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Nurse’s primary commitment to the patient, whether an individual, family, group, community, or population.

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Each care plan must reflect the patients uniqueness, worth and dignity. The nurse must include the patient in all parts of care. The nurse must also provide support during this process and have honest conversations with patient about all available resources. Those resources can include treatment options and self-care solutions. The patients interests must always be acknowledged and if there is any interest conflicts with the family, the nurse can help find a solution.

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To provide safe, high-quality, patient centered care the nurse must collaborate with other when planning care. There are many health professionals involved for patient care. Communication must be clear and consistent with all those involved to provide best care. There should be equal involvement, respect and trust. Having more people involved can make the patient confused, therefore the nurse will ensure they have the correct information to make their decision.

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Nurses give therapeutic care but it can test professional boundaries. Relationships should be strictly professional with the patient. Accepting gifts is not appropriate, but what needs to be considered is the intent,timing, nature, and the patients cultural normals. The facility policy should be implemented when a gift is offered. Dating and sexually intimate relationships with patients is not allowed. Violations can also be seen in college relationships; professional boundaries should be kept even in those instances.
(Role Fidelity)

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2.1: Making sure the care includes the patient and their interests. Involving the patient at every step so they can receive all and any care they choose to get.
2.3: collaborating with other healthcare professionals to provide all times of care. Making sure all communication is clear and understood by all. The nurse making sure the patient has all their questions asked to get the sufficient information they need to make a decision.
2.4: Making sure all relationships stay professional and nothing beyond that. Nor accepting gifts from patients or having dating or sexually intimate relationships with patients or colleagues.

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Mrs. Smith is an incapacitated patient admitted to the hospital with confusion and weakness. Her diagnosis is pneumonia, complicated by end stage cirrhosis and an elevated ammonia level. During the previous shift, Mrs. Smith became physically aggressive, confused, and uncooperative. She fell but had no injury. Staff was not able to console or manage her behavior and obtained orders to sedate her. After multiple doses of sedation, Mrs. Smith is resting but heavily sedated. Now some nurses’ advocate for continued sedation throughout the night for behavioral control. Others advocate for continued sedation to prevent another fall. What is the dilemma? The Code of Ethics asserts the need to balance patient dignity with sedation (Barkley, 2016).

(Provision 2) The nurses primary commitment is to the patient, whether an individual, family, group, community, or population”.

Giving sedation to restrain, to control behavior is in conflict with nurses’ ethical responsibility of beneficence and nonmaleficence to the patient.  Nurses might feel pressured from other to use restraints, but those intentions may not be in the interest of the patient. The nurse’s primary focus is the patient. Provision 2 is about paying attention to the patient, and making sure the plan of care recognizes the uniqueness, worth, and dignity of the patient (Barkley, 2016).

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Case Study in Nursing Ethics Human Rights and Human Dignity. (n.d.). Retrieved from https://www.nursingald.com/articles/15075-case-study-in-nursing-ethics-human-rights-and-human-dignity

Code of Ethics for Nurses. (n.d.). Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/