ethics. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/
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