Nurses face ethical dilemmas on a daily basis. Ethical behavior is determined by many factors. What one person considers ethical may be vastly different from a person approaching a situation with a different point of view.
Unaddressed ethical issues make it even harder. But as the baby, born at 22 weeks, lay on the warmer, the parents could see that the heart was still beating.
Cornel Rubino Doctors knew the baby had no chance of surviving, so they hadn't told the parents that their child still had a heartbeat.
The physicians didn't want to upset them. But the couple saw, and the father spoke up. A nurse swaddled the baby and handed it to the mother. I could have been holding the baby that whole time,'" says Naomi Cross, a registered nurse who at the time was new in her role as a perinatal bereavement coordinator for Johns Hopkins Hospital.
She was called in to talk with the couple about what had occurred. We need to give them all information. Would you like to hold him? Here, the question was how to treat the parents of a newborn baby who barely has signs of life. Cross felt that an infant should be regarded much the same as an elderly hospice patient: The patient's death may be imminent, but his vitals should still be recorded, the family should be kept informed on his status, and loved ones should be given resources to cope with the loss.
And she started to see that discussions about ethics were not a regular part of the patient care routine. Talking about the loss of a baby is a taboo, she says, and doing so makes people uncomfortable. Cross felt that this patient, like others, had not been given the proper standard of care.
Either the nurse is unclear about the right thing to do, or the nurse can see what should be done but cannot do it. As perinatal bereavement coordinator and bedside nurse for the Department of Gynecology and Obstetrics, Cross worked to change her department. She talked to administrators about providing grief resources, to benefit not only patients but also the hospital's bottom line; she showed her higher-ups scholarly articles that indicated candor about how difficult situations would not cost the hospital revenue by dissuading people from returning for future care.
She educated colleagues about Maryland statutes on recording health care data even when a patient's death is imminent. She started hosting bereavement training for incoming nurses and residents.
It wasn't easy, and she was often met with opposition. I was cussed at by professionals—by doctors and nurses. I think that I had to really develop a tough skin, and I had to come at it from a very rational standpoint, and, sadly, from a monetary standpoint.
In January, after several years in this role, Cross transferred to the pediatric emergency department.Ethics and Professional Issues in Nursing Essay - HNWT Fundamentals of Professional Practice This essay will take inspiration from a theoretical character named Sam (see appendix 1).Sam is a minor aged fifteen who, after a head injury whilst watching a game of football attends her local accident and emergency department.
Ethical nursing care is based upon rational science and decision making. There are four core concepts which are essential to a professional nursing practice. They are respect for patient autonomy; the duty to act with beneficence; no maleficence; and justice.
Online RN to BSN programs offer courses in nursing ethics that cover the legal and ethical issues that affect patient care and the nursing profession.
Some of the coursework explores the influence of economic and sociopolitical agendas pertaining to healthcare laws and providers. Legal, Ethical and Professional Issues in Nursing. Critically analyse how ethical, professional and legal issues underpin nursing practice.
Ethics regards standards of moral judgement and professional conduct. Nurses are highly accountable to patients, the public, employers, and the entire profession. Professional Codes of Ethics in Nursing The beginning of professional nursing can be traced to 19th-century England to the school that was founded by Florence Nightingale, where profession-shaping ethical.
Critically analyse how ethical, professional and legal issues underpin nursing practice. 1. Introduction.
Ethics regards standards of moral judgement and professional conduct. Nurses are highly accountable to patients, the public, employers, and the entire.