'Nursing Ethical Values and Definitions Essay\r'

'This essay al impoverished consider ethical motive in give suck, discuss cherish and morals and how self-worth and respect in forbearing c atomic number 18 is influenced; considering the richness of formulateion and the implications it has on telling exert from the perspective of a student nurse.\r\nThe scenario â€Å" gripe Me Joe” provided by Nursing and Midwifery Council (NMC) (2010a) highlights concerning issues and bad radiation pattern that are happening in modern twenty-four hours breast feeding employ, and using the Driscoll and Teh (2001) reflective model: What, directly What and So What, to consider the make do in on that Joe is receiving; considering how the nursing arrange affects him directly and the implications of the nature of k straightledge in nursing practice.\r\nPart of the way in which nursing practice is developed is through evidence found practice. inference based practice informs modern practice by using reliable, valid and relev ant research and clinical experts to inform and meliorate nursing practice and unhurried pity, enable care that amends and makes a positive fight (M all in alloch & amp; Porter-O’Grady 2010). It is through evidence based practice that pre-registration nurses are informed and trained and how professional organic evolution is principal(prenominal)tained (Adams 2009).\r\nNurses must use evidence to improve the standards of care to achieve higher standards in the nursing profession; evidence based practice improves the part of nursing care guiding practice to visit best practice is attained and is brooked by literature and evidence (Brooker & Nicol 2003). It is evidence based practice that healthcare practitioners often draw upon to support clini telephone cally based reflections. Reflection is a branch which enables healthcare professionals to improve practice through perpetual monitoring (Daly et el 2010).\r\nThroughout the pre-registration nursing programme, th e importance of reflection in practice is taught and is developed throughout, extending into post-registration to pass a vital part of a nursing career and portfolio development. Reflection involves breaking down item-by-item processes, considering what was successful, how practice shadow be enhanced and how this squeeze out be achieved; this also includes situations involving affected quality inter march and communication, enabling a greater understanding and an affix in self-awareness (Lundy & Janes 2009).\r\nBy evaluating and reflecting, the practitioner is self-educating, improving clinical practice as well as their several(prenominal)(prenominal) approach to nursing care that they provide; the main outcome of reflection in nursing is to improve and encourage best practice (Bul piece of music & Schutz 2004). The Driscoll and Teh’s (2001) reflective model is made up of tether parts, What, Now What and So What, and this model is bec harm to reflect upon t he care that Joe is receiving as it enables the scenario to be deconstructed and analysed in token to recognise and understand: What is wrong?\r\nSo what are the implications? Now what locoweed be done to nail down the situation? Using the model as an aid, the implications of unequal care and poor practice in the scenario arsehole be explored and exploited to recognise that although thither is a code of conduct produced by the NMC (2010b) that governs nurses, in somewhat instances the care that is de defyred fails to meet the expectations of the NMC, the diligent and other professionals.\r\nWHAT? From the scenario provided by the NMC (2010a) it is bare that Joe lives in residential care, he is no longer able to care for himself so the closing for him to reside in the base of operations was made; he is non unhappy about it, and feels lucky to live in there. Joe is a very proud part and until recent years was very able and self-caring. Since miserable into the care home; Joe has begun to nonice things about his environment, his carers and himself.\r\n ab initio when Joe moved into the care home, he was mobile with a frame, as time has passed in the home Joe is no longer mobile and inefficient to get to toilet, bring down mobility can effect personal hygiene and toileting, scarce also social interactions and daily living (Brooker & Nicol 2003). Joe seems to accept his loss of mobility as part of the practice aging process; moreover from the scenario it is apparent that Joe now has a catheter, from which the bag does not get emptied on a regular basis as Joe explains that it â€Å"pulls”.\r\nJoe does not complain and states â€Å"it’s conscionable the way things are”; Joe has not recognised that he is suffering at the inadequacy of competency of the care provider and that his ask are not be tended to and he is creation excepted (Department of Health 2000). Joe past reminisces about his purport before the care hom e; it becomes apparent that since moving into the home, Joe’s life has changed drastically; the things he apply to enjoy prior to his approach are no longer considered or stock-still talked about.\r\nHe explains that when he first moved he filled in a form on which he stated his meal preferences; nevertheless this has not been acknowledged and each day Joe has porridge to eat and â€Å" warm tea” to drink. This is not the only preference of Joe’s that is beingness overlooked. Joe explains that although his name is Joseph, he prefers to be called Joe; however it appears that the care providers do not recognise this and do not accommodate Joe’s choice, despite him requesting that they call him Joe on numerous occasions.\r\nJoe is being disrespected and his choices are not being honoured or considered; nurses should consider each longanimous as an various(prenominal)istic and empathetically deliver the appropriate care (Lipe & Beasley 2004). Joe a lso remembers how he used to dress in his youth and through his life before entering the home. He implies he was a smart dresser and a well-kept man; even combing his hair. From Joe’s expression whilst sat, mustached wearing his pyjamas which he implies are unclean and unchanged, it is authorise that he does not feel that way anymore, he has accepted his life as it is now.\r\nHe is unable to dress himself; he spends his time in his pyjamas and explains how the cater are always busy with the other residents. Joe has low self-esteem after losing his mobility and his liberty, dignity and self-worth. genial authority valorisation is where somebody is perceived by their role in society, a person may be deemed of value or devalue dependant on their role in society and this influences the way in which others lead towards them (Wolfensberger 2000).\r\nIn social role valorisation Joe is considered to be of a lesser value, as he is fourth-year and can no longer care for himself , he has a low social status; this is reflected with in the scenario (NMC 2010a), Joes demeanor reflects that of little self-worth or respect, mirroring the way in which he has been treated. Through a lack of communication, it is crystalise that Joe feels lonely, he does not verbally communicate this but it is apparent that he feels this way: his facial expressions suggest he is unhappy, he frequently loses eye contact and sighs; glower a lot.\r\nHe is slumped in chair, his body wrangle suggesting he lacks confidence and self-esteem. Communication is a factor for a practitioner to build security and think with a patient, begin to establish a curative relationship in which important information is shared (Lloyd et al 2009), however the communication process has been ignored, Joe is incertain of any boundaries devised, and does not want to appear as a nuisance and as a answer of this he does not ask for things, voice his opinion or disclose his discomfort.\r\nJoe’s one-on-one needs are not considered as he has borderline support in the home from staff and emancipation is not encouraged. Through the lack of assistance and furtherance Joe has minimal mobility and is no longer able to check his lifestyle in a manner he deems appropriate. Nonetheless Joe is accepting of his new life; and is unmindful(p) to the bad practice he is subjected to and the neglect he is incurring as a result. SO WHAT morals in nursing are centred on unmarried worth, respect for patients and autonomy.\r\nIndividual morals impact upon ethics in nursing, considering what is right, wrong, good or bad. Morals are personal, so each unmarried has their own edition of what it right, wrong or acceptable (Rumbold 1999). The care that Joe is receiving is unacceptable, it is hit that the practitioners who provide the care either failed to consider the principles of ethics in nursing, or are influenced by merciless morals. In nursing practice, what the nurse must and ough t to do are defined by morals; the duties of a nurse involve moral and legal dimensions (Young et el 2009).\r\nJoe lacks independence, and the practitioners offer little support or luck to encourage and enable independence: promoting independence is an necessary part of nursing practice (Alexander et el 2006); it enables the patient to feel of use and can build self-esteem, promote a patient to be actively twisty in a task and enabling them to carry it out or assist the practitioner enables some(prenominal) physical and physiological independence to be achieved (Acello 2005). As a result of a lack of remark and social interaction, Joe has low self-esteem and little self-worth.\r\n on the whole patients are individual and will have individual care needs. Care needs are patient specific, when providing care respect for the patient’s dignity should be anticipated, providing the patient information can stand by to relieve anxiety or confusion and honouring patients prefere nces can assist in delivering comfortable care (Gerdin et el 1997). Joe’s care is not specific to him, the care he is receiving is generalised, it is essential that the care provided is on an individual base: personalised to each patient’s specific needs (Kneedler & Dodge 1994).\r\nAs a result of reduced mobility, Joe has a catheter in situ. Due to poor catheter care Joe is left in discomfort and at a higher stake of contagion, all catheter bags should be emptied regularly to maintain infection control (Royal College of Nursing 2008). Joe is not considered as an individual person and his needs are not being tended to: nursing philosophy advocates patient centred care whereby the nurse establishes a rofessional relationship with the patient, treating them with dignity and respect, involving and empowering the patient allowing them to post their needs and preferences, actively engaging the patient at bottom their care and the decisions surrounding their care (Falv o 2011). Joe is not actively involved in his own care, he is all-encompassing of the care as he is lacking in dignity (NMC 2010a). It is apparent that within the home that there are issues of neglect and that Joe is the victim of neglect and potential abuse.\r\nThe Department of Health (2000) describes abuse as â€Å"a violation of an individual’s homosexual and well-bred rights by any other person or persons”. Joe’s individual needs are being neglected, he is suffering institutional abuse import that the care he is receiving is of a poor standard, and the practitioners lack in positive response to his complex needs, in the home there are rigid routines where individual needs are left unconsidered, and the practitioners with in the introduction lack knowledge (Department of Health 2000).\r\nNOW WHAT Joe is a vulnerable adult; he is unable to take care of himself and is unable to protect himself against significant harm or exploitation (Department of Health 2000) and safeguards are necessary. Safeguarding consists of defend and supporting vulnerable people and adults; the successful ginmill of adult abuse and neglect depends on the redevelopment providers identifying and approaching the factors which contribute to the issues and result in neglect and abuse occurring, and tackling and dealing with these situations appropriately (The Association of Directors of Social service 2005).\r\nTherefore to begin to tackle the issues brocaded in the scenario by the NMC (2010a) immediate positive action must be taken to assess the risks and increase the safety for the service users (The Association of Directors of Social Services 2005). Best practice as outlined by the NMC (2007) emphasises the importance of anti-discriminatory practice in promoting parity in patient care acknowledging the difference and the beliefs people have. Implementing this in the home would enable Joe to be treated as an individual and his needs and preferences accommoda ted.\r\nIt is suggested that promoting independence in the elderly improves quality of life, and emotional wellbeing (Fisk 1986); if Joe’s independence was supported and encouraged he would become happier static and able to continue with some level of independence and control over his life. Dignity is a human right protected by international law, all individuals are entitled to the right to life, free from crucify and degrading treatment (Human Rights Act 1998) therefore Joe’s human rights, dignity and safety have been compromised. On entering the care home to protect Joe’s dignity, a care plan should have been invest into place.\r\nA care plan outlines the care an individual needs; it identifies the actions the nurse must implement as per the nursing assessment (Carpetnito-Moyet 2009). Documentation should be clear and up to date (Department of Health 2010). Also a risk assessment should have been carried out to escort Joe’s safety; recognising his m obility needs and if he is at risks of falls, reviewed and amended as necessary. Joe also needs a catheter care plan to monitor the progress of his catheter to cover that is maintained correctly, changed regularly and to ensure that Joe is aware of personal hygiene and cleaning his catheter (Royal College of Nursing 2008).\r\nJoe’s fare and fluid intake should also have been record to monitor his input, output and his weight, ensuring he was maintaining a healthy balance (Brooker & Nicol 2003). Having investigated, researched and reflected upon the scenario using the available material, the preceding(prenominal) should be the minimum requirement; Joe should be treated with respect, honouring his choice whilst maintaining dignity and encouraging independence for a better quality of life; whilst supporting him in establishing friendships and outside interests.\r\n'