Although competing demands of patient, family, and physician have risen, the nurse’s first priority is always providing care that ensures patient safety and protects the best welfare of the patient. A nurse is subject to a malpractice lawsuit if incompetent care results in patient harm. When a nurse cares for patients, he or she takes on the duties and responsibilities to care for the patient in a skilled and thorough manner. Nurses are expected to provide the same quality of care
The BRN serves to protect patient. A PNO consist of groups of nurses that gather for the purpose of education, and overall growth of the nursing profession and the patients they serve. PNO’s give a nurse peer support and continuing education. Regulatory agencies’ primary role is to protect the public through the Board of Registered Nurses (BRN). It is responsible for the writing of the Nurse Practice Act, which governs the scope of practice for all levels of nursing (ANA, 2012).
Personal Perceptions Caring for terminally ill patients can be a daunting task for all involved, whether it is for the patient, friends or family, or the nurse or other clinicians. It is important to analyze one’s own feelings about disease, its progression, and death when caring for others because a patient’s quality of life and functioning can potentially be affected by the nurse’s personal attitudes. Exhibiting judgments can cause discomfort, feelings of helplessness and/or sadness, which can impede quality of life for patients. The role of the nurse is to help the patient as he or she progresses through the stages of illness, acting as a patient advocate, meanwhile providing additional support for the patient and his or her loved ones. The role of the nurse is to attempt to alleviate discomfort, restore health, and to not cause any additional undue harm.
The children of the patient are thinking of what their mother would have wanted if she were able to speak. The nurses legal and moral obligation is to uphold primacy of the patient's interests (American Nurses Association, 2012). The nurse should involve the ethics committee, whose purpose is to bring to light the wishes of the patient and facilitate a discussion. The clinical information is broken down for the family members. The patient's prognosis and overall quality of life is discussed to determine what course of action should be taken in the best interest
How the ANA Code of Nursing Ethics would influence a final decision in each case study. With the patient with the hemorrhagic stroke, it is our responsibility to discuss with the patient’s family possible options in which they would feel comfortable taking. According to the Code of Nursing Ethics, “the nurse’s primary commitment is to the patient, whether an individual, family, group, or community” (ANA Code of Nursing Ethics). With the patient having no advanced directives, the decision is much harder to take. 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 conflict arises because the decision not to resuscitate could be seen as not promoting the well being of the patient and an omission on the nurse’s part, causing detrimental consequences (Rumbold, 1999). On the other hand, clause seven of the ‘Code of Professional Conduct’ states that a nurse should “recognise and respect the uniqueness and dignity of each patient and client and respond to their need of care” (UKCC, 1992). The nurse who does not comply with a patient’s wish to die with dignity and not to be resuscitated, could be seen as violating this clause (Rumbold, 1999). There are several viewpoints regarding the use of cardio-pulmonary resuscitation (C.P.R.). One such viewpoint is that it
Explanation why person - centred values are important and how they influence social care work. A care worker need to be able to understans the importance of promoting the following values at all times and these values underpin the whole of health adn social care. Individuality Everybody involved in the care of individuals need to get to know about the needs of people from different ethnic and religious groups and also about people's beliefs and preferences. This value is important because by paying attention to these things, we can show respect and preserve individuals dignity. It influences social care work, because when we are caring for someone we have to be able to recognise that everybody is different and we must not impose our preferences to them.
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.
NMC – Confidentiality The essay will define confidentiality its importance to nurses as a profession and the Nursing and Midwifery Code of Professional Conduct. It will further look at possible dilemmas that could arise in course of practice between the nurse colleagues and the clients. Examples will be based on my clinical placement 1 at Blackfriars Work Centre. Confidentiality is keeping secret, the shared information depending on the situation arising. 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.
As a professional, I will be guided by the provisions contained in the code of ethics in the American Nursing Association. The first provision is respect and recognition of human dignity (Grace, 2013). It is important for a nurse to take into account of the fact that professional values and needs are needed in their relationship with individuals, family or community while in practice (ANA, 2015). The other provision that will influence by practice is the primary commitment to the patient as defined in the American Nursing Association. I will be able to understand that the interests of the patient are primary in my career.