Moral theory and the ethical practice of nursing. Before surgery, the informed consent process is the practical application of shared decision making between a surgeon and a patient. In fact, nurses led the way in the 1980s in conducting empirical research on ethical issues (Pinch, 2009). Embracing one’s role as a moral agent in this way can facilitate resilience, or an individual nurse’s ability to learn and grow from challenging clinical situations that may cause distress (Rushton, 2016b). The ethical principles in nursing includes definitions of fidelity, beneficence, autonomy and integrity. However, nurses, as enlightened patient advocates, also have an entrusted interest in fully understanding the legal and ethical considerations of … In addition to these technical skills, however, nurses also need an understanding of the moral and ethical principles that … These initiatives strengthened nursing’s role in bioethics. 3. For example, in the nursing profession, the Nurse’s Practice Act is the law that directs the work of nurses in the USA (Marquis, & Huston, 2015). Surgery; Search Engine. Moral distress has typically been seen as characterized by powerlessness and victimization; we offer an alternate view. According to Wilkes University, these 6 specific principles of healthcare ethics should be adhered to in every situation. Consequently, ethical awareness is an important first step in sustainable, optimal ethical practice. 14. Moral distress is a pervasive problem in the nursing profession. Dilemma at Work Of the interest to this analysis and worth mention is the dilemma that occurred in the operating room where I work on a daily basis. 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. The nurse gathers supplies needed for the procedure according to the surgeon's preference card, positioning equipment, and any special supplies needed as determined by the nurse's assessment and the patient's history. An inability to act in alignment with one's moral values is detrimental not only to the nurse's well-being but also to patient care and clinical practice as a whole. This article provides an overview of the ethical framework used in crisis standards of care and begins to explore methods to support identifying and addressing moral distress at the bedside. ; The ethical framework used during a crisis remains significantly different than in a normal state. ... beneficence and justice might be used to guide decision-making in nursing and health care contexts. A nurse’s primary role involves tasks like monitoring vital signs, administering medication and assisting doctors with treatments and procedures. Learn more about them. 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