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Ethical nursing practice questions
Personal reflection on nursing ethical practice
Personal reflection on nursing ethical practice
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Introduction
Nurses frequently work in situations where the boundaries of the nurses are being tested. Their respond to these “tests” is a matter of nurses and professional integrity, by virtue of the power inherent in their professional role are expected to do the right thing even it is not always clear what “doing the right thing” might look like. Similar to the fence around one’s yard or the walls around one’s house, metaphorically boundaries mark the parameters of the professional role. (Baron, 2001; Wysoker, 2000).
According to Holder & Schenthal (2007), a broad definition of professional boundaries is the “limit which protects the space between the professional’s power and the patient’s vulnerability”. Professional boundaries are the spaces between nurses and patients, nurses and doctors or even nurses with others multi inter professional health worker. The power of the nurses comes from the professional position, increase of knowledge, advance of role and accountability. Establishing boundaries allow the nurse to control this power differential and allows the safe connection in other to meet patient needs.
The government policy makers shown that nursing service are provided and to affect the career pathways and education. The policies are impacting on professional roles and boundaries in health care service. Nurses are becoming more individually on their own practice and they have been at the vanguard of new role development. The nursing profession has also been challenges by advances technology in health care. By becoming more knowledgeable about policy, legal and ethical standard decision-making, nurses can conquer these challenges. The demand of policy, legal and ethical standard would promote greater knowledge, acco...
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...ere taken to protect nurses. Common practice here is medical directive. Medical directive means a medical instruction given to paramedic regarding medical management or procedure to perform to patient. The document should include the procedures approved that can be performed by nurse and endorse by the head of department. These documents also have to audit frequently to ensure it is updated and relevant with the current situation and demands.
As conclusion, crossing a professional boundaries bring a lots of benefits and weaknesses. However, nurses must remember they are nurses all the time thus it is vital to seek advice early when problem around professional boundaries arise and as for the medical profession, they have to value nurse’s knowledge and expertise in order to shares experience, knowledge and skills for future development of healthcare practitioner.
In nursing school, nurses are taught to apply the nursing process to administer care safely and effectively. However, that value doesn’t always coincide with the employer. Instead it is about the e...
It is always advisable for nurses to work within their scope of practice, so that they can deliver good care while standing on the safer side. Bibliography Anderson, L. (2013, February 10). understanding the different scopes of nursing practice. Retrieved 01 22, 2014, from nursetogether: http://www.nursetogether.com/understanding-the-different-scope-of-nursing. .
Health care reform has been a major issue over the past decade. The Nursing industry has in particular experienced a period of unpredictable change. On Dec 24, 2009, a landmark measure was passed in the senate by a vote of 60 to 39. This decision to pass the health care reform will change America forever. Nurses will constitute the largest single group of health care professionals. They will have a huge impact on quality and effectiveness in health care. The nursing industry will help hold this new program together by acting as the glue (The nursing industry will be the glue holding the new health care in tact.) It is estimated that by 2015 the number of nurses will need to increase to over 4 million. Nurses are the backbone of the health care industry thus creating better polices for this profession will help ease the workload and high demand. A nurse’s main concern is always to insure quality care and the safety of their patients. Under the new health care reform several new measures have been set into place to ease the transition and improve the quality of care for all patients. One program is designed to fund scholarships and loan programs to offset the high costs of education. Nursing shortages and the high turnover has become a serious epidemic. Health care reform is supposed going to solve many of these problems.
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.
As a nurse, we serve a society which is very culturally diverse. We provide care to many individuals whom have their own unique set of ethics, values, morals, and beliefs by which may be very different from our own. Because of our professional role, we must use lifelong learning as a tool to broaden our views, increase our knowledge, and understand the influences which affect it. To make this possible, we have to continually educate ourselves about the nursing laws, professional standards, and code of ethics all of which we are committed to.
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).
This paper serves to inform individuals about the benefits, challenges and education facing nurses. In the review of literature, one source is obtained from the SVSU database which describe the benefits of nursing; two additional SVSU database sources will also describe the challenges. In addition, a case study is evaluated, which shows the correlation between the career and the pass/failure of the NCLEX-RN exam. This paper concludes with an analysis of the information gathered, showing why nursing is a field that others should consider as a career.
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.
As health care providers, nurses strive to instill confidence in their patients and their loved ones. A nurse is respectful to their colleagues as well as their patients. Nurses promote patients’ independence, patients can be confident in the knowledge that a nurse will do what is best for them, respecting their privacy and dignity. This means that a nurse does not share the patient information for personal reasons nor does the nurse get involved in a patients personal relationship if it is not medically relevant (NCSBN, 2011).
The nurses do this by following their scope of practice, this involves being with the patient every step of the way and ensuring they are in proper care. While doing such, the nurses consider their own mental state in order to give that proper care. This example meets the standard of professional responsibility and accountability indicator 6(CRNBC,2013) as the nurses were aware of how to maintain fitness to practice by recognizing how to set boundaries and safeguard their emotional
Nursing may be seen as very independent work even though there will be situations that will require others. Friendships may be formed; however, to have professional interactions is something that is not always followed. In terms of patient confidentiality, we may not realize that a HIPPA violation has occurred due to friendly conversation with coworkers. If a patient were to overhear their nurse discussing their information in an unprofessional manner then it may cause issues with a patient’s dignity and their rights. If a patient’s right is violated then it can lead to a patient’s mistrust in their caregiver, leading to mistrust in the facilities, and can end with a patient’s health being compromised. The patient is the reason for this career; if the needs of the patient are being unmet or violated then the purpose of our occupation will be unsuccessful and
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...
Professionalism as I would define, is following facility guidelines and adhering to protocols. An act of professionalism consists of these following characteristics; “human dignity, truth, integrity, excellence, knowledge of duty, following proper work ethics, and social responsibility” (Whiteside 135-136). For this term paper, I chose to include professionalism examples in healthcare. The roles of a care-taker and a nurse hold many examples that pertains to professionalism in the workplace.
Professionalism in the workplace in many professions can be simplified into general categories such as neat appearance, interaction with clients, punctuality, general subject knowledge, and likability. In nursing, professionalism encompasses a much more broad and inclusive set of criteria than any other profession. Nurses specifically are held to a higher standard in nearly every part of their job. Nurses are not only expected to uphold what it seen as professional in the aforementioned categories, but they are also expected to promote health, wellbeing, and advocate for patients, but also continually provide the highest standard of care, demonstrate exemplary subject and procedural knowledge, and abide by the Code of ethics set forth by the American Nurses Association. This Code of Ethics includes the complex moral and ethical principles of autonomy, beneficence, nonmaleficence, fidelity, honesty, and integrity.
Professionalism plays a crucial part in a nurses’ career. As nurses, we are expected to