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Nurses may use a systematic approach in processing an ethical issue and decision-making in their practice.It consists of assessing and identifying the ethical issue, developing a plan based on ethical principles, and choosing a process for its implementation and evaluation (NYSNA).
In every nurse's career, he or she will face with legal and ethical dilemmas.
One of the professional competencies for nursing states that nurses should "integrate knowledge of ethical and legal aspects of health care and professional values into nursing practice".
This ethical and moral component of her overall responsibility is so important and critical that a code of ethics was created by the American Nurses Association to guide her in inevitable ethical dilemmas (Williams).
These ethical dilemmas can include the clash between the principle of confidentiality and the concept of reasonable limits, between two or more ethical principles involving confidentiality, and the influence of culture on values. Importance of Ethical Theory to Nursing In 1991, the Joint Commission on Accreditation of Healthcare Organizations or JCAHO expressed the mandate that institutions shall address ethical issues in patient care and requires all health professionals to be educated about ethics (NYSNA, 2004).
The doctor-patient relationship is essential for the patient both ethically and in for practical purposes.
Breaking confidentiality affects both adversely (Kotak & Lawson).
The duty of nonmaleficence is the duty to do no harm.
The nurse first needs to ask him or herself what harm is.
There are four types of situations that pertain to law vs. The first would be an action that is both legal and ethical.
An example of this would be a nurse carrying out appropriate doctor's orders as ordered.