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This assignment will discuss the professional, legal and ethical issues related to the self-use of medication by nurses. It will also explore the importance of reporting this misconduct by both professionals in the scenario and how they might do so. The self-use of medication by nurses is not allowed or justifiable according to the guidance provided to nurses by An Bord Altranais (ABA 2007). It will also be evident throughout this assignment the need for Jack to report Linda’s self-use of the medication or urge Linda to do so regardless of the consequences it may present to both him and Linda as according to Nurses and Midwifery Board of Ireland (NMBI 2013), nurses can now be held responsible for not taking action. This is because delivering the greatest level of care to a patient is an essential role of a nurse and the main focus of the nurse’s work should be on caring for that patient (ABA 2010). There is also an ethical duty upon both nurses to report the misconduct according to the four ethical principles; Beneficence, non-maleficence, justice and autonomy (Edwards 2009).
Accountability is a very important concept in nursing practice. It is defined by ABA (2000a) as being responsible for the actions than one makes during their nursing career. In this situation, Linda is not being accountable as she has not reported what she has done. Therefore, she is not practicing according to the scope of nursing practice. Furthermore, Accountability is the essence of professionalism in nursing practice (ABA 2000a). According to NMBI (2013), Nurses are answerable for not acting in a way in which they are professionally obligated. This would deem Jack liable for not reporting Linda if he chose not to do so and would convey that Jack would ...
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...ort her actions, then Jack must do so as he is too responsible for making this situation known to the appropriate people. However, one must acknowledge how difficult this may be for Jack due to the long-standing relationship he has with Linda. It should also be apparent now that Linda’s actions are unjustifiable. She is not only acting unprofessionally and unethically by not delivering the medication but she is committing an illegal offence by falsifying records and stealing from the ward. To conclude, it is important to remember that the Department of Health and Children (2008) acknowledge that healthcare has originated in a world which is not flawless and that as humans, errors are possible. However, members of the healthcare system must try and prevent these errors from occurring where possible to ensure a high standard of care which is owed to the service users.
4). Examples of how nurses can integrate this competency include; using current practice guidelines and researching into hospital’s policies (Jurado, 2015). According to Sherwood & Zomorodi (2014) nurses should use current evidence based standards when providing care to patients. Nurse B violated one of the rights of medication administration. South Florida State Hospital does not use ID wristbands; instead they use a picture of the patient in the medication cup. Nurse B did not ask the patient to confirm his name in order to verify this information with the picture in the computer. By omitting this step in the process of medication administration, nurse B put the patient at risk of a medication error, which could have caused a negative patient
...mprovement in communication between the healthcare team responsible for Josie's care and through healthcare providers providing increased advocacy for patient safety. Moral courage did not play a role in Josie's medical care because the nurse administered the methadone to her despite her mother's wishes and had caused her a life-threatening complication. Pain, suffering, and compassion were all relevant to Josie's case. I learned a lot by reading Josie's Story which includes the importance of patient advocacy, communication between healthcare professionals, and the disclosure of adverse events. I was thoroughly enjoyed reading this story because it helped me to understand my role as a healthcare provider in advocating for patient safety and reducing medical errors. I plan to use everything that I learned from this story to implement into my future nursing practice.
By gaining consent Jean's autonomy will be respected and maintained. It is important that all nurses and other health care professions uphold the professional standard when providing direct care to individual, community and groups. Gallagher and Hodge (2012) states reinforce a person's right to exercise choice in relation to personal and bodily integrity and to have that choice respected. Before administrating the medication to Jean the nurse and student nurse made sure that she was given a choice by obtaining consent from Jean first. According to the NMC Code (2015) make sure that you get properly informed consent and document it before carrying out any action.
Registered Nurse John, Registered Nurse Jane and Director of Nursing Ms Day are all entitled to self – determination and to be motivated by their own actions. The actions of John, Jane and Ms Day are their own undertakings even though nurses are not considered autonomous decision makers (Butts, 2013). Nurses are still required by law to follow the instructions given to them by physician authority and to refute this needs a strong case for argument (Arnold & Boggs, 2013). RN John displays a sense of duty of care to protect the weak and vulnerable. An impression of doing the greater good is conveyed by John in his actions of stealing medical supplies. He believes he is not doing any harm to those around him as the supplies were meant for the disposal unit anyway and are meant for a good cause (McPherson, 2011). Rn Jane wants to prot...
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.
I was also responsible for implementing of therapies and interventions initiated by other IP members as I was expected to collaborate with my IP team to ensure positive patient outcomes. The proposed management for identified issues, for example, impaired mobility function were developed by me based on the evidence based tools used in hospitals such as Fall Risk Assessment and Management Tool. The decisions with respect to nursing care and my input in IP team care plan were influenced by not only the complex needs of the patient but also the Nursing and Midwifery Board of Australia (NMBA) nursing scope of practice, NMBA’s Code of Ethics and Conduct whilst upholding the four fundamental ethical principles: autonomy, beneficence, non-maleficence and justice. I believe making ethical decisions and collaboration practice is vital to ensure that I deliver the highest quality of care and safety to the patient. I can also guarantee that the positive and desired health outcomes of the patient is obtained as a result. It appears that in the development of IP care plan, the
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).
Personal and Professional Accountability Leadership and accountability go hand in hand. The American Nurses Association’ Code of Ethics defines accountability, “to be answerable to oneself and others for one’s own choices, decisions, and actions” (American Nurses Association [ANA], 2016, p. 38). In assessing her accountability, the author feels she actively seeks opportunities for personal growth and development. Furthermore, she would like to bring some of the tools from the Healthy Workplace Bill (Healthy Workplace Bill [HWB], 2016) to the nurse practice counsel, shared governance committees, and organizational leaders.
Nursing code of ethics was developed as a guide in carrying out nursing responsibilities in a matter consistent with quality in nursing care and the ethical obligations of the profession (ANA, 2010). The term ethics refers to the study of philosophical ideals of right and wrong behavior (Olin, 2012). There is a total of nine provisions however, throughout this paper I will discuss provisions one through four. These provisions would include, personal relationships, primary care, nurse commitment, safety, patient rights, responsibility and accountability of the patient.
Drug administration forms a major part of the clinical nurse’s role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). So as a student nurse this has become my duty and something that I need to practice and become competent in carrying it out. Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (NMC 2008). Accountability also goes for students, if at any point I felt I was not competent enough to dispensing a certain drug it would be my responsibility in speaking up and let the registered nurses know, so that I could shadow them and have the opportunity to learn help me in future practice and administration.
There is a great importance and focus in modelling a contemporary nurse. The framework for improving this focus is accountability with three main areas: professional, ethical, legal. They all cross over and interlink with each other in many of the topics that are raised within the profession. The approach of the framework were inevitable to reduces to blame and defensive nursing attitude. This attitude can lead to nurses believing accountability is the same as blaming a professional however it is conversely nurses making decisions for individuals and engaging to improve better health outcomes. The topic around this contemporary approach is confidentiality and broken into the principles of the approach.
When people go to their doctors, they trust that these medical professionals have the knowledge necessary to prescribe a medication that will have no harmful interactions with any current medications or have any dangerous side effects that will cause more harm than help. People don’t pick up drugs that they find sitting on the side of the street and just start taking them without knowing exactly what they are putting into their bodies; however it is a frightening reality that people are unknowingly ingesting unknown pharmaceuticals in their drinking water. Nearly seventy percent of Americans are on at least one prescription drug, and more than half take two, according to Mayo Clinic and Olmsted Medical Center researchers (Nearly 7 in 10 Americans).
In working with this client though the many sessions, the social barrier of medication was revealed and how it is displayed in the social world, but also the stigmas surrounding the used of medication for mental disorders. To be a part of social change in medications for mental illness there needs to be more educational information provided and knowledge share to reduce the negative social norms surrounding the use of medication for treatment. Educating young adults with medication can be just as essential as sex educations. This will reduce the stigma of medication by peers and gain the understanding of how it can be useful to help the individuals that need it. The steps that would be taken to change how medication is viewed in society is educational pamphlets, town seminars, and explanations by the doctor to the clients in treatment of what they medication does and how it can help improve the clients life.
Medication administration is one of the major responsibilities that a nurse has. This change will have a great impact on the staff because adaptation can be challenging, without mention the impact on the time management, workflow of the nurses, and the readiness for change. The concepts that are involved are the competence, attitude, method, and system. Since not everybody assimilates technology the same way, the competence of some employees will be compromised with the new system. In this case, there will be a disequilibrium among the staff because some of them will be excited for a change, while others will feel as they aren’t ready to implement new tools into their work duties. These changes could create hostility between the staff members,
Diesfeld & Godbold, (2009) suggests that the New Zealand disciplinary process is a form of preventative law for patients and health care providers. Therefore it is vital for health care providers to have an understanding of their legal obligations to their profession and their patients. The Medical Council of New Zealand (2006) believes that patient’s needs should be a priority and that patients are entitled to competent health professionals. Furthermore the Medical Council of New Zealand encourages the maintenance of the patient caregiver relationship through honesty, trustworthiness and integrity. Therefore accountability is essential for health practitioners who do not comply with the accepted standard of care and to be held accountable (Johnson, 2004).