The Hospice & Palliative Nurses Association (HPNA) HPNA`s mission is to advance expert care for serious illnesses. HPNA is the professional organization for palliative care and palliative care nurses. HPNA provides training and certification to nurses at all levels, including Registered Advanced Practice Nurses (APRNs), Registered Nurses (RNs), Registered Nurses, Registered Pediatrics and more. HPNA has many Special Interest Groups (SIGs) with online discussion groups. The organization has also developed a number of position statements to guide professional practice. Together with the American Academy of Hospice & Palliative Medicine (AAHPM), HPNA organizes an annual gathering for professionals. If you need help writing your nursing essay, our professional nursing essay writing service is here to help! Every patient has the right to make their own decisions based on their own beliefs and values. [4].C is called autonomy. A patient`s need for autonomy may conflict with care policies or suggestions that nurses or other health care workers deem best.
A person has the right to refuse medications, treatments, surgeries or other medical procedures, regardless of the benefit they may derive from them. If a patient decides not to receive treatment that could potentially bring a benefit, the nurse must respect that choice. Evans and O`Brien11 investigated the importance of a high-risk pregnancy, particularly gestational diabetes, in a qualitative study. A dedicated sample of 12 women with diabetes who were 26 to 38 weeks pregnant was selected from a clinic at a large teaching hospital and invited to participate in the study. Interviews were conducted once before delivery and then again 6 or 8 weeks after birth. The interview protocol began when the women were asked to describe what it was like for them to have gestational diabetes. Other open-ended questions followed. The thought process was analyzed and the researchers extracted words, statements, and paragraphs to describe the importance of pregnancy with gestational diabetes for these women. End-of-life care often begins when a person is healthy. Many people, including nurses, have specific ideas about the health care they want or don`t want at the end of life.
Living wills are a way in which people can convey their wishes for end-of-life care. This includes discussions with those who might be a substitute decision-maker, as well as documents used to express preferences. As a nursing profession, standards should be set inside and outside work facilities that prescribe ethical obligations of care and must report deviations from relevance. It is important to understand the safety, quality and environmental aspects that are conducive to better patient care outcomes. The following Code of Ethics for Nurses was developed by the American Nurses Association (ANA). It is intended to serve as a guide for a nurse`s professional practice. As a nurse, it is inherent that accountability for all aspects of care coincides with responsible decision-making. The use of authority must be professional and relate to all aspects of individualism and ethical and patient concerns. Care decisions must be well thought out, planned and implemented in a responsible and targeted manner. Any delegation of care activities or functions must be carried out taking into account the action and the final results.
xxviii Lachman, V. (2006). Applied ethics in nursing. New York: Springer, p. 102. Autonomy and therefore consent can be both legally and ethically “effective” depending on the context and circumstances of the patient. From the point of view of the health sector, autonomy may or may not be practical in order to exclude liability from legal disputes and avoid ethical criticism that is weighed against the patient`s well-being.xxxv It may also be that the patient does not have the necessary decision-making capacity, in which case nurses may treat the patient without consent. This is usually based on the principle of necessity, and the circumstances in which it is allowed are limited.xxxvi It must be proven that it is necessary to treat the patient, and in addition, the need to act was associated with the fact that it was not practical to communicate with the patient, and the measures taken were as follows: that a reasonable person would take in the same circumstances if he or she acted in the best interests of the patient. .