NURSING 2MM3 Chapter Notes - Chapter 3: Nursing Process

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Published on 16 Sep 2018
School
McMaster University
Department
Nursing
Course
NURSING 2MM3
Professor
WORKING TROUGH ETHICAL SITUATIONS IN NURSING PRACTICE
!
Ethical Issues
- The consideration of ethical issues is an essential component of providing nursing care
- Understanding and communicating the clientsʼ beliefs and values, as well as their own,
helps nurses recognize ethical conflicts
Ethical Situations
- Working though ethical situations begins with:
o Understanding values
o Doing the right thing
o Using a consistent decision-making process
o Applying the nursing framework that supports the decision-making process
Decision-making Framework
- The four-step nursing process includes assessing, planning, implementing, and evaluating
Assessing
- When assessing an ethical situation, nurses take into account the clientʼs:
o Beliefs
o Values
o Wishes
o Ethnocultural background
- The perception of client well-being is based on two views:
o The clients
o The nurses
- When assessing an ethical situation, nurses need to consider:
o Agency policies and guidelines
o Professional codes of ethics
o Relevant legislation
o Identifying a range of options and consequences demonstrates systematic decision
making
o Options that at first may not seem feasible need to be considered
Planning
- When developing a plan, a nurse should:
o Take into account the options and consequences drawn from the assessment
o Consult with members of the health care team and consider their positions
o Decide which is the best course of action
- A nurse should;
o Weigh pros and cons
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Document Summary

The consideration of ethical issues is an essential component of providing nursing care. Understanding and communicating the clients beliefs and values, as well as their own, helps nurses recognize ethical conflicts. Working though ethical situations begins with: understanding values, doing the right thing, using a consistent decision-making process, applying the nursing framework that supports the decision-making process. The four-step nursing process includes assessing, planning, implementing, and evaluating. When assessing an ethical situation, nurses take into account the client s: beliefs, values, wishes, ethnocultural background, the clients, the nurses, agency policies and guidelines, professional codes of ethics, relevant legislation. The perception of client well-being is based on two views: When assessing an ethical situation, nurses need to consider: Identifying a range of options and consequences demonstrates systematic decision making: options that at first may not seem feasible need to be considered.