In the current times, the provision of health care is under great pressure as a result of strain on nurses’ workplaces. The wellbeing of nurses, managers, patients and families is directly or indirectly affected by underlying economic and organizational challenges dominant in the health-care deliveries today and are important values through which ethical climate is felt in this environments. By identifying ethical problems, concerns are brought out into the open providing a chance to new insight and identify strategies for improved action in the ethical climate. According to Fry & Veatch, (2006) nurses have set up resources for deliberating present-day ethical issues by upholding the rules and involvements to affect the best care for patients, as well as a supportive and informed environment for the staff.
Developing ethical competence in every clinic: Healthcare ethics provides Nurses with the hypothetical contextual framework and tools needed to illuminate ethical issues in practice that recount to cases of the patients. Understanding and embracing the theories and analytical strategies involved, professionals can clarify moral concerns among colleagues, family, and patients. This can be done by exploring alternatives to ensure the well-being of the patient. Getting issues clearly out and such things as language should be emphasized. This further can be done by developing each clinician’s competency as opposed to singling out those who have proficiency. By this, staffs need to be mentored as they advance in the opportunities of learning such as consultation, participation in seminars and acceleration of ethic discussion in their subunits.
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Staff education on current predicaments and approaches to dilemma: One of the primary objectives is to train nurses and other staff in health-care ethics. This is done by bringing an issue that appears critical for examination and the subsequent action. For example: creating awareness of the nurses’ moral duty to address a patient’s pain through specific models such as the interdisciplinary model. Then the nurses and other staff with collaboration with the Pain Management Service further defines , measures, and addresses ineffective distress management issues. Later, further expansion was undertaken to include patients and family education for advanced and better care services. Also: emphasis on Training nurses and other staff to serve as advisers through such programs as Respecting Choices Program. This training gives the participants an impression of ethical and legal issues as well. As a part of Respecting Choice program, advanced directives have presented-true life stories, which emphasizes drawbacks that patients, families and other clinicians face in securing advanced directives. It also provides for the end-of-life question that arises when no advanced directive is in place. Other awareness that is raised includes growths in DNA sequencing, transparent medicine, and disaster incidences. When faced with a dilemma regarding treatment issues and the objective of health-care, then a consensus ought to be established.
Ethics in the Emergency Department: education is intended to result to new initiatives rules and involvements. Great risk patient task force initiative has affected a coordinated and streamlined patient’s care. The presence of family members besides their patients is an matter that has drawn anxieties and discomfort to some staffs. Formerly, family members were excepted from being part of the extreme medical procedures. Today, families are encouraged to be with their patients. However, this is done by following particular rules and guidelines besides education on ethical issues. Moreover, a staff accompanies the family who explains what’s happening. This however happens when the crises meets the criteria. Therefore with ethical education, nurses’ perspective broadens, their whole scoop of responsibility widens and the patient benefits.
Staffing levels are established and affected by such factors as budgetary considerations and the nurses’ labor markets. Administration practices come as a result of staff hour assigned to various sub units and the structure of the nursing staff. Characteristics of the nurse workforce, form of care model used in assigning duties to staff, and a range of workforce environment that influence how nurses practice. Other characteristics include physical environment, communication systems and collaboration, information systems and other support services. These factors ultimately influence the quality of nursing as well as the quality of nursing care.
The values and ethical duties expected of any registered nurses have been emphasized in this piece of writing. Ethical Responsibilities and values of nurses provide the vital responsibilities key to ethical nursing practice. The ethical duties include several fundamental values and support responsibility statements, founded in nurses’ professional relationships with individuals, families, and communities. Others include colleagues, students, and other health-care experts (Thompson, 2006).
Nurses need to provide safe, empathetic, capable and moral care to patients in order to improve the level of confidence in their wellbeing. This is done by upholding health and welfare aimed at attaining the utmost possible level of health and welfare to their patients and families. Nurses need to also identify, respect and uphold people’s right to be versed and decide without unnecessary coercion (Bandman & Bandman, 2002). Nurses also ought to preserve the dignity of every person aimed at improving the inherent value of an individual. Discretion and secrecy need to be maintained in order to safeguard personal, community and family worth obtained in the framework of a practiced relationship. Nurses need to maintain principles of impartiality by protecting such things as human civil liberties and fairness in order to promote public good. Last and not least, nurses need to be responsible for their practice and accountable for their undertakings. In all the framework of nursing practice, all the practitioners ought to bear the moral responsibility in the basic moral nursing values mentioned herein.