categorical imperative examples in nursing

The promotion and acceptance of the expression of positive and negative feelings. The development of a helping-trust relationship between the patient and the nurse is crucial for the expression of both positive and negative feelings. I would tell him about sports games I watched or read about. The practice of caring is central to nursing (Watson, 1979, p. 8). The transpersonal relationship between Aaron and I occurred from the moment I was assigned to him, and attempted to get to know his history and needs. Kant says “good will” as the only thing unconditionally good because it cannot be used for ill purpose. Duty must be done whether a person wants to or not(Johnson, n.d.). They are: Diagnosing and managing life-sustaining physiological functions in unstable patients, The skilled know-how of managing a crisis, Providing comfort measures for the critically ill, Preventing hazards in a technological environment, Facing death: end of life care and decision making, Communicating and negotiating multiple perspectives, Monitoring quality and managing breakdown. The scientific problem solving method used involved assessment, plan, treatment, and evaluation of treatment given. Each of these domains was described with the related competencies from the exemplars describing nursing practice (Tomey & Alligood, 2002). We can either follow our natural instinct or non-rational impulse. 15FRIDAY2020 can only be used on orders with a 14 day or longer delivery. According to the Aaron’s family, he was neither religious nor spiritual so that was respected. rude and uncooperative or if there’s no benefit to the nurse for the care they are giving. Virtue Ethics: moral character of a person. He was using his accessory muscles to breathe. Any symptoms of his struggle and suffering should be addressed in order to achieve his due end. The formation of a humanistic- altruistic system of values. This was not a comfortable death. The purpose of the book was to address some of the problems that still existed in nursing (Tomey & Alligood, 2002). I was bound by my duty to help Aaron die with little or no pain. As part of the healthcare team who provided care to Aaron’s last hour, I made sure Aaron had a comfortable dignified death by providing the best care I have learned through all my years of clinical experience. The teaching-learning process was more dynamic between the nursing and medical staff about end of life measures. The caritas process has greater spiritual dimension and overt show of love compared to the original carative factors (University of Colorado Denver, 2007). In another application of Benner’s levels of skill acquisition, the University of Maryland, Baltimore School of Nursing used Benner’s concept to establish protocols for the development of patient care simulation for students (Larew, Lessans, Spunt, Foster, & Covington, 2006). Duty consists of bare respect for lawfulness. Categorical imperative is defined as the standard of rationality from which all moral requirements are derived (Categorical imperative, 2007). Watson based her theory for nursing practice on 10 carative factors (Watson, 1979, p. 9). 1st Jan 1970 Kant formulated the Categorical Imperative in three different ways, but its second formulation—act in such a way that you treat humanity, whether in your own person or in the person of any other, never merely as a means to an end, but always at the same time as an end—is the most relevant to our discussion of medical education. The provision for a supportive, protective and /or corrective mental, physical, socio-cultural and spiritual environment. This action is permissible for end of life measures and is conceivable in today’s world. All work is written to order. Effective caring promotes health and individual or family growth. Assist with basic physical, emotional, and spiritual human needs. My acceptance of Aaron’s situation and my commitment to take care of him helped foster a healing environment for Aaron. Watson used the term “carative factors” to describe the framework for the core of nursing values. Share teaching and learning that addresses the individual needs and comprehension styles. Benner described dying as “central to human identity, and it forms a part of everyone’s history (Benner, Kerchner, Corless, & Davies, 2003, p. 558). We're here to answer any questions you have about our services. As the nurse who volunteered to take over a coworker’s assignment, I had the free will to choose to help or not. Watson (1999) characterized a transpersonal caring relationship as a special kind of human care relationship that depended on the nurse’s moral commitment in protecting human dignity, nurse’s caring consciousness to preserve the embodied spirit, and to potentially heal because of this connection (Watson, 2007). Kant used the term good will to define the resolve to act purely in accordance to one’s duty. The third maxim combines the others in that it requires that we conform our actions to the maxims of a legislator of laws and that this lawgiver lays down universal laws, binding all rational wills including our own. Since I took care of the patient for a week, I learned small nuances about the patient to know what his needs are. Copyright © 2003 - 2020 - UKEssays is a trading name of All Answers Ltd, a company registered in England and Wales. A decision was made to give propofol. Aaron was 28 years old when he was admitted in the community hospital due to meningitis. Phase two of this study also produced nine domains of critical care nursing practice. He mentored her in the field of stress and coping. These interviews “aimed at discovering if there were distinguishable, characteristic differences in the novice’s and expert’s description of the same clinical incident” (Benner, 1984, p. 14). Benner added to her research from the first study to a six year study of 130 hospital nurses, the majority from the critical care areas. For a limited time, find answers and explanations to over 1.2 million textbook exercises for FREE! The physicians, after much discussion with Aaron’s parents, decided to disconnect Aaron on the weekend from the mechanical ventilator and to start comfort measures as soon as he was removed from the ventilator. All these measures did not help Aaron’s respiratory distress. The third part is whether to consider the maxim as conceivable in a world governed by laws. Watson suggested that the nurse also must provide comfort, privacy and safety as a part of this carative factor (Current Nursing, 2009). He stayed in the hospital due to complications like sepsis and bacteremia. A science of caring is complementary to the science of curing. He looked at me but instead of the sad look, he had a painful look and tears in his eyes. x. Watson’s first major publication, Nursing: The Philosophy and Science of Caring, began as a class notes for a course she was developing (Tomey & Alligood, 2002). In applying Benner’s seven domains of competencies, I was able to use majority of the functions. Significant clinical experience is a prerequisite to attaining the higher stages of skill acquisition (Dracup & Bryan-Brown, 2004). The next day, I was the nurse in charge of the whole unit. The recognition of feelings leads to self actualization through self acceptance. On the other hand, reason can only be satisfied with assumptions that practical observation cannot support. Any opinions, findings, conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of By the end of the week, I saw the hospital’s palliative care physician come in to check on the patient. Nursing Create a healing environment for the physical and spiritual self which respects human dignity. It is the presence of this self-governing reason in each person that Kant offered decisive grounds for viewing each person as possessed of equal worth and deserving of equal respect. This factor allows the patient to be well informed about their care in order to participate in their plan of care and healthcare decisions. All names used in this narrative have been changed to protect anonymity. As I walked in the room, I saw Aaron struggling. I gave the bolus and started the propofol drip. This system of values is what makes the nursing profession human. This time gave me the opportunity to acquire skills in being attentive to patient’s needs especially those who are sedated or paralyzed, and acquire knowledge and expectations in the progression of disease and end of life measures. In Benner’s nine domains of critical care nursing practice, I will focus on my function as providing end of life care for Aaron.   Privacy All the teaching-learning process was still directed towards the care of Aaron. With the help of the team working with the patient, we were able to help ease his concerns about assisted living and were able to get him the care. The recognition of feelings leads to self actualizations through self acceptance for both the nurse and the patient. Although Aaron was not able to verbally express his feelings, his nonverbal cues like facial grimacing, tearing up, and labored breathing was enough to communicate his needs. Dr Herms sat down beside Aaron and held his hand. In order to understand Kant’s ethical views, his views on duty, reason, freedom, and good will should be explored.

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