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History and evolution of nursing
Nursing ethics and legal case studies
Understanding of legal issues in nursing
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Nursing and the Law
There have been many different definitions of nursing throughout the years. Florence Nightingale in 1859 defined nursing as having “charge of the personal health of somebody . . . , and what nursing has to do . . . is to put the patient in the best condition for nature to act upon him” (American Nurses Association [ANA], 2010a). As the nursing profession evolved, the definition had to as well to encompass all of what nursing had become. Today, the ANA (2010a) defines Nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.” The nursing role continues to evolve in the healthcare field. Nurses are more involved in patient care decision making, they are gaining more autonomy and they have more professional accountability than ever before (Tzeng, Yin, & Schneider, 2013). This paper will discuss a registered nurses obligation to provide the public with safe and competent care, including the challenges they may face if they fail to provide care under their standards of practice.
Protection for the Public
The practice of nursing requires specialized knowledge, skill, and independent decision making. The level of autonomy can pose a risk of harm to the public if practiced by professionals who are unprepared or incompetent (Russell, 2012). The state is required to protect its citizens from harm. States are able to provide this protection in the form of reasonable laws to regulate nursing. Each state government has enacted laws which protect the public’s health and welfare by overseeing and ensur...
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Brous, E. (2012). Common Misconceptions about Professional Licensure. American Journal Of Nursing, 112(10), 55-59.
Cartwright-Vanzant, R. (2011). Standards of care. Journal Of Legal Nurse Consulting, 22(1), 14-18.
Chhoker, V., & Rastogi, P. (2010). Negligence in nursing care. International Journal Of Nursing Education, 2(2), 32-34.
Nurses and medical malpractice. Case study: Medication administration error and failure to monitor. (2011). Washington Nurse, 41(1), 51-53.
Couig, M., Johnson, K. A., & Cathy. (2011). Nursing Scope of Practice Issues in Public Health Emergencies. Journal Of Nursing Regulation, 2(3), 13-18.
Russell, K. A. (2012). Nurse Practice Acts Guide and Govern Nursing Practice. Journal Of Nursing Regulation, 3(3), 36-42.
Tzeng, H., Yin, C., & Schneider, T. E. (2013). Medication Error-Related Issues In Nursing Practice. MEDSURG Nursing, 22(1), 13-50.
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
Approximately 100 years ago a Board of Nursing (BON) was established to help ensure the protection of society through rules and regulations of proper nursing practice. The goal of the BON is to provide “regulatory excellence for public health, safety and welfare” (National Council of State Board of Nursing [NCSBN], n.d., para. 1). The duties of the board is to implement the Nurses Practice Act, handle licensures, accredit nursing programs, develop policies, rules, and regulations and develop standard practice (NCSBN, n.d.). As we continue throughout this paper we will be looking specifically at the Mississippi Board of Nursing (MSBN) and how it is governed.
As a nurse it is our primary job to protect and promote the well being of patients throughout the health care industry. Each nurse has the responsibility to practice faithfully and to uphold all ethical values. These values are outlined and regulated by two very important entities, The Nursing Practice Acts and the Texas Board of Nursing. Nursing Practice Acts, are specific laws in each state that define a nurse’s scope of practice. These acts were first established in 1909 with the purpose of protecting public health, safety, and welfare. Their purpose is to provide rules and regulations that will protect society from unsafe and unqualified nurses. Nursing professionalism is rooted in the ethics and ...
Some method such as audits, chart reviews, computer monitoring, incident report, bar codes and direct patient observation can improve and decrease medication errors. Regular audits can help patient’s care and reeducate nurses in the work field to new practices. Also reporting of medication errors can help with data comparison and is a learning experience for everyone. Other avenues that has been implemented are computerized physician order entry systems or electronic prescribing (a process of electronic entry of a doctor’s instructions for the treatment of patients under his/her care which communicates these orders over a computer network to other staff or departments) responsible for fulfilling the order, and ward pharmacists can be more diligence on the prescription stage of the medication pathway. A random survey was done in hospital pharmacies on medication error documentation and actions taken against pharmacists involved. A total of 500 hospital were selected in the United States. Data collected on the number of medication error reported, what types of errors were documented and the hospital demographics. The response rate was a total of 28%. Practically, all of the hospitals had policies and procedures in place for reporting medication errors.
Agyemang, REO, and A While. "Medication errors: types, causes and impact on nursing practice." British Journal of Nursing (BJN) 19.6 (2010): 380-385. CINAHL Plus with Full Text. EBSCO. Web. 7 Mar. 2011.
In this essay the author will rationalize the relevance of professional, ethical and legal regulations in the practice of nursing. The author will discuss and analyze the chosen scenario and critically review the action taken in the expense of the patient and the care workers. In addition, the author will also evaluates the strength and limitations of the scenario in a broader issue with reasonable judgement supported by theories and principles of ethical and legal standards.
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
Association, A. N. (2010). Nursing Scope and Standards of Practice. (2nd ed.) Maryland: American Nurses Association. Retrieved January 20, 2014 from http://media.wix.com/ugd/8c99f2_4fde86431966e34f2e03bbb137edfee3.pdf
American Nurses Association (2010). Nursing: Scope and standards of practice (2nd ed.). Silver Spring, Md: American Nurses Association.
Barnett, Wilson J.(1986). Ethical Dilemmas in Nursing. Journal of Medical Ethics. Retrieved on 12th July 2010 from
Tzeng, H., Yin, C., & Schneider, T. E. (2013). Medication Error-Related Issues In Nursing Practice. MEDSURG Nursing, 22(1), 13-50.
O’Shea, E (1999) Factors contributing to medication errors: a literature review. Journal of Clinical Nursing. 8, 5,496-503.
According to the American Nurses Association, nursing is defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations” (American Nurses Association, 2016). Nurses have many jobs and responsibilities and wear many different hats. Nurses can perform at many different levels depending on their scope of practice which is defined by the board of nursing in one’s state of residence. It is important as nurses to understand and follow
In every nurse's career, he or she will face with legal and ethical dilemmas. One of the professional competencies for nursing states that nurses should "integrate knowledge of ethical and legal aspects of health care and professional values into nursing practice". It is important to know what types of dilemmas nurses may face
One of the goals of nursing is to respect the human rights, values and costumes of a patient and his or her family and with the community as a whole. The International Council of Nurses states that nursing practice can be defined generally as a dynamic, caring, helping relationship in which the nurse assists the client to achieve and maintain optimal health. As health care providers, we have some fundamental responsibilities such as to promote health, to prevent illnes...