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.
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.
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
However, those in nursing can be distinguished by its emphasis on relationships, collaborative care and human dignity.” Legal and ethical issues can intertwine and can vary from person to person. The issues faced by nurses in their practice are based on what the individual believes is right or wrong and according to Guido (2010) ethics embodies a process of establishing standards of conduct and moral judgment. The chief ideologies of healthcare ethics that must be supported in every day clinical practice are beneficence, nonmaleficence, autonomy, and justice. Beneficence means promoting actions that are beneficial. Nurses work to foster what is best for their clients and attempt to achieve optimal outcomes.
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.
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.
They are the families’ contact with the medical world, in the hospital and at the patients’ home. A nurse regularly evaluates patients and check vital signs to make sure everything is going as planned. Nurses perform procedures such as IV placement, phlebotomy and administering medications. (1988) Working hours for a nurse are different almost all the time because no one can predict when an emergency is going to happen. They must be available twelve hours a day, nights, weekend, and be able to handle any rotations or changes in their shifts.
It becomes burdensome when the terminal client, has no advanced directive and the loved ones that are to make decisions are in disagreement with each other. The Nurse Practice Acts and Code of Ethics for Nurse’s can help with dealing with ethical and legal issues in Nursing. An example of a malpractice case is a nurse as a witness in a malpractice suit that involved harm to a client. The case is against the healthcare institution, and a nurse whom she knew was overtly negligent. On previous occasions, it is noticed this nurse violating standards of care.
There are so many different ethics situations that could arise in nursing, for example, bringing hospice in for a patient who needs it, but doesn’t want to admit it or bringing social services into a situation where a patient might be being abused. The advice this RN gave was to stay open to the situation and diplomatic. Sandy also said don’t hesitate to use your authority if need be. It is our duty as a nurse to make sure the well being of your patient is being met. Completing this assignment gave some insight into the real world of nursing not just what you see on TV.
One must have communication and interpersonal skills, you must be able to properly explain a procedure to a patient and their families, as well as being able to communicate with your patient to provide the best care. You must have patience, you must be able to adapt to your patient and their needs. Some patients are very needy and need constant care, others want nothing to do with anyone and want to be left alone. Both types of patients are seen every day and must be dealt with accordingly. Another skill a successful Nurse should have is empathy, many patients are confused and scared about their conditions and it’s the Nurses job to show that they understand and try to further explain the condition using words that will not frighten or confuse the patient.