professional, ethical and legal requirements of the registered nurse

Ethics: principles, values and virtues that enable people to live a morally good life. While ethical principles are sometimes confusing and often taught briefly during undergraduate nursing -- they should be constants in nursing practice in order to provide the best, safest, and most humane care to all patients. Academic level. Nurses are governed by legal and professional requirements that protect the safety and wellbeing of patients but also have ethical considerations that arise when delivering nursing … Demonstrated high level interpersonal, verbal and written communication skills. As professional, I treat personal information as private and confidentiality. An understanding of the professional, ethical and legal requirements of the Registered Nurse 2. including professional requirements as outlined in the CNO Professional Standards & Standards of Practice for Registered Nurses; CNO Ethical Values, and the CNA Code of Ethics for Registered Nurses 4. Second, a breach of that duty by not meeting the required standard. xxi The patient must have suffered bodily, economic, or emotional injury. Registered nurse is a person who has completed the prescribed education preparation, demonstrates competence to practise and is registered under the Health Practitioner Regulation National Law as a registered nurse in Australia. “Ethical leaders must strive to model and support ethical performance and at the same time be sensitive to moral issues and enhance nurse’s performance by fostering respect for human dignity; thus, they can play an important role in promoting patient safety, increase the capacity to discuss and act upon ethics … Nurses and midwives must be registered with the Nursing and Midwifery Board of Australia (NMBA), and meet the NMBA's professional standards in order to practise in Australia. It has been developed by nurses for nurses and sets forth the ethical standards by which nurses are to conduct their nursing practice. Professional responsibility Competency 1.1: Accepts responsibility for ensuring that his/her nursing practice and conduct meet the standards of the professional, ethical and relevant legislated requirements. ii These are professional duties which become legal duties if any legislation or policies are breached during practice. Such awareness extends to my responsibility to consistently pursue, and improve my knowledge of the responsibilities of a Registered nurse. This paper will explore the ethical and legal issues encountered by nurses in two case studies. The principle of nonmaleficence ensures the safety of the patient and community in all care delivery. The formal code of ethics was developed in the 1950s by the American Nurses Association (ANA) and has undergone numerous modifications since. It gives guidance for decision-making concerning ethical matters, serves as a means for self-evaluation and self-reflection regarding ethical n… 75). The GMC has also provided guidance on particular areas such as consent, confidentiality, and withholding or withdrawing treatment.vi This guidance is not mandatory, but is recognised at law, and in the case of W v Egdell, the court referred to the GMC guidelines on confidentiality.vii The British Medical Association (BMA) is the national association of practising doctors, with its own medical ethics unit which deals with individual ethical queries from doctors and nurses, and provides guidelines on ethical issues. xx It requires four elements: duty, being a legal obligation owed to the patient – nurses must provide the degree of care reasonably exercised by other nurses in that practice area. This creates a problem for nurses and the ethical questions about who to protect. xvii Nurses require a sound understanding of the associated ethical and legal principles in order to make such a judgment, and this is best understood by implementing stringent teaching and education procedures prior to practicing in a health clinic to ensure they can apply principles of health care and ethics. Copyright © 2020 Full Beaker, Inc | 866-302-3888 | [email protected] | Do Not Sell My Info. Interestingly, the nursing code of ethics is suggested to have been founded in 1893 and named the “Nightingale Pledge” after Florence Nightingale, the founder of modern nursing. Nurses have to abide by laws and regulations when practicing nursing. Articulate the key principles underlying ethical, legal and professional guidelines and codes that underpin the practice of registered nurses in Australia. In these instances, it is important to consult the ethics committee before making any major decisions. Ethics: principles, values and virtues that enable people to live a morally good life. Support the rights, interests There are also some jurisdictional differences within the UK with Scotland and Northern Ireland having separate legal systems.xiii For instance, in Scotland a person can appoint an attorney of welfare to make medical treatment decisions if that person becomes incompetent, under the Adults with Incapacity (Scotland) Act 2000, yet this is not an option in England. This code of ethics for registered nurses is a statement of the ethical commitmentsof nurses to those they serve. Fact sheet: Registered nurse standards for practice. ix, However, the ethical guidelines are not entirely subjective, and the NMC regulates the code of ethics which enforces all disciplinary processes for practitioners. Third, causation, which is a factual connection between the action of the nurse and the harm suffered by the patient. The nurse’s primary commitment is to the patient, whether an individual, family, group, community, or population. There are several legal and ethical issues which are abundant in the nursing practices. Finally, damages, being monetary payment intended to compensate the patient for the detriment. Nurses are responsible to take care of their client by providing them with best quality care, keeping personal data of the clients confidential, ensuring a planned and legal … Second, a breach of that duty by not meeting the required standard. By the same token, nurses have a personal responsibility to maintain professional competence and strive towards personal and professional … Responsibility and accountability “ nurses demonstrate professional conduct and practice in accordance with standards of nursing practice determined by the regulatory board and accept that the primary duty is to ensure safe, competent and ethical nursing care to the client” (Singapore nursing … It gives guidance for decision-making con… Nurses must be prepared to face these challenges and recognize the requirements of state and federal law, workplace policies, and obligations of the profession. 20, No. Nurses have the right to a work environment that supports and facilitates ethical … In 2001 a study found that there was a perceived need for more advice on ethical dilemmas within the health profession, after increasing legal cases and public inquiries.iii As a result, various Clinical Ethics Committees (CECs) and Research Ethics Committees (RECs) were established within the UK to provide comprehensive ethics support. This paper will provide an overview of legal and ethical parameters of professional nursing practice. The National Law clarifies that making a notification is not a breach of professional etiquette or ethics, or a departure from accepted standards of professional conduct. xviii The consent is valid if the minor is of ‘sufficient intelligence and understanding to appreciate the information and advice about the treatment and what it involves,’ for instance if a teenage girl consent in receiving contraceptive advice without her parents’ knowledge or consent.xix As the law enforces a duty of confidentiality by nurses to adults, the law then extends the duty to children who are competent in consenting to treatment. The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to provide optimal patient care. Articulate the key principles underlying ethical, legal and professional guidelines and codes that underpin the practice of registered nurses in Australia. Therefore informed consent is an ethical, legal and a professional duty of nurses and even every health professional. Constantly changing values in health, behavioural science, and society mean that medical practitioners must be aware of new ethical issues for the medical sector, and learn how to respond appropriately. Understanding the legal requirement of a nurse, such as scope of practice, duty of care and informed consent. It is important that nurses support the patient in their medical wishes and ensure that the medical team is remembering those wishes. The Department of Health issued a Health Service Circular 219.99, which mandated some requirements of a new nursing education programme. (National Law) The nursing titles currently listed on the public register under the National Law are enrolled nurse, registered nurse and nurse practitioner. The GMC acts to protect practitioners who breach confidentiality rules if it was in the public interest, although this depends on the circumstances. The principle that a patient who understands relevant information regarding his or her medical problem should be able to make a decision about treatment extends to the duty conferred on doctors and nurses. The most significant recent change was in 2015 when 9 interpretative statements or provisions were added to the code of ethics to help guide nursing practice in a more definitive way. Responsibility and accountability “ nurses demonstrate professional conduct and practice in accordance with standards of nursing practice determined by the regulatory board and accept that the primary duty is to ensure safe, competent and ethical nursing care to the client” (Singapore nursing board( 2011), standard 2). This is the most well known of the main principles of nursing ethics. Nonmaleficence is to do no harm. Deadline. Although ethical standards had been suggested earlier, they were not codified and ratified until 1950 by the ANA as A Code for Professional Nurses. This is a duty of confidentiality, to not give information about the patient to others without consent. Fact sheet: Recency of practice. xv. According to the American Nurses Association (ANA), the nursing code of ethics is a guide for “carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession.”Ethics, in general, are the moral principles … Nursing is consistently regarded as the most honest and ethical profession and practicing with the nursing code of ethics is essential to ensuring that patients and their families receive the care they have come to know and expect. It is consistent with professional conduct and a practitioner’s ethical … Identify one professional, one ethical … This includes all potential risks, benefits, and complications to make well-informed decisions. • Informed consent. Competency 1.1: Accepts responsibility for ensuring that his/her nursing practice and conduct meet the standards of the professional, ethical and relevant legislated requirements. These principles are ideally what every nurse should be aware of in their daily nursing practice. There are fourteen key concepts which outline the ethical standards and responsibilities expected of a doctor. In general, the nurse should see the patient to evaluate health needs and determine the level of care required. xvi In England, nobody can consent to treatment for an incompetent adult, so the Court must make a declaration in the best interests of the patients and the overall medical practice. Demonstrated clinical … These include the Abortion Act 1967, the Mental Health Act 1983, theData Protection Act 1998, The Children Act 1989, various Acts relevant only in Scotland, and guidance such as the Guidance for Access to Health Records Requests provided by the Department of Health. Calculate your paper price. How do effective nurse leaders and others approach problem solving and decision making in organizations. Nurses often use the four major ethical principles throughout a shift, even if not fully aware of it. The nurse, through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality health care. • Standards of care. Fact sheet: Professional indemnity insurance arrangements. It examines how courts in the UK determine if nurses have met their duty of care and how nurses … Currently, the nurse’s code of ethics contains 9 main provisions: The aforementioned nine provisions were implemented to help guide nurses in ethical decision making throughout their practice. This code of ethics for registered nurses is a statement of the ethical commitmentsof nurses to those they serve. DOI: 10.3912/OJIN.Vol20No02Man04 Key words: Ethics, code of ethics, nursing, professionTo practice competently and with integrity, today's nurses must have in place several key elements that guide the profession... Professional nursing is defined as “the protection, promotion, and optimization of health an… The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities. The nursing practice upholds its own code of ethics and this is regulated by strict disciplinary guidelines, with the governing body having more influence over its member than legislative entities in medical matters. PSY403 Ethical and Professional Issues In Psychology. Ethical issues happen when choices need to be made, the answers may not be clear and the options are not ideal. The American Nurses Association defines this as “actions guided by compassion.”. Together, the GMC and BMA act to provide guidance for nurses and other practitioners to assist in ethical decisions, however it should be noted that these decisions are highly personalised, dependent on the patient and situation, and often subjective therefore unable to be entirely answered by these guidelines. The nursing practice is expected to comply at an individual level with these guidelines on a daily basis. They are. This could be shown through the adequate disposal of the handover sheet. Applied to nursing and midwifery, the moral principles The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person. Articulate the key principles underlying ethical, legal and professional guidelines and codes that underpin the practice of registered nurses in Australia. Duty of care is a fundamental aspect of nursing, and many nurses consider this to be an important part of their professional duties as a nurse. The result could be declines in the quality of patient care; problematic clinical relationships; and moral distress, which is defined as knowing the right thing to do but not being allowed or able to do it. The nurse’s education, license and nursing standard provide the framework by which nurses … Autonomy is recognizing each individual patient’s right to self-determination and decision-making. Uncategorized / By P N Demonstrate developing skills in academic and information literacy that provide a foundation for evidence based nursing. The Human Rights Act, Article 8, also allows people to take action against public authorities who have no upheld their right to a private life. practitioners and nurses must still exercise professional judgment and are personally accountable for any decisions which may breach ethical standards. An example of this is when working at a free flu clinic or diabetes screening clinic. To be registered, it is a general rule that nurses must undergo education in addition to personally indicating through performance and training that they intend to follow ethical standards to retain a licence for nursing.v. Duty of care is a fundamental aspect of nursing, and many nurses consider this to be an important part of their professional duties as a nurse. Various prominent medical cases have been heard recently, in particular relating to nurses assisting suicide, the refusal of medical treatment by a patient who is competent, and using embryos frozen for IVF. Demonstrate developing skills in academic and information literacy that provide a foundation for evidence based nursing. Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives 3 Conduct: a person’s moral practices, actions, beliefs and standards of behaviour. The General Medical Council (GMC) is a statutory entity with the role of protecting the public by maintaining a register of medical practitioners fit to practice, while also monitoring complaints about practitioners. By: Kathleen Gaines MSN, BA, RN, CBC. However, before reaching litigation, it is often expected that nurses are competent in making these decisions and informing their supervisors and subsequently the court regarding patient consent. 2, Manuscript 4. This includes adherence to the professional, ethical and legal requirements as set out by the Nursing governing body The Nurses and Midwifery Board of Australia. Nursing Program Mission Statement The mission of the Broward College Nursing Program is to prepare competent, compassionate, and culturally sensitive entry-level nursing graduates whose professional practice encompasses legal and ethical decision making. The Department of Nursing is committed to providing a nursing … The most common reaction to a perceived breach of ethical standards in the health profession is an action in negligence and malpractice, being the act or omission or commission made by the nurse or doctor.xx It requires four elements: duty, being a legal obligation owed to the patient – nurses must provide the degree of care reasonably exercised by other nurses in that practice area. xiv When read with Article 3, it can be implied that there is a fundamental right for all individuals to determine their own lives, without interference from the government, including the right to choose medical treatment – treatment must be either consensual, or if the patient is in fact incapable of consent, it must be therapeutically necessary. Nurses are also responsible to report treatment options that are causing significant harm to a patient which may include suicidal or homicidal ideations. competence requirements, nursing’s professional bodies have a core role in setting ... 1.4 provide documentation that meets legal requirements, is consistent, effective, timely, accurate and appropriate; ... 5.2 address ethical issues using an identifiable nursing ethical … All registered and licensed practical, or vocational, nurses must be currently licensed to practice nursing in their state of practice. • Confidentiality. Legal, Ethical and Professional Issues in Nursing. Sell my Info breached during practice administering any medication to the nurse collaborates with other professionals. Nurse must be faithful to their professional promises and provide safe and high-quality care in the community of. His or her nursing license and result in a competent manner they serve to the. 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