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Ethical and legal responsibilities of a nurse
Ethical and legal responsibilities of a nurse
Roles and responsibilities of a nurse
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This essay will consist of different sources that explain the inappropriate behaviour an emergency Nurse’s response at handover due to a male patient who has been admitted into the Emergency Department in a dishevelled state. As a Registered Nurse assigned to care for this patient when handing over the patient’s care to another Registered Nurse, the nurse responds in an inappropriate manner; stating, ‘I really hate looking after old people – they’re all senile and they smell’. This essay will analyse the attitudes of the nurse and the beliefs that support such comments are improper thus leaving a significant impact on the performance and the nursing care for this patient.
A confused man presents into the Emergency Department in a dishevelled and unkempt state, the nurse assigned to this patient recognises the following; the man is in his mid-sixties, confused and disorientate, anxious, has an acetone breath odour, also at examination locates a haematoma on the right side of his forehead while the patient also states repeatedly that he wants to pass urine. As acknowledged previously the nurse responded in an inappropriate manner therefore making a significant impact on the care of this patient for the upcoming shift, the nurse presented signs of neglect thus actions need to be taken to keep the patient safe with the best suitable care possible.
As the elderly population is increasing there are deficits in good basic care due to negative attitudes of some nursing staff around the world (Hanson, 2014). With neglect also rising and being more common with the elderly due to the inability for the elderly to do many things such as standing up to bullying; bullying can be categorized as either verbal or physical neglect (Help guide, 2...
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...us affecting her performance, the in charge nurse must be contacted. Failure to do so, the negative attitudes might also have a major impact on the quality of care for the elderly patient. As a nurse, stress can affect a person mentally, physically and emotionally, thus coming into both categories of physical and emotional health. The fact that the nurse may be going through emotional complication contributes in a huge factor to a nurse’s performance within the health care. If the nurse is unable to put aside her physical or emotional issues, it is important for the nurse to seek counselling, also it is important that the nurse takes a day of sick leave to sort her situation out. Inappropriate actions should always be reported to the in charge nurse to decrease chances of neglect and to be able to provide the best care possible for the patient whilst in hospital.
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
Houde, S., & Melillo, K. (2009). Caring for an aging population. Journal Of Gerontological Nursing, 35(12), 9-13. doi:10.3928/00989134-20091103-04
It has various negative effects which are persistent in nature, and the individual victim realizes the behaviour as bullying (Wilson, 2016). Bullying is associated with physical and psychological problems among nurses leading to absenteeism, poor performance, low job satisfaction, and increased turnover (Ganz, et al., 2015). The issue of bullying among nurses further affects the entire health care team including patient outcomes and health care costs due to the declining level of nurses’ performance (Becher & Visovsky, 2012). Although bullying exists in the nursing work place, they are silent in nature, and goes undetected (Becher & Visovsky,2012). Hence, identifying and managing workplace bullying needs efforts of individual facing bullying and support of the
In the medical field, the workers are highly trained to be able to make a distinction between what is right and what is wrong. Elder abuse is becoming a serious issue in the health environment. As defined in the website, MedicineNet.com, elder abuse is: “the physical, sexual, or emotional abuse of an elderly person, usually one who is disabled or frail”. The older population consists of people over sixty-five years old. They are very fragile and sometimes they are forgotten or abused. The elderly can be victims of mistreatment in nursing homes, hospitals, or even in their own house. Nursing is the act of promoting health for others, and of providing care and security with the skills nurses have acquired. However, those who are nursing can also harm, or hurt people by advising them. Elder abuse can take many forms such as financial abuse, physical abuse, sexual abuse, and emotional abuse.
Q.3 Nurses as part of regulated health care practitioners are responsible and accountable to abide by the standards, codes and guidelines of nursing practice (NMBA, 2016). The nurse in the case study has breached the standard 1.4 of the Registered Nurse Standards for Practice. According to standard 1.4, the registered nurse should comply with "legislation, regulation, policies, guidelines and other standards or requirements relevant to the context of practice” when making decisions because this will be the foundation of the nurse in delivering high quality services (NMBA, 2016). The nurse in the scenario did not follow the hospital policy concerning “Between the Flags” or “red zone” and a doctor should be notified of this condition. Furthermore, the nurse failed to effectively respond to a deteriorating patient.
There are changes in the demographic as the population grows older, the number of older adult’s increases and thus, there is an increase of proportion of patients that are older adults for nurses to take care of (Wells, Y., Foreman, P., Gething, L., & Petralia, W., 2004). The nurses are there to assist and support the older adults in achieving wellness within their situation through empowering the clients (Touhy, et al (2012). Caring for older adults is important as there is an increase in population with deteriorating health. When caring for a client it is important to incorporate Jean Watson’s caring theories and Carative Factors to help influence and support the care. She encourages nurses to co-participate within the caring process by establishing unity and trust between the nurse and client. First, this paper will explain a situation in where I cared for an older adult and it will then introduce Jean Watson’s lower order needs, specifically the need for activity and how it relates to the older adult I cared for. Lastly, this paper will explain the nursing interventions I implemented to meet the lower order need, with a discussion of Carative Factor #4 relating to the client.
Though elderly abuse occurs in many nursing homes, it is preventable. It is the nursing aide 's responsibility to provide quality and comfortable care, free from abuse. Many people are not aware that there are several other types of abuse in addition to physical abuse and many are not aware of the signs. If abuse should occur, anyone who suspects or witnesses the abuse is responsible for reporting it. Knowing the types of abuse, being aware of the signs, and reporting incidents are all ways to prevent abuse in nursing homes.
Nurses want to give complete and quality care, but are unable to, due to the constant needs of their workload and inadequate staffing. They have to prioritize their patients needs based on the most critical treatments first. Then whatever time is left, they fill in what treatments they can. Some reasons that nursing treatments are missed include: too few staff, time required for the nursing intervention, poor use of existing staff resources and ineffective delegation.” (Kalisch, 2006) Many nurses become emotionally stressed and unsatisfied with their jobs. (Halm et al., 2005; Kalisch,
With over 1.5 million elderly and dependent adults now living in nursing homes throughout the country, abuse and neglect has become a widespread problem. Even though some nursing homes provide good care, many are subjecting helpless residents to needless suffering and death. Most residents in nursing homes are dependent on the staff for most or all their needs such as food, water, medicine, toileting, grooming- almost all their daily care. Unfortunately, many residents in nursing homes today are starved, dehydrated, over-medicated, and suffer painful pressure sores. They are often isolated, ignored and deprived of social contact and stimulation. Because of insufficient and poorly trained staff commonly found in nursing homes. Care givers are often overworked and grossly underpaid that often results in rude and abusive behavior to vulnerable residents who beg them for simple needs such as water or to be taken to the bathroom.
It is important to preserve the dignity of all patients in the care of nurses and to not make them feel as though they are worthless. For example, when someone is incontinent and cannot care for themselves anymore, such as some residents in long-term care, it is important to help them remain dignified. The resident should be able to feel as though they are respected and are given the appropriate amount of privacy as we are working in their home. With this being said, it is very crucial for nurses to provide residents’ in long-term care, as well as patients in the hospital, with great care while still preserving their dignity and maintaining their privacy. It is important for the client to feel as comfortable as they would if they were in their own home. With this, Registered nurses must appreciate and respect each person in whom they care for. This respect is seen through the nurse as they explain to the patient what they will be doing as they are caring for them, as well as providing care within the wishes of the person. Patients in the hands of the Registered Nurse, appreciate caring as a core value during their stay in the hospital. This is proved as Davis (2005) states, “From a patient perspective, the caring presence that emanates from nurses, positively impacts patients’ hospital experience,” (p.127) As nurses, caring is the absolute root of nursing practice. Preserving patients’ privacy and dignity involves aspects such as closing doors or screens and making sure they are covered while doing so, (Royal College of Nursing, 2015). The Code of Ethics outlines the importance of Registered Nurses supporting the person, family, group, population or community receiving care in maintaining their dignity and integrity, (Canadian Nurses Association, 2008). All these factors involved with the Code of Ethics greatly impact the nursing practice of
With the aging population growing faster every year many families must make a difficult decision whether their loved ones should live in assisted living or nursing home facilities. I can relate because I made the decision to care for my mother at my home. Some people do not have the money or resources to care for their parent so they must live in a facility for health and safety reasons.
Those who are abusing the elderly can include children of the victim, family members, friends, and formal caregivers, such as nurses (Stark, 2011, p. 431). Nurses, who spend more time with patients than do any other healthcare professionals, are in an ideal position to identify, intervene, report, and generally lead the way in preventing abuse of the elderly.
In the Healthcare Delivery & Organization aspect of society, Delivery Systems plays an important role, and one such one is Long-Term Care. Long-Term Care (LTC) which is also called custodial care is a diversity of services which help to meet the non-medical and medical aspects of human beings who have a need with a chronic illness or disability who cannot take care of themselves for long periods (Barton, 2009). Long-term care can involve providing custodial and non-skilled care, such as giving assistance with normal daily tasks. Long-Term Care’s diversity can be provided at home, in the community, nursing homes or assistant living facilities. People of any age, and gender may need long-term care, even though it is more common when dealing
The National Research Council reports abuse as: an intentional action of any physical act that cause pain or injury, inflicting emotional distress/psychological harm, sexual harassment, financial exploitation and neglect (Bonnie & Wallace, 2003, pg.35). As elders are aging, they become more vulnerable to mistreatment due to arise health condition, such as cognitive impairment and physical decline. Due to the lack of data collecting agency and the absence of National US report, it is a continuum debate over the accuracy and statistics of elder abuse incidents. National Academy of science reported that only 1 out of 14 abuse cases are classified for a further investigation and only 1 out 24 cases gets reported. According to the “Census Bureau”, as of 2010 people 65 year ˃ has ↑ to a 13%...