The five most common and stressful ethical and patient care issues were the protection of patients' rights; autonomy and informed consent for treatment; staffing patterns; advanced care planning; and substitute decision-making. Informed consent can sometimes be an ethical battle for nurses. A dilemma can arise when there is a concern that patients and their families have not been informed or do not understand the treatments being used on a patient. There is concern, as sometimes patients don't feel comfortable asking questions and giving consent without fully realizing the implications of their treatment.
If patients feel supported and trust their doctors and nurses, they're more likely to follow a treatment plan and get better results. To avoid ethical dilemmas, nurses must ensure that patients fully understand all facets of their treatment plans. The details include knowing all the risks and the design of how a procedure will be performed or how certain medications and treatments will affect them. If they don't, this could jeopardize patients' health and result in high costs for hospitals.
Therefore, healthcare workers must take all necessary steps to ensure that their patients understand the treatment plan and obtain informed consent. Informed consent requires that the patient or surrogate mother be aware of the risks, benefits, and other treatment options. The person who signs the form must freely accept the treatment plan. Refers to the “Right to Self-Determination” in the Nursing Code of Ethics.
An article published in 2004 in the Journal of Hospice & Palliative Nursing reported: “Patients and their families want to know the truth about their illness regardless of whether it's good news or bad news, and health professionals have an ethical obligation to share the truth with them, allowing the patient to do Informed decisions. Having the right nursing tools helps make any nurse's job more manageable and helps newly graduated nurses work like professionals. Check out this list of the 10 best nursing tools that newly graduated nurses want to include in their toolkit. Half of the country's nursing home social service directors have graduated in social work (Bern-Klug et al.
In more industrialized countries, when older adults need more assistance than is available through their family, some turn to nursing homes. Striving to achieve a balance between residents on either side of the negative interaction creates ethical dilemmas related to human rights in nursing homes, as described below. Nursing is a fast-paced job, with new challenges emerging daily and nursing managers across the country are faced with similar ethical dilemmas. In other words, 61% of U.S.
nursing home residents have moderate or severe cognitive impairment (CMS 201). Nursing managers face the most significant stress when it comes to ethical issues, as they are the ones their nurses admire for their leadership and guidance during these difficult times. While it is essential that nursing home social workers work with individual residents to advocate for the protection of their human rights, it is also critical that social workers strive to improve the resident experience by making improvements at various levels of the system. Unfortunately, with the large number of inexperienced nurses entering the profession, many of them are not familiar with dealing with ethical issues in nursing.
The American Nurses Association developed the Code of Ethics for Nurses to establish the ethical standard for nurses and the ethical obligations and duties of all members of the nursing profession. Nurses face many times when they need to use the ethical principles of nursing to deal with difficult situations and resolve common ethical dilemmas. This code is updated regularly to reflect the many challenges faced by nurses and represents a social contract between nurses and the public. Experienced nursing home social workers are also needed to advocate for laws that meet the needs of residents, families and staff members.
Another ethical problem in nursing occurs when a nurse notices the incompetence of another member of the health care team and has difficulty speaking or remaining silent, said Sarah Delgado, registered nurse, MSN, ACNP, clinical practice specialist at the AACN. Find a nursing job you can be proud of with NurseChoice, a leader in short-term travel nursing tasks. While the age structure of nursing home residents is still dominated by people over 75 years of age, who account for 68% of all residents, the number of people under 65 is still rising slightly and is now 15.5%. Substance use and abuse among family members visiting a nursing home also increases the risk that a nursing home resident will have their human and residency rights violated.
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