Safety is one of the most important aspects of nursing care. On a psychiatric inpatient unit safety is extremely important (Slemon, Jenkins, & Bungay, 2017). Patients on psychiatric units are more likely to become violent then patients on other inpatient units (Slemon, Jenkins, & Bungay, 2017). Nurses should be watching patients for anger and agitation. The earlier these emotions are treated the less likely there will be violence on the unit. It’s the nurse’s responsibility to be observing patients at all times to decide if a situation is escalating. Nurses have the responsibility of upholding safety for themselves, patients, other staff, and the community. Nurses can enforce nursing protocols to increase safety on the unit. Some nursing …show more content…
This includes one on one observation and monitoring for high risks patient, such as suicidal patients (Slemon, Jenkins, & Bungay, 2017). This observation can be intermittent or constant. Another close observation is fishbowl nursing stations (Slemon, Jenkins, & Bungay, 2017). Fishbowl nursing stations are ones that are locked, but are completely see through so the nurses can keep a close watch on all the patients. Using close observation has shown to decrease injuries on psychiatric units (Slemon, Jenkins, & Bungay, 2017). Nurses can watch patients closely to notice and deescalate situations if needed. If a situation can be controlled before a patient gets violent, there will be decreased injuries within the unit. Part of close observation is seclusion of patient. Seclusion is putting a patient in a safe, private room when they get violent (Slemon, Jenkins, & Bungay, 2017). Seclusion is used often in inpatient setting. Slemon, Jenkins, & Bungay (2017) found that about one in five patients report being secluded during their psychiatric inpatient stay. Secluding a patient during needed times helps other patients and workers feel safer on the unit (Slemon, Jenkins, & Bungay,
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,
Frye v. United States and Daubert v. Merrell Dow Pharmaceuticals are both legal decisions that set forth standards as they pertain to the admissibility of scientific or forensic evidence, and the admissibility of expert witness testimony. Both cases deal with the admissibility of evidence in judicial proceedings, and prevent prosecutors from abusing the use of expert witnesses and testimony. Due to a loophole that dismisses recent scientific advances when applying the Frye Rule, the Supreme Court revisited Frye, and “took the occasion to issue guidelines for deciding the admissibility of scientific evidence” (Gaensslen, Harris, & Henry, 2008, p. 53). The decision resulted in a five-prong approach called the Daubert Standard.
Myers, et al., (2016) performed their study as through collaboration with a New York State wide study to explore nuurses’ experience with lateral violence. Myers, et al., (2016) offered both online and paper surveys for nurses comfort. The study revealed that lateral violence is seen throughout all roles of nurses from staa nurses to leadership roles. The results of this study led the organizations to perform educational programs and provide open forums to give staff the opportunity to talk about their experiences. Leadership has been made the point people to promote the eduacational programs and
Blair, P. L. (2013). Lateral violence in nursing. Journal of Emergency Nursing, 39, 75-78. doi:10.1016/j.jen.2011.12.006
Over the years people who had mental disabilities were not always treated like human beings. The mistreatment of people in psychiatric hospitals stayed relatively the same from the 1900’s until around the 1950s and 60s. The mentally disabled had very different treatment, perception, and rights than what they have now. There have been laws put in place in order to let the mentally disabled have more rights to their treatment and education.
This literature review is focusing on discussing the effects of seclusion and restraints on treatment consequences of patients in mental health area. Seclusion and Restraint are used for controlling the behavioral patterns of the mentally ill patients in different surroundings consisting of psychiatric management facilities and hospitals (Kentley, 2009). Over past decade, comprehensible consensus has come out that seclusion and restraints are secure interventions of last alternative and application of those interventions should and can be diminished significantly (Knight, 2011). However, recent studies indicated that it is traumatic for patients experiencing or witnessing restraint and seclusion traumatic; patients can feel high levels of anxiety, fear, and anger once aware that restraint is going to take place, sometimes it could resulting in an exacerbation of patient’s mental status (Stewart et al, 2010). Due to the humanitarian, ethical, and legal issues which could lead to, seclusion and restraints are known as the most controversial management strategies (Holmes, Kennedy & Perron, 2004). Previous studies and researches could not analyze this topic adequately; thus, further researches and studies related to the effects and risk managements of using seclusions and restrains will be discussed in below.
Client safety is a primary role of the nurse, but the use of physical restrains with clients is an ethical issue when other important ethical principles such as autonomy and non- maleficence, as well as nurse's code of ethics, are considered (Schenker, Fernandez, Sudore, & Schillinger, 2010). In this scenario, Sam is agitated and physically aggressive with Camilla, a nurse. So, the medical team reviewed him and suggested to restrain and Julia, team leader of nurse advice Camilla to restrain and focus on care of other patient and states that patient like Sam is waste of time and they don't have enough staff to worried about him. In this general scenario, it shows that health care staff lacks understanding of the genuine requirements of restorative administrations sharpens which is imperative to shield patients from abnormal limitation. Furthermore, restriction ought to be considered if all else fails and specialists ought to consider elective mediation to advance security and regard the respect of the individual.(Kerridge, Low, & McPhee, 2009). However here in this scenario, medical team and nurse including team leader left Sam on physical restraint without supervision avoiding harm. Therefore, it clearly depicts the ethical issues
In this essay I will be discussing the importance of safeguarding within mental health nursing and child nursing, I have chosen to talk about this topic because student and registered nurses include this in their training and continue to be influenced by the importance of safeguarding in everyday practice. The Royal College of Nursing (RCN) states that 50,500 children in the UK are known to be at risk of abuse. As nurses during practice and placement we need to ensure that we follow correct procedures that ensure that barriers are not crossed which will cause safeguarding issues. For Mental Health Nurses (RMN) this could include; ensuring that proper consent is given, ensuring that vulnerable adults in our care are safe and their welfare is
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.
...huge responsibilities to the patient’s that the nurse cares for. These responsibilities require the nurse to maintain the safest environment possible for the patient. To do that the nurse must be able to meet the character requirements written about in this paper. Ethics, integrity, accountability, responsibility, and boundaries, keeps everyone in a safe environment. Without these attributes the door opens for questionable behaviors to occur inside of the hospital or other environments. Once the behaviors are allowed to occur, then the standards that nurse’s standby will diminish. Standards such as these do not just belong in the clinical setting. These are standards that everyone should live by in their day to day life. The Board of Nursing topics discussed here, are the foundation for the moral fiber that each person should weave within into their lives.
When a person chooses to become a nurse they make a moral commitment to care for all patients. This commitment cannot be taken lightly, as stated in the Code of Ethics for Nurses “The nurse respects the worth, dignity, and rights of all human beings irrespective of the nature of the health problem” (American Nurses Association, 2001, 7). Therefore, three ethical considerations that impact the safe practice of nursing will be explored in further details. These ethical considerations include substance use disorder in the workplace, professional boundaries, and the use of social media. Since Florence Nightingale’s era, nurses have been faced with various stresses. The goal is that nurses will be safe practitioners respecting
Ever seen a nurse who is afraid to return to work? What about a nurse that comes home on crutches, has bruises, or even just comes home with an emotional break down? These are all results of workplace violence in a healthcare setting. It is a very real issue that is currently on the rise. This sort of violence can result from an angry patient, visitor, or even another nurse on a variety of units. Unfortunately, because the healthcare setting can become very hostile, nurses are always going to be at risk for violence. The only way to fight violence is to attempt to prevent it by recognizing the behavioral patterns that lead to a violent outbreak, redirect the person on the verge of a violent action, and ensure each facility has a prevention program.
Since, seclusion is a matter conflicting between patient's rights and safety, this issue becomes one of great concern for mental health professionals. If seclusion becomes necessary, then it is important that throughout the seclusion the patient receives a high level of nursing care in a way which maintains their
Research indicates the relationship between horizontal violence and the burn out rate of registered nurses to be epistemologically significant due to a determined prevalence of nonphysical violence in the health care setting and the potential nature, severity and ubiquitous state of its prospective consequences. This systematic review will examine the aforementioned phenomenon in further detail with a focus on specific implications, if any, on the burn out rate of registered nurses.
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