Running Head: ADVANCED PRACTICE LEADERSHIP 1 Advanced Practice Leadership 4 Advanced Practice Leadership: An Ethic of Care Name Course University Instructor Date Advanced Practice Leadership: An Ethic of Care The Advanced Nursing Practice Leadership Dynamic Perhaps more so than any other profession, nursing has been described as a caring profession and defined by an ethos of care. When asked why they entered the profession, many nurses will respond that they simply love caring for people. However, nursing has also struggled for legitimacy and respect over the years and sometimes resisted being solely defined as a caring vocation. Particularly, nursing leaders have struggled to merge caring and evidence-based practice as they …show more content…
In Jean Watson?s theory, ?caring requires the nurse to have a deep connection to the spirit within the self and to the spirit within the patient? (Lachman, 2012, p. 112), but, on a practical basis, cultivating such a close relationship with a patient may prove to be challenging. The emphasis on a transpersonal caring experience that transcends the self may be difficult to insert in a practical fashion into a busy nurse?s daily tasks when nurses are understaffed and have little time. However, many nurses resist the notion that care should be the primary ethical defining value of nursing, given that this female-dominated profession has often been denigrated as merely giving care, versus using evidence-based medicine (Woods, 2011). But defenders of an ethic of care in leadership stress the need for caring versus curing as an antidote to medicine which is purely ends-focused. ?Caring defines nursing, as curing often defines medicine? (Lachman, 2012, p. 113). The nurse?s role is to support the needs of the patient in conjunction with the patient?s social, psychological, and physical framework rather than simply focus on curing illness. Care is not simply sentimentality but rather reflects the need to make nursing a practical discipline on an individual basis for each and every patient in a unique fashion (Woods …show more content…
But a care-based ethos does not mean discounting good practices regarding patient health. Even if nursing is a carative rather than a purely curative perspective that works with the needs of the patient, it is still fundamentally grounded in evidence-based medicine. References Botes, A. (2000). A comparison between the ethics of justice and the ethics of care. Journal of Advanced Nursing, 32(5):1071-5. Lachman, V. (2012). Applying the ethics of care to your nursing practice. Med/Surg Nursing. 21 (2): 112-115. Retrieved from: http://www.nursingworld.org/MainMenuCategories/EthicsStandards/Resources/Applying-the-Ethics-of-Care-to-Your-Nursing-Practice.pdf Pavlish, C., Brown-Saltzman, K., Hersh, M., Shirk, M., Rounkle, A. (2011). Nursing priorities, actions, and regrets for ethical situations in clinical practice. Journal of Nursing Scholarship, 43 (40): 385-395. Vanlaere, L & Gastmans, C. (2011). A personalist approach to care ethics. Nursing Ethics, 18 (2): 161-173. Woods, M. (2011). An ethic of care in nursing: Past, present and future considerations. Ethics & Social Welfare, 5(3), 266-276.
These viewpoints have importance for medicine as well as for nursing or other health professions. The complete practice of human caring theory is most fully realized in a nursing theory because nursing allows for the constant caring factor that medicine does not have;
With the continued change and increased complexity of the identity of the nurse it has led to the confusion as to what role nurses play – are they caregivers or clinicians? With the continued evolution of nurses professional identity nurses have moved away from the feminine role of just merely caring and have moved towards taking on more masculine role which have traditionally been associated with power. As traditionally power is mainly associated with masculinity and caring, which is the core value of nursing, as associated with femininity. From this it can be said that nurses have evolved from being the overshadowed caregivers to now taking on roles that traditionally would not be associated with nursing however still keeping the care element. In order to establish exactly how the identity of nurses has evolved over the years and to understand what it is today, we will look at the history of nursing as well as looking at how professional identity is formed and what factors
Abandonment and Nursing The career of nursing is more than just healing the sick. Nursing often causes nurses to face moral and ethical dilemmas. “Ethics refers to principles of right and wrong behaviors, beliefs, and values (Zerwekh & Garneau, 2015, p. 420).” When new graduate nurses begin their careers the first twelve months are a great time to gain a better understanding of personal beliefs and how they can affect patient care.
Nurses are faced with ethical dilemmas related to clinical issues, and disease and treatment decisions daily (Kangasniemi,
Ethics serve as a guide for moral and ethical conduct and thus treat people with dignity, respect and uniqueness regardless of age, sex, color or religion. Also adhere to their job description and within the nation’s healthcare workforce. Surveys from several nursing specializations reported that there is no differences in
A nurse must keep up to date on education and new processes in health-care, so they can provide the best care. As a nurse, you have promised to give each of your patients the best care that can possibly be given. Nurses must follow a code of ethics, to act safely, provide ethical care no matter how they feel about the patient or the reason they are in your care. Following this code of ethics shows your commitment to caring for people and society, it is a guide of ethics and standards to follow to keep everyone safe. Nursing is also a wonderful opportunity to meet hundreds of people from almost every nationality and every walk of life.
("5 considerations for RNs facing ethical challenges on the Job," 2015, p. 11). According to the Nursing Voice, 2015, When dealing with ethical issues one should: know yourself; live your values; listen to your intuitive gut; seek assistance and guidance of others; and exercise
Empirical Referents Empirical referent studies support Watson’s theory by affirming the existence of a positive relationship between patient satisfaction and nurse caring behaviors in numerous clinical settings. Nursing education plays a significant role in the achievement the caring concept and is accentuated throughout the nurse's professional career (Labrague, Mcenroe-Petitte, Papathanasiou, Edet, & Arulappan, 2015). Patient satisfaction is a measurable component used to determine the care received from nurse clinicians. Stroehlein (2016) indicates that although there is a large constituent of many occupations, caring in the nursing occupation assumes an exceptional meaning with a higher purpose. Caring is multifaceted and comparable have determined individuals whose intention is to open the eyes of the society through rendering high quality patient care (Stroehlein, 2016).
Utilitarianism and Deontology are two major ethical theories that influence nursing practice. Utilitarian principles of promoting the greatest good for the greatest amount of people parallels the nursing tenet of beneficence. Deontological principles of treating individuals with dignity, and promoting the well-being of the individual parallels the nursing tenet of non-maleficence. Utilitarian and Deontological principles can be utilized to resolve ethical dilemmas that arise in the nursing profession. The purpose of this paper is to define utilitarianism and deontology, discuss the similarities and differences between the two, and to address an ethical dilemma utilizing utilitarian and deontological principles.
No matter how I feel, what decisions I make or what my values and beliefs are, the bottom line is the care I provide to my patients or clients has to be good quality care with no strings attached. That means my beliefs or values must not impact the quality of care I give to my patients. Premise: Should specific ethical principles be developed for all nurses across the board However, we leave the reader with two questions to consider that are particularly cogent to a discussion on ethical conflicts: "…is it justified to strive for uniformity of nursing practice on the basis of ethics across all cultures?" and "…are there ethical notions of caring, ethical principles and virtues that could be endorsed as true for all nurses everywhere?" (Davis, 1999, p. 123).
Now nurses have many roles, such as care takers, decision makers, advocates and teachers and they often assume several roles at the same time. Because of the diversity of nursing role nurses need a philosophy of nursing to guide their practice. The practice of nursing is the care of patients through a professional interpersonal relationship. Nurses apply behavioural scientific principles, biologic scientific principles, and principles of humanism in a
Background and Significance of the Study Moral integrity is the key ingredients and navigator in professional nurses that lead to ultimate goal of nursing care. It has been recognized as a fundamental part of professional nurses’ practice (Ulrich et al, 2010; Pavlish et al, 2012). Professional nurses play the largest role to support the need for individualized treatment of the patient. The goals of the profession of nursing are related to ethical and involve protecting patients from harm while providing care that is the most benefit for the patient (Bosek, 2009; Kopala&Burkhart, 2005; Helft, 2011; Susan, 2013,). Nowadays, professional nurses have encountered to face and manage with moral problem that occur from complexity of patient health problems, advances in technology, inappropriate of health care system, policies and priorities that conflict with care needs, inadequate staffing and increased turnover, or lack of administrative support (Brazil et al. 2010; Eizenberg et al. 2009; Elpern et al. 2005;
Ethical theory aids in the understanding of the origin and process of ethical and moral behavior and thinking. The theory I believe guides my nursing practice is virtue ethics, also known as character ethics, with a subset of focal virtue. This theory represents the idea that an individual’s actions are determined by their innate moral virtue or standards. Virtue ethics places emphasis on the character of the person rather than rules or principles. It believes that a person with very high moral standards with choose the morally correct action naturally.
This assignment is a reflection of ethical dilemmas in nursing practice as a registered nurse; this paper is based on the group assignment which was completed for NURS3004. This reflection will include an explanation of the role that I portrayed in the group, the preparation that I did for the role, what could have been done differently, how this group assignment has impacted me in terms of working in a team and finally explain how this assignment will assist me in my future clinical practice as a newly registered nurse. The role that I played in the group was a patient who has a mental health disorder and I didn’t want his mother to know about the illness, as a front it seemed as though we had a close relationship. When my mother leaves the room I asked the nurse to keep my illness confidential as she does not really understand it.
Patients who are violent towards hospital staff should be refused treatment Nurses should adopt the ethical principle of deontology and promote good, not harm. There is a binding duty for nurses based on morality. Moreover, there is a strong emphasis of the moral importance of cultivating virtuous character traits such as empathy and compassion in nurses. As virtue ethics are inculcated in medical and nursing students, they ought to have an ethic of care, without biasness, when carrying out treatment plan for all patients (Staunton & Chiarella, 2017). Hospital staff should embrace the ethical principle of beneficence - to actively do ‘good’ to all patients.