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Nurses are accountable and responsible for their own morals, decisions and behaviors. Nurses are accountable for judgments made and actions taken in the course of nursing practice, irrespective of healthcare organizations policies or providers' directives which may not always be in the best interest of the patient.
It is the legal and moral obligation of healthcare institutions to provide safe staffing levels so that nurses do not find themselves in unsafe conditions. The nurse code of ethics clearly identifies nurses as being morally bound to refuse unsafe assignments and working conditions. However, couple this with nurses who feel obligated to care for patients in their community and nurses who are fearful of making waves because of repercussions and you have set the stage for moral compromise...
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