Mappes_on_Nurses - Special Issues Facing Nurses Overview...

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Special Issues Facing Nurses Overview and “Ethical Dilemmas for Nurses: Physicians’ Orders Versus Patients’ Rights” by E. J. K. Mappes
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The Traditional Nurse Traditionally, the nurse was thought of as an instrument of the doctor she was working under. The nurse was to follow the doctor’s orders without question and without hesitation. In the 1960’s this conception of nursing began to change. Traditionally the nurse’s primary obligation was to the doctor. Now, however, the primary obligation of the nurse is to the patient.
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Mappes – Ethical Dilemmas for Nurses The American Hospital Association (AHA) enumerated the recognized rights of hospitalized patients in the “Patient’s Bill of Rights.” One group of the rights enumerated could be covered by the more general right of self-determination: (1) the right to information about diagnosis, treatment, and prognosis; (2) the right to information necessary to give informed consent; and (3) the right to refuse treatment. Mappes observes that one of the rights the AHA failed to recognize in the document was the right of the patient to adequate medical care. That is, after all, why the patient is in the hospital.
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Ethical Dilemmas for Nurses Mappes thinks that two types of ethical
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  • Spring '08
  • WORREL
  • Physician, E. J. K. Mappes

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