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Ethics And Its Complications In The Nursing Field

2416 words - 10 pages


Through centuries nurses were given the title “Caregivers”. Unlike some doctors, nurses actually care for their patients, not necessarily saying doctors do not; they both just have a different way of caring. Yes, doctors cure illnesses, but nurses are just as important because they help with the healing process. Most nurses can have the same exact education or knowledge as a medical physician but the only thing individuals see is a name tag with either the acronym CNA, LPN, R.N. and PH.D. Of course PH.D will get all the credit, seeing as how nurses do not exactly diagnose patients. A nurse could just become a doctor but there are different aspects of each title. Nurses take instructions from a higher administrator, which is sometimes a doctor. What needs to be known is doctors are not the only ones that stress and have rules to abide by. Nurses have ethical codes, daily ethical dilemmas, morals, and ridiculous distress, but some of these examples differ with country, state, and hospital. If nurses are capable, then they should be given the opportunity to make medical decisions or diagnosis in critical situations.
A nurse’s role in decision making is minimal depending on the place of work residence. Authors Shoni Davis, Vivian Schrader, and Marcia J. Belcheir’s opinion on Ethical decision making in nursing is “a process that involves making an ethical consideration of a patient care situation” (738-749). It seems like nurses can just cite immediately or take a hunch of what is wrong with a patient, but doctors are the ones that actually do the direct diagnosing. There have been many decision making processes and theories. Each has its own unique concepts and terminology, but all have similar components. It identifies good nursing decisions and whether improvement is needed; however, authors Buckingham and Adams imply “this creates a problem because it can challenge the effectiveness of its organization and Scientifics” (981-989). It is quite difficult to determine whether a decision is good or bad because generally clinical decisions work within “stochastic domains”. For example, a right decision made using available information can still result in an unwelcomed outcome merely due to probability factors. Nursing documentation can help with the ethics of everyday decision making. Gina Kearney and Sue Penque discuss that “evidence shows that accurate record keeping and careful documentation is an essential part of the nursing practice” (32-36). Davis, Schrader, and Belcheir notes in their journal that “according to JR Rest’s model of ethical decision making, there are four processes that must take place in order for a person to act morally: 1. the moral agent must recognize the ethical dilemma; 2. decide if the selected action is morally correct; 3. prioritize what is morally right instead of what is personally valuable; 4. act on the morally correct plan of action” (738-749). As a nurse, lots of different charts, forms and documentation will...

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