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Role and responsibilities of a nurse
Role of nurse
7. Principles of patient clinician communication
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With reference to the patient within my scenario: the patient is also a practicing ward nurse and has been so for the last eighteen years. On one occasion, the patient had removed her own IV leur believing that she had completed all of her IV medications. Unfortunately, I needed to administer Ferinject IV medication but was delayed in doing so until a new IV leur could be inserted several hours later. On a separate occasion, the patient had forcefully snatched her hospital notes out of my hands, stating that ‘I am a nurse, it is my right to see this’. Due to these two instances, I have decided to investigate the nurse-patient role and relationship in regards to power balance.
I believe that, in accordance with Beck, (2013), nursing and patient
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Therefore, she may find it harder than most of the population to transition into the role of the patient and rely on others to make clinical judgements to promote and protect her recovery. Moreover, she was in a lot of physical pain, with her right leg in a full cast, causing her to be at bed rest. This I believe, as well as the patient being more aware of the inner workings of the hospital compared to other patients without a medical background, may of contributed to her ill ease and need to feel in control of her nursing care, over that of her care plan set by the …show more content…
However, ethically it was my role of responsibility or that of my registered nurse, to openly share medical knowledge and provide health care education for the betterment of the patient. This is an example of facilitating autonomy without crossing the boundary of making decisions for the patient, Choi, (2015). Moreover, within the scenario, I did support the patient’s self determination, by explaining to the patient that she could fill in the appropriate hospital permission form to read her chart with a doctor present, so medical diagnosis and medical terminology can be properly explained through the correct channels. Although the patient is a nurse by profession, it is outside of her scope of practice to be using her title as a nurse while she is a patient as she too must follow hospital protocols and ethical guidelines like any other
Nurses are required to protect and support their patients if they are to be an efficient patient advocate. Ethically questionable situations are quite common for nurses that conflict with their professionals and personal morals. At times, the patient necessitates the nurse to speak out for them demonstrating
Although nurses do not wield the power of doctors in hospital settings, they are still able to effectively compensate for a doctor’s deficits in a variety of ways to assure patient recovery. Nurses meet a patient’s physical needs, which assures comfort and dignity Nurses explain and translate unfamiliar procedures and treatments to patients which makes the patient a partner in his own care and aids in patient compliance. Nurses communicate patient symptoms and concerns to physicians so treatment can be altered if necessary and most importantly, nurses provide emotional support to patients in distress.
Nurses are central to patient care and patient safety in hospitals. Their ability to speak up and be heard greatly impacts their own work satisfaction and patient outcomes. Open communication should have been encouraged within the healthcare team caring for Tyrell. Open communication cultures lead to better patient care, improved outcomes, and better staff satisfaction (Okuyama, 2014). Promoting autonomy for all members of the healthcare team, including the patient and his parents, may have caused the outcome to have been completely different. A focus on what is best for the patient rather than on risks clinicians may face when speaking up about potential patient harm is needed to achieve safe care in everyday clinical practice (Okuyama,
A nurse provides a pain medication to alleviate patient’s pain. Confidentiality- a nurse refuses to give patient’s health history to her colleague, even if a colleague claims that a patient his/her close family member. Fidelity- a patient asks the health care provider to put a DNR on her record and begs a nurse not to mention her wish to her family members, otherwise they will be disagreeing with a patient’s last wish. A nurse has an obligation to keep given information in confidence as a respect to patient’s wish. Justice- a nurse provides the same health care for HIV positive and negative patient. Values- a nurse stays longer at work and provides patient care, even if her shift is over. The nurse reflects a value of altruism. Veracity- a nurse is about to announce to the patient that she has a benign brain tumor. The patient’s daughter is afraid that her mother will not be able to handle the news and suggest the nurse to tell her that she has a migraine instead. A nurse proceeds with her decision and inform the patient about her diagnosis and treatment methods. Nonmaleficence- a nurse under alcohol or drug influence deliberately continues to provide patient care. Ethical dilemma- a patient with a diagnosis of stage four liver cancer who is receiving palliative care in hospice does not have a living will in his health record. A nurse tries to convince patient’s children to put a DNR order to the patient’s health record and explains the reason why such an order is suggested. In the contrary, patient’s children insist to perform CPR on the patient and threaten to sue medical
The healthcare system can be difficult for clients to navigate and they are often unsure how to access information which puts them at the mercy of others and can lead to feelings of helplessness (Erlen, 2006). Nurses can provide resources to educate patients when they becomes dependent on a health care provider and no longer feel in control of their own body which can lead to fear, hopelessness, helplessness and loss of control (Cousley et al., 2014). The change in roles individuals face can further increase their stress and feelings of powerlessness (Scanlon & Lee, 2006). According to the CNA code of ethics, nurses are responsible for protecting patients from objective risks that place them in an increased level of vulnerability (Carel, 2009). They can do this by providing the resources necessary for patients to educate themselves and be better able to cope with the health challenges they
1. Legal, ethical and professional principle frameworks underpin all fields of nursing, and it is a requirement for all Registered Nurses to be competent and knowledgeable, act with integrity and maintain professional standards set out by Nursing and Midwifery Council (NMC, 2015). Working with multidisciplinary teams within our profession, it is important to acknowledge and recognise the way in which all the professionals are guided by law and their independent regulatory bodies. The needs of the individual patient is to be considered by doctors and nurses alike, who share professional values and are set out in the respective codes of practice, The Code (NMC, 2015) and GMC (2013).
Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as well as the nursing standards. Through education in areas such as confidentiality, boundaries can remain in tact and the patient care can remain within the zone of helpfulness.
Personally I would be embarrassed at the thought of someone questioning my nursing judgment and actions. I am not someone to get confrontational when I know I have made a mistake even a small mistake. I try to be very aware about my actions and how I affect others. I believe I would most likely breakdown emotionally and explain how I had become unintentionally over involved. I would explain I just wanted to help Matt because he reminds me so much of my brother. I also would say that I am having problems with my husband and I felt like I had a good connection with Matt. I just seen a hurting body and soul and just didn’t want him to fall into a greater depression. I would apologize and admit I was wrong and would understand how my little mistakes turned into a huge one. I would apologize and ask how I could make amends and might make a change in departments.
I introduced myself to the patient stating that I was a student nurse and gained verbal consent to carry on with the assessment, as a student nurse you must respect patients wishes at all times, if t...
The American Nurses Association Code of Ethics for Nurses has five elements that pertain to the Principle of Autonomy. Each individual element applies to “respect individual persons” (Baillie, McGeehan, Garrett T, M., Garrett R. M., 2013, p.33). In Chapter 2 of the Health Care ethics: Principles and problems text, it discusses thouroghly the consent of an individual to make their own decisions regarding their health and future requests of care. As a nurse or within all heath care professions, we must treat each individual patient with care, respect, and to remain mindful to the patient regarding any aspect of their lives. In the ANA Code of Ethics for Nurses, it explains ways of maintaining the empathy required in the health field. It further discusses that the respect for human dignity must be a priority, relationships to patients must remain neutral, the severity of the situation, the right to self-rule, and the professionalism that must be upheld by the nurse and their associates.
This relationship can be classified at StaR. Within this relationship, patient and nurse are both able to “offer different perspectives and considerations about the illness” (Nelson, Batalden, Godfrey, & Lazar, 2011). Since the patients and nurses do not have similar training and knowledge there is a lot of knowledge to be shared between them. Talking is one of the main ways to communicate. Just as there needs to be time for a patient and their doctor to talk as previously mention, there also needs to be time for the patient and nurse to sit down and talk and listen to what is being said. Sometimes today there is such a rush to get things done that this concept of talking and really listening is usually glossed right over. In this relationship there may be
In conclusion, there are numerous legal and ethical issues apparent in the nursing practice. Nurses should study and be as informed as they can with ethics and legality within their field in order to ensure no mistakes occur. Ethical issues vary based on patient’s views, religion, and environment. Nurses are influenced by these same views, but most of the time they are not the same as the patients. As a nurse we must learn to put the care of our patients and their beliefs, rights, and wishes before our own personal
The nurse patient relationship begins to develop the moment a nurse steps into a patient’s room. Rapport is often overlooked in how it can affect the care and compliance of patients. During my experience on 5100 postpartum I have to learned how important it is to develop rapport with my patient right from the moment I meet them. Patients who do not feel a connection with their nurse are more likely not to trust them and follow their instructions or guidance (Barkley, 2015) In my particular experience with a patient I did not develop good rapport right from the beginning that resulted in her begin apprehensive to receiving an immunization. I did not realize how important is for me to have a good relationship with my patient to be able to conduct
Mrs S. is an 88 years old female patient who lives on her own, and was admitted into a rehabilitation ward following a hip operation due to a fall at home. She has a past medical history of Congestive Cardiac Failure (CCF), diverticulitis, and asthma. Also, Mrs S presented with rapid weight loss, palpitation, feeling tired, peripheral oedema, fatigue, difficulty breathing when lying flat in the bed, waking up at night with shortness of breath and anxiety. In addition to all that she had a pressure sore in her bottom that was not broken. In order to have good holistic care of Mrs S, the nursing process was used as identified by Sibson. Sibson (2010) identifies four key steps to the nursing process, which are assessment, planning, implementation and evaluation; which are important for ensuring a quality standard of nursing care.
Establishing relationships with others are vital not only in one’s personal life, but equally important to establish in their professional life. Background, self-concept and self-esteem, self-awareness and self-disclosure, attitudes and values, and motivation are individual characteristics that determine how successful these relationships become. The topic of this paper will focus primarily on that of attitudes, values, and motivation (AVM). A more in depth explanation and examination will show why and how this topic impacts the building of relationships. Finally, the success of personal and professional lives depend upon an attitude to better understand the values of others, and the motivation to adapt, change, and respect the differences