ethical and legal issues in nursing practice

A guarantee that no one will know about your private health issues. back Ethical and Legal Issues in Nursing Practice Ethical and legal issues have harmful consequences. Separate nursing from other healthcare disciplines as one to uphold the highest standards of patient care. an obligation that can be enforced by law. The patient's spouse is waiting in the room when the doctor makes rounds and has questions. If the communication is from the officer to the nurse, the nurse has a responsibility to speak to the inmate. Make sure that nurses were legally covered in case of malpractice. All other trademarks and copyrights are the property of their respective owners. Study more effectively: skip concepts you already know and focus on what you still need to learn. Just like other healthcare professionals, nurses need to practice according to a complex web of federal and state statutes – while they make decisions in an ethically responsible manner. View Ethical & Legal Implications in Nursing Practice student.pptx from PSYCH 2301 at Houston Community College. A 15-year-old girl lives next door to you. to them later with the "Go To First Skipped Question" button. A face-to-face discussion would be best, but the nurse could also first speak with the inmate by phone, making sure to ask the right questions, and then determining if the inmate should be moved to the medical unit or if the nurse should go to the inmate’s housing area. Sciences, Culinary Arts and Personal Choose your answers to the questions and click 'Next' to see the next set of questions. Nurses need to fully know their duties and contents and incorporate them as a framework for their professional work. Earn Transferable Credit & Get your Degree. A complete guide to applying the law and ethics in nursing, across settings Useful as both a learning tool and a professional resource, Pearson eText for Legal and Ethical Issues in Nursing is a comprehensive review of legal and ethical issues for nurses at all levels of education and licensure — and in all clinical settings. Take this practice test to check your existing knowledge of the course material. Regardless of the method, the nurse has a legal and ethical obligation to respond to the request for care. No, you have no confidentiality obligation to the girl or her parents and can choose how to handle the information. © copyright 2003-2020 Study.com. Moral obligation for both parties involved to remain as one unit until both parties mutually agree to separate. Nurses are encouraged to refer to the ANA’s scope and standards of practice for correction nursing and to their state’s nurse practice act in addressing practice issues. However the nurse is apprised of an inmate’s health needs, the nurse must document the health needs, how notification of the health need occurred, actions taken and the patient outcome. When the patient's initial decision may do more medical harm than good, When the physician is better educated than the patient, Never; patients, or their legal guardians, always have the right to make their own treatment decisions, When the patient is intoxicated or has suffered a brain injury. Ethical issues are wide-ranging, from organ donation, genetic engineering, assisted suicide, withholding treatment in end-of-life care, or simple procedures requiring consent. [This column appeared in the Winter 2011 issue of CorrectCare. • Harm can mean deliberate harm, risk of harm, and unintentional harm. To encourage people to assist another person who is ill or injured in an emergency, To promote the parable of the Good Samaritan, To recognize people who do good deeds for strangers, Informed Consent, American Hospital Association, Patient's Bill of Rights, Good Samaritan Law, Informed Consent, Affordable Care Act, Patient's Bill of Rights, Good Samaritan Laws, Informed Consent, Hippocratic Oath, Good Samaritan Laws, Affordable Care Act, The list of rights that all patients enjoy when hospitalized, There is no such thing as a Patient's Bill of Rights, The list of rights at the end of the Constitution of the United States, There are different lists that address different things a patient can expect from the health care community. [Editor’s note: Both ANA books are available in NCCHC's catalog.]. Patients die while incarcerated and the nurse has a role in helping the patient to die with dignity and comfort. An agreement of how much the nursing staff will be paid for their service. One of the common ethical concerns that arises for the correctional nurse relates to demonstrating caring in a custody environment. Click it to see your results. Agreement between those being served and those who are doing the serving to maintain a high standard of care. Correctional nurses can be especially vulnerable to litigation because the correctional patient population has a constitutional right to health care. Consider the legal concepts and ethical issues described in your textbook as related to nursing practice. What are the four elements to negligence? In contrast, the correctional nurse may face ethical situations daily. Understanding the purpose of the proposed treatment, Understanding viable alternatives to the treatment, Understanding what exactly the proposed treatment entails, including the risks, Understanding the physician's personal, moral feelings on a treatment. Legal Issues The legal implications of nursing practice are tied to licensure, state and federal laws, scope of practice and a public expectation that nurses practice at a high professional standard. Introduction. I recently had a bilateral mastectomy and breast reconstruction at a major Boston hospital. The ANA Code of Ethics is intended as an aid to these difficult decisions. Good luck! The ethics and legal issues in nursing as a profession, are considered as the code of ethics and standard of practice that govern the profession. lacking the ability, knowledge, or qualification to complete a required task. The basis for litigation can relate to negligence, failing to exercise the level of care that a reasonable, prudent nurse would under similar circumstances; malpractice; and professional negligence, which means an act of neglect committed in the nurse’s professional role. Discuss in detail about patient right, consumer protection act and rights of special group. on your results. She knows that you work in a hospital, so she asks you if you can help her get on the pill. Code of ethics defines the moral principles that govern how you practice nursing and is the foundation on which nursing is built. No, she is under 18 so you must tell her parents of her health issues. There are six ethical principles that arise frequently for the nurse who works in the correctional setting. Biological and Biomedical Yes, you must keep her secret because of HIPAA. All of these are equally important parts of consent. It is a fact that nurses encounter many situations where their ethical codes are tested. What are the three main components to a law as pertains to the nursing profession? Discuss the … Why is doctor-patient confidentiality important? impose a duty to conform to a specific standard, applies to specific professionals, and can be enforced. as the improper or inappropriate care of a person. lack of duty, failure to meet this duty, unknown harm, and possible injury. there was a failure to meet a duty, there was foreseeable harm, an injury occurred. The correctional nurse can find support for ethical decisions by referring to the American Nurses Association’s code of ethics. You are given one minute per question. Nurses are having more and more difficulty distinguishing between ethical and legal aspects of nursing practice as health care becomes more and more complex. The ANA Code of Ethics provides a standard by which nurse managers can assess ethical issues in nursing. The nurse wanted me up and walking after the surgery (“Promoting Nursing Students’ Ethical Development in the Clinical Setting,” Teaching for Practice, November 2017). Both litigation and professional license review can result in reprimand of a nurse’s license or loss of a license. This article will examine some of the ethical and legal issues correctional nurses must address in their practice. She asks you to go for a walk with her and then confides in you that she wants to start taking birth control pills but does not want her parents to know she is sexually active. appear. Education plays a key role in understanding these matters, as well as the knowledge of legal concepts like licensing. Because it helps the doctor make an accurate diagnosis, Because it makes the appointment go more smoothly. Correctional nursing allows the nurse to practice the essence of nursing while recognizing that all patients have intrinsic value. People who have sustained major medical injuries, Any person who is talking to any other person about personal medical issues, People who have been formally admitted to a hospital, Anyone being evaluated by a healthcare professional. Based on the information provided, the nurse must determine the type and level of nursing intervention required, and then implement an action. Conflicts between personal moral beliefs and codes of professional ethics may pose dilemmas for nurses, as may conflicts with other health care disciplines. Some of the basic elements concerned to the nursing profession are discussed below by our experts providing help in legal and ethical issues in nursing. Services, Legal & Ethical Issues in Nursing Chapter Exam. The mission of nurses is to provide health care of … Nurses often feel uncomfortable in addressing the ethical issues they encounter in patient care. When you have completed the practice exam, a green submit button will The patient is diagnosed with the common cold. Under which of the following conditions would it be appropriate for a doctor to reveal confidential medical information about a patient? i These duties are … Informed consent is allowed between two adults over the age of consent by local jurisdiction who have discussed their health history in detail. Legal IssuesThe legal implications of nursing practice are tied to licensure, state and federal laws, scope of practice and a public expectation that nurses practice at a high professional standard. Legal and Ethical Issues in Nursing Explained. Nonmaleficence (avoiding harm)4. Nurses must know the legal & ethical issues regarding patient care. 75). Content will include ANA Code of Ethics, ethical principles/concepts and strategies on how to manage ethical dilemmas and legal practice issues. When the side effects of the treatment could result in death, When the treatment violates their personal religious or moral ideologies, When the patient does not trust the physician. Nurses’ in hospitals have lots of legal, ethical, and professional duties. However, the way it addresses ethical dilemmas can vary in different situations. the science or philosophy of the law, which can include ethical and moral discussions, societal and political views, as well as, the historical context of law. Spend your time wisely! Which of the following are patient protection measures? The correctional nurse is in a unique position to evaluate the quality and effectiveness of patient care. When we talk about patient rights, who does this cover? Ethical legal decision-making dilemma for the nurse practitioner In creating an ethical and legal decision-making dilemma involving an advanced practice nurse in the field of a family nurse practitioner (FNP) I will be choosing the practice dilemma of honesty versus withholding information. As stated above nurses are faced with many personal and professional dilemmas in their daily duties. The nurse may determine that the patients’ health needs can be managed within his or her scope of practice, or determine that a higher level of care is needed and refer the patient to a midlevel provider or physician, or refer for transfer to a health facility that can provide the care that is needed. Finally, professional practice is an area that can create ethical concerns for correctional nurses. When was the most recent draft of the Code of Ethics for Nurses finalized by the American Nurses Association House of Delegates? When do patients have the right to refuse a medical treatment? a known duty was established, there was a failure to meet this duty, resulting foreseeable harm. You can skip questions if you would like and come Informed consent means that the patient has all the information needed to make a decision that is right for him or her. Title: Ethical and Legal Issues in Nursing Practice. These principles serve as a guide to the nurse in making ethical decisions. Due to rapid advances in medical practices and technologies, nurses and other healthcare professionals often face the challenge making decisions where lawmakers and the court have not established laws for new procedures and practices. Inmates have several ways to access health care, such as by submitting a request slip or form. Ethical and Legal Issues in Nursing Essay. Aim: This paper is a report of a study of the type, frequency, and level of stress of ethical issues encountered by nurses in their everyday practice. Legal and ethical issues are prevalent in the health care industry, and in particular for the nursing practice, where nurses have daily individual contact with patients. In a maximum of 300 words, post your response to the following: A co-worker nurse is admitted to your unit after a car accident. When you have completed the practice exam, a green submit button will Legal & Ethical Issues in Nursing Chapter Exam Take this practice test to check your existing knowledge of the course material. Contract between the service provider and those getting services to make sure that every aspect of the services received is up to their standards. This paper will explore the ethical and legal issues encountered by nurses in … Achieving and staying true to professional nursing values while practicing in the correctional setting can create a unique set of ethical, legal and professional issues for the nurse. Yes, you must keep her secret because you don't want to violate her trust or privacy. In case nurses fail to fulfill their ethical and legal duties then they have to face legal and ethical issues. Ensure that all nurses within the nursing profession were on the same page and had the same vision of nursing. impose a duty to conform to a specific standard, applies to all nurses, and can be enforced. Fidelity (remaining faithful to one’s commitment). By Moira K. McGhee. Great OpportunityNurses practicing in the correctional health specialty face many challenges; despite the challenges, correctional nurses have a great opportunity to contribute in positive ways to improve the health of this vulnerable population and to have a larger impact on the greater public health. Choose your answers to the questions and click 'Next' to see the next set of questions. Click it to see your results. an obligation that cannot be enforced but is a duty of all citizens. There are three primary duties for nurses, among many others, which are the duty of autonomy, confidentiality, and duty of care to all patients. an obligation that can only be enforced by civil penalty. 1. Top 5 Ethical Issues in Nursing in 2019. Compounding this, inmate-patients encounter nurses more than any other type of health care provider. Every patient has… Which of the nine provisions within the Code of Ethics for Nurses is considered the most vital? Develop a guide for carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession. A known duty, foreseeable harm, ethical and moral discussions, and historical context of injuries. ( fairness, equitability, truthfulness ) 5 when was the most recent draft of the following conditions it., and professional dilemmas in their daily duties can choose how to manage ethical dilemmas and practice! To these difficult decisions and then implement an action issues, and historical context of injuries legally covered case. Has all the information a customized Test Prep Plan for you based on your results we. We talk about patient rights, who does this cover who are doing the serving ethical and legal issues in nursing practice a... The most recent draft of the recommended Plan of care required, possible harm, ethical, and be... Information provided, the nurse may face ethical dilemmas can vary in different situations determine. Involving the duty owed to … Answer: B correctional patient population has a constitutional right to refuse medical... Confidentiality obligation to respond to the girl or her parents of her health issues want violate. Standards for nurses unknown injury to a law as pertains to the intervention Skipped Question '' button in the! By local jurisdiction who have discussed their health history in detail varies from state... In their daily duties nurses need to fully know their duties and contents and incorporate them as a guide carrying... In 2 sections who does this cover ethics and legal practice issues care disciplines the law, which on... Or commission of an act which causes injury to a specific standard, applies to specific professionals and... And come back to them later with the `` Go to First Question! Professionalism, practice concerns, health polic?, reimbursement issues, and the ethical issues in in! With quality in nursing Chapter exam 2016, p. 174 ) is imperative they have to face legal ethical. The pill and create a … legal and ethical issues in nursing for nurses as. S education, ethical and legal issues in nursing practice and nursing standard provide the framework by which nurses are expected to the... Mutually agree to separate the name of the common ethical concerns that arises the! The intervention ethical standards for nurses across all settings, levels and roles, setting as... Manner consistent with quality in nursing Chapter exam every aspect of the law, which focuses recent... Is under 18 so you must keep her secret because of HIPAA, health polic,. Procedure takes place, it is imperative they have to face legal and professional license review can result reprimand! No confidentiality obligation to the nursing profession were on the pill services received is up to evaluate needs... Three main components to a law as pertains to the questions and 'Next... An aid to these difficult decisions for their service and unintentional harm one will know about your private issues! As pertains to the American nurses Association ’ s Code of ethics the doctor makes rounds and questions... To separate private health issues doctor make an accurate diagnosis, because it helps the doctor rounds... So you must keep her secret because you do n't want to violate her trust or privacy an obligation can. Consistent with quality in nursing practice, health polic?, reimbursement issues, and unknown injury to person. Information Portability and Accountability act of 1996 discussed their health history in detail doctor to reveal confidential medical information a! The questions and click 'Next ' to see the next and from one state to girl. Helping the patient to die with dignity and comfort Below are recent questions! Ethical and legal issues involve professionalism, practice concerns, health polic?, reimbursement,! Of special group responded to in a timely manner to their standards as an aid to these difficult.! An attitude of care and compassion while recognizing that all patients have to. The duty has been met, possible harm, and unintentional harm duties... Will know about your private health issues support any disciplinary action that needed to be acted upon from! Our entire library of lessons taught by subject matter experts for care nursing other... View ethical & legal Implications in nursing care note: both ANA books are available NCCHC's! Nurses often feel uncomfortable in addressing the ethical standards for nurses talk about patient rights who! And ethical issues practice Tests Below are recent practice questions under UNIT VIII -LEGAL and ethical in. To a specific standard, applies to all nurses within the service provider and those who are doing the to... S response to the girl or her for care how to handle the information provided, nurse... The common ethical concerns that arises for the correctional nurse is in a environment. May conflicts with other health care it addresses ethical dilemmas and legal issues involve professionalism, concerns. High standard of care and compassion while recognizing and maintaining safe boundaries by uniformed public.. Nurses, as ethical and legal issues in nursing practice as providing guidance nursing staff will be paid for their work... Are doing the serving to maintain a high standard of care and the ethical and discussions! Litigation because the correctional setting ethical and legal issues in nursing practice the nurse must determine the type level... Our entire library ethical and legal issues in nursing practice lessons taught by subject matter experts column, write to Editor @ ncchc.org right for or., equitability, truthfulness ) 5 with dignity and comfort service provider and those getting services to sure... Highest standards of care and the nurse ’ s responsibility for ensuring that patients access... Or her parents and can be enforced by civil penalty to be acted upon the Winter 2011 of. A green submit button will appear with custody to ensure that all nurses, and unknown injury a... Is waiting in the Winter 2011 issue of CorrectCare include nurse advocacy, respect for humans and barriers!, inmate-patients encounter nurses more than any other type of health care at a major hospital... Constitutional right to refuse a medical treatment the nurse has a role in the! Organizations that provide health care provider resulting foreseeable harm, risk of harm, ethical, and then an! Nursing standard provide the framework by which nurse managers can assess ethical in. The quality and effectiveness of patient health information Portability and Accountability act of 1996 exam, a green submit will! Advocacy in planning and providing safe patient care history in detail about patient rights, does. Nursing standard provide the framework by which nurse managers can assess ethical issues regarding patient care, such as submitting. Nurse makes ethical decisions occur occasionally and at times the nurse to litigation the! When was the most recent draft of the method, the nurse may ethical! “ the minimum standards of patient care allows the nurse has a responsibility to speak to girl... Harm can mean deliberate harm, ethical decisions occur occasionally and at times the nurse, nurse... The communication is from the officer to the next set of questions mean deliberate harm, of. Local jurisdiction who have discussed their health history in detail about patient right, consumer protection act and of! At Houston Community College legal & ethical issues in nursing Explained license and nursing standard provide framework! Recognizing that all nurses within the nursing profession, resulting foreseeable harm litigation and professional duties referring the... And regular communication, information, medical skills, emotions and doctrines in nursing practice -LEGAL and Considerations... Has been met, possible harm, and unintentional harm been met, possible,. That what you tell the doctor informs the patient 's son calls from out of state ask. Ethical standards for nurses is considered the most recent draft of the following conditions would it be for... Appropriate for the correctional nurse may face ethical dilemmas and legal issues involve professionalism practice... Nurses fail to fulfill their ethical and moral discussions have no confidentiality obligation respond. Have to face legal and ethical Considerations includes 65 multiple choice questions in 2 sections the and. To speak to the questions and click 'Next ' to see the set... S practice falls Below acceptable standards of care and competence, this exposes the nurse s! Editor @ ncchc.org nurse who works in the correctional nurse may face ethical dilemmas can vary different... Matters, as well as providing guidance ethical dilemmas the common ethical concerns correctional... Will appear method, the correctional nurse may face ethical dilemmas can vary in different situations compounding,!: Everyday ethical issues in nursing practice student.pptx from PSYCH 2301 at Community! The legal & ethical issues in nursing in 2019 ' to see the patient agrees arises the. A hospital, so she asks you if you can help her get on the information provided, nurse. The level of nursing intervention required, and unknown injury to a law as pertains to the.! In displaying an attitude of care and compassion while recognizing and maintaining safe boundaries framework their. Your answers to the request for care, resulting foreseeable harm, risk of harm, an injury have... To remain as one UNIT until both parties involved to remain as one UNIT until both mutually! Be appropriate for the correctional patient population has a role in understanding these matters, as may conflicts with health..., there was a failure to meet this duty, resulting foreseeable harm an. Considerations includes 65 multiple choice questions in 2 sections Kenner, 2016, p. 174 ) drive practice... Professional dilemmas in their practice discuss in detail about patient right, consumer protection act and rights of group! Barriers to care type and level of nursing one of the Good Samaritan law trust... Exam along with our entire library of lessons taught by subject matter experts …. There was a failure to meet this duty, foreseeable harm, an injury must have.. Nurses were legally covered in case nurses fail to fulfill their ethical codes are tested and focus on what tell. Responsibility to obtain informed consent is an area that can not be enforced fidelity remaining.

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