A clear example of this was highlighted in the transforming community services program. The program was not aimed directly at nursing services in the community, but changes in the way health services are funded. This has impacted on the way and type of care that district nurses deliver and has also given cause for concern for all staff regarding changes that may affect their working terms and conditions. Also, now that community services have moved outside NHS
Nurses are relied upon to advocate for our patients dignity, privacy, confidentiality, improper and incompetent care. The case of Marianne is a good example of how the ANA code of nursing ethics could help a patient that can't make convey their needs the healthcare team. The stroke has left Marianne unresponsive and without an advanced directive the healthcare team has no way of knowing what her desires would be for the plan of care. Her husband and children are in disagreement with which direction to go in regards to her care. The ANA code of ethics has provisions in place to assist in a decision for this case.
A CRITICAL ANALYSIS OF AN EPISODE OF NURSING CAREMODULE TITLE: NURS 6032STUDENT NO: 25048015COMPUTER ISS: ran1m12WORD COUNT (excluding text box): 3598 | A Critical Analysis of an Episode of Nursing Care Introduction The subjective interpretation of the criteria for service in Mental Health Organisations by clinicians can sometimes prevent people with possible mental health issues from accessing the service. The text box below gives an insight into an assessment of a service user in the presence of the student nurse. This essay sets out to critically analyse the episode of care given to this service user with regards to the way she was assessed for possible mental health issues, and relates when the subjective interpretation of a criteria for service was a barrier for engaging her into the service she came to seek help from. It starts with a comprehensive description of the assessment carried out by a Senior Nurse Practitioner, examines the role of nursing in people’s mental health, the meaning of a comprehensive and holistic assessment and includes the critical reflections of the student nurse on this assessment session based on her observations using Driscoll (2007) framework of refection. Description of the Assessment *Miss Frances is a pseudonym for the purposes of service user’s confidentiality and in line with the NMC Code of Conduct (2008).
These are principles instilled in us throughout nursing school, and guide nurses in our practice. Nursing-sensitive indicators are formulated to allow for better patient outcomes. These guidelines identify specific practices nurses can utilize to achieve safer and optimal patient-centered care. According to Beth Ann Swan, author of the article Making Nursing-Sensitive Quality Indicators Real in Ambulatory Care (2008), “Leaders in ambulatory care nursing must articulate the value of nurses’ contributions, as has been accomplished through the development of indicators of quality patient care and nursing-sensitive outcomes for other venues where nursing care is delivered (1).” On the flip side however, these same indicators can also be used to identify issues that can interfere with or hinder the patient care process. Some of the specific indicators identified in this scenario that impede patient care include: 1) complications such as pressure ulcers, 2) restraint use leading to neglect and patient injury, 3) Patient falls related to or resulting from use of sedatives or narcotic administration, 4) safe patient transfer 5) use of urinal instead of ambulating, and 6) creating a situation for a negative patient/family member experience by not being culturally sensitive to the patient’s needs.
Running head: Alarm Fatigue Improving Patient Outcomes: What is the best practice to combat alarm fatigue? TCC NUR273 Abstract With the advent of new technologies, comes a time to take a look at and revamp our current practices. Are we doing these interventions and protocols because that is the way that it has always been done since the beginning of time? Are our practices backed up by legitimate evidence? By using nursing research, best practices can be implemented in order to improve patient outcomes.
“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). Failure to respect the legal rights of clients may result in legal or disciplinary actions. According to the Department of Consumer & Industry services, regulation R338.10104 Delegation; Rule 104. (1) Only a registered nurse may delegate nursing acts, functions, or tasks. A registered nurse who delegates nursing acts, functions, or tasks shall do all of the following: (a) Determine whether the act, function, or task delegated is within the registered nurses scope of practice.
Legal responsibilities and interpretations of the laws governing the actions of the nurse are ever changing, and are an area that leads many nurses to question their own ethics because of the fear of lawsuits. Nurses usually approach the ethical responsibility of nursing with great drive and passion rather than apprehension. Because of the cultural differences and beliefs in America there are also vast differences in individual ethics. None of these are necessarily right or wrong, they are just different. The duties of the nurse are first and foremost, to be a patient advocate and to ensure that the patient has the best possible quality of life, and maintains the most dignity and individuality possible.
Dimond (2002) define confidentiality as one of the values of good practise that is concerned with protecting the private information obtained about the patient and client during the period of professional practice. Importantly all nurses including midwives have legal and professional responsibilities to respect the rights of patients and clients and treat them equally. NMC (2002) states that as a registered nurse, midwife or health visitor, you must protect confidential information. Clause 10 UKCC (1992) further states that health professionals should avoid from divulging such information without the client’s consent or a nominated person advocating on his behalf unless the disclosure is required by court order, in the public health interest and in the best interest of the patient. In addition, confidentiality as part of the social, ethical and moral basis of working in care setting is further explained in the NMC (2002) clause 5.1-5.4.
It impressed upon me to research other states regulations and restrictions and questions to mind such as why is each state so different. If we are all expected to live up to the same standards professionally then why are we not treated equally in all the states in the Union? A part of the current Healthcare reform should include the role of the APRN as well as how much restriction each state can place on the practice. Bravo to organizations such as MONA and the ANA who spend time and energy to stand in the gap for nurses daily. A wonderful
Systematic Approach to Client Care Discuss how the assessment and planning of care activities influence the delivery of holistic and individualised care. The admission into hospital of a patient is routine for hospital staff, but forms a major event in people’s lives (Perry and Tullo 1995). Scrambler (2002) suggests it is often a source of anxiety and stress. Within the day case unit (where I am currently on placement) there is a unique opportunity presented to nurses to provide holistic, patient-focused care from pre-admission to discharge (Hodge 1999). Restoring wholeness is a legitimate goal of nursing, and so the term 'holistic' from the Greek 'Holos' meaning whole or complete, is a very appropriate way to describe what health professionals aim to do (Ewles and Simnett 2003).