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Ethical consideration or dilemma of the APRN (Advanced Practice Registered Nurse).

Ethical consideration or dilemma of the APRN (Advanced Practice Registered Nurse)

When addressing the legal aspects of the advance nurse practitioner role, the most pressing issues that come to mind are those involving the legal aspects of licensing and credentialing. Advanced Practice Registered Nurses (APRNs) have been practicing in various capacities for years; however, a consensus on the components involved in the regulation of APRNs has been argued for some time. Disagreements on uniform state regulations are limiting the accessibility of the high quality, cost-effective care APRNs can provide. Much of the debate involved in defining the APRN profession has involved credentialing, education, scope of practice, and the actual title of APRNs. Politically, APRNs need an effective consensus model to more clearly define the profession and to move forward in healthcare as a united front with agreement on the regulations of the profession across all 50 states. As health care reform begins to change the delivery of care to individuals in our country, the APRN profession needs to be ready to speak as a unified voice about what care APRNs can contribute and why the professional development plan is essential (Yoder-Wise, 2010).

US Department of Health & Human Services. (2005). The Nuremberg code. Retrieved from http://www.hhs.gov/ohrp/archive/
nurcode.html

Washington, H. A. (2012). Non-consenting adults. Retrieved from http://www.slate.com/articles/health_and_science/new_
scientist/2012/01/the_nuremberg_code_set_up_to_protect_the_human_subjects_of_research_is_being_routinely_
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Review the American Nurses Association (ANA) Code of Ethics and the ANA Code of Ethics for Nurses with Interpretive Statements (ANA, 2011a, 2011b) and identify one barrier to ethical practice. Please expand on the following points:

Choose a potential barrier to ethical practice that you may face in your chosen advanced practice nursing role.
Discuss if there is a relationship between your personal beliefs and values and this barrier.
Describe at least one mechanism to overcome the barrier discussed.
Examine the potential cost and benefits to this barrier.

The beginning of nursing jobs principles could possibly be followed straight back to the later 19 century. At that time, it was thought that ethics involved virtues such as physician loyalty, high moral character, and obedience.[3] Since that early time, the nursing profession has evolved, and nurses are now part of the healthcare team and are patient advocates. The first formal Code of Ethics to guide the nursing profession was developed in the 1950’s. Developed and published by the ANA, it guides nurses in their daily practice and sets primary goals and values for the profession. Its function is to provide a succinct statement of the ethical obligations and duties of every individual who enters the nursing profession. It provides a nonnegotiable ethical standard and is an expression of nursing’s own understanding of its commitment to society. The Code of Ethics has been revised over time. The current version represents advances in technology, societal changes, expansion of nursing practice into advanced practice roles, research, education, health policy, and administration, and builds and maintains healthy work environments.[3]

The System code of Reliability for Healthcare professionals is split into nine problems to aid the overall health expert. The following is a summary of the American Nurses Association Code of Ethics for Nurses:

Source 1. The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.

The registered nurse must have a high volume of respect for most people, and allow satisfaction pertaining to offers in therapy and communication. It’s important that patient’s families are also treated with respect for their relationship to the patient. Nurses must understand the professional guidelines in communications and work with colleagues and patient families. It’s important to understand the proper professional relationship that should be maintained with families and patients. All individuals, whether patients or co-workers have the right to decide on their participation in care and work.

Supply 2. The nurse’s primary commitment is to the patient, whether an individual, family, group, community, or population.

The sufferer ought to always be a first and main objective. The nurse must recognize the need for the patient to include their individual thought into care practices. Any conflict of interest, whether belonging to external organizations, or the nurse’s habits or ideals that conflict with the act of being a nurse, should be shared and addressed to not impact patient care. Collaboration with internal and external teams to foster best patient care is a necessity. Understanding professional boundaries and how they relate to patient care outcomes is important.

Supply 3. The nurse promotes, advocates for, and protects the rights, health, and safety of the patient.

It is recommended for that nurse to understand all level of privacy guidelines with regards to affected person proper care and patient identifiers. Nurses involved in research must understand all aspects of participation including informed consent and full disclosure to the patient of all aspects required to participate in the study. The nurse must understand any institutional standards set in place to review his/her performance; this includes measurements of progress and the need for further review or study to meet performance standards. To become a nurse, competence must be demonstrated in clinical and documentation prowess. Standards of competence will continue at institutions and academic organizations that employ the nurse. If there is witness or recognition of questionable healthcare practice, it is important that the patient is protected by reporting any misconduct or potential safety concern. And finally, the nurse will not provide patient care while under the influence of any substance that may impair thought or action, this includes prescription medication.

Provision 4. The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to provide optimal patient care.

Being a health care worker, it’s built in that accountability for those areas of proper care aligns with sensible making decisions. Use of authority must be professional and about all aspects of individualism and patient, ethical concerns. Nursing decisions must be well thought, planned, and purposefully implemented responsibly. Any delegation of nursing activities or functions must be done with respect for the action and the ultimate results to occur.

Provision 5. The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth.

A health professional should also illustrate maintain personal and also other folks. An ideal nurse, will have self-regard towards healthcare practices and uphold safe practice within the care setting and at home. It’s important for a nurse to have a high regard for care as an overall inert ability once the profession is entered. A character becoming a nurse would include integrity. Nurses should be concerned for personal growth in regards to continued learning of the profession. The ability to grow as a nurse with improvements to care, changes or trends in care should be adapted to maintain competence and allow growth of the profession. The nurse, in all roles and settings, advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy.

Healthcare professional coaching ought to include recommendations of evaluation, with every medical care staff member should understand how to use scholarly function and inquiry into exercising standards. Nurse committees and board memberships are encouraged to contribute to health policy and professional standards. The ability to maintain professional practice standards should continue, changing and enhancing as developments in practice may over time.