U.S. Nurses vs.Foreign Born Nurses

US NURSES VS FOREIGN BORN NURSES

2009

The care of patients in hospitals today has become increasingly more complex for nurses , because they must contend with increases in medical technological capabilities , changes in health care consumer demands changes in the allocation of health care resources and changes in the legal system governing nursing practice such as withholding or withdrawing life support (Annas , 1990 . As new complexities develop surrounding the medical and nursing care of severely ill individuals nurses may become more involved in situations in which being an advocate for

the patient may conflict with loyalty to the institution physicians , family and others . Conflicting loyalties can create conflicting options in the resolution of the problems of patient care which in turn , can create ethical dilemmas for nurses . From the critical perspective , many factors can influence the way in which nurses respond to medical dilemmas , including prior knowledge of the dilemma , the conception of the nurse 's role in the dilemma and congruence between the ideal resolution and the realistic resolution of the dilemma (Ketefian Ormond , 1988 . The influence of one 's culture on medical practice in nursing may also affect responses to ethical dilemmas . Fabrega (1990 suggested that culture is closely linked with moral behavior and medical practice since "each culture and tradition of medicine is held to stipulate a moral way of looking at illness and a moral way of conducting medical practice (p . 595 . Hence , analyzing and describing modes of healing among any group of people may , in...