QUESTION

Please goggle this book for participation material:

"Guido, G. W. (2010). Legal & ethical issues in nursing (5^thed.). Upper Saddle River, NJ: Prentice Hall".

PLEASE NOTE:

EACH QUESTION should be at least 200-300 words and contain at least one citation from a peer reviewed reference. THANKS 

QUESTION 1)How do you apply your personal values and professional ethics to your nursing practice? Refer to the Ethical Lens Inventory and readings when responding. 

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QUESTION 2)You mentioned that you no longer work at a place that did not line up with your code of ethics. Do you think nurses should find places of employment that agree with their code of ethics?

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QUESTION 3)As a nurse who is pro-life, I would not seek employment in an abortion clinic. Do you feel that nurses have the right to refuse to participate in a patient's care that goes against the nurse's beliefs?

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QUESTION 4)Which ethical principles do you feel you use on a regular basis? Please give examples of how you incorporate the principles into your practice.

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QUESTION 5)Since I have become a nurse manager, it has been one of my goals to build a culture where nurses are safe to speak up, weather it involves a patient care issue, a mistake that as made, a process that is not working, etc.  This type of culture brings psychological safety to my unit and nurses take pride and ownership of their own professionalism.  Nurses are empowered and supported to make an ethical stand and feel job satisfaction when they see the goods of their efforts.

Hi Class,

What are you describing reminds me of the concept of "just culture." In this type of culture, health care workers are not reprimanded when reporting errors. The entire system is reviewed when an error is made in order to find out the causes for the error. Do you feel you practice just culture?

Boysen, P. G. (2013). Just culture: A foundation for balanced accountability and patient safety. Ochsner Journal, 13 (3), 400 - 406. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3776518/

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QUESTION 6)I think as  a nurse we need to leave at home whatever that could hinder the way we care for our patient, they come first and  if any nurse does not see it that way, they need a check on self as to  what profession they really want to be in.

I agree that nurses should try not to impose their personal beliefs on patients and let those beliefs dictate their care. However, what rights do nurses have in these types of situations? 

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QUESTION 7) So, although I value the ethical principle of autonomy for others, I also think that there has to be balance. In these types of situations, can mental health patients be "forced" to take their medications?

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QUESTION 8)I see that you mentioned personal experiences.  Sometimes we don't like to admit that we allow our past experiences affect our professional decisions but we do allow them to dictate our personal decisions.  I admire your honesty in this area.  I think it is important that you acknowledge that and shows an area of insight that you can use to help guide other nurses in how to distinguish how to balance our professional ethics with personal experience during decision making.  I think we sometimes think that using personal experience will not positively impact decisions because of prejudice and bias but being aware of this can be useful.  Do you agree?  Is there a delicate balance or a fine margin as you mention?  I am glad that we have a professional code of ethics to help guide us in the process.  I can think of a time when my personal beliefs didn't line up with the "code" at the correctional facility and even challenged the nursing code of ethics.  It was difficult at times to make decisions in that environment. Hence, I no longer work there. Do you feel that you ever compromise your religious beliefs by following your professional code? I find the ANA Code of Ethics very useful.

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PART B Respond to following required discussion questions. Ensure your response per question is 350 words.

What primary relationships do you see between legal and ethical issues faced by nurses in their practice? How would you explain these relationships to others? 

What would you say are at least two ethical dilemmas that are often faced by nurses in their daily practice? Explain how accountability and responsibility play a role when nurses face with these dilemmas.