In the end, the morally justified act is that which causes the least harm and the most good. Equally a patient has the right to withdraw or refuse consent at any time UKCC, With regard to autonomy Kant argues that respect for autonomy is a universal law, and is supported by the concept of respect for persons.
Ethical dilemmas such as consent force nurses to decide on possible actions to take. Nursing Times 95 5: This is because a responsibility position people rely on UKCC, Secondly, it is the body, which can punish a nurse for professional misconduct.
The issues surrounding the importance of gaining patients consent will be discussed together with the legal implications for the nurse. If a patient feels that the information they received was insufficient, they could make a complaint to the UKCC, or take legal action.
Therefore it can be said that patients can expect to be fully informed of any methods of treatment available to them, in order to exercise their rights to consent to or refuse such treatment.
Based on a case actually experienced by the author, this assignment considers how the concept o To give the reader an insight surrounding the issue of consent, definitions and different types of consent will Accountability of professional nurses informed consent considered. Alongside the discussion will be real life cases that have already been to court and the author hopes to relate these to the case experienced.
In order to gain in my clinical skills experience I was asked to accompany and observe the staff nurse who was to carry out the catheterisation. The word autonomy is derived from Greek and means self rule. The principle of utility works on the basis that actions can only be judged by their consequences and are decided on the basis of the greatest good for the greatest number.
Are we then to argue, on the grounds of first do no harm that treatments, which carry a known risk, should not be given? Nonetheless the courts require a patient to be informed of any risks in at least broad terms. Her claim in battery failed. Kant says that, individuals should act in a way that could be made a law for everyone else and should treat human beings as an end in themselves, not just means to an end.
In this case the harmful effects of not acting outweigh those of acting Rumbold On the other hand, if a patient has urinary retention, then the duty to do good would dictate that the patient be catheterised.
The advice the code gives surrounding the issues of consent, accountability, advocacy and record keeping will be explored, together with the relevant clauses outlined, as these are all important factors in gaining consent.
The nurse must be able to account for any decisions made. Feirn Hospital Management committee, was to be applied. United Kingdom Central Council Guidelines for professional practice.
However, the code of conduct is issued for guidance and advice, laying a moral responsibility rather than a statutory duty on members of the profession.
Consent is very much tied up with the law surrounding it to the extent that consent must be obtained before treating a patient.
The principle of non-maleficence would hold, since the distressing complaint of incontinence would be replaced with an equally distressing one. The duty of care in legal terms generally arises when a person can see that careless conduct is likely to cause physical injury or damage to another person Furlong Additionally, from the Sidaway case the judge stated that the test from the case of Bolam v.
Firstly the code advises on standards of practice and gives ethical guidance to nurses.
If this was the case the nurse should not have carried out the catheterisation and consulted the doctor who would have taken the three-stage test laid down in the case of R C.
If individuals are allowed the freedom to act autonomously they will be happier. Otherwise a nurse could find herself in court. Accountability is concerned with weighing up the interests of patients in complex situations by using professional knowledge, judgment and skills to make that decision.
Sometimes the harm is unavoidable, even intentional, as in surgery. This would provide evidence in any later dispute. Moreover in the case of Sidaway v Board of Governors of the Bethlem Royal Hospital Lord Scarman stated that a health care professional may lawfully withhold information that the professional believes may damage the patients mental or emotional well-being, and not be in breach of duty to the patient.
A statement was made in the case of Schloendorff v. The code of professional conduct sets out the professional accountability and states that:Nurse Accountability – Consent for Catheterisation, Professional Law and Ethics. An elderly lady, 78 year old Mrs Jones was admitted to the unit from a local nursing home following an acute myocardial infarction.
Accountability is at the heart of nursing, weaving its way through nursing practice in all settings and at all levels. It’s an energizing force throughout an organization. Where a culture of accountability exists, people do what they say they’ll do.
AbstractHey, M. () Improving efficiency with delegated consent-taking.
This is an extended version of the article published in Nursing Times; 27, This article outlines an initiative allowing consultants to delegate the taking of patient consent to senior nurses and physiotherapists.
Another general principle of informed consent is that it is the health care provider doing the procedure or treatment that obtains the informed consent of the patient, including a nurse midwife or nurse anesthetist, as examples.
ABSTRACT: Before surgery, the informed consent process is the practical application of shared decision making between a surgeon and a patient. However, nurses, as enlightened patient advocates, also have an entrusted interest in fully understanding the legal and ethical considerations of the.
Accountability of Professional Nurses: Informed Consent Informed consent is used as a safeguard to ensure the patient’s understanding of the care or procedure needed to treat a medical issue.
It also ensures the patient’s understanding of any adverse effects that can occur due to the care or procedure needed.Download