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Essays on medical negligence
Malpractice and liability issues
Essays on medical negligence
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The breach by a member of a profession of either a standard of care or a standard of conduct. The typical malpractice deals with the tort of negligence by the professional. Negligence is conduct that falls below the legally established standard for the protection of others against unreasonable risk of harm. Under negligence law a person must violate a reasonable standard of care (Danzon, 2010).
Medical malpractice is professional negligence by act or omission by a health care provider in which the treatment provided falls below the accepted standard of practice in the medical community and causes injury or death to the patient, with most cases involving medical error (Michelle, 2014).
Nursing malpractice occurs when a nurse fails to competently
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When a nurse’s professional negligence rises the nurse may face criminal charges of negligent behaviour (Brous, 2012).
Larson and Elliott (2010) discuss the emotional impact of malpractice and adaptive coping skills for nurses named as defendants, which is an often overlooked aspect of the malpractice process. The stress related to malpractice has been compared to the stages of grieving, but also includes isolation, shame, and fear. Even if the nurse is dismissed from the lawsuit at some point or found not liable, the process is lengthy, emotionally and physically draining, and can have lasting outcomes. Often, nurses’ self-esteem and self-confidence are eroded as others have questioned the integrity of their practice
Description of the incidence: On my clinical rotation to Punjab Institute of Mental Health I visited the male ward where I saw that one patient is bagging one hundred rupees from a nurse again and again, the nurse become irritated and transferred the patient to the cell as a punishment. Moreover, I also visited the cell where patients were treated very curly, no doctor and nurse attended the secluded patient according to the standard
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Nurses must balance the responsibility for safeguarding patient rights with the duty to protect patients from harming themselves or others in situations that have escalated to the point of danger (Barton, Johnson, & Price, 2011).
Patients must be secluded due to their symptoms not because of nurses’ emotional state. In this scenario because nurse is irritated so she transferred the patient in cell.
Attitudes, emotions, demographics and experience of the nursing population have been found to influence the use of seclusion and restraint. Nurses who score high in therapeutic optimism and lower in emotional exhaustion are less likely to use seclusion. More experienced nurses are less likely to justify the use of seclusion in care (Happell, & Koehn, 2011).
The expression of anger and aggression among team members is a predictor of increased use of seclusion and restraint (De Benedictis, 2011).
Aggressive behaviour that is potentially harmful to patients themselves or others is the most widely accepted reason for using restrictions (e.g. involuntary admission, forced medication, seclusion and restraint) (Kontio et.al, 2010).
So seclusions should not be used as punishment it comes under malpractice as the only criteria for to be secluded is aggression that is harmful for the patient and
Medical malpractice lawsuits are an extremely serious topic and have affected numerous patients, doctors, and hospitals across the country. Medical malpractice is defined as “improper, unskilled or negligent treatment of a patient by a physician, dentist, nurse, pharmacist, or other health care professional” (Medical malpractice, n.d.). If a doctor acts negligent and causes harm to a patient, malpractice lawsuits arise. Negligence is the concept of the liability concerning claims of medical malpractice, making this type of litigation part of tort law. Tort law provides that one person may litigate negligence to recover damages for personal injury. Negligence laws are designed to deter careless behavior and also to compensate victims for any negligence.
The decision to restrain a patient is in most cases left to the nurses. Other professionals such as occupation therapists and mental health counsellors are not consulted. A research on nurses’ decision-making process on physical restraint outlined that one of the themes associated with nurses decision making is personal thoughts and reason (Goethals, Dierckx de Casterlé and Gastmans, 2011, p.1200). This shows that most of the time nurses restrain the patients without consulting other professionals who might have had a better solution in handling the
Day by day medical technology is improving, unfortunately so are cases of nursing malpractice. By understanding the laws that governs nursing practice, it will help the nurse protect client’s rights and reduce the risk of nursing liability (Sommer, 2013, p. 23). It’s usually necessary to prove that the nurse was negligent to prove nursing malpractice. The Joint Commission defines negligence as a “failure to use such care as a reasonably prudent and careful person would under similar circumstances” and malpractice as “improper or unethical conduct or unreasonable lack of skill by a holder of a professional or official position. Sommer defines professional negligence as the failure of a person who has a professional training to act in a reasonable and prudent manner (p. 24).
This is counterproductive towards the patients’ own recovery from the ward to a normal life
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.
That is the rising number of negligent acts committed by medical professionals. Failure to follow standard of practice is the leading root cause of the troubles involving malpractice. Failure to assess and monitor the patient, failure to communicate, medication errors, negligent delegation or supervision and failure to obtain informed consent from patients are the top failures leading to malpractice. The American Nurses Association provides scopes and standards that if followed could prevent many of the negligent acts. Duty, Breach of Duty, Foreseeability, Causation, Injury, Damages must be proven for a nurse to be held
According to American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the heath, safety and right of the patient” (p. 6). Nursing responsibilities should be acted at the highest standard and must be based on legal and ethical obligations.
The healthcare system can be difficult for clients to navigate and they are often unsure how to access information which puts them at the mercy of others and can lead to feelings of helplessness (Erlen, 2006). Nurses can provide resources to educate patients when they becomes dependent on a health care provider and no longer feel in control of their own body which can lead to fear, hopelessness, helplessness and loss of control (Cousley et al., 2014). The change in roles individuals face can further increase their stress and feelings of powerlessness (Scanlon & Lee, 2006). According to the CNA code of ethics, nurses are responsible for protecting patients from objective risks that place them in an increased level of vulnerability (Carel, 2009). They can do this by providing the resources necessary for patients to educate themselves and be better able to cope with the health challenges they
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.
Malpractice is improper, illegal, or negligent professional activity or treatment, by a medical practitioner. Not a lot of people know what malpractice is or how it happens until it's too late and it's already happened to them. The number of medical malpractice suits filed each year in the United States tends to vary but the overall trend is that they are rising.
to be precarious and proves her in misconduct behaviour. It was a severe fault committed by the nurse;
This could include keeping patient confidentiality, being trustworthy, keeping promises, and simply “doing what is right.” Every action a nurse performs should be done with fidelity. A confused patient may not trust a nurse after restraints were applied, so fidelity, in this case, may be strained.
The nurse may face unreasonable workloads from the acuity of the patients, behavioural issues, elopement risks and the patient nurse ratio. As a result of these situations ultimately leaves the nurse in an ethical dilemma when it comes to the use of physical restraints. Unfortunately, they may feel that this is the only option to manage patient safety during times of increased workloads or being under staffed. Researchers suggest the nurses experiences with ethical issues lead to moral distress through patient and family behaviours, nursing shortages, and unrealistic expectations of care(Oh & Gastmans, 2015). Unresolved moral distress can result in the loss of concentration of the nurse when making ethical decisions that ultimately have a negative impact on how they think, feel and make future decisions. “These conflicts are based on the discrepancy between their negative feelings towards the use of physical restraints on elderly people on the one hand, and the experience of a specific clinical situation in which they perceived the need for using physical restraints on the other hand” (Mohler & Meyer, 2014, p.11). When a nurse is left with the after effects of having to make an ethical decision this can lead them to internalizing their actions that result in feelings of guilt, indignity or self-blame.(Oh & Gastmans, 2015). The reality is that nurses are placed in an
Medscape. (2007). Alternatives to Restraint and Seclusion in Mental Health Setting: Questions and Answers from Psychiatric Nurse Expect. Available: http://www.medscape.com/viewarticle/555686#vp_3. Last accessed 15th Nov 2015.
Their argument is that a physical restraint can prevent a violent patient from harming themselves and others. They can also be used to keep a patient in proper position during procedures. Lastly, a restraint can prevent a patient from wondering off and falling which can also result in injury. “Restraints may be used to keep a person in proper position and prevent movement or falling down during surgery or while on a stretcher. Restraints can also be used to control or prevent harmful behavior…" (Use of restraints, 2016). In contrast, many alternative methods can be used to keep a patient safe without physically restraining them. “ The environment should be modified by minimizing stimulation (e.g., lights, noise, visitors), maximizing consistency, providing safe motion activity, and verbalization, providing clear expectations of interactions and treatments…” (Restraints and Alternatives,