Friday, April 5, 2019
Everyday Healthcare Ethics Stress and Ethical Issues in Nursing Essay Example for Free
Everyday Healthc ar morality attempt and Ethical Issues in Nursing EssayThe care for is a fundamental sector in the provision of proper wellnessc ar dish outs to the individuals and the society as a whole. The importance of the sector is emphasized as it has a direction on the wellness status of the economy. The state of health of the people forming variance of the society today is of the essence. amiss(p) health of individual influenceers affects the step upput of the workers negatively as they muckle non effectively attend to their obligations at work. It results into a nation-wide redness of revenue. A healthy economy thrives in all the sectors as the workers are in a scene to effectively retort in their workplaces. A healthy economy earns good revenues. The inclusion of the anesthetise of scotch issues of the nation in the topic of health is of great magnitude. It shows the weight that the issue of health care has on the economic progress of the contemporary economy. The topic of nursing is one that shadownot be avoided if the fate of the economy is to be established. The health sector in the contemporary society events several honourable issues in the nursing sector (Baillie, 2013). A major aspect of the respectable issues that are subject to heated debates is the show detailor at the workplace. Critics baffle hold of that the sector matchs a large pigeonholing of protects who are burdened by reach.It is dreaded that the continuous spot of the nurses with melodic phraseful conditions bottom negatively impact on their delivery in the job set-up (Baillie, 2013). The extent to which nervous strain affects service delivery in the health sector has not been established, and it attracts substantial attention in inquiry. The tautness that the paper capitalizes on is the stress that a nurse worker is exposed to in and off the workplace. It is famous that stress can lead to the sprouting of former(a) respectable scraps (Ba illie, 2013). The paper capitalizes on the various ethical quarrels exhibited in the nursing profession. It discusses the possible effects of the ethical challenges, former factors and their relation to stress as a major ethical issue in the provision ofhealthcare work. The recommends the latest remedies that can be utilization to minimize stress. Forms of ethical challenges and causes of stress in the nursing industryNurses encounter challenges and dilemmas in fortune that they cannot get the opportunity to undertake what they think is right (Luhanga et al., 2010). Such circumstances require steady thinking and fashioning of substantial resolutions that can work. The urge of the nurses to be good professionals intensifies the need to meditate on a devoted event clouded by dilemma. The circumstances that present the nurse with a tough question to resolving often trigger the let onment of stress within the worker. The stress is experienced at the very face of making a de cision on a devoted critical issue and also by and by the decision is made in response to the tough situation. The nurses, therefore, experience a great extent of object lesson distress. The event of the experience triggers varied reactions in diverse nurses. some(a) of the nurses have the courage to speak out their minds while some lack such courage and they go around hiding their problems. Burden of Witnessing an have got PatientThe forms of ethical challenges such as stress could be drawn based on the causation factor. There is a burden of witnessing the ailing of the perseverings in their hospital beds. There are m both unhurrieds who suffer for a longtime in the hospitals and their conditions keep worsening to the point of death. Such scenarios affect the nurses who provide healthcare run if they are constantly exposed to the similar circumstances. The work of a nurse is to relieve the low of the patient. The complex intervention that are resorted to, often lead to m ore suffering of the patients. The nurses are, therefore, torn between effecting the reanimate and letting the patient remain in the state of mild suffering. The thought of being unable to contain the situation when there is an available option that can be exploited poses a great challenge to the nurses. The mental burden of bearing the suffering in their minds for such long durations whitethorn affect their service delivery if a remedy is not effected swiftly (Luhanga et al., 2010) Ignorance of the Family Members of the PatientThe ethical challenges obviously had to do with watching the patients suffer a suffering that the nurses deem to be unnecessary. It is realizeable that the available nursing interventions that whitethorn be effected may serve to increase the suffering of the patient without causing an outcome for improvement. The other form of challenge that nurses experience could be the stress caused by the ignorance of the family of the patient and the patients about the available treatment options that can be exploited in a given scenario. They do not know the clinical prognosis of the treatment option that is available and the family of the patient do not stop at establishing whether the utter of the patient is taken care of in most situations (Tully, 2014). The family members of the patient often press on the nerve of treatments without the knowledge of the resulting repercussions of the s back up treatment to the patient.They also criticize and influence the decision that is made by the patient on the appropriate treatment to be shareed. The indulgence of the external parties in matters of the patients medicinal drug or treatment stresses-up nurses and other medics too (Tully, 2014). The stress often comes up when they are forced to administer treatments based on past successful reason on a patient with a different diagnosis. The problem also comes in after the controversial treatment is effected, and the effects appear to be injurious t o the patient. The latter scenarios are often characterized by fierce criticism of the nurse who participated in administering the treatment. The professionalism of the participating nurse is usually questioned and in some cases the nurse can even end up in a court of law. Such cases are major instances that causes mental stress and shapes the origins or forms in which the said ethical challenges arise in the course of provision of healthcare services. Conflict of InterestOffering care to the patients presents other form through which stress emerges in the nursing profession. It is the kind of ethical challenge that emanates from a contravene between the interest of the organisation and interest of the individual nurses (Tully, 2014). The health providers including secluded clinics, public hospitals and other health institutions have their rules that they often regard as ethical. The health providers often strive to push for actions that serve their vanquish interests in theindu stry of health service. The most prominent organisation that have strict rules are the private entities. The issue of conflict here is usually the payment modalities. It is known that the economic capabilities of patients differ and the methods of making aesculapian payments cannot be the same for all the patients. The rules of the aesculapian institutions provide that payments should be made speedily to the institution for any service that is provided to the patient. Some patients often have no ready cash owing to their economic circumstances and the high cost of medical healthcare. Organisation often insists that payments are to be made immediately originally the commencement of treatment even in conditions where the patient is in critical conditions (Ulrich, 2010).The nurses are the intermediaries between the focus and the patients. Therefore, they are the people entitle to further or to carry out the interest of the organisation. They often face the challenge of serving the organisation or providing services to the patient to save a life. The challenge exists in trying to strike a balance between being loyal to the employer and saving the life of an indigent patient in a critical condition. Seeing an innocent and helpless patient die in the event of serving the interest of the employer could be so stressful in real life. As some(prenominal) as money is needed to take care of the medical expenses of the medical provider, the interest of the patient of demean economic status must also be regarded to ensure that the nurses do not suffer from the challenge of divided interest (Ulrich, 2010). The work environmentThe contemporary society presents various complications in the theater of operations Medicare. The complications are witnessed in the expression of the organisation and in the colloquy channels that are used in the medical institution (Seedhouse, 2013). The structure of the leadership in a medical institution and the mode of communication ca n serve to frustrate the nurses in the workplace. Several nurses report difficulties in communication and instances of workplace bullying. The elements mentioned are part of serious work environment ethical concerns in the contemporary society. The present hierarchy of work structure in the management is designed in a manner that does not encourage communication among workers. intimately organisation exhibit tall leadership structures. Tall leadership structures contri onlye to thediscouraging of vertical communication among the workers in a medical institution.The junior employees are set(p) in a circumstance where they can hardly initiate or communicate to the senior employees about any ethical issue that may arise. Nurses are the employees who are ranked at the lower topology of the leadership organogram just after the get over staff. Their placement does not allow them effectively to pass ethical issue to their bosses (Seedhouse, 2013). Stress comes in when the ethical issues such as gender violence at work, bullying at the workplace or any other related mistreatment issues cannot be passed to higher authorities for deliberation. The condition presents a scenario where several issue build-up beyond the control of the employee. The build-up of issues in the minds of the nurses causes them to be stressed up in their workplaces, and this has a negative influence on the quality of the services delivered. UnderstaffingThe other issue causing stress is the issue of staffing. The society today is characterized by increased levels of ailments and various diseases that come up every day. The presence of chronic diseases, as well as, the occurrence of several accidents presents a scenario where the number of the patients in the health facilities increase tremendously. The increase in the number of patients causes the unavoidableness for an increase in the numbers of nurses who can promptly attend to the patients. Despite the large increase, the nurse to patient r atio has not been any better (Maynard, 2011). The nurses are therefore overloaded with work in their work environments.Their bosses exert much pressure on them to deliver as per the job description that they signed. The put to work of striking a balance in attending to many patients is quite stressful and can cause them to deliver poor services to the patients. The nurses are, therefore, forced to dodge certain duties that are assigned to them in genuine terms. Some of the nurses suffer mad disturbance in instances where they genuinely neglect a duty due to the fact that they were held up in delivering services to the other patients. Understaffing, therefore, causes stress to the nurses through the creating of a hectic working environment that is over-demanding to the nurses (Maynard, 2011). Prioritization of the Patients NeedsThe patients in the health care institutions do not only have healthproblems, but they also have activated disorders. The emotional needs of the patients also deserve to be turn to promptly as they also affect the healing process of the patients. The nurses are individuals specialized in the provision of Medicare services to the patients. They are not adequately trained to address the emotional needs of the patients. At times, situations that demand the addressing of an emotional condition of the patient arises and this calls for the attention of the nurses. Being that the nurses are not well trained in the field and that they have other health duties to attend to, they are often faced with the challenge of taking up the duty to provide emotional support to the respective patient (Mark, 2012).If they decide to avoid attending to the emotional duty, they may feel that they are not doing any good to the patients who do not receive best healthcare. They also feel that the family of the patient may give a negative feedback on their performances in the occasion that they did not get full support. Their attention is divided in prioritizi ng the nature of the duty to indulge in when such cases arise. The event can cause emotional distress and mental stress to the nurses, hence steer to the causation of other opportunistic ethical nursing problems. advanced(a) Technology in Healthcare preparednessTechnology used in the delivery of healthcare services are becoming more manifold with time. Almost all the tasks in the health institution are performed with the aid of a machine (Maynard, 2011). The nurses are, therefore, placed in a condition where they have no other easy alternative, but to learn how to use the technology. The patients under treatment at times could be more knowledgeable on the respective technologies that the nurse. The resulting situation can possible cause a challenge to the nurse as he will not be comfortable in the process of using the technology on such a patient. The nurses are, therefore, entitled to keep updating themselves on the new technology that is used in the field of healthcare provisi on. The process of maintaining a regular update on the use of the current technology could cause much stress to the nurses (Ulrich et al., 2010). Nurses are stressed when they cannot balance between learning new tricks at work and providing healthcare services effectively. Recommendation for Reduction of StressThe elements that cause stress to the nurses in the health organisations deserve to be addressed promptly. It is because stress as an ethical issue causes impacts that stretch to very many fields and varied stakeholders at play. Stress affects the delivery of the nurses in the health sector. The section provides remedies that should be considered in ensuring that the aspects that cause stress in the workplace are negated. The recommendation will also guide in the proper management of the stress whenever it is contracted by the nurses. The recommendations below are specifically tailored for containing the stress condition for the nurses.Research shows that a scheduled course of guided coaching in mindfulness deliberation or mediation practices, facilitated group discussion, yoga and stretching, home assignments and work, and individually tailored support and instruction can serve to minimize the effects of stress in a nurse (Ulrich et al., 2010). The remedy is justified from a demonstration in a research work that was carried out. The overall health and well-being of the nurses who participated in the demonstration was surveyed at three points namely 2 weeks prior to research, immediately after the program, and four months following the program. Results displayed statistical improvement in the wellness and overall health of the nurses at each point of intervention (Clark, 2010). The program can be recommended for use by the nurses. Stress prevention can be initiated through the initiation of measures that prevent the occurrence of other ethical issues as stress is indirectly connected to them (Opie et al., 2013). Most of the ethical issues cause stress a nd, therefore, their prevention results into minimisation of the occurrence of stress among medical nurses.The administration of the health institutions should look for ways that encourage the realization of partnership obligation to the patient, with partnership in answering questions and conversing about ethical issues. It helps the families and the community at large to understand the circumstances under which the nurses undertake their obligation (Hussain, 2009). It will save the nurses from receiving intensive criticism when a given treatment responds negatively, hence the nurse concerned will be less stressed. The administration should ensure that the nurses are trained to provide emotional support to the patients who need such services to avoid the development of the touch perception that shoddy workhas been done. Nurses should reflect on how they can manage to complete obligations. Nurses should call on their squad members, for instance to help them balance between talkin g and tasks with a patient who is dismayed (Clark, 2010). As nurses develop and advance in experience, they become better. Relevant training must be done to the nurses on the wont of technology in the delivery of health services to clients so as to avoid embarrassing situations. The nurses can advocates for the availability of adequate staffing that is suitable for the patient population (Clark, 2010). They should also know how to resolve issues when there is pitiable staffing ConclusionThe development in the contemporary society presents complications in various sectors. Health sector is not an exception. Many ethical issues that cause stress are seen to arise in the healthcare sector. The ethical issue arises from the unfavorable work environments of the workers, poor leadership structures, and lack of effective communication among workers, understaffing, and ignorance of the community among others. The effective execution of instrument of the recommendation will serve to resto re sanity in nursing as they will aid in preventing ethical conditions that cause stress to the nurses. As a result, the provision of healthcare services by the nurses will be improved to adequate levels.ReferencesBaillie, H. W. (2013). Health care ethics (6th Ed.). Boston Prentice Hall. Clark, A. C. (2010). worry and Stress Management Toolkit Anxiety and Stress Management Toolkit. Nursing Standard, 15(52), 29-29. Hussain, F. (2009). Handbook for Health Care Ethics Committees (review). Journal of Health Care for the Poor and Underserved, 20(3), 929-930. Luhanga, F., Myrick, F., Yonge, O. (2010). The Preceptorship Experience An Examination of Ethical and Accountability Issues. Journal of professed(prenominal) Nursing, 26(5), 264-271. Mark, F. (2012). Posttraumatic Stress Disorder in Nursing. Journal of Neuroscience Nursing, 37(4), 179. Maynard, A. (2011). Ethics and health care underfunding. Journal of Medical Ethics, 27(4), 223-227. Opie, T., Dollard, M., Lenthall, S., Knight, S . (2013). occupational Stress in Remote Area Nursing Development of the Remote Area Nursing Stress Scale(RANSS). Journal of Nursing Measurement, 21(2), 246-263. Seedhouse, D. (2013). What is the difference between health care ethics, medical ethics and nursing ethics? Health Care Analysis, 5(4), 267-274. Tully, A. (2014). Stress, sources of stress and ways of coping among psychiatric nursing students. Journal of psychiatrical and Mental Health Nursing, 11(1), 43-47. Ulrich, C. M., Taylor, C., Soeken, K., O. Donnell, P., Farrar, A., Danis, M., et al. (2010). Everyday Ethics Ethical Issues and Stress in Nursing Practice. Journal of Advanced Nursing, 66(11), 2510-2519.
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