According to Taylor, Lillis, LeMone, and Lynn’s book Fundamentals of Nursing, “Nurses should respect patients’ will and be loyal to them at any time as well as carefully evaluate the competing claims of the patient’s autonomy” (Taylor p.103). Even under the pressure of other healthcare faculty, as nurses, we should find out the optimum ways to follow patents’ thought rather than decide right or wrong for them. Therefore, nurses should never sacrifice patients’ rights to ease ourselves. In order to advocate patients’ rights, nurses should question improper acts. Hence, nurses have the responsibility to advocate patients and help them out.
ANA’s Code for Nurses with Interpretive Statements (2008) is a primary resource for ethical decision making (Finkelman, 2012). There are four principles that should be considered when making ethical decisions. First the nurse needs to take into consideration whether the decision will violate the patient’s rights, this is autonomy. Second the nurse needs to make sure that the decision will not harm the patient and that it will in all aspects be good for the patient, this beneficence. Third the nurse is required to make all patient decisions with fairness, this is called justice.
State Board of Nursing it states that a “Registered Nurse shall undertake a specific practice only if the registered nurse has the competency to properly execute the practice” (Pa.Code). Once competencies have being established, I would do a thorough investigation on the new procedure and what it entails and follow all the guidelines to make sure that I am not practicing outside the scope of practice. Before introducing the new procedure to the physicians and fellow nurses, it is essential to research about the new procedure and its benefits to the hospital and patient care. After, I would plan for the procedure changes and determine when the changes will become effective. In addition, giving the physicians and fellow nurses’ adequate notice about the new procedure changes to build their awareness and providing them with valuable information relevant to the new procedure and its transition.
Nurses are face with ethical dilemmas on a daily basic therefore, must examine their own personal and professional values and morals in order to maintain a caring and compassionate relationship with their patients. When complex ethical issues involving health care arise, the Ethics Committee may be needed for additional resources to aid the patient and family. The Ethics Committee is made up of multidisciplinary groups drawn from the institution and the local community. It is important for nurses to know how to deal with ethical decisions so that patient rights and values are honored without compromising their own moral values. Nurses should respect
This in turn will affect the way in which care is provided, so staff need to be informed and updated on any changes or new methods which come into play. Improving knowledge and practice ensures that study skills are still effective and that nurses are adhering to the NMC Code of Practice (2008), namely “Keep your skills and knowledge up to date”. Adhering to this is part of keeping up registration to practice as a nurse. There can be potential barriers to professional development. These include: • Time: Staff may struggle to find time in their working role to undertake training to improve their knowledge and practice.
She believes in the relationship between love, caring and peace. According to Watson Caring Institute, 2012, “The caring model or theory can also be considered a philosophical and moral/ethical foundation for professional nursing and part of the central focus for nursing at the disciplinary level,” (The Implications of Caring Theory). Morally nurses are expected to protect human dignity. Ethically nurses are to provide competent and safe care to the best of their ability for the well-being of the patient. Nurses are to apply their personal values and treat each patient as an individual and not judge them based upon their differences.
Vision for the future of nursing NUR 391 August1st, 2011 Dr. Wanda Dooley Vision for the future of nursing Introduction: This Power Point Presentation will show how evidence-based practice will influence trends in healthcare and the future of nursing. There will also be information describing how the application of nursing theory will continue to influence professional nursing practice, as well as the nurse’s current role is in research, and how new roles and opportunities will benefit nursing and healthcare in general. Trends: How evidence-based practice will influence trends in healthcare and the future of nursing. According to Fawcett and Garity (2009) “Evidence for nursing practice comes from research and other sources. Evidence-based practice requires an understanding of how research findings and other evidence inform and guide practice,” (p. 3) that is seen in professional nursing and patient care.
In todays ever changing world, with the field of health care research constantly evolving, it is extremely important for all health care providers to be able to accept to and adapt to changes in nursing field. Subsequently, there is a strong need for nurses to be willing to receive change and grow in order to foster the best outcomes for patients, through the use of evidence-based practice. According to Hauck, Winsett, & Kuric (2013) “Evidence-based practice is the conscientious and judicious use of current best available evidence, includes research findings, quality improvement data, clinical expertise and patient values to guide healthcare decisions” (p.664). Evidence-based practice has identified a need for a greater continuity of care and
Jean Watson is recognized for her theories on human caring and the way nurses give care. Her theories are used to educate nurses on the integration of care and compassion within the discipline and technology of today’s healthcare organizations to better serve patients. Watson believed that human caring is “not just an emotion, concern, attitude, or benevolent desire. Caring is the moral ideal of nursing whereby the end is protection, enhancement, and preservation of human dignity” (George, 2011, p. 29). With this idea in mind, assessment tools are used by the nurse and physician to protect, enhance, and preserve human dignity (George, 2011).
Scott & McSherry (2008) also define evidence based nursing is a process by which nurses make clinical decisions using the best available research evidence, their clinical expertise and patient outcomes. We will also discuss nursing’s simultaneous reliance on and critique of EBP in the context of critical reasoning. There will also be discussion of a study done that examined the effects of integrating evidence based practice into clinical practicum among RN-BSN students and the limitations of evidence based practice and an alternate view of decision making. Lastly we will discuss evidence that challenges the traditional practice regarding injection sites (Cocoman & Murray 2010). According to Guem et al.