However, there are instances that do not have a right answer and the outcome has a negative impact on the patient, the family, and the nurse involved. This is known as moral distress. In the following scenario the right action to take seems clear to me, however, the family and physician make it impossible for me to take the appropriate action for my patient (Burkhardt & Nathaniel, 2008; Santiago & Abdool, 2011). The contents of this paper will describe the ethical scenario and provide a model that helps guide me to make and ethical decision. Using the four component model of James Rest (as cited by Robichaux, 2012) will assist me in developing ethical skills that will build on the ethical decision making model developed by Burkhardt and Nathaniel (2008).
However, it's not always true that another nurse is doing the right thing. Situations arise that can lead a nurse to make mistakes and set a poor example. Advocacy 2. Advocacy ranges from activities on behalf of patients, such as hand washing and proper identification before treatments, to arguing that an early discharge will harm her patient's recovery. If a nurse observes a practice or procedure she believes to be wrong, advocating for her patient demands she speak out even if that practice was carried out by her superior.
This unfriendly attitude is what most often leads to patient complaints. To determine if a registered nurse is in need of further training it is important that leaders within the healthcare facility observe the actions of their employees. Observation is the key to ensuring that the registered nurses are following through on the best care of their patients and acting accordingly. Other means of determining whether a registered nurse is in need of training is through the filing of complaints from other employees or patients. Other employees within the healthcare facility understand the role of being a registered nurse and are able to determine if and when another nurse is stepping out of line and in need of further training.
There are a few reasons that a policy has not been placed despite nurses being involved in evaluating the proper plan of care such as nurses’ attitudes of PS, and lack of education to healthcare professionals in PS (Bansari Patel, 2012). The purpose of the study was to address nurse’s attitudes, knowledge, and skills to implement a hospital policy to carry out PS. Research questions asked that were related to the study
Nursing can be considered an ethical enterprise since it often involves an alternative action when providing care (Gilliland, 2010). It concerns doing well and avoiding harm. The nursing code of ethics is a great resource to follow when faced with ethical dilemmas. In the Marianne case study, it states that “she has no advance directives, but her husband wants to try everything” and the children believe that Marianne “would not want to undergo surgery only to be kept alive with poor quality of life.” An advice that a nurse may give to Marianne’s family is to help them be aware of the result of the medical procedures. Marianne’s husband needs to know that once she undergoes surgery there is a good chance that they will need to have some lifestyle changes.
Planning for Practice Change The Pool Activity Level Tool (PAL) Introduction My background in care began in psychiatric nursing. While training I felt I was not able to uphold my principles and values concerning the care of vulnerable people, which includes, valuing the person, treating them as an individual, and building relationships that form the basis of supportive care. I was encouraged to view patients as a set of signs and symptoms needing to be managed. Interaction was limited to “protect” the nurse from getting too involved and to keep control. I could not make a difference, so I left.
Non-compliance with medication is often due to adverse effects however involving the clients in the recognition and management of them can help to overcome this. The author has chosen to set up a clinic with the primary focus is to monitor and assess for any/all side effects which are commonly attributed to antipsychotic medication use. The clinic will also be used as a platform to encourage and promote healthy life styles, offer education regarding the illness and management of side effects and a great emphasis will also be placed upon encouragement of concordance with prescribed medication. Regular assessment and monitoring of medicines is essential to ensure optimal treatment for clients. Consideration of both the positive and negative effects of medication and the consequences of these on the clients is essential.
They would also argue that the only way to prevent infection was using chlorinated baths and dousing a resident with the antibiotic, sulfanymde. The principles of Beneficence were also neglected when Dax asked the nurses to assist him in dying, a nurses responsibility is to advocate for the patient. The nurses should have made it clear to the physicians that the patient’s pain was not relieved and the patient wished to die, but to do so the nurses may have felt they were neglecting the non-maleficence principle by refraining from killing him. Non-maleficence is ceasing from doing harm. The physicians also neglected this perspective by not treating his pain they also assisted in causing him more physical and emotional suffering (4).
They may think that they are not hurting anyone by cheating on one exam but really they have done a disservice to themselves and to each of their future patients. That may sound extreme but I certainly would not want to have shoulder surgery by a surgeon who cheated on the shoulder exam. By cheating, these two peers have shown they do not have integrity and that value is critical in the nursing field. The Code of Ethics for Nurses is not only for licensed nurses already in the profession. Nursing students should also live by this code.
Usually a medication is a substance used in the prevention of health alteration of the people who need to take this one. The nurse’s action in her work has the important role of administration and should be responsible for this process. Of course to safe and accurately administer medications as a nurse is important to avoid medication errors. An error can happen at any step but an error medication cause patient harm with legal consequence, for that reason I was analyzing how the processes of medication error in facilities occur and I determine simple rules to help myself to avoid mistake with medication. For me the most important steps are: preparing medications for only one patient at a time, second to double check all doses and third involve the patient when administering medications.