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Ethical practice is a foundation for nurses, who deal with ethical issues daily. Ethical dilemmas arise as nurses care for patients. These dilemmas may, at times, conflict with the Code of Ethics or with the nurse's ethical values. Nurses are advocates for patients and must find a balance while delivering patient care.
What are ethical dilemmas and how should nurses participate in resolving them? This chapter answers these questions by reviewing concepts related to ethical nursing practice and describing how nurses can resolve ethical dilemmas.
Ethical principles of nursing include looking beyond the bedside to individual self-regard and human rights while striving to maintain health care advancement and social justice. Developing an ethical awareness can ensure quality care. Nursing ethical principles can be broadly categorized into four major ethical nursing principles:
The Ethical Issues Scale (EIS) was developed by Fry and Mary Duffy as a means of assessing ethical issues in nursing practice, with a particular focus on palliative care. The objective of the scale is to identify and evaluate ethical dilemmas pertaining to patient care, end-of-life decisions, and human rights, thereby providing insights into ...
Ethical issues happen when choices need to be made, the answers may not be clear and the options are not ideal. 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.
Find support and important resources to help address the complex ethical and human rights issues confronting nursing today. Life and death decisions are a part of nursing, and ethics are therefore fundamental to the integrity of the nursing profession.
Ethical practice environments support nurses’ interactions with patients, families, colleagues, and others, including how decisions addressing ethical challenges are raised, discussed, and resolved.