Ethics committees can be useful in this situation, because they can help explain the patient’s situation and provide possible answers to those hard questions. The nurse who neglected care towards the patients, in my opinion, should lose their job. Nurses who neglect care are putting their patients at danger. According to the Code of Nursing Ethics, “The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth” (ANA Code of Nursing Ethics). This nurse neglected the patient, therefore, neglected the responsibility in preserving the safety and integrity of the patient.
Hannah begs you to keep this confidential and not tell anyone especially her daughter, who she sees regularly, as her daughter will be very angry. Bi) How would you explain the term ‘confidentiality’ to Hannah? I would explain to Hannah that I do respect her wish to keep this information ‘confidential’, however due to the nature of the information she has divulged, I would have to inform management as she is putting herself at risk by throwing her medication away. This is not following her careplans and the medication has been prescribed to her for a reason and due to her regularly becoming ‘confused’ we cannot be sure that she is fully aware on what the medication is for. I would explain that we can keep certain things confidential such as opinions and beliefs but if information effects their received care or personal wellbeing/health then I have a duty of care to act upon this but only on a ‘needs to know’ basis.
The nurse witnessed and reported to the hospital a direct violation of unsafe clinical practices of patient safety by a colleague and the hospital allowed the nurse to continue providing patient care, without consequence. The nurse is responsible, as defined the Code of Ethics, to report to the court the other instances she had recorded of the nurse on trial practicing unsafely. The nurse acting as a witness is also expected to be truthful and honest. If the nurse is questioned whether or not she observed the defendant being unsafe in any other situations, the nurse is required to answer honestly and provide what she observed her colleague doing, as it is her legal duty to the patients for her to provide factual
The patient is a minor and may not comprehend the severity of her diagnosis. The nurse as an adult needs to tell the parents so that the patient does not experience harm. The principle of autonomy is another principle that I would use to justify my position in this case. Autonomy is the ability of a patient to give informed consent and make their own decisions (University of California San Francisco School of Medicine, 2008). Because this patient is a minor she is not mature enough to understand all of the implications of her diagnosis and treatment.
The nursing environment can be very stressful, charged with emotions, and highly intimate in nature. Colleagues may rely on eachother for support. It is important that the professional nurse remembers that the boundaries between professional working relationships may become blurred if allowed to do so. The nurse must remain committed to maintaining professional boundaries or remove themselves from the threatening environment. An example of blurring of professional boundaries could be a oncology nurse working along side an oncologist and caring for cancer patients day in and day out.
Laws on the other hand are binding rules of conduct. When laws are broken, it is punishable by an authority figure. An example of this would be a nurse making a medication error and not reporting it. The legal system and ethical system overlap in most situations, and every patient contact has the potential to produce a legal or ethical situation. “Knowledge of legal issues are essential because nurses are required to practice in accordance with legislation affecting nursing practice and health care failure to respect the legal rights of clients may result in legal or disciplinary actions.” (Makely, Austin, & Kester, 2013, p.64).
The nurse in the article made an unethical decision to bring home the patient private information and disclose it with her husband. The decision that the nurse made affected the clinic she worked. Sometimes it takes for one person to be at fault and jeopardize the whole organization. The nurse unethical behavior led to her termination of employment
The Missouri Nurse Practice Act, Statute 335.066, item 12 states that violation of any professional trust or confidence is reason for disciplinary measure on a nurses license. The primary nurse caring for Mr. E clearly violated this patient’s trust and confidence by not relaying the fact that the patient had an advanced directive that stated he did not wish to be intubated to his brother, Mr. Y and by discussing this patient and his medical information with the other nurse’s in the cafeteria. As I reviewed the Code of Ethics from the American Nurses’s Association I found several Provisions that applied, and were violated, to this scenario. Provison 1.3-The nature of health problems states that the nurse respects the worth, dignity and rights
The Nurse then reacted to the actions with multiple treatments of shock therapy. These actions displayed what the nurse can do. Then later on in the book McMurphy reacted to the other patients in an upset manner due to his ignorance of nurse Ratched actual power and what she is capable of. Nurse Ratched has the power to extended ones duration on the ward and can even provide patient with a lobotomy if
Mrs. Davis told Finance Corp. that its visits to her at the hospital where she visited her ailing daughter were upsetting her daughter so much that her recovery was being impeded. Davis added that she herself was becoming extremely anxious, worried, and angry that Finance was dragging a patient into a dispute that "was none of the patient's doing." Upon hearing this, Finance Corp. suspended its visits to the hospital. At a later date, Davis informed Finance that "its harassment was driving her