Advance Nursing Ethics Wgu
The topics that will be discussed in this paper will be the ethical decisions that have to be made by Dr. F and the RN in regards to disclosing information to Dr. J. Also, according to the NANDA nursing diagnosis for ethical consideration, Dr. F and the RN also have to consider if Mrs. Z has some knowledge deficits in regards to her prognosis and if due to her culture, she feels powerlessness towards her diagnosis. Ethical theories are important to justifying and relating situations in nursing. In this paper, there will be discussions relating ethical theories to nursing, as well as, ethical decision making models that will relate to the delivery of healthcare. Ethical theory is important to nursing because it provides a filter and foundation from which ethical decision can be made (Marquis & Huston, 2006). It allows the healthcare individual to have a reference point to justify what is right or wrong and ties in moral decision making to patient care. Ethical theories allow nurses to have some type of justification to why they are choosing the type of care that is given to the patient (Bosek & Savage, 2007). There are several examples of nursing theories that are utilized in nursing today. For example, Utilitarianism is a theory where the greatest good is done for the greatest amount of people. An example of this theory would be how nurses triage patient. Instead of using all the resources to save one critical patient, it would be best to allocate the resources available to treat more patients. Another theory is Deontological theory. In this theory the nurse bases her care of what is morally right and does not look at the consequences of his or her actions. An example of this theory is the case of Karen Ann Quinlan. This case was based on an individual who was left in a vegetative state status post intentional ingestion with no chance of recovery. The family wanted to take her off the ventilator and let her die in peace, but the state warranted
References: Bosek, D. S. &. Savage, T. A. (2007). The Ethical Component of Nursing Education: Integrating Ethics into Clinical Experience. Lippincott Williams & Wilkins p. 39 Burkhardt, M Day, L. (2007). Foundations of Clinical Ethics: Disengaged Rationalism and Internal Goods. American Journal of Critical Care 16(2). Retrieved from: http://ajcc.aacnjournals.org/content/16/2/179.full Fry, S Heiskell, H. (2010). Ethical Decision-Making for the Utilization of Technology- Based Patient/Family Education Retrieved from: ojni.org/14_1/Heiskell.pdf Johnstone,M.,&Fry,S.(2002).Ethics in nursing practice: a guide to ethical decision making. Wiley-Blackwell Marquis, B. L., & Huston, C. J. (2006). Leadership roles and management functions in nursing (5th ed.). Philadelphia: Lippincott Raven Publishers. Osborn, K., Watson, A. & Wraa, C. (2009). Ethical and Legal Guidelines for Nursing Practice. Medical Surgical Nursing: Preparation for Practice, Vol 1.Prentice Hall, 66-84. In Re Quinlan, 70 N.J. 10, 355 A.2d 647 (1976) Silva, M.C Slowther, A.M. (2006). Sharing information in health care: The nature and limits of confidentiality. Clinical Ethics. Vol. 1. (Issue No. 2), pgs. 82–84. Smith, K., & Godfrey, N. (2002). Being a good nurse and doing the right thing: A qualitative study