For this discussion you will be examining ethical nursing practice. In three to five paragraphs answer the following questions.
- Define in your own words “ethical nursing practice.”
- Describe the basis or framework you used for your definition.
- Explain the difference between legal and ethical nursing practice.
- Discuss one ethical or bioethical dilemma a nurse may encounter and describe how it could be handled
Ethical nursing practice refers to the moral principles and values that guide nurses in delivering compassionate, competent, and respectful care to patients while upholding their rights, autonomy, and well-being. It involves making decisions and taking actions in a manner that respects the dignity of individuals, promotes their health, and considers the best interests of patients. Ethical nursing practice encompasses a commitment to honesty, integrity, and accountability, as well as maintaining confidentiality and avoiding conflicts of interest.
The basis or framework for defining ethical nursing practice is grounded in several key principles such as beneficence (promoting the well-being of patients), non-maleficence (avoiding harm to patients), autonomy (respecting patients’ right to make their own decisions), justice (fairness in resource allocation and treatment distribution), and veracity (truthfulness in communication with patients). These ethical principles are often enshrined in nursing codes of ethics and professional standards, providing a solid foundation for ethical decision-making.
The difference between legal and ethical nursing practice lies in their respective sources and implications. Legal nursing practice refers to adhering to the laws and regulations governing nursing practice set forth by governmental bodies and professional licensing boards. These laws vary by jurisdiction and typically dictate minimum standards of care and the scope of nursing practice. Nurses are required to comply with these legal requirements to avoid legal repercussions.
On the other hand, ethical nursing practice is based on moral principles and values that may not be codified in specific laws or regulations. Ethical dilemmas arise when there is a conflict between these moral principles, and nurses must navigate these situations by considering the best interests of their patients while upholding their professional responsibilities. Unlike legal issues, ethical dilemmas are not always clear-cut and may require nurses to engage in thoughtful reflection, ethical reasoning, and consultation with colleagues or ethics committees.
An example of an ethical dilemma a nurse may encounter is related to end-of-life care decisions. Suppose a terminally ill patient has expressed their wish to refuse further life-sustaining treatments, but their family members disagree with this decision and insist on continuing aggressive medical interventions. In this situation, the nurse must balance respecting the patient’s autonomy and right to self-determination with the family’s concerns and emotions.
To handle this dilemma, the nurse could employ several strategies. First, they should engage in open and honest communication with both the patient and the family to understand their perspectives and concerns fully. The nurse can also involve the healthcare team, including physicians and ethics committees, to facilitate a collaborative discussion and explore potential compromises that align with the patient’s values and wishes while also addressing the family’s concerns. Ultimately, the nurse should advocate for the patient’s autonomy and rights, ensuring that the patient’s wishes are respected while providing support and understanding to the family during this difficult decision-making process.