Ethical Perspectives Of Nursing Education

Ethical Perspectives Of Nursing Education

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Ethical Perspectives Of Nursing Education

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Ethical Perspectives Of Nursing Education

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Question:
Discuss about the Legal And Ethical Perspectives Of Nursing Education.
 
 
Answer:

Introduction
The current study focuses upon the legal and ethical perspectives of nursing education. The nursing study is based upon the integration of ethics into care. In order to develop and ethically and culturally aware nursing professional integrating moral values and principles as part of a nursing care is quintessential. It is very important that a nursing student attends their theory and practical classes well. Based upon the knowledge acquired from the professional sessions and effective and quality care could be delivered. For the current assignment, the nursing ethics and law has been taken into consideration which are imparted though the nursing training sessions and also during the clinical trials.
I could relate this to my one of actual clinical setting experiences where I had been contacted by a fellow nursing student to provide him with screenshots of the online test which he is going to sit for. Hence, abiding by the wish or demand of the peer would have been a clear breach of policies and ethics on my part. A more detailed outlook on the ethics and legal frontier has been provided over here.
Immediate action
Therefore, based upon the actual scenario one could take a number of immediate steps. First and foremost, one needs to discuss the matter with the student personally telling them of the consequences of such action. The nursing educator could tell them that if they get caught they could be debarred from the future examinations as well as form undertaking any future courses in the institutions. As mentioned by Lynch  et al. (2017), practising such unfair means to pass the nursing examination is a clear breach of the professional code of practice and is punishable by law. Hence, any such instigation from a student or peer should not be entertained by the nursing educator (Melnyk, Gallagher?Ford, Long & Fineout?Overholt, 2014).
One more step which one could take over here is calling the supervisor of the examination centre. As mentioned by Devine & Chin (2018), any such legal breach of policies should be brought to the notice of the centre supervisor immediately. This would help in taking immediate measures or steps to stop such dishonest practices. It could also act as an effective warning measure to prevent people from engaging in such malicious practices and activities. There are people who have been often found to engage in academic misconduct or plagiarism which is a huge threat to quality education. In order to cope up with the huge burden of nursing assignments and in between coursework examination the students have often been seen to take help from outside sources.  As mentioned by Kam, Hue & Cheung (2018), the students here are paying to agencies which are preparing assignments and study materials for them. This could be referred to as plagiarism where the students are presenting the work of someone else’s as theirs or asking someone else to give an online test on behalf of them. As mentioned by Welsh (2017), such events are threat to academic integrity and could eventually lead to deterioration of the educational standards. Therefore, effective measures need to be taken to prevent any such dishonest means or activities.  
On a personal level one can motivate my student not to get involved in such academic dishonesty by helping them control the level of anxiety (Abdulghani etal., 2018). One can discuss with them the procedures or hand over sample of old question papers.
 
Subsequent actions
Some of the subsequent actions which could be taken by me over here are become familiar with the ensuing professional codes so that one knows which steps to be followed exactly.  One should keep the written records of the description of the cheating and the actions which had been taken subsequently. It would help me in dealing with future events of academic dishonesty and also ensure that right ethics and culture is maintained around nursing education. One should report to the supervisor under the faculty academic integrity reporting system (FAIR). The cases of academic misconduct could be dealt under a number of jurisdictional perspectives (Fida, Tramontano, Paciello, , Ghezzi & Barbaranelli, 2016). As a nursing educator one needs to understand the ground based upon which the conditions and situations of a student could be considered before imposing harsh and stricter punishments upon them. One should be careful of dealing with the student carefully that is at no stage of the education process can the educator give threat to the nursing student. Most of the times the threat given to the students  such a dismissal from college or making them flunk in their examination can  bear much negative consequences where the students are seen to indulge in more such dishonest means. As mentioned by Laschinger, Nosko, Wilk & Finegan (2014), the indulgence in academic dishonesty is academic dishonesty is often seen to emerge out of peer pressure additionally, as a subsequent measure one should make arrangements for reporting of any such cheating activities by the fellow students on the campus. This ensures that appropriate action is taken against   such dishonest means and policies. As mentioned by Wang & Liu (2015), all   students must be given equal chances of reporting the cheating activities. One can also take help from peer TAs for reporting of such activities and ensuring that effective steps are taken.  One should also ensure that the questions of the tests or else arrange for cancellation of tests.  As mentioned by Welsh (2017), compromising with quality of nursing education can on a whole affect the quality of healthcare services provided. During the entire process of dealing with the students one should ensure that they deal with them in a manner, which holds the moral values and principles upright (Johnson & Halstead, 2015).
 
Application of the sections of the Australian Registered Nurse Standards for Practice, ICN Code of Ethics for Nurses and the Code of Conduct for Nurses
A number of nursing codes of conduct and ethics could be described over here such as the Australian Registered Nurse Standards for practice, ICN code of ethics and the code of conduct for nurses. As per the nursing and midwifery board of Australia, there are number of standards, which should be focused upon while impairing nursing education and practising nursing care.  Some of these are practising in a safe and competent manner, practising in accordance with the standards of the profession, practising in accordance with the laws relevant to the profession of nursing. One of the most important standards a mentioned in the nursing code of practice and professional care is that the nurses should maintain  and build on the trust of the community  in nursing profession. This corresponds to the standard 9 of the Nursing and Midwifery Board Australia (NMBA). As mentioned by Devine & Chin (2018), health care is seen with great regards and belief by people.  Hence, any forms   of malpractices in nursing care and education are seen to be interfering with the overall well being of people (Woodworth, 2016). Therefore, overall ethics and standards needs to be maintained in the nursing education as it will help in the development of well trained professionals. The nurse should promote the privilege and trust inherent in relationship between nurses. Hence, at no cost   any malpractices should be encouraged within nursing care or amongst nursing professionals. It not only deteriorates the service quality but also affects the quality of the professional relationships maintained between nursing professionals.
The nursing code of ethics can be broken down for the educators and researchers in a number of parameters and factors. As mentioned in the nursing code of ethics, the teaching and learning opportunities should support ethical decision making (Saana, Ablordeppey,Mensah & Karikari, 2016).  Hence, the ethics need to be incorporated into nursing care from the very beginning as ethics form a very important part of decision making. The acts of beneficence and malefecience form a very important part of nursing care. Hence, supporting an act of academic misconduct at such an early stage can deteriorate the development of moral principles and values. The teaching activities should encourage long life learning and competence for practice. As mentioned by Kam, Hue & Cheung (2018), supporting cheating at an academic stage is against propagating the behaviour of long life learning. The nursing code of ethics states that the importance of professional learning should be sensitized in the learners.  One of the most important ethics of nursing education is effectively communicating ethics to professions. Hence, the students need to be reminded that supporting any illegal activity in nursing education can favour the development of dishonest nursing professionals. The sensitization of professional learning laid maximum importance on developing sound knowledge of professional practice (Lynch et al., 2017). It places much importance of building an effective knowledge regarding ethics. Hence, abiding by such rules the cheating and dishonesty in nursing students needs to be strictly prohibited. Based upon the nursing code of practices and education the professional codes of conduct of the nurses are built (Tinnon, Masters & Butts, 2018).  The professional code of conduct helps one in understanding the importance of quality care. Based upon the Australian code of conduct for nurse at no point during the clinical care the nursing educator should encourage malice or unprofessional behaviour in the nursing students (Fisher, 2014). One of the most important roles of the nursing educator is to ensure that the nursing students are taught regarding the nursing code of ethics and policies. This helps in ensuring that integrity is maintained by the nursing students on a professional level, which helps in preventing any case of maleficience or academic misconduct.
 
Legal and future implications of cheating behaviour in nursing education
There are a number of legal implications of breaching nursing educational policies. Some of these may include debarment from future examinations or dismissal from course. Additionally, stricter legal action may be initiated against the nursing professionals, which may hugely damage their reputation along with damaging the reputation of the professional institute. As mentioned by Weniger & Knight (2017), the legal protocols help in ensuring that the quality of the nursing education is maintained. It also helps in preventing any future breach of healthcare policies. In the lack of professional legal guidelines the quality of the nursing care services may be hampered. The presence of the legal guidelines helps in ensuring that any form of negligence in nursing education and care practices could be avoided (Ziefle, 2018). Cheating in academics can influence the acquiring of knowledge, skills and values in the nursing students. As per federal lawsuit, a legal initiative could be introduced against a student enrolled in nursing program and found cheating (Lavin, Harper & Barr, 2015). This is done in order to ensure that only best educated nursing professional are made. It further helps in improving the quality of the care and support services.
The future implications of implementing strict  ethical and legal principles in nursing care is that it helps in preventing any future legal breaches in care service delivery. It also helps in ensuring that quality education could be provided to the nursing professionals which further raise the standards of the support and care services.
 
Conclusion
The current study focuses upon the nursing ethics and law which are pivotal in influencing the standards of professional care. The ethics helps in ensuring that quality care and support services are delivered by the nursing professionals. Additionally, the lawsuits help in maintaining the professional standards. This could be further explained with the help of professional nursing standards. The professional nursing standards could be broken down into seven stages each with a different perspective and objective. Here, the nursing standards and code of conduct have been discussed with respect to the case study where cheating and academic dishonesty has been discussed. Therefore, at no stage during the nursing education can the professional code of conduct be breached. This is because dishonesty and malice has been seen to affect the long term effect of nursing care. Here more importance has been placed upon sensitization of professional care. This could be done by teaching the nursing professionals regarding the ethics and laws governing the care activities. Additionally, maintaining strict protocol around nursing education can help in raining culturally aware and professionally competent professionals.
 
References
Abdulghani, H. M., Haque, S., Almusalam, Y. A., Alanezi, S. L., Alsulaiman, Y. A., Irshad, M., … & Khamis, N. (2018). Self-reported cheating among medical students: An alarming finding in a cross-sectional study from Saudi Arabia. PloS one, 13(3), e0194963. Retrieved from: https://doi.org/10.1371/journal.pone.0194963
Devine, C. A., & Chin, E. D. (2018). Integrity in nursing students: A concept analysis. Nurse education today, 60, 133-138. DOI: https://doi.org/10.1016/j.nedt.2017.10.005
Fida, R., Tramontano, C., Paciello, M., Ghezzi, V., & Barbaranelli, C. (2016). Understanding the interplay among regulatory self-efficacy, moral disengagement, and academic cheating behaviour during vocational education: a three-wave study. Journal of Business Ethics, 1-16. Retrieved from: https://link.springer.com/article/10.1007/s10551-016-3373-6
Fisher, M. (2014). A comparison of professional value development among pre-licensure nursing students in associate degree, diploma, and bachelor of science in nursing programs. Nursing Education Perspectives, 35(1), 37-42. doi: 10.5480/11-729.1
Johnson, D. S. N., & Halstead, J. A. (2015). The Academic Performance of Students: Legal and. Teaching in Nursing-E-Book: A Guide for Faculty, 35. Retrieved from: https://books.google.co.in/books?hl=en&lr=&id=o23dCgAAQBAJ&oi=fnd&pg=PA35&dq=Johnson,+D.+S.+N.,+%26+Halstead,+J.+A.+(2015).+The+Academic+Performance+of+Students:+Legal+and.+Teaching+in+Nursing-E-Book:+A+Guide+for+Faculty,+35&ots=2fZUklzqiW&sig=TDDa7HC1KF5IP_objItmwoihpzg#v=onepage&q&f=false
Kam, C. C. S., Hue, M. T., & Cheung, H. Y. (2018). Academic dishonesty among Hong Kong secondary school students: application of theory of planned behaviour. Educational Psychology, 1-19. Retrieved from: https://doi.org/10.1080/01443410.2018.1454588
Laschinger, H. K. S., Nosko, A., Wilk, P., & Finegan, J. (2014). Effects of unit empowerment and perceived support for professional nursing practice on unit effectiveness and individual nurse well-being: A time-lagged study. International journal of nursing studies, 51(12), 1615-1623. DOI: https://doi.org/10.1016/j.ijnurstu.2014.04.010
Lavin, M. A., Harper, E., & Barr, N. (2015). Health information technology, patient safety, and professional nursing care documentation in acute care settings. Online J Issues Nurs, 20(6). DOI: 10.3912/OJIN.Vol20No02PPT04
Lynch, J., Everett, B., Ramjan, L. M., Callins, R., Glew, P., & Salamonson, Y. (2017). Plagiarism in nursing education: an integrative review. Journal of clinical nursing, 26(19-20), 2845-2864. Retrieved from: https://doi.org/10.1111/jocn.13629
Melnyk, B. M., Gallagher?Ford, L., Long, L. E., & Fineout?Overholt, E. (2014). The establishment of evidence?based practice competencies for practicing registered nurses and advanced practice nurses in real?world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence?Based Nursing, 11(1), 5-15. Retrieved from:  https://doi.org/10.1111/wvn.12021
Saana, S. B. B. M., Ablordeppey, E., Mensah, N. J., & Karikari, T. K. (2016). Academic dishonesty in higher education: students’ perceptions and involvement in an African institution. BMC research notes, 9(1), 234. Retrieved from: https://doi.org/10.1186/s13104-016-2044-0
Tinnon, E., Masters, K., & Butts, J. (2018). A Pragmatic Approach to the Application of the Code of Ethics in Nursing Education. Nurse educator, 43(1), 32-36. Tinnon, E., Masters, K., & Butts, J. (2018). A Pragmatic Approach to the Application of the Code of Ethics in Nursing Education. Nurse educator, 43(1), 32-36. doi: 10.1097/NNE.0000000000000407
Wang, S., & Liu, Y. (2015). Impact of professional nursing practice environment and psychological empowerment on nurses’ work engagement: test of structural equation modelling. Journal of Nursing Management, 23(3), 287-296. Retrieved from: https://doi.org/10.1111/jonm.12124
Welsh, M. (2017). Plagiarism governance in nurse education; dispositions, dimensions and tensions. Nurse education in practice, 27, 22-28. DOI: Retrieved from: https://doi.org/10.1016/j.nepr.2017.08.011
Weniger, G. R., & Knight, J. F. (2017). Legal Matters for the Health Professions Educator. The Health Professions Educator: A Practical Guide for New and Established Faculty, 345. Retrieved from: https://books.google.co.in/books?hl=en&lr=&id=c1i2DgAAQBAJ&oi=fnd&pg=PA345&dq=Weniger,+G.+R.,+%26+Knight,+J.+F.+(2017).+Legal+Matters+for+the+Health+Professions+Educator.+The+Health+Professions+Educator:+A+Practical+Guide+for+New+and+Established+Faculty,+345&ots=fiOoKPag3a&sig=7a9m2_hWl92-VRiGHR22pUlPsIg#v=onepage&q&f=false
Woodworth, J. A. (2016, July). Promotion of nursing student civility in nursing education: A concept analysis. In Nursing forum (Vol. 51, No. 3, pp. 196-203). Retrieved from: https://doi.org/10.1111/nuf.12138
Ziefle, K. (2018). Incivility in Nursing Education: Generational Differences. Teaching and Learning in Nursing, 13(1), 27-30. DOI: https://doi.org/10.1016/j.teln.2017.09.004

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