Comparing The ANA Scope And Standards Of Clinical Nursing Practice

A certified register nurse anesthetist (CRNA) is an advance practice nurse who collaborates with doctors, anesthesiologist and other medical professionals. They are qualified to make their own judgments of anesthesia care based on their education, licensure, and certification. Before any CRNA delivers anesthesia they must first evaluate their patient, talk to them about the procedures. They also can provide pain management. Furthermore, CRNAs are legally responsible for the anesthesia care they provide and are recognized in state law in all 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. The American Association of Nurse Anesthetists (AANA) has adopted this Code of Ethics to guide its members in corresponding to their

The study of ethics, moral conduct and decision making regarding ethical issues in nursing is a vital component of nursing education. Nurses may be confronted almost on a daily basis with the need to make nursing decisions when there is no right or wrong answer. Nurses will at times feel caught in the middle (Pavlish et. al, 2011). This dilemma demonstrates how easily ones nursing practice can be significantly altered. This dilemma also exemplifies how one complex dilemma in patient care, can impact on legal, ethical and professional issues for nurses. These issues interface with each other in substantial ways. Nurses must be prepared for these inevitable challenging situations (Tang, 2011).

American Nurses Association (ANA) Code of Ethics with Interpretive Statements, provision 1 states, “the nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by consideration of social or economic status, personal attributes, or the nature of health problems” "(About Code of Ethics," 2017). In order to provide quality care to the homeless population, the community health nurse is challenged to put aside her own preconceived opinions about drug addiction, alcohol abuse, mental illness and the assumed unwillingness to care for oneself. “While trying to help clients negotiate ‘the system’ the professionals may face a client’s noncompliance with medical regimes, drug abuse, and even stealing or selling medical resources” (Hunter, 1993, p. 139).

The Joint Commission is an independent, not-for-profit group in the United States that administers voluntary accreditation programs for hospitals and other healthcare organizations (for example, long term care, mental health, and ambulatory care). The commission develops performance standards that address crucial elements of operation, such as patient care, medication safety, and infection control and consumer rights.

The Joint Commission is an independent, not-for-profit group in the United States that administers voluntary accreditation programs for hospitals and other healthcare organizations (for example, long term care, mental health, and ambulatory care). The commission develops performance standards that address crucial elements of operation, such as patient care, medication safety, and infection control and consumer rights.

In this case study the primary nurse, Amelia Wilkerson, is caring for a patient, Katy Palmer who has recently been admitted to the hospital for fatigue and abnormal lab counts. The patient asks Amelia for information regarding her diagnosis. Amelia has seen Katy’s results and knows that she has been diagnosed with acute myelogenous leukemia. The ethical dilemma seen in this situation is that it is outside of the scope of practice for Amelia to discuss Katy’s original diagnosis with her. This is reserved for the doctor alone. However, as a nurse that has developed a relationship with her patient it would be very difficult to not answer her question honestly. In addition, the patient might feel more comforted hearing the diagnosis from her nurse rather than the doctor as the nurse has been caring for her and they have developed a therapeutic relationship.

My future role is Family Nurse Practitioner. Ethics deals with the actions of being right and wrong and what is good and what is bad (Barker & Denisco, 2016). The ethical guidelines provide advanced practice nurses their job description within the scope of practice and prevent them from underdoing or overdoing their job.

Ethical principles in nursing are a guideline in providing a foundation for nursing practices. Here are the eight ethical principles:

Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition, she is most frequently assigned any change of shift admissions. While she understands that she is part of a team, she often feels that the consistency of the inequity of these assignments is not fair. She is self-aware of how this is affecting her. As she starts her shift today she is again assigned to the

Management or leaders will need to demonstrate a priority on ethics, thoroughly communicate the expectations on ethical practice, have ethical decision making. And support the local ethical programs. Having a manager or leader that has accountability with ethical consideration has a balance of holding one true to its values and having ethical considerations on the different cultural backgrounds. This is a critical and key factor to a successful health care organization. Knowing, and understanding as a manager and influencing employees to follow standards that when something is misunderstood or unknown, owning up to its behavior on the situation can be corrected and guided to what is expected from the leader or manager and down to the employees. Having an understanding to ethical consideration and accountability will improve customer satisfaction, employee performance, and the continuum for accountability ("Ethical Leadership: Fostering An Ethical Environment And Culture",

Ethics committees assist with resolving ethical issues and provides provisions to health care professionals in ethical matters. Ethics committees have three major functions, which are providing clinical ethics consultation, developing and reviewing policies and providing education on issues that relates to clinical ethics (McLean 2007). Their goal is to promote the rights of patients, promote shared decision making between health care professionals and patients, promote fair policies and procedures that will result in a positive outcome for the patient and enhance the ethical environment for health care professionals and facilities. Typical ethics committee members are physicians, nurses, surgeons, psychiatrist, social workers, chaplains

Nurses are a group of professionals who faces a variety of ethical dilemmas while working. Therefore, these dilemmas cannot only impact on their personalities but also affect their patients. However, ethical dilemmas are argumentative and difficult to deal with, so there is no “right” or “wrong” answer for them.

What does nursing mean to me? Nursing means helping people heal, meeting their needs while they are in your care, listening to concerns, protecting them from harm, and educating them how to care for themselves while treating them with dignity, compassion and respect and giving of yourself to the care of people and community. It is having compassion for people and their health and being a humanitarian, making sure they receive the best care possible. Nurses must also treat families of patients with kindness, realizing they are going through a stressful situation also.

What does nursing mean to me? Nursing means helping people heal, meeting their needs while they are in your care, listening to concerns, protecting them from harm, and educating them how to care for themselves while treating them with dignity, compassion and respect. Nursing is giving of yourself to the care of people and community, while expecting nothing in return. It is having compassion for people and their health, being a humanitarian, and making sure patients receive the best care possible. Nurses must also deal with families of patients with gentleness and kindness, realizing they are going through a stressful situation also.

There are many ethical issues facing health care at any time and it is impossible to say definitively which is the most pressing or the most important. Health care professionals are expected to base their practice on a set of ethical principles, including truthfulness, beneficence, nonmaleficence, justice, and confidentiality. Ethical issues can arise, however, when a l professional is called upon to act in opposition to personal values or in cases where the values of patient, health care worker, and sponsoring institution conflict. The following issues are presented in no order.