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A legal or ethical dilemma facing nurses
A legal or ethical dilemma facing nurses
Nurses and fatigue
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The purpose of this paper is to discuss the Legislative Process and Healthcare Lobbying in the United States of America. Before a law is passed and implemented in America under both state and federal level, it has to go often time through a very lengthy legislative process except in the case of an executive order. And, without the skills and expertise of the lobbying strategies, the idea which might intended to become law may not even make it to the level of a bill not to mention the chance of it to become law. It is important for us as nurses, to understand the legislative process and become very familiar with the lobbying process and take early and prompt action to defend our interests and help prevent any negative impact that any idea or bill that may become law may have on the nursing profession. Although our main mission is to provide great care to our patients, Florence Nightingale has taught us (Burkhardt & Nathaniel 2008, 3rd Ed. P18-19) that if we do not have legislative power many of our ideas can be oppressed therefore prevent the profession from thriving. To be well organized as a profession is very important, since many of the rules and regulation that govern us often come from a legislative process. According to Burckhardt and Nathaniel, we nurses, are nearly 3 million, ( Abood, S. January 2007). In addition to our caring skills we need to enact our lobbying and legislative skills to participate in the process and help protect the legitimacy of the profession. While many lawmakers may have advisers with some medical knowledge. However, many of these lawmakers have no background in the medical field particularly in the nursing field. We must get involved, let them feel our presence, not only through voting, but al... ... middle of paper ... ...hological preparation. After a nurse is done working their regular shift being forced to work overtime can out them a greater right of medical mistake in part due to fatigue and tiredness consequently putting the patient at high risk of complications. Many other states have enacted law and regulation to help prevent that practice, West Virginia, Pennsylvania, New York, Texas, California just to name a few (ANA 2015) It is my position and with no doubt many other nursing positions that Ohio lawmakers need to pass laws to stop this mandatory overtime practice for nurses in the state. Failing to do so, Ohio will continue leaving both the nurses and the patients at risk. The cost of any mistakes or medical errors resulted from nurses’ fatigue and tiredness can be unprecedented. We need action now, to protect the patient as well as our staff nurse in the state of Ohio.
After reading the segment of your exposition on the four spheres of political action in nursing one particular detail drew my attention and that was that an organization is not strictly delineated as a facility we are employed by but also as a group of interest. With that in mind, it would be imperative to recognize numerous committees established in the VA to improve and regulate nursing care. For example, I have been part of Veterans' Education group which is focused on maintaining updated information resources available to patients as well as organizing beneficial events to disseminate vital information necessary for prevention and maintenance of wellness. Furthermore, I cannot omit the most valuable to my profession the Certified Diabetes
Chaffee, M., Leavitt, J., Mason, D. (2007). Policy & Politics in Nursing and Health Care. St. Louis, MO: Saunders Elsevier.
The phrase politics of nursing or even politics in nursing has so much meaning to the individual nurse. In nature politics have a dichotomy nature, and depending on who you talk to, their individual slant is unique. This makes the discussion of politics a very complicated issue. Agreement is the basis for the efforts that arise from politics, yet with every issue there are two sides who have to compromise something to get a bit of what they want. So what happens when a nurses are so busy they cannot advocate for themselves? Who will advocate for nurses when they can no longer bridge their essential needs in a health care environment? Unions are a modern option for nurses who struggle with voicing their needs and patient needs in an outdated bureaucratic twenty first century capitalist world of health care. The purpose of this paper is to look into the contributions of Unions on nurses, patient care, and the way health care facilities address issues that limit a collaborative approach to health care.
Nurses. They are such a vital part of any hospital and in any medical offices. Their main focus is on the care of individuals, families, and communities so they can recover to perfect health. But with the constant demand, shortage staff and need for nursing, help or hurting them. During my research, I found that some people agree that overworking nurses is okay because the hospital still thrives and that an overworked is just collateral damage. Other think that overworking nurses is wrong and something should be done to change the problem. In this paper, I will discuss effects of nurses being overworked back by research.
The primary barrier to nurses being able to practice at their full potential is the states varied legislation (Fairman, Rowe, Hassmiller, & Shalala, 2011). The IOM (2011) report suggests that state scope of practice regulations should model the National Council of State Boards of Nursing Model Nursing Practice act and Administrative rules to provide legal authority to practice to the accomplished level of training. The IOM (2011) report also requested a review of states laws to identify potentially anticompetitive effects that do not protect the health and safety of the public. The new recommendations are to build a common ground with interdisciplinary groups and to include a diverse coalition for the Future of Nursing: Campaign for action (IOM,
...ork shifts depending on their ability. In addition, it is important for nurses to understand that it is their ethical responsibility to only practice when they are fit to do so. Moreover, nurses should take responsibility for self care and take adequate time to rest and recover after shifts. In general, nurses should be aware of their mental and physical capabilities and only work when they are well enough to do so.
On April 17th 2013, Senator Barbara Boxer (California) introduced a federal bill that is aimed to reduce nursing shortages by establishing a minimum nurse-to-patient ration in hospitals. She is also ordering whistleblowing protection for nurses who report quality-of-care violations. The law requires that every hospital implement a written hospital-wide staffing plan that will guide the assignments to...
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.
Routson, J (2010) Healthcare Reform and Nursing: How the New Legislation Affects the profession; HEALTHeCAREERS.com. Retrieved, September, 16, 2011 from: http://www.healthecareers.com/article/healthcare-reform-and-nursing-how-the-new-legislation-affects-the-profession/158418
Lobbying involves more than persuading legislators. Professional lobbyists investigate and examine legislation or dogmatic proposals, are present at congressional hearings, and teach government officials and company officers on imperative issues. Lobbyists in addition work to transform public opinion all the way through advertising campaigns or by control 'opinion leaders'. There are approximately 30,000 recorded lobbyists, other than that does not comprise the public relations experts, marketers, support personnel pollsters, and others who support their work. The majority lobbyists are hard–working professionals who comprehend how to find the way the political process, gain access to lawmakers and main executive–branch officials, and construct a strategy to accomplish their legislative objective. Whether or not you like the renowned place they engage in our system, lobbyists have turn out to be such an essential part of...
Factors such as, heavy workloads, stress, job dissatisfaction, frequent medical errors, and intention of leaving the job are all common for nurses to experience, especially during the nursing shortage crisis. Not only do the nurses suffer during a shortage, but the patients ' health outcomes suffer even more. For instance, there are higher rates of infectious diseases and adverse patient outcomes, such as urinary tract infections (UTIs), upper gastrointestinal bleeding, shock, pneumonia, prolonged hospital stays, failure to rescue, and mortality. As a result, this leads to higher re-admission rates for patients. Furthermore, high patient-to-nurse ratios cause heavy workloads due to an inadequate supply of nurses, an increased demand for nurses, a reduction in staffing and an increase in overtime, and a shortened length of stay for patients. Without the heavy workloads that nurses have to endure on a daily basis, there would more time for nurses to communicate more effectively with physicians, insurance companies, and patients and their families. Those heavy workloads are the result of hospitals reducing the nursing staff and implementing mandatory overtime policies just to meet unexpectedly high demands. Unfortunately, the nursing shortage has affected nurses ' mental and physical health. For example, the most common health concerns for nurses include cardiovascular health, occupational injuries and illnesses, and emotional and physical exhaustion. Therefore, safe-staffing ratios/levels have to become the main
Notably, having higher proportions of nurses working shorter shifts—8–9 hours or 10–11 hours—resulted in decreases in patient dissatisfaction” (Stimpfel et al.). This is essentially saying that the longer the shift length, the more negative outcomes result. This study proves that eight to nine-hour shifts are more effective, and should, in turn, be worked more than longer shifts. This is a problem because hospitals are likely to continue to schedule nurses for twelve hours shifts out of
Working in a fast-paced environment and being on their feet can really take a toll on a person. In addition they have to be prepared for anything to happen during their shift. A study of overworked and stressed nurses found that nurses are overworked suffered from physical sickness like type two diabetes (Stress and overworked 2006). For most nurses, their work week consists of more than sixty hours. Working that many hours can double their chances of sicknesses. When they compare the working week hours of nurses who worked the normal 21 to 40 hours with those that work more than 40 or 60 hours a week, they found that in comparison the ones who worked 40 hours or more a week increased the risk by almost 50 percent for type 2 diabetes (Stress and overwork 2006). If nurses were to work their normal work hours without mandatory overtime, then their health would improve.
Mini adverse events and the increased occurrences of errors resulted from longer durations and a decrease in nursing vigilance. Nursing vigilance described as XXXXXXX The risk for error doubled after working 12.5 or more consecutive hours. Martin, D. (2015). Nurse Fatigue and Shift Length: A Pilot Study. Nurs Econ., 33(2):81-87 reported nurses struggling to stay awake. This took place during 1203 shifts and additional 178 shifts where nurses did actually fall asleep. Staying awake for 19 consecutive hours is comparable to the cognitive function and reaction time of a blood alcohol concentration of 0.05%. Staying awake for 24 hours exceeds the legal standard for operating a motor in vehicle in many
Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.