In the case of malpractice witnessed by a nurse against a fellow nurse and the facility that they worked, the code of ethics also has provisions to protect nurses as well. Provision 2 addresses the conflict of interest a nurse may have, but ultimately provides clarity for protecting the patient's interests. Provision 3
Client Advocacy Zhanxinyang Client Advocacy Zhanxin Yang Advocacy is defined as the act of speaking for another or acting in their best interests. In a nursing field, advocacy means that the nurse acts for and on behalf of the client. To be an advocate for a client the nurse must ensure that the client is provided with adequate and accurate information relating to his care. The nurse must support the client in any informed decisions he makes about his care. In this way the nurse meets the ethical requirement of honoring a client’s right to self-determination (Funnel, Koutoukidis, & Lawrence, 2009).
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.
• Effective communication among health care staff. • Charting the patient’s response to care. • Auditing care for improvement, third-party payment, and governmental, and regulatory purposes. • Teaching health care professional about care issues for the patients. Key reminders of documentation gave focus on the goals to staff of ways to improve documentations for financial concerns for payments by Medicare, liability issues, and possible malpractice lawsuits.
Mr. J was in restraints in this case. One of the quality indicators developed by the American Nurses Association is the prevalence of restraints (Cherry and Jacob 2011). It is important for nursing in this case to be aware of the potential outcomes for this patient in regards to restraint use. The staff in this situation can utilize nursing specific indicators to recognize the appropriate interventions that need to take place when a patient is placed in restraints. Recognizing at restraint use is a nursing specific indicator can help the staff in this situation develop an appropriate care plan.
Nurses can encourage patients to make immediate and permanent behavior changes in a variety of ways. Specifically, the “health belief model” may serve as an avenue. According to our text, “The health belief model is a paradigm used to predict and explain health behavior. The health belief model was developed to describe why people failed to participate in programs to detect or prevent disease” (Edelman & Mandle, 2010, p. 248). Additionally, “The health belief model and social learning theory assist the nurse in formulating an action plan that meets the needs and capabilities of the individual making health behavior changes” (Edelman & Mandle, 2010, p. 248).
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.
Running head: DEVELOPING EVALUATION PLAN Developing Evaluation Plan David Fullington Grand Canyon University Professional Research Project November 3, 2011 Developing an Evaluation Plan When developing an evaluation plan, the researcher has to understand what changes are going to be made and they must have data prior to any changes that have already been made. It is important to know why the changes have been made and if they have had a positive or negative impact. According to Miguel and Rogan (2009), communication can be an influential tool and nursing skills are essential for attainment of optimistic healthcare objectives to touch others. Effective communication in healthcare is needed to deliver quality client care; nurses
Lastly, key roles nurses would play in improving the quality of care in the Mr. B scenario will be discussed.A. Root Cause AnalysisA root cause analysis (RCA) is “a process for identifying the basic or causal factors that underlie variation in performance, including the occurrence or possible occurrence of a sentinel event” (Cherry & Jacob, 2011, p. 442). The participants during the root cause analysis would be the emergency room physician (Dr. T.), the Mr. B’s LPN and RN (Nurse J) during the time of the sentinel event, the emergency room nurse manager, and the chief nursing officer (CNO) of the hospital. These members would meet in a root cause analysis meeting to discuss the causative factors that created Mr. B’s sentinel event. The first step in a root cause analysis on the sentinel event that caused Mr. B’s death is to gather the data surrounding the situation.
Professional Roles & Values--Task 3 It is imperative that the FNP recognize her role to better meet the needs of the client. The nurse should meet with the FNP to explain the resources that are available at the clinic (ie: other staff members) During the meeting with the FNP the nurse should have policies on hand that have specifics of what the FNP should do in certain situations (ie: when to refer the patient to the high-risk clinic). The FNP needs to understand that while she is concerned about the patient it is her obligation to ensure the patient receives safe, quality care. When delegating the nurse is still accountable and responsible for the nursing practice. The nurse should ensure that when they delegate the person they are delegating to is competent enough for the task.