The qualities and characteristics of a ESTJ interfere with this job due to the tendency to be uncomfortable in uncertain and or risky situations, and they do not like change. ESTJs would rather take the traditional way out of things and would like to know exactly how things are going to happen so that they can prepare and organize for the upcoming events. In the intensive care unit patients are critically ill and may even die. With this being said most of the time nurses in this unit may need to use new trails, medications, approaches, techniques, or they may even have to work with a new colleagues or authorities. People who are ICU nurses and are the ESTJ type may have strong difficulties when it comes to day to day duties in this unit, and could cause a multitude of issues that are not acceptable on such critical circumstances.
Since nursing homes tend to provide care to a vulnerable population they can be taken advantage of, overlooked or mistreated by staff and with residents potentially underreporting these incidents due to fear of retaliation by staff identifies this as significant ethical issues among nursing homes. The use of restraints that restricts a resident, whether physical or chemical applies to the ethical considerations within a nursing home as it not only impacts the resident, it can affect staff members and other resident’s safety. There is always the conflict between providing the resident with a fair amount of decisions regarding their activities of daily living, special accommodations, and independence. However, there is also the reflective issue of whether these freedoms impact the safety and the ability to comply with the institution's policy and how they are handled to deliver ethically appropriate customer service to those
Nurses often face ethical dilemmas and moral distress throughout various levels of direct and indirect patient care. According to Moon and Kim (2015), patients often die in the intensive care unit, and ethical conflicts frequently occur due to a variety of factors, such as verbal abuse, poor communication between health care providers, and increased incidences of end-of-life issues. I think this is a very important subject to think about, especially when these conflicts can significantly impact job satisfaction, burnout, and ultimately threaten the quality of care for patients. Furthermore, a qualitative study conducted by Henrich et al. (2017) shows that healthcare providers often experience negative emotional repercussions from moral distress in the ICU, and patient care is frequently perceived as being negatively affected.
Many legal challenges exist for case managers but documentation is big liability issue. We have to think because a case manager works in diverse roles were there are potential legal and ethical challenges that exist around every corner. Reading the article regarding liability and case management one of things the article mention is deciding on care for patients when it comes to cost saving without regard to the treatment regimen.” It is important that a case manager not make decision based on the economic status of client but do comparison shopping for the right care for the client. Other areas of liabilities is the lack of following up with all the health care providers who are involve in managing different parts of the patient care. Example
From the perspective of a person within the health sector, autonomy may and may not be practical for the purposes of preventing liability from litigation and avoiding ethical criticism, especially when it 's measured against the patients’ best interests. In certain circumstances such as cases where patients don 't have the decision-making capacity, then nurses may treat the patient without consent. This type of situation is usually grounded on the principle of necessity. When professionals working within the health sector act under necessity, they must be able to prove that they did no more then what was necessary and in the best interests of the patient. This is a common problem in today 's nursing homes as many residents are not of sound mind and are unable to make decisions that affect them.
The fact is that very often the question of payment and reimbursement comes along with ethical concerns. In case a patient is not able to afford treatment, he/she could be deprived of an opportunity to obtain care. For this reason, an ethical dilemma appears ("Healthcare reimbursement & changing rules," n.d.). Thus, a nurse manager always works close to patients aligning cooperation with them and determining their main needs. At the same time, this specialist is also responsible for determining the payment model that could be chosen to pay caregivers and guarantee that treatment will be initiated.
The Nursing Career and Stress and Work-Related Burnout Working in the healthcare field can be overwhelming because of the continuous exposure to stressful events such as illnesses and death. Additionally, healthcare workers may suffer from high work demands such as long working hours, healthcare team relationship issues, and shortage of staff. To contribute with tension, these workers may also be exposed to daily unrelated work problems such as lack of personal time, family and financial issues. Many nurses are often exposed to these stressors and consequently are troubled with job dissatisfaction and burnout because of an imbalance between their work environment and personal life. The nursing profession alone can be very demanding and due
However, members of each unit often times do not possess good interpersonal skills or communicate effectively with other healthcare members in spite of its importance. Thus the following points will discuss the importance of both interpersonal skills and effective communication among healthcare professionals, including physiotherapists, in the management of
Cultivating Healthful Environments Incivility in the workplace was once a remote issue; however, it has increasingly shown concern in the workplace and how it affects nursing staff as well as patient care. Workplace incivility is identified as a behavior with a vague intent to harm someone while having no concern for workplace standards or respect for others (Laschinger, Wong, Cummings, & Grau, 2014). Incivility negatively impacts interpersonal and professional relationships, diminishes nurses’s care provided to patients, and provides more room for medication errors and patient dissatisfaction (Abdollahzadeh, Asghari, Ebrahimi, Rahmani, & Vahidi, 2017). Prevention methods need to be warranted to limit workplace incivility to provide nursing staff with increased self-esteem, and to provide quality of care that is safe to all patients. Organizational outcomes are also negatively impacted when it comes to incivility.
Addressing disruptive behavior in the workplace is a difficult task in itself, especially when that person is a physician. There are many steps that must be taken as a practice manager in order to get this situation under control before the practice loses staff and have upset patient’s. Confronting situations where staff is being disrespected by the physician has to be addressed immediately because in the end it will affect the patients and the workflow of the practice. The first step I would take is hold a staff meeting only without the physician so I can get a good sense of how the employees are feeling and make note of every time the physician mistreated the staff. Obtaining that information will help me articulate a plan on how to approach the physician.