A.
A regulatory agency, such as a board of nursing, is a government agency that is established by law with the aim to protect the citizens through efforts of carefully setting the standards and maintaining the dignity nursing practice. Regulatory bodies such as the Board of Registered Nursing enforces and implements the Nursing Practice Act. This act involves the scope of practice and responsibilities fo registered nurses.
A professional nursing organization on the other hand may admit those who show interest in participating. It lets registered nurses be involved and be updated in the constantly evolving practices of healthcare. According to Mathews (2012) this advocates for the nursing profession by generating the energy, flow of ideas,
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The patient has the right to free and informed consent as well as the right to refuse treatment. His right to decided whether he will be subjected to the proposed treatment or not is called autonomy. There are instances where a patient can be considered as incompetent in terms of decision making, especially when there is mental instability, so a nurse should seek possible proxy consent. This can be in the form of the closest of kin or durable power of attorney. There are also times in which the doctor can decide for the patient. Its when the doctor is acting as loco-parentis, if it is a matter of life and death and when there is a case involved like if a patient is 12 years old and in need of a blood transfusion but is a Jehovah’s witness. A nurse must do the best in her power to educate the patient and direct them towards decisions that will suite their situation and will provide them with more benefits rather than risks. It is also important to remember to respect the patient’s choices despite not agreeing with what they have decided on. There are some patients who refuse further treatment because their quality of life doesn’t improve. Some treatments are only palliative and some patients have long enjoyed their life and are comfortable with the idea of
Roles and purpose of organizations American Nurses Association (ANA) ANA also known as the American Nurses Association is consider to be one of the loudest voices for Registered Nurses today. ANA has been around since before 1911. ANA represents all Registered Nurses today and makes sure that there is an adequate amount of nurses that are highly skilled and well educated. They not only make sure that the healthcare system is getting the most up to date and accurate skilled nurses, they are a true advocate for nurses in the work place as well as the general public. ANA has made their standards high for practicing nursing to improve the overall health care.
According to the oncologist, Nurse L. was acting immorally and unprofessional when informing her patient Michael Q. of all his treatment options including chemotherapy, and alternative treatments such as natural therapies. I strongly disagree that the nurse was acting immoral because it was the patient’s medical and legal right to know all of his options, not just the ones that may be most successful, or ones that medical professional determines as the best options. That being said, I do not believe the patient’s physician should have the final decision about their treatment, unless the patient is unable to make a final decision for himself and has no family to assist him. Because the oncologist did not tell his patient about all the treatment options, Michael Q. was not was not fully informed and therefore his agreement to receive the chemotherapy treatment was not informed consent.
Similarly, all clinicians need to gain consent from nearly every patient, either verbal or non-verbal, unless in an immediately life-threatening condition. To refuse consent, a patient has to have all information presented to them by the clinician including; the risks they may face, other alternatives to the initial treatment plan and likelihood of success (SCAS, 2016, 5.3). Consent given by a patient under unfair pressure from a friend/family member or clinician, is not considered consent as it is not the patient’s decision. If a valid consent has been given, then a patient is entitled to withdraw their consent at any time. If a patient lacks capacity to give consent, and has no nominated person with Lasting Powers of Attorney, then no one can give consent on their behalf (SCAS, 2016,
If the patient were to die during surgery or procedures, the physicians would not be held accountable if the patient signs the consent form stating they were aware of the risks to their care. It’s important for the patient to ask any questions if they are confused on any information that was given to them. Even though, if the patient is diagnosed with a life-threatening disease or infection they have the right to refuse from signing the consent form. Since the patient is legally competent to make their own decisions that regard their health, they can still disregard any treatments that are being done to them. In most cases, doctors that perform experiments on the patient without their knowledge and without their consent is known as unethical human experiment.
Informed consent must never be assumed. On the other side of the spectrum, informed refusal is the patient's right to deny any of the services recommended. From a legal standpoint, it is important to always document informed consent and refusal to avoid any legal
The physician is rendering the aid the patient requests and respecting the patient’s autonomous decision to exercise their right to
The four spheres of political action in nursing are government, workplace, professional organizations, and community. They are all interrelated and interconnected. The government enacts policies that govern and affect all spheres. Healthcare policies are often made to ensure access, quality, and affordability of care. It determines the scope of nursing practice at a state level.
The ethical principle of autonomy provides for respect for the patient’s autonomy to make decisions and choices concerning their life and death. Respecting the patient’s autonomy goes against the principles of beneficence and non-maleficence. There also exists the issue of religious beliefs the patient, family, or the caretaker holds, with which the caretaker has to grapple. The caretaker thus faces issues of fidelity to patient welfare by not abandoning the patient or their family, compassionate provision of pain relief methods, and the moral precept to neither hasten death nor prolong life.
9. PROFESSIONAL AUTONOMY IN NURSING Nursing has come a long way from being the hand maidens of the physician to having control over nursing knowledge and practice. It now has two essential ingredients of accountability and autonomy. There is more demand from the nurses now than in the past when all they were expected to do was just to provide comfort and care.
My Personal Philosophy and Values of Nursing Nursing is proving care, support, and serve people who are in need. The purpose of nursing is to improve patient 's health condition to a better life. The goal of this paper is to explain my personal philosophy and clarify some of my values of nursing. Personal Philosophy
INFROMED CONSENT ARE PATIENTS TRULY INFORMED??? Informed consent gives a competent patient the freewill to make his decisions about his health after getting informed adequately about the procedure, its alternatives, pros &cons and uncertainties related the procedure and its alternatives. Above all the patient’s consent must be voluntary and without any kind of pressure whatsoever. There are few fundamental question
Self-Regulation and the New Registered Nurse Introduction self-regulation is Understanding self-regulation is an important In this paper, self-regulation in relation to nursing practice and quality assurance will be explored. Self-regulation of RN Practice As with many other professions, registered nursing is a self-regulated profession. The purpose of regulation is to ensure that professionals practice in a safe, competent and ethical manner (CNO, 2014, pp. 3).
Healthcare professionals must work on the assumption that every patient has the capacity to make decisions about their care, and to decide whether to agree to, or refuse, an examination or treatment. However, in the case that patients are deemed to be lacking capacity the Mental Capacity Act (2005), The Adults with Incapacity (Scotland) Act (2000) legislations must be followed (General Medical Council, 2008). Gaining consent before providing care or treatment to any patient is very important because patient requires
Christian nurses are given the unique ability to provide compassionate and spiritual care to a variety of patients. The purpose of this paper is to explain my definition of nursing as a caring art, describe how Christian faith impacts caring, describe my personal philosophy of nursing while identifying my own personal values and beliefs, and discus how my beliefs impact my nursing practice. To me, nursing as an art of caring, is defined as caring for the whole person, building meaningful relationships, and providing compassionate care. Holistic nursing care involves healing a person physically, emotionally, and spiritually. I believe the art of nursing is embedded in the steps we take to address problems that are not simply physical.
Patients have a right to complain about the doctor's refusal to the Management. Provision of Treatment requires patient’s choice and informed consent. Even if a patient has signed a general consent clause, the patient can still refuse medical treatment or procedures. However, in exceptional or emergency situations a doctor may be legally justified in performing surgery or providing treatment without the patient's consent. The patient should be competent and capable of making such a decision to give a consent.