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A 4 page research paper that explores various ethical dilemmas and how application of the ANA Code of Ethics can be used as a guide to professional conduct. Bibliography lists 4 sources.
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4 pages (~225 words per page)
File: D0_khedn.rtf
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dilemmas, nurses can look for guidance to professional standards of conduct, such as those enumerated in the Code of Ethics of the American Nursing Association (ANA). According to Mahlmeister (1996),
each nurse should own a copy of the ANA code, as this document can provide guidance on situations that nurses face on an almost daily basis. For example, consider
a situation that results from one hospital trying to institute policies concerning cost containment. In order to keep down costs, the nurse in charge of a six-bed pediatric unit (with
no nurses aid or unit secretary) is expected under a restructuring plan to also work a second adult ward if there are fewer than three children on the pediatric unit
during the night shift (Mahlmeister, 1996). This split shift leaves these pediatric patients unattended while the nurse is in the adult ward. The ANA Code of Ethics states that it
is the nurses responsibility "to safeguard the client and the public when health care and safety are affected by incompetent, unethical or illegal practice of any person" (Mahlmeister, 1996, p.
130). Even though this nurse was ordered by a manager to leave the pediatric setting, the nurse is personally accountable for his or her actions for any situation that may
arise during this absence. Not only is this practice unacceptable professionally, but it is also problematic legalistically, as the nurse could be personally sued for any negative consequences to these
patients (Mahlmeister, 1996). Therefore, it is the nurses duty to recognize these unacceptable risks and exhaust all avenues available within the hospital to correct this requirement (Mahlmeister, 1996). Another
problematic area of nursing concerns the denial of coverage that often ensues due to the advent of managed care organizations (MCOs). It is becoming increasingly more difficult to reconcile the
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