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Accountability and ethical practice fundamentals of nursing by quizlet
Accountability and ethical practice fundamentals of nursing by quizlet
Accountability and ethical practice fundamentals of nursing by quizlet
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Ethical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
To facilitate change within our healthcare system and in our nursing practice, the influences that will affect this current issue include the College of Registered Nurses of British Columbia (CRNBC) Standards of Practice (2016), and the Canadian Nurses Association (CNA) Code of Ethics (2008). Currently, all nurses must apply both the standards of practice and the code of ethics in their nursing care. In relation to the issue with mental health and addiction, patients who receive negative attitudes and discrimination within their care are from healthcare staff neglecting the standards and guidelines of practice; they are not acting in a professional manner and following CRNBC (2016) or CNA Code of Ethics (2008). One of the principles in
This discussion post uses a critical thinking exercise from our textbook. It involves three characters. The charge nurse, Sherry, a recently hired nurse, James, and nursing assistive personnel (NAP), Julie. The scenario involves a 78-year-old female who is scheduled to undergo a radical mastectomy. James, the primary nurse, is to prep the patient for surgery.
Every nursing situation has the outcome, and care nurses provide to individuals, families, and communities is for the promotion of health. Caring as ethical foundation of nursing is vital in the sense that nursing profession core is to promote health and provide care within the scope of their practice. Nurses have commitment and responsibility to act in a way that is set by the American Nurses Association to carry this duty and maintain the integrity of the organization. According to Epstein & Turner ( 2015) ANA, 2015b code of Ethics for nurses is a foundation for decision making and conduct to guide nurses in any healthcare setting to perform their professional and personal values also to demonstrate ethical competence to the society.
When we arrived at Jefferson City I did not know what to expect in the hearings but it was much more interesting than I thought it would be. The first case involved an older woman who violated nurses practice act by having a positive drug test. She denied the drug use in an improper way. This registered nurse worked over night so she had been use to taking sleeping pills to help her with the insomnia. On the night she was disciplined she was reported by another nurse that she was not acting right and was slurring her speech, confusing coworkers, names, appeared disoriented and staggered while walking.
Nurses have an ethical obligation to defend and protect patient rights, to promote safety, and provide compassionate care. Nurses are faced with many ethical issues in the healthcare setting and dealing with these challenges can be challenging. Nurses are obligated to report actual and potential healthcare violations despite the fear of retaliation or losing their own job. “The American Nurse Association (ANA) Code of Ethics for Nurses and the International Council for Nurses mandates that the nurse take appropriate action to safeguard the patient when care is endangered by a coworker or any other person”(Westrick, 2014, p. 123). The Texas Board of Nursing (TBON) rule 217.11(1)(B) states a nurse should ensure a safe environment for the patient
Shared governance is an innovative model used to provide direction for the professional practice of nursing. This model is used to direct nurses to participate in unit-based decision making that allow nurses to demonstrate accountability and ownership for their practices. The goal of the model is to improve quality patient care contain costs, and retain nursing staff. According to Marquis and Houston (2012), “In shared governance, the organization’s governance is shared among board members, nurses, physicians, and management” (p. 270-271). Shared governance is imperative in the healthcare institutions.
A Great Leader: Financial Responsibility & Conflict Management. Nicole Droll University of Mary NUR 614 Resilient Nursing Leadership Dr. Joanne Lassiter June 9, 2024 A Great Leader: Financial Responsibility & Conflict Management The effective management of finances and conflict within healthcare organizations is crucial for ensuring high-quality patient care and organizational success. Nurses play a significant role in achieving fiscal responsibility and conflict management.
Background The ability to recognize, understand and treat symptoms related to illnesses, along with crafting the right questions in order to promote optimal care is considered a fine art in the field of healthcare. However, sensitive and time-critical conditions can pose questions that could challenge the status quo in relation to healthcare policy and decision making. Challenging circumstances often call for drastic measures that make difficult to decide right vs wrong. An ethical dilemma defines this decision-making process.
Ethics Ethics are one of the key components that shape the nursing profession. The American Nursing Association clearly outlines a code of ethics that all practicing nurses must follow in an effort to provide patient-centered care. However, when there isn’t an apparent right answer or personal biases influence the decision-making process an ethical dilemma will inevitably arise. A group of ethical principles is in place to guide nurses in achieving logical resolutions while sustaining a moral integrity in the communities they serve.
Nurses must follow beneficence which means to do good. Nurses do not want to harm a patient in any way. They must provide confidentiality and privacy when going thru the process with their patient. Patient’s have the right to autonomy which is the freedom to make choices about issues that affect one’s life, free from lies, restraint, or coercion. Nurse’s must provide care that is patient centered even when the nurse might not agree with the patient, he or she still has their rights.
Although the idea of autonomy dictates the capacity that one has to, “have the say-so about your own well-being” (Purtilo & Doherty, 2011) where that one can “the capacity to act on own decisions freely and independently” (Purtilo & Doherty, 2011) . When it comes to the care of patients in the healthcare setting, there is a gray area an area left for individuals interpretation depending on the situation at hand. I have never worked as a psych nurse, but I years of experience working as an emergency department nurse and substantial numbers of patients are there for a mental issue and have a psychiatric diagnosis.
The mental capacity of the patient should be considered in this case. The patient is under a huge amount of stress and pain which will most likely affect his mental capacity. Pain and trauma is can change a person’s viewpoint on the situation and in turn change their decision about the treatment that they want to receive. Religion has and always will play a big part in medicine. Many patients refuse treatment because it goes against their beliefs and later they die to the disease.
Embedded within the code are four fundamental responsibilities that include promoting and restoring health, preventing illness, and alleviating suffering. Several of the codes can apply to the use of social media and HIPAA regulations. According to the ANA, the nurses’ primary commitment is to the patient, whether an individual, family, or community (Arnold & Boggs, 2016). This includes maintaining patient privacy of any medical information. They are conjointly responsible for being the patient’s advocate, protecting health, safety, and patient rights.
If the student nurse decide to go away as Gerald has requested in respect of his autonomy she would have breached the duty of care and this would be considered as negligence. The word negligence is a tort law that regard individuals to exercise reasonable care in order to prevent harm that can be acts or omissions to any person. In order for negligence to have happened four elements must have occurred, these include duty of care that the nurses owes Gerald, breach of duty of care, harm caused by this duty of care and the result of the damage or harm that occurs (Johnstone, 2015). Employers are also accountable for employee actions, which means they are answerable to any actions, omissions and negligence.
