It becomes burdensome when the terminal client, has no advanced directive and the loved ones that are to make decisions are in disagreement with each other. The Nurse Practice Acts and Code of Ethics for Nurse’s can help with dealing with ethical and legal issues in Nursing. An example of a malpractice case is a nurse as a witness in a malpractice suit that involved harm to a client. The case is against the healthcare institution, and a nurse whom she knew was overtly negligent. On previous occasions, it is noticed this nurse violating standards of care.
Individuals cannot be thought of exclusively without the consideration of their families and communities that surround them. The person comes to define him/herself by the way one views oneself in interaction with their social group. A nurse’s care must extend beyond the patient and must involve the patients entire support network. The nurse must be mindful of the person’s subjective experiences about wellness, beliefs, values and personal preferences and should involve the person in decisions affecting his/her treatment and recovery. Therefore the person has a more proactive role and is in control of their own wellbeing and their choices are considered and respected by the nurse.
She relayed to me that she was fed up with healthcare in this country and did not understand how she could work hard her whole life and be treated like less than because she had an “HMO”. She too, like me and others, seem to be failed by our medical system currently in place. Sue complains that her HMO is awful and they have withheld care on more than one occasion. She goes on to explain that an HMO insurance only allows you to see certain doctors. The doctors she needs to see, she goes on to say, are not available to her as they do not participate with her insurance, Aetna.
Some cases seem to be complex, more so when the parties involved maintain opposing positions, yet both make sense. In the case of physician prescriptive authority, administrators must think censoriously to make a determination on whether it should be adopted. The concern should be to offer the best service to the patients without harming them. However, nurses are very important in this matter since they give the primary care to the patients. On the other hand, the physical is trained to diagnose and plan the treatment for the patient.
This often leaves nurses feeling powerless over their work life as well as their personal life. Mandatory overtime has generated much hostility and resentment between nursing facilities and their employees. But if mandatory overtime is so problematic, why is this practice so commonly used? THE REASONS BEHIND MANDATORY OVERTIME Numerous factors contribute to the increased use of mandatory overtime. Several of those issues began in the 1990s when changes in the health care system were implemented.
Malpractice can be increasing because of a severe shortage of trained nurses, and it happened because of a few factors: nurses are required to work longer shifts; they can lead to fatigue and increase the risk for an error; also short Nursing courses providing degrees with no sufficient time to train nurses results in malpractice. Nurses who lack the experience and knowledge fail their duty, and when it happen not only them but also the hospital in which they work bear the consequences. Because most nurses are employees of hospitals, hospitals are frequently defendant in nursing malpractice cases. Another factor that contributes to nurse malpractice is miscommunication. Even though it is unintentional it can lead to tragedy.
There is an ongoing shortage of nurses, which along with emotional stressors, is said to be the cause of burnout among nurses. It has made nurses fearful of patient safety because of the inadequate staffing. The most common source of burnout among nurses is the work overload. The problem of inadequate staffing causes nurses to have an increased workload. Nurses can end up working long days and nights, overtime work, rotating shifts, and weekend work.
For example, I can delegate the task of emptying a catheter to a nursing assistant instead of having the nurse do it. Identifying the ability and skill is important as well. I will not be able to delegate a task of inserting an intravenous line if the nurse does not have training on it. To choose the right person we also need to consider the personality, reliability, and commitment because it can make the tasks of delegation easier. If a person is committed and reliable, then we know that the task will be done.
The association says there are four types of poor care that patients and relatives continually report. First, nurses do not communicate effectively. For example, patient call bells often go unanswered. Second, patients are not assisted to go to the toilet. Third, patients are not given sufficient pain relief, and finally, patients are not given enough encouragement with nutrition.
Leadership involvement is also important. “Nurses need to see support from the administration,” says Laura Janiscewski, competency development