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Hello class, my name is Sarah Cummings and I will be presenting on the selected topic of suppressing rights such as freedom of speech and choice.0:01
In the following slides, I will introduce and define organizational ethics.0:10
Discuss the rights of nurses and present an ethical situation related to the topic.0:14
Then I will support the ethical situation with ethical code and principles.0:20
Finally, I will suggest methods for nurses to lessen the impact of this ethical situation on nursing practice.0:25
Organizational ethics is a broad concept that refers to the organization’s character, culture, shared purpose, processes, and outcomes.0:32
The ethical climate of an organization is formed by their response to ethical issues and challenges.0:41
It is defined further as the shared perceptions of members values related to decision making on the topics of power, trust, and human interactions.0:47
Well. The suppression of rights and freedoms can have consequences for patients, providers and all members of the health care team.0:57
We will be focusing on the rights of nurses and the ethical implications of suppressing the rights of nurses.1:04
Nursing rights can be broken down into four categories.1:11
Human rights include the right of respect for one’s personal beliefs and to work in accordance with one’s own persuasions.1:14
Civil rights involve basic legal rights such as political freedom and rights of equality.1:21
Furthermore, healthcare legislation includes the right to practice the nursing profession,1:27
rights pertaining to the nurse’s employment contract, and rights involving the safety of working conditions.1:32
Finally, the professional rights of nurses are the right to practice their profession, to practice in a safe and ethical environment,1:38
and to advocate for themselves and for their patients without fear of negative consequences.1:45
Many nurses have their rights taken away or suppressed,1:52
whether by discrete organizational culture or nursing leadership, or individual fear and lack of awareness.1:55
A frequent result of this suppression of nursing rights is the ethical situation of unsafe nurse to patients staffing ratios.2:02
In many cases, nurses are coerced to care for more patients than they can safely handle or to perform unsafe practices with patients.2:10
When this happens, nurses may be unable to exercise safe and competent care, putting patients at risk for adverse events and even medication errors.2:18
Furthermore, when nurses are not presented with a choice or penalized for speaking out about unsafe processes or practices,2:27
this can lead to job dissatisfaction and distrust with nursing leadership,2:35
which can both contribute to incidents of nursing burnout and frequent turnover.2:39
This ethical situation of unsafe staffing and penalization for whistleblowing directly violates nursing rights,2:45
and therefore gets no nurse’s way of practicing ethically in this ethical situation.2:51
The nurse may be unable to work within their own persuasion or competence, violating their human rights.2:56
They may be unable to practice in the same conditions as another nurse violating their civil rights,3:02
or face unsafe working conditions, violating healthcare legislation.3:08
Finally, they may be penalized for advocating for themselves in an ethical working environment which violates their professional rights.3:12
Suppressing the rights of nurses directly violates the ethical code for the profession.3:21
Specifically, this ethical situation relates to provision six of the American Nurses Association’s Code of Ethics for nurses.3:25
Provision six states that the nurse, through individual and collective effort, establishes, maintains,3:34
and improves the ethical environment of the work, setting and conditions of employment that are conducive to safe, quality health care.3:40
This involves creating morally good environments, addressing concerns through speech,3:47
promoting justice and beneficence, and securing the general welfare of nurses and patients.3:52
According to butts and Rich, this ethical situation may often result in an infringement of one or more bioethical principles.3:59
In this case,4:07
autonomy or freedom of speech and choice may be jeopardized when nurses or organizations are unable to say no to expanded responsibilities,4:08
making it harder for nurses to maintain quality standards of practice.4:17
Secondly,4:21
justice is also violated when the abilities of nurses to provide competent care are limited due to unfair workloads or other workplace conditions.4:22
In order to lessen the impact of this ethical situation on the nurses practice, there are a few strategies the nurse may take.4:33
First, understand legal, organizational and professional rights according to can does any at all.4:40
Understanding nursing rights, not just nurse duties ensures quality, safety and effective patient care.4:48
Understanding nursing rights is also connected to well-being at work.4:54
Secondly, nurses should advocate for autonomy and justice at work cuts,4:58
and Rich encouraged nurses to use what they refer to as moral courage and communication.5:03
You should be honest and open about the situations they are dealing with.5:09
Thirdly, nurses can get involved. You can join shared governance management rounds, meetings with nurse leaders or even a union.5:14
Nurses should exercise the rights of free speech and free choice at work.5:22
They should also make leadership aware of injustice and suppression of rights.5:26
When in doubt, the nurse, confronted with the ethical situation of unsafe staffing and suppressed rights,5:32
may refer to the written information and policies established by the American Nurses Association.5:38
These exist to support and guide the nurse through complex ethical and human rights issues.5:44
In summary, the suppression of rights is a major issue within organizational ethics.5:51
Whether the suppression of speech or choice, nurses whose rights are suppressed may be unable to perform their duties ethically.5:56
Specifically, nurses forced into unsafe working conditions,6:04
such as unsafe staffing or at risk for adverse events, and workplace dissatisfaction or burnout.6:08
Nursing codes and well understood ethical principles support the rights of nurses to practice ethically and to express their human,6:15
civil, and professional rights. There are several ways for nurses to address the ethical issue of suppression of rights,6:22
including voicing their concerns, advocating themselves, and being involved in and with nursing leadership.6:28
Suppressing the rights of nurses puts both nurse and patient at harm for the sake of their patients and their profession.6:35
Nurses must be aware of these situations and armed to address them as they arise.6:42
Here are my references used in this presentation. Thank you so much for listening, and please let me know if you have any questions about the topic.6:49
Thank you.6:56
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