Nursing Process Ethical Decision Making - 1879 Words

Nursing Process Approach to Ethical Decision Making A career in nursing is a challenging one. There is a high demand for physical strength when working a long, twelve-hour shift, and an even higher demand for emotional strength when communicating with clients and family members alike. In both cases, the best asset a nurse has available is the ability to think critically. The nurse is constantly applying themselves in therapeutic ways in order to help deliver the best possible evidence-based outcomes for clients. Behind all these processes lies the basis to choose between right and wrong; ethics. The chosen case study presents a common ethical dilemma. The night before a client’s surgery, the nurse explains the procedure to the client. When asking the client to recall the procedure he describes a different procedure altogether, indicating that the client is not informed of the surgical outcomes. According to the College of Nurses of Ontario, under the Consent Practice Guideline, this becomes a breach of consent, as the client is incapable of making an informed decision. Therefore the surgeon must explain the procedure to the client and the client must be reassessed. If they are still found incapable of decision-making, a hierarchy of substitute decision makers must be followed. The client’s surgeon must be contacted as soon as possible in this situation (CNO, 2013). The dilemma herein is when to call the surgeon after obtaining the information from the client. The two mostShow MoreRelatedEthical Principles Of Nursing Practice974 Words   |  4 PagesWhen ethics in nursing in respect to decision making is looked upon, various key areas are taken into consideration. These key areas include the nursing values, the standards, subject ethical principles and finally the fundamental beliefs in nursing. When a reflection is made on the on the key mentioned areas, it is presumed that each of them is mainly aimed at protecting human dignity and restoring respect to patients (Bush 2007). Ethical values in nursing When looking at nursing values in regardRead MoreNursing Ethic Involving Informatics : Daniel O Brien Essay1183 Words   |  5 Pages Nursing Ethic Involving Informatics Daniel O’Brien University of Louisiana Lafayette Author Note Correspondence regarding this paper should be addressed to Daniel M. O’Brien, Baton Rouge, LA, 70817. E-mail: dmo9257@louisiana.edu Abstract Ethics is part of the decision making process that a nurse uses and is a foundation of nursing. Nursing needs ethical standards to rely on in order to provide quality care for patients and to keep them from harm while respecting their wishes (da SilvaRead MoreThe Role Of Nurse Practitioner1749 Words   |  7 Pagesinterpreting tests results, and educating and counseling for patients of health and wellness (Giddens, et. al., 2014). The transition of the role from RN to NP can be a challenge, as now the NP must start to think beyond the nursing process by â€Å"bridging the gap between the philosophy of nursing and medicine† (Kelley, et al., 2007, pg. 137 p 1). The advanced health assessment skill needed for a NP is more comprehensive than that of a RN. The advanced health assessment skill of a NP expands upon the basic healthRead MoreEthical Decision Making Essay638 Words   |  3 Pageshave led to new and increased awareness of the ethical dimension of nursing and its impact on the delivery of high-quality care (Coverston Rogers, 2000). In their daily practice, nurses are constantly confronted with decision-making that is ethical in nature. An ethical dilemma is a situation wherein moral precepts or ethical obligations conflict in such a way that any possible resolution to the dilemma is morally intolerable. In other words, an ethical dilemma is any situation in which guiding moralRead MoreEthical a nd Legal Issues in Nursing1221 Words   |  5 PagesEthical and Legal Issues in Nursing University of Phoenix Nursing 391 Ethical and Legal Issues in Nursing Marianne, the 79-year old woman who presented with a hemorrhagic stroke in a recent case study, brings up thought for ethical debate. Her outlook is poor, with or without surgery, and she has no advanced directive. Her husband and children cannot come to an agreement on whether life support should end or if all resuscitative measures should be attempted. The following paper will discussRead MorePatient Confidentiality Essay926 Words   |  4 Pagesï » ¿Patient Confidentiality: Ethical Implications to Nursing Practice Patient Confidentiality: Ethical Implications to Nursing Practice Patient confidentiality is a fundamental practice in healthcare and it is integral part of healthcare ethical standards (Purtilo Dougherty, 2010). According to the American Nurses Association (ANA) code of ethics â€Å"the nurse has a duty to maintain confidentiality of all patient information† (Nursing world, p.6). Also, when a patient confidentialityRead MoreEthical Decision Making : The Sad Formula, And Nash s 12 Questions1205 Words   |  5 Pages It is important to not only reflect how we make ethical decisions to better understand our personal approach, but also incorporate a systematic approach that fits our code of ethics and guide us in solving ethical conundrums. Specific actionable steps should be taken and incorporated into our ethical decision making. Four psychological sub-processes affecting our ethical action include (a) moral sensitivity, (b) moral judgment, (c) moral focus, and (d) moral character. The following paper will addressRead MoreThe Importance Of Acting Ethically When Working As A Nurse1318 Words   |  6 Pageshealth care practice and those working in the nursing profession are often subject to frequent ethical dilemmas. It is essential for all nurses to be aware of the importance of ethics in health care and to practice within the ethico-legal parameters that govern the profession. However, while this is relatively easy in theory, ethics is not a black and white subject and often one’s culture , upbringing, attitudes and beliefs can influence what one views as ethical and this can therefore influence practiceRead MoreEthical, Moral, And Legal Implications Essay1463 Words   |  6 PagesTaking a Stand As nursing leaders, we will need to understand how to process and respond to a variety of challenging circumstances. 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The Misinterpretation Of African Americans - 2190 Words

The misinterpretation of African Americans is very prominent in society. Claudia Rankine’s Citizen sheds light on the hyper-visibility of the African-Americans through stereotypes and invisibility of the Black body itself in an attempt to get readers to understand the inner conflicts of Black citizens. Citizen is composed of seven sections, which vary in length and content. The book is interspersed with photographs, sculpture, paintings, and other types of media. Rankine also draws from film and video, and various news media. Her descriptions of encounters between people of different races show how disconcerting words are and how they affect people. Though we often hear about deep-rooted institutional and cultural forces that contribute to racism, it appears that we less often hear about the psychological processes involved. Many would like to believe that racism is over, but society actions are a constant reminder of their true feeling about Blacks. Racial bias is prominent a t all levels of the institution and it paralyzes the race as a whole. Rankine uses pronouns, anecdotes, and visual art to uncover the unconscious nature of racism and extend the conversation. The audience is both the eyewitness and the victim in this â€Å"post-racial† society that fails to teach us how to be a citizen. In allowing us, the readers and audience, to subject ourselves to this hurt, we experience, an understanding of true citizenship by identifying the wrongs and understanding the difference.Show MoreRelatedThe Oral Health Status Between Older Adults And The White Population Essay727 Words   |  3 PagesArticle Analysis I Quandt, S. A. (2009). Disparities in Oral Health Status Between Older Adults in a Multiethnic Rural Community: The Rural Nutrition and Oral Health Study. Journal Of The American Geriatrics Society, 57(8), 1369-1375. 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The Pearl Free Essays

Assignment 1 † Money is the root of all evil†. To what extend is this one of the themes of the novel you studied. The Pearl by John Steinbeck – The theme of Greed Nurain Ariff This theme emerges the moment the people of La Paz get to know about Kino’s pearl and we begin to see changes in the characters. We will write a custom essay sample on The Pearl or any similar topic only for you Order Now All of them have their own selfish schemes when they learn about Kino’s pearl. When they know that Kino has the pearl the village of La Paz is alive with avarice. Everyone wants something from Kino. Everyone was affected and wanted something from the pearl. Kino was the only one in the way. The doctor wanted money for â€Å"curing† the child. The priest wanted money to fix the church. The shopkeepers, the pearl buyers, and the rest of the town wanted money for their own purposes. The pearl was a poison that ruined many good people and made the evil people worst. The doctor is pure evil. He would not treat Kino’s baby because Kino had nothing to pay him with. When the doctor heard of Kino’s sudden wealth, he said Kino was his client. As he visualized life back in Paris all he could think of was getting enough money to be able to go back again. When he went to see Kino, he even made up a fake symptom of death to scare Kino into letting him â€Å"treat† the baby. Instead, he poisoned the baby and cured him of the poison he had given the baby himself. This horrible doctor is filled with avarice. He did not care who he had to harm to get more money. All he cares about is money. The priest wanted money to fix the church. Even the priest, a person who is highly regarded in the community, has some plans on how to use the money from the sale of the pearl. It is only after this that he thinks how the pearl will affect Kino’s personal life. The priest is nearly as bad as the doctor. He also wanted money from Kino. He thinks  of certain repairs necessary for the church. He wondered what the pearl would be worth. And he wondered if he had baptized Kino’s baby, or married him for that matter. He thought if he did these things he was more likely to get money to fix the church. The priest calls on Kino and his family. He reminds them that they should show their gratitude to God for this unexpected gain and to pray for guidance in the future. Juana agrees and says that they will be married in the church. The priest is also a horrid person; he is supposed to be a holy figure, but he was poisoned by the thought of riches. These hopes caused him to lie. The new riches also affected the townspeople. The shop keepers hear about Kino’s wealth and hope to sell their clothes. They knew that an indigent man that becomes rich by luck knows how it feels to be poor. Therefore, they would get money too. The pearl buyers were also full of avarice for the pearl. They wanted to buy the pearl for a very low price so they were cheating Kino. They hoped that if they bought the pearl, the boss would promote them and they would make more money. Everyone wanted something from the pearl. Kino became the whole town’s enemy because of that. The effects of greed  after Kino finds the pearl are he learns how far others will go, including committing murder to gain wealth and the power that it brings. All those who hear about the pearl, even his neighbours  Ã¢â‚¬Å"suddenly became related to pearl, and pearl went into the dreams, the speculations, the schemes, the plans, the futures, the wishes, the needs, the lusts, the hungers, of everyone. † And since Kino stood in their way, â€Å"he became curiously every man’s enemy. Kino recognizes this desire in himself, not for wealth, but for the power the pearl can grant him. He says the pearl is his soul. Comments: Good elaboration of points. However, do you actually know the meaning of the word ‘avarice’ you use in the essay? Why don’t you just stick to the common word ‘greed’? Just in case you use it in the wrong context? Overal l, good attempt 😉 Taufiq In the novel The Pearl written by John Steinback, one of the themes is money is the root of all the evil because when Kino found the pearl everyone has a bad idea on how to manipulate Kino and become rich such as the doctor who is greedy. Before Kino had money to treat his son ,Coyotito, he was very evil and later when Kino found the Pearl he took the advantage of Kino to take the pearl that Kino would sell and poisoned his son to convince Kino to let him treat Coyotito . The priest is also evil when he needs the money to repair the church. He used the tactics so that he could have that money by saying that Coyotito should be baptised in the church and Juana and Kino should marry legally in the church. The pearl buyers are also evil when they know that Kino has found the greatest pearl that is also their source of income. They became very greedy and offered the lowest price to Kino so that they will get more income. Comments: A lot of grammatical errors can be found in your answer. Most of your sentences are also confusing and the meaning is not clear. Try to write simple and short sentences with less error. Make sure you organize your ideas before writing them. Faiqa From the novel that I studied, The Pearl by John Steinbeck, the phrase â€Å"Money is the root of all evil† is shown in the theme of greed. The doctor in this novel is an example of a greedy person. In the beginning of the novel, the doctor refused to treat Kino’s son, Coyotito, who had been stung by a scorpion as he knows Kino will not be able to pay him for the service. To him, the natives or the ‘Indians’ are nothing more than animals. However, after the discovery of the Pearl of the World, the doctor suddenly becomes concerned about Coyotito’s health. He even goes as far as to visit the sick baby at Kino’s brush house. All this is done purely because of his greed. He is hoping that by doing this, Kino will feel indebted to him. He is also certain that Kino will be able to pay him now. The priest is also a greedy person. Before the discovery of the pearl, the priest does not seem to be too interested in the affairs of the natives. However, after the discovery of the pearl the priest makes the effort of visiting Kino to remind him of his duties. The priest’s visit is actually to ensure that Kino will donate some money so that repair works can be carried out at the church. To a certain extent, I think this phrase is exposes the fact that greed brings out the worst in man. It can also be used to describe Kino’s characteristic. Before the pearl was found, Kino was contented with his life. The scene at the beginning of the novel shows how Kino’s life is peaceful. Kino is also protective over his family before he found the pearl. The description of him killing the scorpion shows how protective he is to his son. Not only is he caring and gentle with his family, he also takes good care of his belongings, for example, his canoe. But, after the discovery of the pearl, Kino becomes as cold and deadly as steel. He is willing to kill, first the attacker and then the trackers, in order to guard his pearl from falling into their hands. Kino’s character in the novel slowly changes and the author likens his behaviour to that of animals’. He is suddenly described as a snake after he hits and kicks Juana when the latter tries to throw the pearl back into the sea. Later, he is described as a lizard as he edges his way closer to the trackers before killing all of them. Finally, Kino becomes fierce and violent as the story progresses. He is ultimately described as a terrible killing machine before he kills all the trackers. Comment: Good elaboration. Some minor grammatical error can be found in the essay. Nur Alia This theme emerges the moment the people of La Paz get to know about Kino’s pearl and we begin to see changes in the characters. All of them have their own selfish schemes when they learn about Kino’s pearl. Even the priest, a person who is highly regarded in the community, has some plans on how to use the money from the sale of the pearl. It is only after this, that he thinks how the pearl will affect Kino’s personal life. Since Kino is the only one who stands in the way of the others by possessing the pearl, he becomes every man’s enemy. The doctor makes Coyotito ill so that he can then ‘treat’ Coyotito and ask for payment from Kino. Out of greed, he has betrayed the nobility of his profession. The pearl buyers conspire to cheat Kino so that they can make bigger profits. Unidentified people, envious of Kino’s pearl, attack him physically and damage his possessions. His house is ransacked and burnt down. This leaves him no choice but to abandon the safety of his community and travel into the unknown. Even Kino himself is affected by the pearl, although he plans to use it to better himself and his family’s situation, he becomes obsessed with it and turns violent, even against Juana. He becomes a changed person. He is filled with anger, turning animal-like and â€Å"hissed at Juana like a snake†, when she tried to throw the pearl he beats her up and kicks her. Comment: A lot of spelling error found in your answer. Please make sure that you recheck your essay before submitting it next time. Syazwan Based on the novel that I had studied, money is the root of all evil. Kino had found the big pearl when his son Coyotito was bitten by the scorpion. The theme of greed can be seen when the villagers knew about the big pearl. Kino tried to find good treatment for his son. The greedy doctor only wants the money as he is a selfish person. Kino tried to sell the pearl at town. The dealers only offer him a low price although they know the pearl is of a good quality. Kino was attacked by the attacker Kino saved himself when he killed the attacker. The pearl gives many problems to Kino and his family. Lastly, Coyotito was killed and Kino throws back the pearl into the sea. Comment: Your answer does not really fulfil the requirement of the question. The ideas are there but you did not explain them clearly. Please refer to your friends’ answer which received good comments from me. Ayuni In the Pearl, â€Å"Money Is the root of all evil† represents the theme of greed. The doctor refused to treat Coyotito for the scorpion’s sting as Kino has no money. After Kino’s discovery of the pearl the doctor claims that Coyotito is his patient and pretended to ‘ treat’ the baby . The doctor was just only thinking about money. The Pearl buyers planned to cheat Kino. They offer Kino a very low price for the pearl. They say that the pearl is too soft and chalky and will lose its colour. They only want to get more profit. The priest came to Kino after knowing about the discovery of the great pearl. He always thought of the church, and used religion for selfish ends. The thief and trackers tried to steal the pearl from Kino until violence happens. Kino has also become a greedy person. He does not listen to Juana when she asked him to throw back the pearl before many evil happened to them. Comment: Your answer is quite okay. Make sure you elaborate a little bit more in your exam so that your ideas will be more organized. Fatin Nabila Money is the root of all evil. The theme greed and selfishness is the theme that is extended to it. The doctor in the novel is an example of a greedy person. The doctor refused to treat Coyotito because he will not work for free. The doctor is only interested in treating Coyotito after he knows about great pearl that Kino has discovered. Moreover, the attackers and trackers are also greedy. They attempt to steal the pearl from Kino. The priest is also a greedy person. Before the discovery of the pearl, the priest does not seem to be too interested in the affair of the natives. However, after the discovery of the pearl the priest’s visit is actually to ensure that Kino will donate some money so that repair works can be carried out at the church. Comment: Your ideas are largely organized and supported. However, your answer would be more solid if you include more examples as there are a lot of characters which portrayed greed in the novel. Faris One of the themes represented in the novel The Pearl is greed. It can corrupt people. Kino found a strange pearl, and this is a good thing for Kino and his family. He hopes for a quality treatment for his son, Coyotito who was stung by an evil scorpion. He wanted to marry Juana in a church and give education to his son when he grows up. The news about it was heard by the villagers including the doctor, the priest, and the pearl buyers. At first the pearl symbolizes hope and triumph but at last it showed how men were overcame by greed when the pearl was known by the villagers. They wanted the pearl for their own use. Because they wanted the power and have the power, they would do anything to get the pearl because it is a great pearl. The pearl made them become so greedy. It shows that the money is the root of all evil. It can be seen when Kino killed the trackers who wanted to steal it. At last, Coyotito died when the tracker shot him thinking he was a coyote pup. Comment: Quite good. Please pay more attention to grammar and sentence structure. Fatin Inani One of the themes represented in The Pearl is greed. It corrupts people. Kino finds a rare pearl, and this is a good thing for him. He hopes for quality treatment for his baby who had been stung by a scorpion. He hopes that he and Juana will now be able to afford a proper wedding, as well as a better quality of life. He hopes for power and respect from others, too, as seen in his desire to get a rifle. Most of all, he hopes to give his son a good education that will ensure him a good future and enable him to look after the interests of the simple village folk. The pearl is at first, a symbol of hope and triumph, but because of the greed of men, it soon becomes a symbol of corruptibility and evil desires of man. In itself, it is not an evil thing, but the evil, selfish desire of greedy men turn into an ugly thing. Even the kind, noble, well-liked Kino falls under the power of the pearl. Here, we see a related theme, the theme of the corruptibility of man. Kino becomes obsessed with the pearl because it holds so much promise for him and his family. It blinds him to the simple beauty of his life. Juana begs him to throw it back into the sea, but he refuses. He says that it has become his soul and he cannot part with it. Comment: A good answer. Take this answer as one of the good example on how to tackle this question. Azuren The theme of greed emerges the moment the people in La Paz get to know about Kino’s pearl and we begin to see changes in the characters. All of them have their selfish schemes when they know about the pearl. Even the priest, a person who is highly regarded in the community has plans on how to use the money from the sale of the pearl. Since Kino is the only one who stands in the way of the others by possessing the pearl, he becomes every man’s enemy. Therefore, many attempts are made to get rid of him. The greed of the people makes them willing to do anything to get the pearl, for example poison the child, burn Kino’s house, destroy his canoe and even try to kill Kino and his family. Even Kino himself is affected by the pearl. Although he plans to use it to better himself and his family situation, he becomes obsessed with it and turns violent, even againts Juana. Kino’s anger turn to rage when he discovers that Juana is about to throw away the pearl. He beats her up and kicks her. Kino whom we first see as a loving and protective family man, is now more concerned about the pearl. All of these show how money can change people and the theme of greed is one of the themes found in this novel. Comment: Your answer needs to be written in paragraphs to make it more organized. Be careful of your grammar. How to cite The Pearl, Papers