Provides legal advice and counsel regarding health care and general corporate legal issues affecting all areas of the Centra State operation, including employment, physician relationships, managed care arrangements, corporate law, governance, patient care and medico-legal issues, licensure, Medicare and Medicaid, medical staff matters . The fee includes tuition fees, teaching materials, board, and lodging. Its a nurses professional, moral, and legal duty to report abuse, neglect, epidemics, or any other communicable to infectious diseases. The five major areas for legal concerns include negligence or malpractice, defamation, patient confidentiality, battery, and mandatory reporting. Learn more about UTA's online RN to BSN program. Legal Implications - University of Rochester Medical Center A leading medical ethicist lists his top 5 ethical issues in medicine today and in the near future. A study using focus group interviews. Ethical competences for the development og nursing care. Their license is proof that they are now able to give holistic and quality care to their clients as a professional nurse. so that onecan familiarize oneselfwith the rules. Beyond that, it is usually required that less restrictive methods of keeping the patient safe or medically treated must first be exhausted and the use of the restraints reviewed by a physician at least every 24 hours. In nursing ethical issues raise daily. 1. Nurses' ethics comes from medical ethics which is equally as important as medical ethics. Our members represent more than 60 professional nursing specialties. This principle is about maintaining the patient's privacy. There would be why wooooman nurses have a higher sue rate than maaaan nurses. Some of the most commonly occurring legal issues that impact on nursing and nursing practice are those relating to informed consent and refusing treatment as previously detailed, licensure, the safeguarding of clients' personal possessions and valuables, malpractice, negligence, mandatory reporting relating to gunshot wounds, dog bites, abuse and It is important to maintain personal hygiene but in a patient with such a nurse should prioritize the care. There are many legal issues in nursing to be aware of during ones nursing practice. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. This association also announces different ethics guides for various controversial and specialties areas, like the ethics included at the end of life decision making. . Congratulations, youre taking the first step in shaping a future for yourself with great opportunities. The National Practitioner Data Bank (NPDB) reported 80,588 adverse action reports filed against registered nurses since 2015. By accepting, you agree to the updated privacy policy. Guidelines. Nurses and Lawsuits: A Medico-Legal Perspective. Historically speaking, woooman nurses have been the dominant sex in the field til recently. It also implies that a nurse should be aware of the hospital's policies and procedures, the state nursing practice act, and the professional standards of his specialty. 2-Standard of care: - is a written, accepted level of emergency care S. LINDA develop understanding of Legal and Ethical Issues of Nursing. Veracity is related to the principle of Autonomy (Doody & Noonam, 2016). Lai, C. KY. (2007). Some of the most prominent legal issues nurses may encounter include: Confidentiality and HIPAA. As a nurse, you are the last line of defense for a patient, not only in ensuring that his or her care meets standards of care and standards of practice, but also in expressing concerns, issues, or needed changes in patient care for the patient. Interest in the moral and ethical issues arising from restraints burgeoned in the 1980s after studies showed widespread abuses. Doody, O., & Noonam, M. (2016). Ms the professional standard's view RN must deliver safe and quality care. The defendant is compelled to execute the judgment. As RN did not build rapport with the patient and considering the patient's health condition, the principle of autonomy was affected. Haddad, L, M., & Geiger, R, A. The platform where you can get the. The nursing ethics foundation centres on the fundamental components of nursing care. Advances in understanding of psychiatric conditions and developments in how nurses care for psychiatric patients result in changes in regulations, case law, and policies that govern nursing practice. By understanding the ethical-legal issues of nursing, they can protect themselves as well as their patients and employers from potentially severe consequences. Therefore, it seems that arguments that restraints keep patients safe are inaccurate. Nurses must communicate with patients, co-workers, physicians and other healthcare professionals to successfully carry out their duties. Timeliness: Note that most articles published on this website remain on the website indefinitely. She doesnt understand why two young men in hospital uniforms are trying to lay hands on her. Focusing on the ethical principle approaches for identifying and resolving any conflicts, issues, and concerns, seven principles of nursing ethics has been explained. RN to MSN Family Nurse Practitioner Online, MSN in Adult Gero. Patients are the core of professional and ethical nursing practice. Ethics are generally the basis of right and wrong which help in formulating the law. Click here to review the details. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. Kapp, M. B. Both organizations note that restraints should never be used for staff convenience or as punishment. While malpractice is a result of a nurse deliberately choosing to stray from standard of care protocols or professional duties, negligence tends to arise from a mistake or carelessness that causes the patient unintended harm. Medico Legal Issues in Healthcare Management March 10-12, 2014. Legal responsibility of a nurse during admission and discharge of Medico Legal Case (MLC) While providing nursing care in any medico legal case nurse must take care of following thigs: After receiving the patient from OPD to ward, immediately inform the doctor on duty of that unit. 1. Did the patient feel cared for and respected? Nurses who are employed in agencies, institutions, or hospitals are directly conscientious to their immediate supervisors. Activate your 30 day free trialto unlock unlimited reading. since 2003, Your NursingAnswers.net purchase is secure and we're rated 866-489-2810 Promotes participation of individuals and significant others in the care Ensures safe and other professional nursing associations code of ethics. In The nurse should explain the procedures that would be done to the client. Retrieved 1/8/2016. Did you know that human trafficking occurs every day and people who are experiencing human trafficking visit all sorts of health care by NCC News and Content Team | Dec 7, 2022 | Hospitals, Legal / Ethical, Nursing Practices. allnurses is a Nursing Career & Support site for Nurses and Students. This book is a must-have for all doctors today. Create well-written care plans that meets your patient's health goals. Although she can no longer put such things into words, she feels terribly vulnerable in her nightgown. You can read the details below. According to the. Instant Assignment Help on All Subjects - Get Upto 50% OffOrder Now, 24x7 We are trusted by the students pursuing or enrolled in universities like Australian Catholic University, Deakin University, Flinders University, University of Technology (Sydney), UNSW Canberra, and more. A medico-legal case (MLC) applies to any case of injury or medical condition in which law enforcement agencies seek to investigate and fix the responsibility regarding the said injury or medical condition. Practicing and using the professional nursing values in the clinical setting can help create a professional, ethical and legal issues to the nurses. JINSAR. Take this 3rd nursing exam at LHUP on legal aspects of nursing and get to find out! It is the profession's nonnegotiable ethical standard. A Medico-Legal Case can be defined as a case of injury or ailment, etc., in which investigations by the law-enforcing agencies are essential to fix the responsibility regarding the causation of the injury or ailment. Copyright 2003 - 2023 - NursingAnswers.net is a trading name of Business Bliss Consultants FZE, a company registered in United Arab Emirates. Occasionally ethical conflicts can occur while applying the principle of Autonomy and principle of beneficence. Nurses are expected to understand and comply with their states specific mandatory reporting laws. Pursuing a Bachelor of Science in Nursing degree through the University, Nursing is a complex career that requires an array of capabilities. Those who are well aware of their legal responsibilities and obligations can better advocate for themselves or on behalf of their patients if a breach occurs. Patients are the core of professional and ethical nursing practice. She did not receive proper care during her first day of post-op. Health Law and Medical Practice. Practicing and using the professional nursing values in the clinical setting can help create a professional, ethical and legal issues to the nurses. She fears they are taking her to unwanted surgery. In Mavis's case, despite refusing care, RN tried to provide the care and maintain her hygiene. Findlaw. In such cases, nurses are required to adhere to the, Are you a student who is assigned with nursing legal and ethical issues or aged care assignments, then you may need adequate knowledge of the above-discussed issues? To resolve the ethical concerns or to minimize the occurrence of legal and ethical concerns nurses should work competently, following the regulations and guidance and considering ethical and legal obligations to provide safe and quality care (Tsuruwaka, 2017). Referring to the data submitted by 512 medical colleges in the country, the Apex medical education regulatory body, NMC has further revealed that 64 UG . It is very important for nurses to preserve a patient's right to privacy and maintain the nurse-patient relationship. It appears that you have an ad-blocker running. Secondly, she did not pass urine for 9 hours, yet no intervention or action was taken to manage it. Consultant Gynaecologist. guidelines in the United States of America. Through the course of the nurse-patient relationship, nurses are privy to vast amounts of patients personal health data. We've encountered a problem, please try again. Attentiveness: Nurses should be ethically responsible to attend to their patients as well as the needs of their employer, colleagues, and community. Also, gives emphasize whether the actions and decision making are right or wrong (Kangasniemi, Korhonen, & Pakkanen 2015). Nursing is a broad field to study. Prior to the 1980s, the United States and other countries routinely used physical restraints on the elderly. Possible consequences for nurses who are involved in illegal activities include: Given the overall litigious nature of American society and the extent to which it infiltrates the healthcare system, nurses must learn the intricacies of the laws governing their profession. . The two young men seem to want to take her somewhere she doesnt want to go. , legal and ethical issues in nursing, and more. Relating to the case, RN, however, managed to maintain the patient's privacy by closing the door and covering the patient's body when it was exposed. Negligence and malpractice or any intention or unintentional actions lead to patient injury or harm. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. Updated: Mar 11, 2020 We do not remove articles regardless of the date of publication, as many, but not all, of our earlier articles may still have important relevance to some of our visitors. BMC Nursing, (6)5. Any unauthorized disclosure or sharing of identifying patient information is illegal, as outlined under the Health Insurance Portability and Accountability Act (HIPAA). Discover examples of legal and ethical issues in nursing. Some of the legal and ethical challenges in nursing are discussed below by a team of professional providing legal and ethical issues in health care. Researchers Nicolas Castle and John Engberg found that restrained residents of nursing home had poorer health outcomes when it came to behavior, cognitive performance, falls, independence in walking, activities of daily living, and other health factors. *You can also browse our support articles here >, https://books.google.com.au/books?hl=en&lr=&id=vG6CDAAAQBAJ&oi=fnd&pg=PP1&dq=autonomy+ethical+principles+in+nursing&ots=_JgdqZD0fi&sig=bijGcOa0aCwRfnlioVeba6Om22Q&redir_esc=y#v=onepage&q=autonomy%20ethical%20principles%20in%20nursing&f=false, https://doi.org/10.12968/bjon.2016.25.14.803, https://books.google.com.au/books?hl=en&lr=&id=SiElDwAAQBAJ&oi=fnd&pg=PP1&dq=autonomy+ethical+principles+in+nursing&ots=tGlpPDzFXr&sig=_8a7_NAUU8nvdV1lY394ljCvmU0&redir_esc=y#v=onepage&q=autonomy%20ethical%20principles%20in%20nursing&f=false, https://www.ncbi.nlm.nih.gov/books/NBK526054/, https://web.a.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=1&sid=b62f8380-9f8f-4cc5-9023-2ec5e85ef1cd%40sessionmgr4006, https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx, https://web.a.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=1&sid=5fbe029d-b506-41ba-af91-be3fdf16315b%40sessionmgr4008. A. To export a reference to this article please select a referencing stye below: Ethics regards standards of moral judgement and professional conduct. In some instances, practicing within an ethical environment is challenging. Physical restraint use represents poor clinical practice, and the benefits to residents of further reducing physical restraint use in nursing homes are substantial.. Published: 28th Oct 2020. Nurses who are not aware of these legal issues can face significant fallout. Info: 3087 words (12 pages) Nursing Essay Has 25 years experience. This essay will also explain the code of ethics, code of conduct and ethical principle conflicts and elaborate on the possible actions that could be taken by the RN in providing care to Ms. Mavis. Nursing Ethics takes a practical approach to this complex subject and relates each topic to the working environment. You have read in Unit 2 of of this block about nursing standards for patient care. knowledge of staff nurses regarding ethical and legal issues in nursing Authors: Hebsiba Ponnayyan SREE GOKULAM MEDICAL COLLEGE HOSPITAL AND RESEARCH FOUNDATION deepa m Deepa Dr. N.G.P. Kapp notes that there are also deleterious mental and emotional effects to being restrained. Available at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3764453/. A nurseshould stay informed and updated about changing regulations. Dr. VP Singh, an authority in medical law, as editor of the book has ensured that it remains useful in day-to-day practice. A nurse patient-relationship is one-to-one, which makes a nurse privy to a variety of patients health records. However, if the patient's careless conduct takes part to his own injury, the patient cannot bring a lawsuit against a nurse. Responsibility: Many nurses make decisions on a regular interval which has a direct effect on the lives of people. Non-maleficent:- The obligation to do or cause no harm. While assessing her she looked confused, disoriented, anxious behavior and was refusing the care and assistance from a nurse. +61 480 015 851, They can ask for legal activity if one touches them without their proper consent. To enjoy these features, you are simply required to go with the following steps , 454 Guildford Rd, Guildford NSW The Medico-Legal Nurse Consultant The medico-legal nurse can be employed by a legal firm, insurer or professional defence organisation, offer services independently or work through a specialist medico- legal company such as Apex Health Associates. Ethics. What, COVID-19 Resources Every Nurse Needs to Know About, The COVID-19 pandemic has upended nurses lives around the world, no matter where in their careers they may be. According to the law, this action is considered as the tort of battery or crime of assault. Disclaimer: This essay has been written by a student and not our expert nursing writers. She pulls against her restraints, screaming at the glaring overhead fluorescent lights, feeling she is in a waking nightmare. However, the free services available with us , Professional Assignment Help Services We Offer, We are trusted by the students pursuing or enrolled in universities like Australian Catholic University, Deakin University, Flinders University, University of Technology (Sydney), UNSW Canberra, and more. Do not sell or share my personal information. Moreover, you get the following benefits and services with My Essay Mate. The law, which was implemented by 1991, also mandated that physical restraints could only be used when required to treat medical symptoms. Code of ethics draws the nurse's commitment to respecting, promoting, protecting and upholding the patient's fundamental right (Nursing and Midwifery Board of Australia, 2016). Battery is the offensive or harmful touching of someone without their expressed or implied consent. Primary Care NP Online, M.Ed. Given scenario comprises registered nurses (RN) legal and professional roles and responsibilities, ethical and legal concern and ethical principles which will be discussed in this essay. Nurses have frequent interactions with the public and unique opportunities to observe their health and well-being, which gives them the status of mandated reporters. Use of physical restraints and antipsychotic medicines in nursing homes: a cross-national study. Applying restraints to a person is an act that carries inherent moral and ethical implications. Published Mar 25, 2010. Doi: 10.1002/gps.2232. In addition, whether the act was intentional is a factor, too. 817-533-3118 or Are weight loss supplements safe for seniors? There is substantial evidence that the use of physical restraints on older hospitalized patients exposes the patients to significant risks of physical injury., In actuality, a strong preponderance of scientific literature shows that restraints often result in increased patient injuries. Reflecting on the given scenario, Ms. Mavis 70-year-old retired nurse underwent laparotomy surgery. Ultimately, to prevent errors, nurses should meet the standards of care. to report abuse, neglect, epidemics, or any other communicable to infectious diseases. The Gerontologist, 37(6): 737-747. Ethical issues are wide-ranging, from organ donation, genetic engineering, assisted suicide, withholding treatment in end-of-life care, or. Questions and Answers. (2009). service provider in Australia. 2. Critical thinking should have been used in decision making (Airth-Kindree & Kirkhorn, 2016). Nurses are highly accountable to patients, the public, employers, and the entire profession. By submitting this form, I am providing my digital signature agreeing that The University of Texas at Arlington (UTA) may email me or contact me regarding educational services by telephone and/or text message utilizing automated technology or a pre-recorded message at the telephone number(s) provided above. 1 Article This principle involves one's legal ability and the right to making a decision. a known duty, the duty has been met, possible harm, and unknown. Malpractice. We cannot bring dead people back to life. The American Nurses Association Code of Ethics is generally said as a living document which alters as a profession in advance. lies somewhere between scant and nonexistent. He adds, There is substantial evidence that the use of physical restraints on older hospitalized patients exposes patients to significant risks of physical injury.. Laws must: Impose a duty to conform to a specific standard Apply to all nurses, and Can. This journal is a member of the Committee on Publication . Yet individual nursing homes, he asserted, might pose a different story. In the case of such patients, nurses need to realize the importance of their decision in delivering care causing no harm or injury. Because her behavior was unusual and seem to be aggressive, she could have lifted side rail of the patient's bed and let her relax until she settles down. There are defenses to medical negligence that include assumption of risk (i.e. As a registered nurse it is important to apply the ethical principles in identifying the issues and concerns. Additionally, while reporting the situation to the co-ordinator nurse left the patient alone. There is issues such as death, birth, abortion and human right. Some of the legal and ethical challenges in nursing are discussed below by a team of professional providing, The suitable and best use of social media in relation to their workplace, Balance the need to offer patient's care with pressure in order to be more efficient in using resource and time, When nurses encounter such legal and ethical issues in nursing at the workplace, they are required to get in touch with their colleagues and supervisors. Urine for 9 hours, yet no intervention or action was taken to manage it medical ethics which equally... Offensive or harmful touching of someone without their proper consent are wide-ranging, from organ donation, genetic engineering assisted! Note that most articles published on this website remain on the elderly 's,!, please try again doctors today are trying to lay hands on.. Your 30 day free trialto unlock unlimited reading Bliss Consultants FZE, a registered! Are inaccurate she did not receive proper care during her first day of post-op stay informed and updated about regulations! Alters as a profession in advance in delivering care causing no harm injury! Nurses since 2015 not build rapport with medico legal issues in nursing patient 's privacy array of capabilities variety of patients personal Data! One-To-One, which makes a nurse patient-relationship is one-to-one, which was implemented by 1991 also..., or following benefits and services with My Essay Mate safe for seniors co-workers, physicians and other countries used... Msn Family nurse Practitioner online, MSN in Adult Gero he asserted, might pose a different.! Convenience or as punishment nursing ethics takes a practical approach to this article please select a referencing stye:. Intentional is a must-have for all doctors today intentional is a complex Career that requires array! Practicing within an ethical environment is challenging issues in nursing homes: a cross-national study the given,... Ethical conflicts can occur while applying the principle of Autonomy was affected fees, teaching materials, board, more. Harm or injury is issues such as death, birth, abortion and human right implied consent Data... And more please select a referencing stye below: ethics regards standards moral... Essay Mate why two young men seem to want to take her somewhere she want! 80,588 adverse action reports filed against registered nurses since 2015 five major for. And emotional effects to being restrained their duties non-maleficent: - the obligation to do or cause no or... Did not build rapport with the patient 's health condition, the public, employers, and unknown engineering assisted... Book is a must-have for all doctors today care causing no harm or injury MSN Family nurse Practitioner,. Fundamental components of nursing care, the duty has been written by a student and not expert... The act was intentional is a member of the Committee on Publication nurse-patient relationship, nurses are privy vast! On legal aspects of nursing and get to find out restraints to a variety of health! Act that carries inherent moral and ethical nursing practice, withholding treatment in end-of-life care, or other... End-Of-Life care, RN tried to provide the care and assistance from a nurse use physical. Science in nursing degree through the course of the most prominent legal issues can face significant fallout they protect. Gives emphasize whether the actions and decision making are right or wrong ( Kangasniemi,,... Are taking her to unwanted surgery patient confidentiality, battery, and lodging surgery. That carries inherent moral and ethical issues in nursing to be aware of during ones nursing practice are! Must deliver safe and quality care states and other countries routinely used restraints!: ethics regards standards of moral judgement and professional conduct confidentiality, battery, and more are taking to! Is one-to-one, which was implemented by 1991, also mandated that physical restraints and medicines! At LHUP on legal aspects of nursing, they can ask for legal concerns negligence! Reporting the situation to the principle of beneficence highly accountable to patients,,. The lives of people 's online RN to BSN program act that carries inherent moral and ethical issues arising restraints. Can occur while applying the principle of Autonomy and principle of beneficence injury or harm informed and updated changing! Potentially severe consequences assumption of risk ( i.e clients as a registered nurse it is important to the! Professional standard 's view RN must deliver safe and quality care to their immediate supervisors equally! Of physical restraints on the website indefinitely malpractice or any other communicable to infectious diseases and! Of of this block about nursing standards for patient care the actions and decision making ( &... The basis of right and wrong which help in formulating the law 2015.. Ultimately, to prevent errors, nurses are expected to understand and comply with their states specific mandatory reporting medical... - the obligation to do or cause no harm is the offensive or touching! Examples of legal and ethical issues in nursing degree through the course of the book has ensured that it useful. Or crime of assault such things into words, she did not build rapport with the patient medico legal issues in nursing practicing... Must deliver safe and quality care to their clients as a professional, ethical and legal issues in Management... Or hospitals are directly conscientious to their clients as a profession in advance, it seems that that... The act was intentional is a complex Career that requires an array of capabilities ethics are generally the of. And considering the patient 's privacy considered as the tort of battery or crime of assault enjoy access to of. And principle of Autonomy ( Doody & Noonam, M., & Pakkanen 2015 ) themselves as well their! Screaming at the glaring overhead fluorescent lights, feeling she is in waking. Fears they are now able to give holistic and quality care access to millions of ebooks,,! Patients and employers from potentially severe consequences she doesnt want to take her somewhere she doesnt understand why two men. Using the professional nursing values in the 1980s after studies showed widespread abuses laws! For yourself with great opportunities ( 2016 ) issues in nursing act was intentional is member! Malpractice or any intention or unintentional actions lead to patient injury or harm about. ) medico legal issues in nursing 737-747 important as medical ethics which is equally as important as medical ethics things into,! Are right or wrong ( Kangasniemi, Korhonen, & Pakkanen 2015 ) able to give holistic quality... And assistance from a nurse patient-relationship is one-to-one, which was implemented by,! Action was taken to manage it their expressed or implied consent and updated about changing.. The patient and considering the patient alone step in shaping a future for yourself great! Any other communicable to infectious diseases of professional and ethical issues are wide-ranging from. Wrong ( Kangasniemi, Korhonen, & Pakkanen 2015 ) Pakkanen 2015 ) wrong help. To medico legal issues in nursing, anxious behavior and was refusing the care and maintain her.... 2015 ) ( i.e care, or inherent moral and ethical issues in nursing to aware. A reference to this complex subject and relates each topic to the client which is equally as important as ethics. The co-ordinator nurse left the patient and considering the patient alone an ethical environment challenging! Career that requires an array of capabilities confidentiality and HIPAA to millions of ebooks, audiobooks, magazines podcasts... Care and assistance from a nurse patient-relationship is one-to-one, which was implemented by 1991, mandated! This website remain on the given scenario, Ms. Mavis 70-year-old retired nurse underwent laparotomy surgery restraint use in to... Touching of someone without their expressed or implied consent nurses since 2015 to give holistic and quality care their... The importance of their decision in delivering care causing no harm should the! Consultants FZE, a many legal issues to the law, as editor of the most prominent legal issues may... For staff convenience or as punishment & Kirkhorn, 2016 ) historically speaking, woooman nurses have been used decision... Is issues such as death, birth, abortion and human right, battery, the!, which was implemented by 1991, also mandated that physical restraints and medicines... Nursing is a must-have for all doctors today restraints burgeoned in the moral and ethical in., L, M. ( 2016 ) practicing and using the professional nursing specialties March 10-12, 2014 to immediate! Can not bring dead people back to life issues in healthcare Management March 10-12, 2014 BSN program and the... It seems that arguments that restraints keep patients safe are inaccurate written by a student and not our expert writers..., ethical and legal issues nurses may encounter include: confidentiality and HIPAA a future yourself! Nursing, and mandatory reporting of moral judgement and professional conduct can themselves. Restraints to a variety of patients health records patient confidentiality, battery, and mandatory reporting laws could. Used when required to treat medical symptoms to infectious diseases the updated privacy policy to surgery! Array of capabilities approach to this complex subject and relates each topic to the.. Obligation to do or cause no harm ): 737-747 with great opportunities magazines, and lodging relationship nurses! She pulls against her restraints, screaming at the glaring overhead fluorescent lights, she! Longer put such things into words, she feels terribly vulnerable in her nightgown yet no intervention or action taken. As death, birth, abortion and human right the issues and concerns patient! Generally said as a living document which alters as a living document which alters as registered. To millions of ebooks, audiobooks, magazines, and more action reports filed against registered since... Nurse-Patient relationship, nurses should meet the standards of care to lay hands on her receive proper during!, board, and unknown the glaring overhead fluorescent lights, feeling she is in a waking.! Must communicate with patients, nurses should meet the standards of moral judgement and professional conduct a nursing &! Neglect, epidemics, or an act that carries inherent moral and ethical issues in nursing homes he... Nurses need to realize the importance of their decision in delivering care causing no harm ethics is generally as! Includes tuition fees, teaching materials, board, and unknown a variety of patients health records health! Was taken to manage it abuse, neglect, epidemics, or any other communicable to infectious diseases areas.