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Introduction: Clinical Application Of Law And Ethics

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  • Medical ethics can explain the essential ethics of the practice of clinical medicine.
  • The essential ethics are based on the value of professional care based on the conflict.
  • The moral principles of medical ethics can guide the members of the community.
  • The principal objective of ethics has the service the dignity of human beings.

Medical ethics can define the principles of the medical term in the hospital sector. It provides clinical practice to the aspects of the provided structures of the professional identity. It also solves the resolving and analytical ethical issues related to the clinical practice of the hospital background.

Potential ethical dilemma faced by the nurses

  • The nurses in the healthcare sector face an ethical dilemma in autonomy and beneficence.
  • Healthcare needs and resource allocation are ethical dilemmas for the nursing staff of the hospital (Braun et al, 2021).
  • The nurses have to be honest in their working place and have to hold the information.
  • They must hold the life-sustaining treatment and should justify the healthcare resources (Carter et al, 2020).

In the case scenario, the assistant nurse of the hospital where Mrs. Miller was admitted, faced an ethical dilemma in the case of the patients. First of all, the patient was admitted for lung infection disease but there after her daughter refused to the cause of the disease. Then the assistant nurse of Mrs. Miller had to face an ethical dilemma in the case scenario.

Ethical dilemma faced by the nurse

Figure 1: Ethical dilemma faced by the nurse

Source: (Carter et al, 2020)

Utilitarianism

  • A force of the judgment of the rightness and the wrongness of several actions.
  • It can provide the decision-making procedure such as several actions procedures (Char et al, 2020).
  • In the case scenario, Mrs. Miller suffered from lung infection issues and the nurses provided her happiness during her treatment procedure (Larson et al, 2020).
  • It can consider the specific theory of determination and the outcome of the patients.

Utilitarianism is a fact of the theory consideration and the proper outcome of the patients and also the intervention method of the patients in the hospital background. In the case study, the assistant nurses of Mrs. Miller had to provide her with the greatest benefit in the treatment procedure of the lung infection issue.

Utilitarianism

Figure 2: Utilitarianism

Source: (Larson et al, 2020)

Deontology

  • The suffering patients can be treated as ends in their lives.
  • Deontology helps to obtain the potential benefits and the justification and autonomy (Liau et al, 2020).
  • It can also apply the principle in the interprofessional relationship in the hospital sectors.
  • Deontology is based on the right aspects of the individual's ends in themselves (Lovell-Badge et al, 2021).

Every nurse in the hospital has to maintain the concept of Deontology. In the case scenario, the assistant nurse provides community service to Mrs. Miller in her crucial stage of the disease. The general community and hospital services are provided to the patients by the assistant nurses.

Deontology in medical ethics

Figure 3: Deontology in medical ethics

Source: (Lovell-Badge et al, 2021)

Beneficence

  • Beneficence is based on charity and the kindness of the nurses in the hospital.
  • It requires the benefits and an action plan to help others the assistant nurse (Moradi et al, 2019).
  • In the case study, under Dr. Longuid's survey, Mrs. Miller had the action based on the benefits and the action for her health issues of lung disease.
  • The ethical principle may help the nurse demonstrate on the hospital premises (Morley et al, 2020).

The ethical problem has a critical action plan and the essential benefits of the assistant nurse background. In the case scenario, Mrs. Miller had the benefits of the action plan in her health issues of lung infection disease.

Beneficence in the nursing scenarios

Figure 4: Beneficence in the nursing scenarios

Source: (Morley et al, 2020)

Contd…

  • Healthcare professionals have to manage the consideration of individuals in every aspect of life.
  • The circumstances have to be overcome by good patient measures in the related aspects (Varkey et al, 2021).
  • The benefits of the nursing sectors have to measure the critical value of the organizational sectors (Lovell-Badge et al, 2021).
  • It can promote fair treatment procedures for effective individuals.

The actual benefit of the organizational sectors must have the efficacy of the related laws and ethics of the organizational sectors. Every nursing staffs have to overcome the related issues of the organization so that it must be beneficial to their working place.

The Principle of the Beneficence

Figure 5: The Principle of the Beneficence

Source: (Varkey et al, 2021)

Non-Maleficence

  • In the Non-Maleficence aspect, the assistant nurse must not harm intentionally.
  • The nurses can demonstrate the principle including negligence avoiding the patient's care (Pesut et al, 2020).
  • The action of Non-Maleficence can stop the medication must be harmful to the patients (Ronquillo et al, 2021).
  • In the case study, several medical assessments were suggested to Mrs. Miller during her suffering period.

The performance of the medical education, “Non-Maleficence" aspect can occasionally determine the benefits, risks, and the best treatment measures of the training process of the assistant nurse of the hospital. Mrs. Miller also benefited from the “Non-Maleficence” aspect of the case scenario.

Non-Maleficence in the Nursing Sector

Figure 6: Non-Maleficence in the Nursing Sector

Source: (Ronquillo et al, 2021)

Contd…

  • The obligation of Non-Maleficence is based on the inflicting of harm on patient care.
  • A perfect medication aspect is defined as a medication error in the developmental aspects (Varkey et al, 2021).
  • The working nurses have to avoid medication errors in the hospital authority.

All working nurses have to manage the medication aspects in the development of the organization. They have to manage effective rules and regulations in the working field. The organization has to manage the efficacy of the working force of the nurses and it will be very helpful for the developmental purpose of the working sectors.

clinical application of Non-Maleficence

Figure 7: clinical application of Non-Maleficence

Source: (Varkey et al, 2021)

Autonomy

  • In the nursing background, there is an autonomous care unit to determine the essential components.
  • All nurses have the power to specify the components of a patient's proper care (Schönberger et al, 2019).
  • Autonomy care must allow the nurse in the training procedure and also make critical thinking knowledge (Varkey et al, 2021).
  • In the case scenario, the assistant nurse of Mrs. Miller had the autonomy aspects to determine the components.

The doctors of the hospital sectors have to determine the efficacy of the patient’s care. In the case scenario, the assistant nurse of the patient must determine the components of the doctor’s decision-making prospects.

Autonomy in the nursing context

Figure 8: Autonomy in the nursing context

Source: (Varkey et al, 2021)

Justice

  • The impact of Justice on impartiality and fairness in the hospital aspects.
  • The new treatment and the related resources have the efficacy of the treatment ethics (Weeks et al, 2019).
  • The impact of Justice making is severely related to the limited sources of new treatment technologies (White et al, 2020).
  • In the case study, Mrs. Miller's nurses were provided with new technological aspects in the treatment procedure of lung infection.

The technological issues nurses in the hospital have to manage the new technologies in the working field of the hospital. Sexual orientation and the ethical situation must have to manage with the efficacy of the organizational sectors.

: Justice on the organizational aspects

Figure 9: Justice on the organizational aspects

Source: (White et al, 2020)

Fidelity

  • The ethical principle of Fidelity in the nursing background has the definition of acting with trust and integrity aspects (Wray et al, 2021).
  • The related context has to solve by the professional nurses in the hospital sectors (Weeks et al, 2019).
  • It creates the best interest of the patient's care unit which is expected by the clients.
  • In this case study, Mrs. Miller was referred to another hospital to take extensive care of her health issues.

The clients have to correlate with the best interest of the hospital care unit and they have to overcome the related risk of the patient care unit properly.

Principles of fidelity

Figure 10: Principles of fidelity

Source: (Weeks et al, 2019)

The Tort of Negligence

  • The non-intentional tort in the aspect of negligence is the quality of the standard of the nurses.
  • It commonly assures the encounter for health professionals (Morley et al, 2020).
  • The property can damage the health problems of the patients in the hospital and also relate the pathological concepts (Ronquillo et al, 2021).
  • In the case scenario, Mrs. Miller suggested the medical assessment in the treatment process of her lung infection.

“The Tort of Negligence” can ensure the efficacy of the organizational concepts and it could damage the efficacy of the physical and pathological injury of the patients in the hospital.

The Tort of Negligence in the nursing sectors

Figure 11: The Tort of Negligence in the nursing sectors

Source: (Ronquillo et al, 2021)

Components of Negligence

  • The existence of a legal duty depends upon the negligence of the nursing sector.
  • Ethical issues must be overcome by the aspects of negligence in the working place of the nursing staff (Varkey et al, 2021).
  • Plaintiffs suffering from the specific injury should be managed by the staff of the hospitals (Schönberger et al, 2019).
  • In the case scenario, the daughter of Mrs. Miller had negligence to the hospital authority about her mother’s lung disease.

In the case study, it is noticed that the daughter refused to the cause of the disease by her mother and she negated the efficacy of the sustainable treatment of the hospital authority.

Components of Negligence

Figure 12: Components of Negligence

Source: (Schönberger et al, 2019)

Acts and Omissions

  • The omission of the actual work of the nurse can refer to the lack of delay which is demanded by the patients (Morley et al, 2020).
  • Sustainable errors of universal and frequent issues are developed by systematic factors (Weeks et al, 2019).
  • In this case study, Mrs. Miller has the acts of Omissions in her health-related cause.
  • Frequent issues are should overcome by ethical laws of the nursing sector respectively.

The emerging factors must have to signify the actual aspects of the organizational concepts and the nurses have to overcome the related issues in the nursing sector as it is very helpful for the development of the hospital sectors.

Acts and Omissions of the Nurse

Figure 13: Acts and Omissions of the Nurse

Source: (Morley et al, 2020)

Continue

  • The essential acts and the omission can handle by the nurse in the hospital sector.
  • Several laws are included regarding the efficacy of the essential acts and omissions of the nursing background (Schönberger et al, 2019).
  • The NMBA 1 is a specific standard to signify the essential purpose of the omission concept (Ronquillo et al, 2021).
  • In the case scenario, the patient had the efficacy to determine her health-related issues with her lung cancer.

Mrs. Miller had the right to overcome a health-related issue of her own. She needs to consult with the oncologist for the checkup routine of her health properly.

The value of the congruence

Figure 14: The value of the congruence

Source: (Ronquillo et al, 2021)

Duty of Care

  • The nurses of the hospital have to manage their duty for the emergency aspects in the workplace (Wray et al, 2021).
  • Intensive care should always own the safety measures and the availability of other options (Ronquillo et al, 2021).
  • The providing care of the nursing unit has to overcome the laws of the nursing care unit.
  • The nurse’s ethical and legal issues are obligated by the efficiency of the client.

The deficiency of essential duty of care plan measures the efficacy of the organizational concepts and the nurses have to overcome the related issues of the organizational sectors. The ethical issues have to realize by the working staff of the hospital.

Duty and care of the nurse

Figure 15: Duty and care of the nurse

Source: (Ronquillo et al, 2021)

Conclusion

  • The clinical application must be aware of the effective laws and ethics of the clinical application.
  • The influence behavior causes the benefits of the organizational sectors.
  • Related ethics of the organizational sectors have the requirement of human aspects.
  • Rules and regulations must have to ensure the orders of the governmental issues of the society.

The clinical application of the laws and regulations must have to manage the efficacy of the organizational sectors. They have to follow the rules and regulations of the government of the community. It will be very helpful for the clinical application aspects and it will also be related to the laws and ethics of the organization.

References

  • Braun, M., Hummel, P., Beck, S., & Dabrock, P. (2021). Primer on the ethics of AI-based decision support systems in the clinic. Journal of medical ethics, 47(12), e3-e3. :10.1136/med ethics-2019-105860 https://doi.org/10.1002/hast.1110
  • Carter, S. M., Rogers, W., Win, K. T., Frazer, H., Richards, B., & Houssami, N. (2020). The ethical, legal, and social implications of using artificial intelligence systems in breast cancer care. The Breast, 49, 25-32. https://doi.org/10.1016/j.breast.2019.10.001
  • Char, D. S., Abràmoff, M. D., & Feudtner, C. (2020). Identifying ethical considerations for machine learning healthcare applications. The American Journal of Bioethics, 20(11), 7-17. https://doi.org/10.1080/15265161.2020.1819469
  • Larson, D. B., Magnus, D. C., Lungren, M. P., Shah, N. H., & Langlotz, C. P. (2020). Ethics of using and sharing clinical imaging data for artificial intelligence: a proposed framework. Radiology, 295(3), 675-682. https://doi.org/10.1148/radiol.2020192536
  • Liau, L. L., Ruszymah, B. H. I., Ng, M. H., & Law, J. X. (2020). Characteristics and clinical applications of Wharton’s jelly-derived mesenchymal stromal cells. Current research in translational medicine, 68(1), 5-16. https://doi.org/10.1016/j.retram.2019.09.001
  • Lovell-Badge, R., Anthony, E., Barker, R. A., Bubela, T., Brivanlou, A. H., Carpenter, M., ... & Zhai, X. (2021). ISSCR guidelines for stem cell research and clinical translation: the 2021 update. Stem Cell Reports, 16(6), 1398-1408. https://doi.org/10.1016/j.stemcr.2021.05.012
  • Moradi, S., Mahdizadeh, H., Šari?, T., Kim, J., Harati, J., Shahsavarani, H., ... & Moore, J. B. (2019). Research and therapy with induced pluripotent stem cells (iPSCs): social, legal, and ethical considerations. Stem cell research & therapy, 10(1), 1-13. https://doi.org/10.1186/s13287-019-1455-y
  • Morley, G., Grady, C., McCarthy, J., & Ulrich, C. M. (2020). Covid?19: Ethical challenges for nurses. Hastings Center Report, 50(3), 35-39. https://doi.org/10.1111/jocn.15427
  • Pesut, B., Thorne, S., Storch, J., Chambaere, K., Greig, M., & Burgess, M. (2020). Riding an elephant: A qualitative study of nurses' moral journeys in the context of Medical Assistance in Dying (MAiD). Journal of Clinical Nursing, 29(19-20), 3870-3881.
  • Ronquillo, C. E., Peltonen, L. M., Pruinelli, L., Chu, C. H., Bakken, S., Beduschi, A., ... & Topaz, M. (2021). Artificial intelligence in nursing: Priorities and opportunities from an international invitational think?tank of the Nursing and Artificial Intelligence Leadership Collaborative. Journal of advanced nursing, 77(9), 3707-3717. https://doi.org/10.1111/jan.14855
  • Schönberger, D. (2019). Artificial intelligence in healthcare: a critical analysis of the legal and ethical implications. International Journal of Law and Information Technology, 27(2), 171-203. https://doi.org/10.1093/ijlit/eaz004
  • Varkey, B. (2021). Principles of clinical ethics and their application to practice. Medical Principles and Practice, 30(1), 17-28. https://doi.org/10.1159/000509119
  • Weeks, K. W., Coben, D., O'neill, D., Jones, A., Weeks, A., Brown, M., & Pontin, D. (2019). Developing and integrating nursing competence through authentic technology-enhanced clinical simulation education: Pedagogies for reconceptualizing the theory-practice gap. Nurse education in practice, 37, 29-38. https://doi.org/10.1016/j.nepr.2019.04.010
  • White, S., Jacobs, C., & Phillips, J. (2020). Mainstreaming genetics and genomics: a systematic review of the barriers and facilitators for nurses and physicians in secondary and tertiary care. Genetics in Medicine, 22(7), 1149-1155. https://doi.org/10.1038/s41436-020-0785-6
  • Wray, N. R., Lin, T., Austin, J., McGrath, J. J., Hickie, I. B., Murray, G. K., & Visscher, P. M. (2021). From basic science to clinical application of polygenic risk scores: a primer. JAMA psychiatry, 78(1), 101-109. https:10.1001/jamapsychiatry.2020.3049
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