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Effectiveness of mandatory reporting
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Federal and state laws require that mandatory reporting as a legal and ethical requirement for Healthcare professional and Registered nurses and have an affirmative duty to the specified agency. Nurses are the most listed in all mandatory reporting statutes. Such status includes; child abuse, child neglect, medical neglect of children and elderly and also elder abuse in the community or nursing homes and domestic violence. According to CAPTA, child abuse/neglect is defined as follows: "Any recent act or failure to act on the part of a parent or caretaker, which results in death, serious physical or emotional harm, sexual abuse, or exploitation, or an act or failure to act which presents an imminent risk of serious harm" (Muller 2015). In Maryland, Professionals required to report include: Health practitioners, Educators or human service workers, and Police officers
Discuss the common ethical and legal implications of mandatory reporting for nurses regardless of the state in which a Registered Nurse practice.
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It is a mandatory duty to report violence against an individual or individuals exists with no exception to the directive. Is must be reported without fail and no excuses and does not involve nurse-patient confidentiality; it does not involve another staff member or administrator telling you not to report your concerns, or a family member pleading with you not to report your observations do not affect your duty to report. Failure to report any abuse when required, for instance, child neglect, might result in Professional disciplinary action by the state board of nursing, loss of any certifications and criminal prosecution
Participating in the Mandated Reporter Training is a helpful tool for understanding the role of a social worker as a professional if and when one learns information concerning abuse of a minor. The goal of a social worker is to improve the quality of life for all individuals and if one learns about any type of abuse-physical, sexual, emotional, and/or neglect- it is their responsibility to bring this information to the proper authorities. The training stated that, “Research has shown that when multidisciplinary protocols are followed arrest and prosecution rates increase and trauma to the child decreases” (Arizona Child Abuse Info Center).
It’s vital as well for the nurse to spot and report any form of breachment in confidentiality or morally unjust actions. Being silent can be just as lethal as the one performing the
As a healthcare professional, everyone that we encounter with is perceived differently and each patient is treated differently depending on what is needed. Horizontal violence, on the other hand, is considered to be subjective, meaning that the effects differ person to person. The effects of the person may grow if they are not addressed. One of the traits that all nurses, I believe, must have is to be able to work as a team. This trait regrettably can offset due to verbal abuse and other intimidating behaviors that can cause health professionals to refuse to share information needed to provide the best patient care. Communication between colleagues is needed because if does not exist this will again affect the patients care and their own safety.
Many registered nurses define horizontal violence differently because being a nurse they have seen many type of horizontal violence throughout his or her career. Horizontal violence defined as bullying or mistreatment of a group or individual physically, verbally and psychologically (Ahrens, 2012). Some examples that would be consider physical would be sexual misconduct. Verbal violence would be rude comments or cussing at one author. In addition, to psychological violence would include being fussed at in front of patients and or their families by a co-worker for doing something wrong and nurses purposely withholding information from another nurse, which causes patient’s needs not to be met. The horizontal violence in the work place puts lots of stress on nurses especially registered nurses (R.N.) . Nurses who tolerate horizontal violence tend to have depression, low self-esteem, missed days from work, become fatigued, burnout, causes hospitals, or clinics to have nurse ret...
Rodríguez, M. A., Wallace, S. P., Woolf, N. H., & Mangione, C. M. (2006). Mandatory reporting of elder abuse: Between a rock and a hard place. Annals of Family Medicine, 4(5), 403-409. doi:10.1370/afm.575
I have taken a training on mandatory reporting every year as it is required by the agencies I have worked for. As a result, I did not learn anything new from this particular training. However it serves as a reminder of my duty to report and the importance of such a duty in the work that we do. What I would like to see is a training on reporting for adults who are at risk, particularly the elderly and/or adults with a serious mental illness that have a guardian or live in assisted living. I do not know if the mandatory reporting laws extend to cover adults however I feel that if social workers suspect abuse, especially amongst at risk adults such as the elderly or seriously mentally ill, these suspicions should be reported to law enforcement and Adult Protective Services much in the same way as mandated for suspected abuse of
Nurses. They are such a vital part of any hospital and in any medical offices. Their main focus is on the care of individuals, families, and communities so they can recover to perfect health. But with the constant demand, shortage staff and need for nursing, help or hurting them. During my research, I found that some people agree that overworking nurses is okay because the hospital still thrives and that an overworked is just collateral damage. Other think that overworking nurses is wrong and something should be done to change the problem. In this paper, I will discuss effects of nurses being overworked back by research.
There are so many people who could be considered as third parties who are obligated by state laws to report any type of neglect or abuse to the proper authorities. To get to the point some of the third parties who have a commitment to report child abuse or neglect which happens to be in the professional field are doctors, dentists, teachers, police officers, day care workers, clergymen, lawyers, therapists or counselors and etc... Sometimes professionals who are considered to be third parties have the advantage to whether or not if they report child abuse or neglect to the proper authorities. Others people that can be considered as third parties are family members, friends of the family and associates, but most times these groups of people may find it difficult to do so because of family ties to the abuser (Hess & Orthmann, 2010).
The nurse is required by Ohio law to report the abuse of a minor ("Report child abuse and neglect," n.d.). The only options available are how to do the reporting. The nurse can keep the child in the office while contacting the Ohio Department of Job and Family Services to report the abuse and to get the child removed from the environment right away. This can result with the child being placed into foster care or with other family members while it is determined if it is safe for the child to return with the biological father. The other option is to report the abuse anonymously and allow the Ohio Department of Job and Family Services to follow up on the tip later. This option would allow the child to return to the abusive environment that can result in further injuries that may be life threatening. Technically, the only ethical option is to report the abuse right away and remove the child from the
The government designates certain professionals within society as mandated reporters. This means that if a person, who holds a position identified by the government, suspects that a child is being abused or neglected, they must go through the process of reporting the abuse/neglect to their local Department of Health and Human services office (“Michigan Child Abuse Laws”, 2017). This policy is relevant not only to those working within the social work field, but also to those who work closely with children, such as teachers and day care workers. Michigan’s Child Protection Law identifies citizens in the following positions as mandated reporters:
Consent for medical treatment is the responsibility of the medical provider (e.g. physician, dentist, nurse practitioner). Informed consent contains information on:
Horizontal violence behaviors are not conducive to a culture of safety, which is what healthcare should be all about. Nursing Manages, Hospitals and different organizations must have a “zero tolerance” policy for this behaviors and a protection policy for the nurses reporting the situations. Only we as nurses and other health care personnel have the capacity to eliminate horizontal violence and fulfill our commitment to our patients, families and communities in a safe environment.
Workplace violence in the nursing profession has been extensively reported and documented. It is associated with serious negative consequences both for the nurse and their patients. Such disruptive behaviors in the nursing profession severely impact the emotional and mental well-being of the nurses that in turn affects retaining qualified and experiences staff in a healthcare organization. Such type of violence is considered as a major occupational hazard and condemned by major nursing organizations including the CENTER for American Nurses and American Nurse Organization. In the nursing profession workplace violence includes several types of negative behavior such as lateral violence, bullying and aggression. Lateral or horizontal violence is described as harmful or disrespectful behavior towards a coworker or a group of coworkers which in essence denies them of their basic human right and has a profound negative effect on their self-esteem and confidence (Becher & Visovsky, 2012). While lateral violence is mostly observed among peers or coworkers bullying is generally observed between a higher authority staff and those working under them such as a nursing supervisor and a staff nurse. Bullying is mostly verbal in nature which involves the use of abusive language, intimidation, insult and using authority to subdue, threaten or humiliate their subordinates (Lateral Violence and Bullying, 2008). When nurses are subjected to any kind of horizontal violence or bullying over a period of time it unduly affects them with physical, emotional, mental and financial consequences. In addition such workplace violence also brings forth negative consequences for the healthcare organization and patients in particular. Thus given the seriousness o...
Conclusion Child abuse and neglect is a very serious issue that can not be taken lightly. We need to provide continuing public education and professional training. Few people fail to report because they want their children to suffer abuse and neglect. Likewise, few people make deliberately false reports. Most involve an honest desire to protect children, coupled with confusion about what conditions are reportable.
Saying that you are a registered nurse is a broad statement. Registered nursing is a job that has many aspects. Registered nurses work in many different settings and they carry out many different routines. As a registered nurse you could be exposed to many different opportunities. My goal is to be a registered nurse but, I need to learn a lot. Becoming a being a registered nurse requires a lot of hard work and effort but, if I focus on my goal I will be able to achieve it.