The fictitious clinical audit that has been presented above does not involve anything being done to patients. Therefore, this audit does not require formal ethical approval. However, audits must always be conducted within the ethical framework, ensuring patient and staff confidentiality throughout. According to the ‘Data Protection Act’ (1998), there are eight principles an audit must comply with (See Appendix L) this is to ensure that the information gathered is handled accordingly. In accordance with the ‘Data Protection Act’ (1998), that any data collected must not be reviewed by non-trust staff, and any data collected must be anonymised such as name, address and date of birth. Any data collected with this information will be destroyed …show more content…
A common fault is taking into consideration how busy the wards are at times. In adolescent inpatient settings, there are many incidents in a short period of time. In these circumstances implementing a 24-72 hour debrief for staff and patients can prove difficult (NICE,2015). Another challenge of achieving this audits outcome into debriefs is that nurses have other commitments and typically have a high caseload, this can mean that debriefs can be quickly forgotten (Dhamija et al.,2012). Clinical engagement from patients and staff can also prove difficult, due to them not being psychologically ready to take part. Another limitation of carrying out this audit is that staff would need extra training on how to approach young people to feel supported when they are involved in the debrief process (NICE,2015). Debriefs are also not carried out routinely, and only when staff remember. It is also difficult to get all the necessary staff involved in the debrief, due to different shift patterns. NICE (2015) suggest that recording of violence and aggression is currently variable; therefore, it is difficult to get a clear picture nationally if debriefs are happening. Gabbay (et al.,1990) highlighted that not all healthcare professionals are familiar with clinical audits, but those exposed have an appreciation of the process. However, Gabbay (et al.,1990) added that sometimes healthcare professionals could refuse to take
This essay will take inspiration from a theoretical character named Sam (see appendix 1).Sam is a minor aged fifteen who, after a head injury whilst watching a game of football attends her local accident and emergency department. Whilst in the company of her mother she initially denies the possibility of a pregnancy but when taken to for an x-ray and separated from her mother admits that she could be pregnant. Sam’s case highlights issues of confidentiality, consent and disclosure of information.
Through the utilisation of the accompanying text, I aim to discuss and reflect upon one person’s care, to which I have had previous involvement. Using the perspectives set out by Chapelhow et al (2005), I aim to gain a broader outlook on what is expected of me as a Student Nurse. Chapelhow et al (2005) has identified six skills that they feel are required of every Health Care Practitioner. These skills are defined as ‘enablers’ as they are fundamental skills that provide the means for expert professional practice (Chapelhow et al 2005). Although there are six skills outlined, I will only be using two of them to analyse the care I provided. I have chosen to use communication and risk management as my two enablers.
This systems limits patient involvement creates a delay in patient and nurse visualization. Prior to implementation of bedside shift reporting an evidenced based practice educational sessions will be provided and mandatory for nursing staff to attend (Trossman, 2009, p. 7). Utilizing unit managers and facility educators education stations will be set up in each participating unit. A standardized script for each nurse to utilize during the bedside shift report will be implemented to aid in prioritization, organization and timeliness of report decreasing the amount of information the nurse needs to scribe and allowing the nurse more time to visualize the patient, environment and equipment (Evans 2012, p. 283-284). Verbal and written bedside shift reporting is crucial for patient safety. “Ineffective communication is the most frequently cited cause for sentinel events in the United States and in Australian hospitals 50% of adverse events occur as a result of communication failures between health care professionals.” Utilizing written report information creates accountability and minimizes the loss in important information during the bedside shift report process (Street, 2011 p. 133). To minimize the barriers associated with the change of shift reporting process unit managers need to create a positive environment and reinforce the benefits for the procedural change (Tobiano, et al.,
The word ethics is derived from the Greek word ‘ethos’ meaning character or conduct. It is typically used interchangeably with word moral which is derived from the Latin word ‘moves’ which means customs or habits. Ethics refers to conduct, character and motivations involved in moral acts. Ethics are not imposed by a profession, by law but by moral obligation. It is unwritten code of conduct that encompasses both professional conduct and judgement. Ethics helps support autonomy and self-determination, protect the vulnerable and promotes the welfare and equality of human beings. An ethical dentist- patient relationship is based on trust, honesty, confidentiality, privacy and the quality of care.1
Businesses across the world, including the United States, have a code of ethics statement within their business to stay professional, attract consumers, and stay away from the legal department. A code of ethics is a statement that explains the values and mission statement that goes along with their career. For instance, medical, business, social workers, and etc. have different mission statements and values for their consumers. During this essay, I’ll explain the medical code of ethics, how has the ethical code impacted myself, positively impacted my future company, job or society, lack of morals, my own professional code of ethics and life examples within the American Medical Associations Code of Ethics.
The ethical situation in question is a culmination of intolerance, ignorance, cultural insensitivity, and failure to follow hospital protocols and procedures. The location of the facility in which the ethical dilemma took place is a small, rural hospital in the Midwest of the United States of America. A new male patient has been admitted and he is currently a practicing Muslim. The facility does not have a large Muslim population and does not have any cultural protocols in place to accommodate the Muslim religion.
Ethical dilemmas are the issues that nurses have to encounter everyday regardless of where their workplaces are. These problems significantly impact both health care providers and patients. Patient safety is the most priority in nursing and it can be jeopardized by a slight mistake. Medication errors and reporting medication errors have been major problems in health care. Errors with medications have been found to be the most common cause of adverse drug effects (Brady, Malone, Fleming, 2009). Northwestern Memorial Hospital in Chicago conducted a research in 2012 that approximately forty percent of the hospitalized clients have encountered a medication error (Lahue et al., 2012). A nurse’s role is to identify and report these medication errors immediately in order to stop or minimize any possible harm to the patients. Ethical moral dilemmas arise when reporting the mistakes that have been made by one’s own colleagues, acquaintances, peers, or physicians.
Normally it becomes difficult for medical records to be completely sealed up. The greatest factor that affects confidentiality is when clinicians turn to share medical information as case studies. In any case such data happens to be published in professional journals, then the patient’s identity is never divulged and the entire data that identifies the patient become either eliminated or changed. However, if at all the confidentiality is breached, the patient may have the right of suing, British Medical Association (2008).
Reflection and analysis of critical incidents is widely regarded as a valuable learning tool for nurses. Practice requires us to explore our actions and feelings and examine evidence-based literature, thus bridging the gap between theory and practice (Bailey 1995). It also affords us the opportunity to change our way of thinking or practicing, for when we reflect on an incident we can learn valuable lessons from what did and did not work. In this way, we develop self-awareness and skills in critical thinking and problem solving (Rich & Parker 2001). Critical incidents? ?
Which is very important for nurses or any medical professional to do in the healthcare profession. Nurses are receiving these patients in their most vulnerable state, nurses are exposed and trusted with the patients’ information to further assist them on providing optimum treatment. Keeping patient’s information private goes back to not just doing what’s morally right but also it also builds that nurse – patient relationship as well. We also have provision three that specifically taps on this issue as well, as it states: “The nurse seeks to protect the health, safety, and rights of patient.” (Nurses Code of Ethics,
Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death. The ethics of PAS is a continually debated topic. The range of arguments in support and opposition of PAS are vast. Justice, compassion, the moral irrelevance of the difference between killing and letting die, individual liberty are many arguments for PAS. The distinction between killing and letting die, sanctity of life, "do no harm" principle of medicine, and the potential for abuse are some of the arguments in favor of making PAS illegal. However, self-determination, and ultimately respect for autonomy are relied on heavily as principle arguments in the PAS issue.
Cross and Sim (2000) cite Reid (1981) who defines confidentiality as “ the principle of maintaining the security of information elicited from an individual in the privileged circumstances of a professional relationship”. It has been highlighted by the Health Care Professional Council (HCPC, 2012) that when working in healthcare and dealing with personal information regarding patients, it is every health professionals role to ensure that information is handled correctly and kept safe. If for any reason personal information is required to be shared or passed on then the patient should provide informed consent (HCPC, 2012). The HCPC (2012) also note that if confidentiality is broken this may affect the care and patient relationship and result in patients being reluctant to share information important to their proper care.
In the medical ethics case study given to me, Justin is new nurse at a hospital and has become great help to the other employees but he makes mistakes often. When it comes to medical ethics, it is important to do what you know is morally correct. We all want to be good Christians and make the right decisions but sometimes those decisions will affect others negatively. We may not always act how we ought to but those decisions do affect who we are.
This profile adheres to the School of Health and Social Care’s guidelines set by Teesside University’s code of conduct in relation to confidentiality and consent. The profile also adheres to the NMC guidelines referring to consent and confidentiality as a real person has not been used; therefore consent did not need to be gained.
As the result of a colleague’s sudden serious illness, a clinical psychologist is asked to teach a physiological psychology course, which is definitely outside his area of expertise. The course begins in one week. The department chair recognizes that the psychologist is not competent is this area, but he is as qualified as anyone else in the department and is the only person whose schedule can accommodate the course. The course is required for graduation, and several seniors will not graduate at the end of the semester if they do not take the course now.