Tuesday, May 5, 2020

Nursing for Clinical Judgment and Ethics- myassignmenthelp.com

Question: Discuss about theNursing for Clinical Judgment and Ethics. Answer: Nursing is the backbone of healthcare system of the county. Most of the times, nurses are given the responsibility to save the lives of the people at crucial circumstances. They regularly encounter the dilemma of making ethically sound decisions. In healthcare profession, the nurses must realize the importance of accurate record-keeping and maintaining ethical conduct related to signatures. In the present essay, the ethical issue of signature forging is discussed. In the given case, a colleague is asked to attend the class and forge the signature in the attendance sheet of the student. It can be perceived as an unethical behavior. In the nursing profession, signature forging is considered as a serious disciplinary matter. In such situation, the nursing student must be charged under the discipline regulations of the University. The nursing ethical committee and the University discipline committee heavily penalize such misconduct. It is due to the fact that the nursing profession is ba sed on ethics, integrity, sense of responsibility and self-discipline. In this essence, the present essay will discuss the issue of signature forging and provide possible actions to address the issue. Forging of signature is a serious ethical issue and required immediate legal action. Even in normal circumstances, forging signature should be addressed with legal action as it can result in fraud. The results of signature forging are negative on the finances and the image of the person. Moreover, the nursing professionals have to be ethically responsible as they have the responsibility of protecting the lives of the patients. The case of signature forgery among the students is a serious issue. It is a common practice among the students to forge each others signature in the attendance sheet. However, it encourages absenteeism. Moreover, students do not value the importance of being present in the class. This behavior should be immediately reported to the ethical committee (Park, Kjervik, Crandell, Oermann, 2012). The nurses have the responsibility of protecting the health, safety and the rights of the patients. It is unethical behavior of the nurses to forge the signature of the patients or a colleague. It impacts the right of other person in making an informed, self-derived and autonomous decision. The nurses have a high job responsibility as they have to honor, protect ad respect the right of patients and their peers. The nurses must honor their rights and the rights of their patients. While making ethical decisions, the nurses must be attentive to the legal language and understand how their actions affect others (Cannaerts, Gastmans Casterl, 2014). In order to promote ethical actions, the government and the nursing committee have made several laws to address the fraud and abuse in the healthcare. These committees are also focused on encouraging moral behavior in the name of ethics. It is the responsibility of the organization to motivate moral behavior, settling disagreement and controversies among different people (Johnstone, 2011). The committees have designed ethical guidelines to promote ethical behavior among the nurses. The nursing ethics is a specific discipline, which concerns with the ethical behavior in the field of nursing. The nursing principles are concerned with several values, such as beneficence, non-maleficence and respect for autonomy. Other than that, the nursing ethics are also based on emphasis on relationships, human dignity and collaborative care to the patients. The nurses have the ethical responsibility to address the high-quality care to the patients (Bollig, Gjengedal Rosland, 2016). Therefore, they should be familiar to the ethical code of conduct and use them in the decision making. The international nursing code of conduct is culturally adapted so that the nurses can adapt their behavior according to the geographical location and the behavior of the customers. The ethical codes provide the required elements for the ethical conduct and assist the nurses in taking the ethical decisions. The nurses have several duties such as to work as clinical nurse, researcher, administrator and the policy makers. The nursing ethics also acknowledge them that they are required to make ethical decisions and the value of their profession as they provide direct care to the patients, teaching nursing staff, performing research and supervision and management to the teaching staff. The nursing educators also owe importance of understanding the legal and ethical standards to increase the capability of the nurses. The ethical duties also raise the awareness of the nurses regarding the significance of certain duties and responsibilities. In the recent years, several issues have occurred, in which experienced nurses have broken the ethical code of conduct. These situations have highlighted the importance of specialized ethics and nursing education in the education. In the nursing profession, ethics encompass values, rights, duties and responsibilities. The ethical codes are used to interact with the patients, colleagues and other professionals. The nursing educators should adopt a holistic approach to establish a proper value system among the students. The ethical issue will expand the intellectual capacity of the students. As a professional, they will be more emotionally stable and morally mature. The ethical case study will increase the ethical awareness of the s tudents, which will make them proficient in handling the ethical dilemma. It also makes the student ready to handle the ethical conflicts, which will be encountered in the future practice (Grace DRN, 2017). The ethical education also helps the professional in developing a sense of identity, which promotes the professional development. Therefore, education interventions are needed at the beginning of the professional education as the students realize the importance of ethical education. By following the ethical rules, the nursing students will also be able to develop desirable relationships with the other nurses. The nursing ethics education require lecture regarding nursing ethics and professionalism. The content of the lectures should be based on the learning objectives designed by the international nursing committee. The learning objectives should focus on the concepts of nursing ethics, ethical thinking, ethics pertaining to the nurses and the clients, professional establishment and characteristics of the nursing profession. It should also encompass the theories and the real life case-studies (Kang, 2017). While discussing the ethics and the responsibility of the nurse, it is important to realize that these ethical values must be imbibed in the education of the nurses. It is important to make the nursing students aware the importance of the ethical conduct in their professional behavior. In the present case, a nursing student tried to breach the ethics and tried to adopt unethical behavior. In such case, it is important that the nursing student is realizes that his behavior is inappropriate. However, to change the attitude and demonstrate the importance of the issue, the case must be notified to the University ethics committee. The university ethics committee will take strict action and heavily penalize the student. The student should realize that je is certifying the acquisition of knowledge, which he has not received. The nursing profession is a responsible profession and the nurses have to deal with critical situations, which often involve the life of the people (Benner, Tanner Chesla, 2009). In this case, it is important that the nurses have attained the knowledge, for which they are giving guarantee. If the student passes with the certification, he might be given some critical responsibility in his professional career (Ulrich, Taylor, Soeken, ODonnell, Farrar, Danis Grady, 2010). However, the student will not be able to handle this responsibility. Therefore, in nursing, forgery in attendance sheet results in severe outcomes. The patients are not the only stakeholder in the treatment of the patients, but it also includes the patients family and the healthy people in the society, which are part of the plans and services provided to the patient. The nurses must realize that their actions will not only play with the lives of the patients but it will also affect the lives of their families. Here, it can be critiqued that ethical and professional authenticity and ethical b behavior is important in the nursing profession. The importance of following ethical behavior should be enforced to the students during their education. The nurses often have to work in a fast-paced and technical environment. It is their responsibility to take ethically sound decisions about the patient care and share it with other healthcare professionals. The nurses should be prepared about such situations from their undergraduate years. The development of ethical behavior and adherence to the ethical standards is important part of nursing profession. The nurses must be capable of developing trust and they are also needed to demonstrate compassion and empathy to the nurses. Most of the times, nurse work alone in the treatment of the patients and they have to perform duties according to the physicians instructions or use their own judgement in urgent situations. Ethics assure that the nurses are indulging in fair and equal treatment to all the patients including economic status, age, ethnic background and sexual orientation. Therefore, ethics have important role in the nursing education. Nursing ethics are important for making the s tudents an important member of the society and offering them highest ideals of the nursing profession. The nursing education has a critical role in developing a climate, which makes the student exercise sound judgement, practice ethical standards, supporting the colleagues and committing to their profession. Therefore, any instance of unethical behavior must be shunned immediately by the nursing educators and the committees (Benner, Tanner Chesla, 2009). There are other codes of ethic, which states that the nurses should respect the individual dignity of the patients, and it should be regardless of the cultural, socio-economic, gender or ethnic background of the individual. The international code of conduct also emphasizes the importance of ethical behavior in the nursing profession. The fourth element of the code elaborates on the ethical conduct of the nursing professionals, which emphasize the ethical behavior between the nurses and co-workers. As practitioners and managers, the nurses should develop a workplace system, which support the professional and ethical value at the workplace (ICN, 2012). Therefore, the university should take strict action to combat such behavior. The university should make the student aware that such behavior is inappropriate and unacceptable in terms of nursing profession. The nurse should behave in an ethical manner. The student must be given a chance to justify himself. However, if he is still found guilty, he should be penalized financially and suspended from the college. He must be able to realize the importance of nursing ethics. Conclusively, it can be stated that the ethics are important part of the nursing profession. The ethical education is indispensable in the development of the ethical value system among the nursing students. In the present essay, the case of signature forgery among the students has been evaluated. It is a common practice among the students wherein they forge each others signature in the attendance sheet. It promotes absenteeism and the students do not value the importance of being present in the class. Other than that, signature forgery is a serious ethical issue. This behavior should be immediately reported and the University should heavily penalize the students involved in such type of crime. It is recommended that the universities and the educators should use different approaches in teaching ethics to the students. There are several approaches such as the use of movies, documentary videos, press release and discussions. The ethical awareness among the students should be raised by t he use of movies, documentary videos, press release and the ethical discussion. References Benner, P. E., Tanner, C. A., Chesla, C. A. (2009).Expertise in nursing practice: Caring, clinical judgment, and ethics. Springer Publishing Company. Bollig, G., Gjengedal, E., Rosland, J. H. (2016). Nothing to complain about? Residents and relatives views on a good life and ethical challenges in nursing homes.Nursing ethics,23(2), 142-153. Cannaerts, N., Gastmans, C., Casterl, B. D. D. (2014). Contribution of ethics education to the ethical competence of nursing students: educators and students perceptions.Nursing ethics,21(8), 861-878. Grace, P. J., DRN, P. (Eds.). (2017).Nursing ethics and professional responsibility in advanced practice. Jones Bartlett Learning. ICN. (2012). THE ICN CODE OF ETHICS FOR NURSES. Retrieved 18 April 2018 from https://www.icn.ch/images/stories/documents/about/icncode_english.pdf Johnstone, M.J. (2011). Bioethics: A Nursing Perspective. Elsevier Health Sciences. Kang, S. W. (2017). The influence of ethics education on awareness of nursing students with no clinical experience regarding the code of ethics: A case study.Journal of Nursing Education and Practice,7(10), 12. Park, M., Kjervik, D., Crandell, J., Oermann, M. H. (2012). The relationship of ethics education to moral sensitivity and moral reasoning skills of nursing students.Nursing ethics,19(4), 568-580. Ulrich, C. M., Taylor, C., Soeken, K., ODonnell, P., Farrar, A., Danis, M., Grady, C. (2010). Everyday ethics: ethical issues and stress in nursing practice.Journal of advanced nursing,66(11), 2510-2519.

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