Saturday, January 29, 2011

BIO-207 Ethics Paper Review

This article regarding the ethical dilemmas of nursing points out that nurses are increasingly realizing that they offer relevant information in decision making, involving ethical issues. Inter-professional communication [which usually includes the doctors and nurses], are frequently inadequate, and do not a permit exchange of opinions .This causes frustrations for nurses whose care is affected by other’s policies. As stated earlier nurses realized that they can offer relevant information and participate in decision making involving ethical issues .Working in the medical field for a number of years, I know firsthand, the desire of registered nurses and licensed nurses alike to become more responsible and contributory to the welfare of the patients they take care of .Due to the subordinate roles nurses have held  the conscience of the entire multidisciplinary team needs to be awaked to see the value of the nurse’s role in the patient’s care .One of the number one goals should be to promote interdisplinary harmony and support . This will show up in your overall patient care and isn’t this what this is all about patient care? As the article stated “Recent developments in nursing practice reflect increased knowledge of effective care, changing needs of patients and an attempt by the profession to become complementary to the doctor not poor substitutes or ancillaries. “While doctors may try to exploit their influences, their science and expertise concern the prevention and prevention of disease.  Nurses on the other hand are attempting to care for people by understanding their personal strengths. One of the most important resources a nurse has to give patients is relevant information about their condition, their treatment and ways of coping with both .Nurse are put in difficult situations when their beliefs or those of the patient himself are at variance with those of the others in the medical and nursing team. This is where nurses need to get more comfortable in expressing their views. The primary goal should be is to honest to the patient and represent his view above others, the advocacy role needs to studied carefully, but to effective it has to accepted by the doctor .As I’ve personally witnessed in my own career, doctors may support one or two nurses whom they know and respect performing the advocacy role, but the idea of nursing in general acting as a go between or a confidant discussing medical treatments may seem unacceptable. Perhaps professional respect between doctors and nurses must grow in order to permit frank discussions and questions when either disagrees with their treatment plans, or when the nurse feels she should relay the patient’s doubts or dissatisfactions to the doctor. Controversies today over whether a  nurse should question or disagree with doctors is just as prevalent as in the past structure of medicine and nursing. As the article states “Unilateral decision decisions on medical treatment [or lack of it] were justified in the past through a belief in benign paternalism: doctors knew more about medicine than others, they took legal responsibility for their actions and most members of society were very grateful that this was so. In general this can now be seen only to seen to be justified when responsible others can be informed or participate in such decisions. Throughout this article it continues to emphasize that nurses are adopting more responsibilities for identifying or planning to resolve or reducing illness and related problems. This require freedom

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