Role Of Autonomy In Nursing

Improved Essays
The nursing profession is burdensome but fulfilling work as it encompasses the totality of human being. In view of many people, nursing is all about caring the sick. They think that nurses are confined in the area of giving medication, taking vital signs and reporting to physicians, nothing more. What they believe is just a fraction of what we nurses are doing, as we deal not only with the physical but as well as the emotional, social wellbeing, spiritual, and other facets of life. In caring a person (sick or well), nurses carefully obey certain principles, like being an advocate and observation of patients’ rights in promotion of life. We nurses also experience dilemma as regards with ethical issues and act accordingly to protect the …show more content…
With this in mind, we embrace the need of following certain ethical principles. Autonomy is one of those ethical principles. We understand that patients have all the rights to decide for themselves unless in times when they are incapable of doing it like for example, a mentally-ill client or those who suffered from brain trauma that greatly affect their state of mind. As advocates, as long as the client is within the legal age and are able to decide for themselves, we respect their autonomy. One of the ways in promoting autonomy is the informed consent where clients are informed of the procedures to be taken, the risks, the possible outcome and some alternatives where they can either accept or refuse freely. It is also part of their right to be informed and be educated in the care that they will receive as we cater their health needs. As for the minors and mentally-ill patients, it is almost the next of kin who sign the informed consent and in some cases parentalism is being followed where the health professional does the decision making. A problem to be avoided in the observance of patient autonomy is when we nurses assume that the patients has the same values and goals as ours that might lead to wrong conclusions. Secondly, nurses should also aware that every person has different thought processes. For …show more content…
A classic example to adhere with these principles is during giving immunization, although intramascular injection will produce pain, the benefit is far more rewarding since it will protect the children from acquiring certain diseases that might lead to severe illness or death. In some sense, even though initially, we cause pain, in the long run we prevent further more devastating harm to the immunized child by giving them protection from potentially deadly diseases. In the hospital setting, safety is a major part in our health care delivery system and as nurses who are with the patients 24/7, we play a major role. Assuring the safety of our patients from admission until they are discharges is our responsibility. This can be achieved by some simple actions like, proper transfer of patients, accurate assessment, securing the side rails, following the rights of medication and honest health education, and failure to do so will produce harm to them. A problem that might occur while observing these principles is when we fail to recognize our differences. One person may see an action good while another see it as harmful such as in patients who are terminally ill and dying. Some people would prefer preserving the life by exerting much efforts as with the use of ventilators, multiple

Related Documents

  • Improved Essays

    Nmc Code Of Conduct Essay

    • 494 Words
    • 2 Pages

    However such patients can be dealt under their own interest. For details and guidance the nurses should refer to Trust Consent Policy. Nurses should maintain patient’s dignity, answer to patient’s concerns, respond to patient’s physical, social and psychological requirements, fulfil best interest of the patient, maintain patients,s privacy and confidentiality, practice based on available evidence, communicate clearly, work cooperatively, share skills, knowledge and experience with colleagues, keep proper records of the practice, work in the limits of expertise, help in emergency, act without delay, raise concerns whenever required, uphold the reputation of profession and fulfil registration requirements. The NMC (2015) clearly states the importance…

    • 494 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    However, consent goes beyond legitimizing actions that would otherwise be unlawful. There are differing opinions on the strong reliance on informed consent. In treatment settings, is it ever possible to inform someone sufficiently on the complexities of a surgical procedure or a treatment regime so that a person fully understands the implications of their decision? Some people when faced with complex descriptions or multiple pages of information to join a clinical trial simply sign consent forms without properly reading or understanding the information. Though some may claim that it is too tedious, expensive, and time consuming to obtain consent from each person, it is pertinent that a patient be asked for consent for all uses of an individual’s healthcare information otherwise it can be classified as a breach of an individual’s privacy.…

    • 973 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    Informed consent is essential in nursing practice as it allows patients and health care providers to communicate effectively. It is not just signing a document instead it is used to inform the patient of, risk, alternative, benefit, and understanding of a procedure or treatment. Informed consent gives the patient the right to received treatment and the right to refused treatment or any other intermediations. However, there are three elements that the Joint Commission necessitates that health care providers must consider before offering the patient an informed consent including the information, voluntary consent, and competence (Westrick, 2014).…

    • 463 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    The Code of Ethics (2010) was created by the NCNZ which acts to guide nurses in ethical nursing practice. InItheICodeIofIEthics (2010), the four different types of relationships that nurses have, have been acknowledged these are nurse to client, colleague, organisation and society. With use of the underlying values of ethics in nursing- Autonomy (self-determination), Beneficence (doing good), Non Maleficence (doing no harm), Justice (fairness), Confidentiality (privacy), Veracity (truthfulness), Fidelity (faithfulness), Guardianship of the environment and its resources and being professional-in relation to each of the relationships, a RN would demonstrate both a professional and ethical nursing…

    • 97 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    The patient must give permission to be treated. This is required to prevent a malpractice lawsuit. Key issues of informed consent are 1) competency- we assume the patient can make decisions, 2) Voluntary- the patient’s choice to get treated or decline treatment should…

    • 461 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    Nursing is an excellent and rewarding career to pursue, but it is not without its problems. In Global Trends in Nursing Ethics, Verena Tschudin discusses many problems that plague nursing, specifically policy issues. Policy issues include nurse migration and the desire for hospitals to be more competitive by increasing efficiency. Both of these problems have to have many solutions but the underlying cause is the nurse shortage that causes moral distress. Another cause of moral distress is the doctor and nurse relationship which cannot be solved by the nursing shortage.…

    • 1186 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    A patient refusing particular treatment may pose an ethical issue for a health care professional. Beneficence is an ethical theory that states action that is carried for the benefit of others and to help or prevent harms or simply improve a situation for others. As a nurse, we are expected to refrain from causing harm and have obligations to help our patients. However, if a patient refuses certain life saving treatment, a nurse may disagree with this choice but the patient has the capacity and competency to…

    • 583 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    When dealing with patient and practitioner interactions, improving patient autonomy has become a priority in health service encounters. Furthermore, some healthcare professionals believe that mandatory autonomy should be more emphasized in institutions such as the National Health…

    • 825 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    The steps health care providers need to take in order to ensure patients understand the consent is go over treatment option, outcomes/complication, and likely of success and complications. Health care professionals must comprehend issues and trends; more lives could be saved. Based on individual right to self-determination and autonomy I don’t think that patient consent form adequately informs patient to their medical rights. Self-Determinations and Autonomy give the patients moral and legal right to what will be done to them. Health care professionals must respect individual’s wishes and this must be followed by legislation, ethics standards and overall society value.…

    • 1282 Words
    • 6 Pages
    Superior Essays
  • Decent Essays

    In this case Gerald autonomy will be suppressed because he is confused and disorientated. He does not have the mental capacity to decide or to know that he is covered in faeces and the nurses wants to help him, at this point he is not able to give consent. Consent happens voluntarily when a person agrees to do something for another person (Griffith & Tengnah, 2012). By gaining consent from Gerald the nurses will be also covering themselves and the procedure to be performed. According to Kerridge, Lowe & Stewart (2013) for a person be be legal competent to give consent they should have a sufficient mind to interpret their condition and able to understand the consequences that can arise from their choices.…

    • 272 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Many nurses are faced with ethical and legal dilemmas constantly in the health care setting. We as nurses need to understand the laws that pertain to our scope of practice and respect our patient’s decisions whether they interfere with our own personal views. Ethical dilemmas become more problematic when you take into consideration that each nurse has their own personal set of ethics depending on what they see as wrong and right. Nurses spend a lot of time with the patient and it allows them to have a deep connection which makes it hard to not get involved. We become our patients advocate so much that it can also be our greatest weakness because we do not know when to let go.…

    • 1056 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Although nursing today seen as an independent healthcare professional practice, its historical dependence on physician still lingers. I would say, nurses could not able to be psychologically free and independent from physicians influence. For instance, Boland, Boland and Buus (2010) in their research article titled “Autonomy, evidence, and intuition: nurses and decision-making”, discussed this very issue that nurses have in clinical practice. According to the researchers, nurses still have a problem to be independent practitioner and the problem seems emanated from the nursing education and curriculum development. The researchers found that nurses, who were involved in professional nurse education program development, distanced themselves from developing computing clinical practice curricula compared to physician training program.…

    • 400 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    The interests of the nurse in this case should involve both the child and the family. The nurse can not only bank on the child’s decision lest he or she lands in trouble with the law. The parents should be informed if they are not present. If the nurse had ignored the oncology patient wishes, Health, Portability and accountability act would have been violated. Nurses should be keenly decisive in this modern world as lots of agencies govern healthcare today.…

    • 1814 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    As nurses, we sometimes get ourselves in situations whether or not to respect the client’s wishes when they are against the medical orders for care. In Burkhardt and Nathaniel (2014), ethical dilemmas are when there are conflicting morals happening with a patient. To help guide the nurses, ethical dilemmas require them to think critically about situations and figure out the appropriate decision to create the best outcome for their patient and patient’s family. According to Murray (2010), nurses require moral courage, which requires to them to stand up for what they believe in when it comes to providing the safest and ethically care for a patient. No matter how a situation conflicts with an ethical aspect, being able to speak up for the patient and knowing their best interest makes for better nurses.…

    • 1008 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    My nursing philosophy combines the science of nursing with knowledge, empathy, as well as respect and dignity of each individual in different situations. I believe my nursing philosophy is focused on delivering quality patient care that is individualized to the needs of each patient. The delivery of care must be compassionate and empathetic for all people. Therefore, the circumstance that influenced my decision to become a nurse is having the opportunity to be with my mother during the end of her life.…

    • 1280 Words
    • 6 Pages
    Improved Essays