How sad it is that nursing leaders allow, much less participate in such acts. The stress and responsibilities this author was subjected to are not fair nor safe. The ANA Code of Ethics addresses occurrences as in this scenario. Provision 4.1 states nurses are responsible and accountable for the nursing care he or she provides to patients (p473). By the author accepting the responsibility of x number of patients, she became legally liable. Also, Provision 4.2 addresses the fact that all nurses are accountable for decisions and actions taken in the course of the nursing practice (P473). Although no harm was done, nursing professionals must learn from wrongful acts and stand up for what we know and believe is ethically
I agree with you that a nurse need to have entry level of CNA experience. You will gain valuable experience from the access to patient care, be aware that it is a real job of nursing field. I believe nurse with CNA experience are better prepared for the workload and health field environment. At least has had a picture of what to do with patient care and dealing with family and emergency situations.
(rationality) to determine what processes and systems should be put into place to assure fairness and justice for all in the community (equality). Relationships lens means Fair Systems. For example, what relationships are important? what is a just system? And have I given everyone an equal opportunity to succeed? With respect to this reference, my personal code of ethics, the relationship between nurse and patient is important. Because it is responsible to the safety of the patient, it is a nurse after all. In order to play an important role to the safety of the patient, nurses to
Every field of occupation requires each position to operate under a variety of different tasks and responsibilities. Depending on the work that is to be completed, sometimes, delegating certain tasks to those who are well-trained and competent to finish it plays a major role ensuring what needs to get done is completed. In the nursing field, registered nurses are tasked with many responsibilities that need to be finished in order to guarantee that patients are getting the quality care they need and are healing effectively. Part of the responsibilities of a nurse is to delegate tasks to unlicensed assistive personnel (UAPs) and licensed practical nurses (LPNs). In order to properly delegate tasks to these workers, the registered nurse needs to follow the five rights of delegation provided by the National Council of State Boards of Nursing (NCSBN) (n.d.): (a) right task, (b) right circumstance, (c) right person, (d)
Ethical drift is when an individual, groups or organization start acting against of ethical behavior. (Kleinman, 2006). Ethical drift may occur gradually and without premeditated consciousness. It may occur unconsciously without people realizing that they have changed their formal ethical standards, (Kleinman, 2006). I have observed ethical drift occurring in the insurance sector where a chronic patient paid some amount of money to an insurance broker's account to get life insurance for the same premium as healthy persons. The strategy that could have addressed the ethical drift mentioned in this analysis is recognizing the need for change and maintaining a vigilant awareness of professional boundaries (Kleinman,
For this paper, there are 2 interviews required that are related to the nursing careers. The two interviews that were conducted were from a Charge Nurse, and from a Head Nurse. Each of the interviews are discussed in detail below, separately.
Additionally, when dealing with a staffing shortage, delegation is an essential strategy. Furthermore, as the stress levels may increase for a healthcare manager given with these circumstances, delegating tasks does not need to be done in a demeaning or impertinent way. Skilled delegation is a kind of time management skill that is fundamental to coping with a short staffed shift.
Florence Nightingale has impacted my nursing practice. She came into a hospital setting that had low standards and the environment had caused more problems for the patients than the war. She made efforts to clean up the facilities. She kept records of the changes and was able to show that a more aseptic environment was crucial to the healing process. This is something that I use in my daily tasks as a nurse. I wash my hands regularly, keep my patient’s rooms clean and organized and make sure that my patients have baths daily to prevent infections.
Delegation is considered to be among the most involved nursing skills which require a nurse to apply knowledgeable clinical judgment and accountability during patient care. RNs have an obligation to finding what is needed for patients and families and then using the appropriate delegation to staff to help carry out the plan. This helps maximize on achieving the most desired outcomes and also maximize the use of available resources. The only way to help RNs maximize the available resources is through improving their delegation skills. If a nurse is to be delegated a task, it should be within their scope of nursing and also be tasks they are qualified to perform. If a nurse is not qualified then the work should be
For the last 3 years I have worked in an acute care hospital, on the night-shift as a nurse in the labor and delivery unit. This is a 16 room labor and delivery bed unit that also houses 4 additional triage bays, a full time nursery, and a fully functional operating room This labor and delivery department runs as a 24hour, 7day a week unit with each nurse having to take at least 16 hours a month of call on days, evenings, or weekends. This is a very fast-paced unit, which carries a heavy load of responsibility and stress. Labor is unpredictable with that you never know what your patient load may be from day to day. This is an area that requires knowledgeable and multi certified/trained nurses that are always on their toes and have the ability to adapt and react to emergencies without hesitation. This department serves for 7 local obstetricians that service numerous obstetric patients. The unit runs off a weekly schedule book that is filled with routine inductions, scheduled c-sections, on top of all the daily triage patients, that can soon turn into labor admissions. The nurses on this unit are
The article that I chose for this week relates to effective delegation in nursing practice. Delegation is an extremely important ingredient in the delivery of care provided by health care professionals. However, with delegation comes great responsibility. Licensed Nurses must always know the laws enforced by their state boards as to what levels of care can be delegated to another provider and who has the authority to perform the delegated tasks. Every state has different laws as to what services can be delegated and by whom. Nurses are required to delegate care only if the assistant is capable of the task and the Registered Nurse (RN) must follow up on the care provided as well as be available to assist or intervene if necessary. Effective
Significantly, “Cultural competence and respect for others becomes especially important for us in the nursing practice because we are patient advocates. We all begin the process of learning the behaviors and beliefs of our culture at birth. We become assimilated into that culture and the way that we express is often without conscious thought. Our culture can have a definite and profound effect on how we interact with others, and also how we relate to the healthcare system.” (Anderson, 2012, How Culture Affects Healthcare section, para. 1,3)
Shared governance is an innovative model used to provide direction for the professional practice of nursing. This model is used to direct nurses to participate in unit-based decision making that allow nurses to demonstrate accountability and ownership for their practices. The goal of the model is to improve quality patient care contain costs, and retain nursing staff. According to Marquis and Houston (2012), “In shared governance, the organization’s governance is shared among board members, nurses, physicians, and management” (p. 270-271). Shared governance is imperative in the healthcare institutions. “Shared governance, which gives nurses control over their professional practices, is an essential element of a professional practice nursing model, providing structure and context for health care delivery” (cite shared governance article). This allows each healthcare worker to have a voice in the decision making and encourage input that will expand the business and healthcare.
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. They were just meant to assist the physician during treatment, assist in the patients personal hygiene administer medication that is prescribed by the physician and dress wounds. These were just things that any woman could do. Nursing demands much more now as they are educators, client advocate, and managers. More so it is a requisite for any field of endeavour to attain professional status, it is actually an attribute of a profession.