Ethics in health services and policy a global approach

Ethical dilemma

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            Ethics is the study of sensible thinking. Nurses face moral dilemmas on their daily practices. Ethical activities depend on several factors. What one person consider as moral may be different from another person’s approach of the circumstances? Nurses encounter ethical dilemma regardless of where they function in wide-ranging tasks. These principled decisions can have a collision to the nurses as well as their patients. In general, there is no apposite decision to a moral dilemma. An ethical dilemma can be defined as a quandary without satisfying solution. The significance of moral decision making depend on the perception that regardless of numerous ethical alternatives made pertaining to a given ethical dilemma, the resultant choice can pose to neither right nor wrong judgment. Ethics involve doing right and causing no impairment. However, definition of principles varies from one nurse to the other. Ethical guideline classes provide the nurse with suitable tools to base moral decisions upon. Though, these principles are habitually shaped by the beliefs, values and knowledge of the nurse. Accordingly, various choices may be raised concerning the identical impasse.

            There are assorted ethical distresses that nurses can come across in the place of work. They include: freedom versus control, quality versus quantity of life, truth telling versus deception, pro-choice versus pro-life, empirical knowledge versus personal beliefs, and distribution of resources. Quantity might focus on an individual life span whereas quantity focuses on the number of citizens who will be influenced by the judgment. Quality address the goodness of life of a person, but it varies depending on how a person defines “good”. For example; the nurse’s position in supporting the patient deciding among a therapy that will lengthen life, but comprehending the quality of life. The patient’s life may be extended, but will experience major unattractive effects from the therapy. Nurses are called upon to use moral perceptions in delivering patient care.

            Ethical perceptions include provision of accurate, good and coherent care. Patients necessitate to be offered prospects to put across their autonomy of preference in determining how they desire to be attended and in acquiring services. Ethical nurses identify that they are obliged to offer individualized care which will help the patient to realize their highest welfare. Ethical nursing care is based on lucid decision making and science. There are four fundamental concepts which are significant to a proficient nursing practice. They include: respect for patient self-rule, the task to operate with generosity, no mischief and justice. Nurses present respect to the patient self-rule by enhancing and recognizing a patient’s freedom of preference, respect their opinions, and providing privacy. The National League for Nursing issued a statement which highlights patient rights. Nurses are expected to encourage the rights of patients and advocate for patient’s who are unaware of their rights.

            Nurses exhibit generosity by helping patients to attain their highest welfare. This can be attained by developing health care policies that affect large population or provision of direct care to individual patients. Nurses are not allowed to cause any damage to their patients. This is the principal of non-mischief. Nurses often do have to perform operations which make the patients uncomfortable. For example, when a nurse is administering an injection to the patient. Patients need medication to relief the sicknesses, though, in the process of relieving the symptom, the nurse might cause distress. Non-mischief must be balanced by kindness, while providing patient care. The intention of the nurse provides a treatment whose gain must outweigh the discomfort caused. The nurse aim must be to assist rather than causing impairment. Equality and justice in nursing care is usually linked to the delivery of services. The current health care restructuring strategy is an end result of people acknowledging that the present health care structure requires streamlining. Controversy arises over what is practical, fair, and efficiently realistic.

            Nurses are involved at every phase of current health care classification, assisting with policy development and decision making. Professionals propose that nursing concept of ethical care is outstanding case and needs staid implementation throughout the nursing practice. It is related to medical replica of ethics since it deals with life and death matters. The nursing model is one of the personal patient empowerment. Ethical nurses control health care reform plan which put emphasis on healing even in situations where curing is impossible. It position quality of life at the front line. Ethical dilemmas which the nurses face everyday are diverse. They include assorted topics such as end of life care and staffing ratios.

            Nurses might face ethical dilemma as they attend patients with disabilities which might position them at peril for self-harm. For instance, an aged patient might be eager to stroll without directive. The nurse desires to endorse patient sovereignty, though the possibility of patient harm because of falling may be large. The dilemma is how to balance the contrasting situations. The nurse is in a dilemma to choose which one is more significant between security and independence. Each family, patient and health care staff faces these challenges in daily basis. Momentous challenges may be experienced by nurses operating with parents who have infants with mental or physical disabilities. The nurse is left to decide whether it is moral to subject the infant to an inexperienced process which will impose pain if it provides them with distinct chance of survival. The nurses have to decide whether it is ethical to prolong life while the quality of life is being comprehended.

            Recent research findings reveal that, nurses as caregivers central to health care, face a growing rate of ethical dilemma. The know-how is helping patients to endure serious sicknesses. However, recent studies disclose that people are surviving, but they are not living decent lives. Nurses have a task of executing clinical and educational operations which deal with the subject that professional care provides. The other dilemma is that there are insufficient health care resources across the world. The resources are also not equally scattered. The nurses are left to ensure that there is equitable distribution of health care resources. Patients from various cultures and personal experiences may present with different opinions of what is moral. The nurse can serve as resource to make sure that every individual feels that their opinions were considered. They have to decide who should get the scarce resources? For instance, nurses working with patients living in vegetative state; nurses decide whether these patients should be left on life maintenance? The outlay of sustaining these patients is high. The patients might be consuming possessions that could be utilized by patients whom such expensive interventions, if reachable, could set aside their lives. The dilemma is determining the position of the nurse when a family wishes to go on with life hold up for a medically ineffective patient.

            In conclusion, ethical principles are very noteworthy in the nursing practices since they direct the nurses to make their every day decisions. The nurses, however, face ethical dilemma since they are not able to settle to a superior decision. Nursing is a profession that requires a lot of decision making since they are working to save patient lives, though they are required to make decisions depending on the code of ethics.


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