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Ethics in patient care
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Ethics in patient care
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A.-In California the Board of Registered Nursing (BRN) “is a state governmental agency stablished by law to protect the public by regulating the practice of registered nurses” () The BRN is responsible for the implementation and enforcement of the Practice Act. The Practice Act is the body of California Law that mandates the Board to stablish the scope of practice and responsibilities for RNs.
Some of the roles of the Board of registered Nursing are to approve California nursing programs. When a nursing school is acreedited it indicates that the school has met the requirements to operate and graduate students that will be allowed to work as professional nurses. Also, the BRN set RN Educational standards. This helps prepared nurses adequately to provide a competent and safe nursing care. Another role is to evaluate licensure applications. The BRN evaluate each application to determine if the applicant meets the licensure requirements such as: having completed all the educational requirement, have passed national licensing examination and have a clear background check for conviction of any crime.
The Board of Registered Nursing regulates my practice in different areas. If I want to continue practicing as an RN in the state of California, the BRN
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Pg 6). This provision influences my practice every day. I always provide nursing care to my patients regardless of financial ability to pay for the care provided, religious belief, sexual preferences, having communicable diseases or from different backgrounds. For example, at the hospital where I work I have had several clients that they did not had the financial resources to pay for the care, but I knew that I have an ethical responsibility to provide nursing care to these patients regardless of their ability to pay for the
The Nevada State Board of Nursing is an organization dedicated to ensuring that people receive safe and competent nursing care. NSBON’s mission is to “protect the public’s health, safety and welfare through effective nursing regulation.” The NSBON is able to achieve this mission through a variety of standards and rules.
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
Both Nurse Practitioners and Nurse Practitioner-students work closely with patients to monitor their health and provide care for acute and chronic illnesses. However, in the academic-clinical setting, the NP-student may only perform this function at the discretion of the supervising NP. Although work environments and responsibilities bestowed upon these distinctive nurses can be quite different, Nurse Practitioners, Registered Nurses and students is bound to the same laws and regulations governed by all states and territories that have enacted a nurse practice act (NPA). The NPA itself is insufficient to provide the necessary guidance for the nursing profession, therefore each NPA establishes a state board of nursing (BON) that has the authority to develop administrative rules or regulations to clarify or make the governing practice law(s) more specific (NCSBN
I need further development in knowing what the scope of practice of an RPN is because at clinical I am unsure of the difference in roles of the RPN’s that are working on the units compared to the Registered Nurses (RN’s). I feel that knowing and understanding the scope of practice of an RPN is crucial, in order to ensure the safety of the patients, but also to protect your license as a nurse. Also, it is important to understand your role as a nurse to ensure the patients’ needs are being met, and to ensure you stay within your scope of practice while providing care. The CNO’s scope of practice statement is, “The practice of nursing is the promotion of health and the assessment of, the provision of, care for, and the treatment of, health conditions by supportive, preventive, therapeutic, palliative and rehabilitative means in order to attain or maintain optimal function” (College of Nurses of Ontario, 2015). The goal I set for myself is, I will learn and understand the scope of practice of an RPN in order to be accountable for all my actions as a future
Megginson, L. (2008). RN-BSN education: 21st century barriers and incentives. Journal Of Nursing Management, 16(1), 47-55.
Every little kid has high exceptions for what they want to be when they grow up. Some dream of becoming president of the United States of America, or becoming an Astronaut, a lot of little kid’s say that they want to be a Doctor. What kids do not understand is that there are many types of doctors, like an orthopedic surgeon, they work with feet, or an oral surgeon, who work with the mouth. Another similarity to a doctor is a nurse practitioner. They do many of the same tasks, like performing minor surges, fixing broken bones, or simply giving a routine check up. Becoming a nurse practitioner takes many years of schooling, good grades, a lot of time and dedication, and money.
“REGISTERED NURSES AND NURSE PRACTITIONERS.” Labor Market Information. 2002. Employment Development Department. 12 Feb 2008 http://www.calmis.cahwnet.gov./file/occguide/NURSEREG. HTM.
Most APNs or NPs posses a master’s degree; however the American Association of Colleges of Nursing (AACN) member institutions voted to change the current level of preparation for advanced nursing practice from a masters degree to a doctorate level by 2015”. “An individual who wished to apply for a license must meet the following requirements; a complete application, pass the NCLEX, provide any felony or misdemeanor conviction information, any drug related behavior, functional ability deficit and license fee to Virginia State Board of Nursing”. Most RNs gain their clinical experience by working a staff nurse before entering into a graduate program for their nurse practitioners, but once they gain a significant of experience as a nurse t...
National Council for the State Boards of Nursing, APRN background, (2012). Report of the nursing policy and legislative efforts. Retrieved from https://www.ncsbn.org/428.htm#Nurse_Practitioner_Certification
The definition of Nursing is “providing to individuals and groups nursing care requiring specialized knowledge, judgment, and skill derived from the principles of biological, physical, behavioral, social, and nursing sciences” (Ohio Revised Code 4723 [ORC], (2016). It is more than providing care for the sick, it encompasses the promotion of health, prevention of illness, and care of physically ill, mentally ill, and disabled people of all ages, in all health care and community settings. Registered Nurses (RN’s) must hold a current, valid license issued under chapter 4723 ORC that authorizes the practice of nursing as a registered nurse.
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.
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
Ethics govern our relationships with others. Ethics and morals are very similar, in that both deal with questions of right and wrong. Societal or cultural norms determine ethical behavior whereas moral behavior depends on the individuals own sense to decide about what is right and wrong (Ethical Dilemma Scholarly Peer-review Journal, 2017). In nursing, ethical dilemmas are ethically controversial situations experienced through the healthcare professional’s obligation to inform the patients, support participation in patient decision making and patient advocacy. The goals of healthcare professionals are inherently ethical and involve protecting patients from harm while providing care that benefits them (Kim, Han & Kim, 2014).
It is very fascinating the most of the universities are having online courses for nurses to get their higher education, while nurses are struggling between the work and home. Currently most of the hospitals in the United Sates are moving towards magnet status which needed higher educated nurses. In this situation, it is blessing for nurses to attain their higher education through online course even for associate RNs to become BSN. The BSN program helps the nurses in many ways including to utilizing the process to the full scale and it will promote nurses to use their skills like educating the patient as we’ll as creating new nurses. Because of the new health care reform, the BSN program also will aid to fill the gap from the influx of patients. The baccalaureate degrees and BSN program helps and prepares for the significant part they going to play in reinforcing the new healthcare modification. At present, I utilize and develop nursing care plan in the nursing process even though it needs some corrections due to the nature of my work. The highest standards of nursing could be only done through better research and advanced training. All these process will not only aid to create a healthcare model based on the clinicians wants, but also based on better data from the research which will eventually help to direct them towards right direction.
The American Nurses Association created guidelines for the profession including, a set clear rules to be followed by individuals within the profession, Code of Ethics for Nurses. Written in 1893, by Lystra Gretter, and adopted by the ANA in 1926, The Code of Ethics for Nurses details the role metaethics, normative ethics, and applied ethics have within the field (ANA, 2015). Moral obligation for an individual differs within professions than it does within an individual’s personal life, so the code of ethics was written to establish rules within the profession. The moral obligation to provide quality care include the fundamental principles of respect for persons, integrity, autonomy, advocacy, accountability, beneficence, and non-maleficence. The document itself contains nine provisions with subtext, all of which cannot be addressed within this paper however, core principals related to the ethical responsibilities nurses have will be