Katina, employee accountability is indeed important for organizational performance. Accountability have different meanings within professions and organizations. Accountability in nursing refers to the need for nurses to conduct themselves according to legal and ethical standards (Griffith, 2015). Accountable nurses must be able to defend their actions, both legally and professionally. The standards that are set by state nursing boards provide an additional level of accountability to nurses. I do not know the specifics of correction action processes for your organization, but the regulatory and procedural hurdles for beginning corrective action on low-performing employees at the Department of Veterans Affairs are very high. One key that I have
To facilitate change within our healthcare system and in our nursing practice, the influences that will affect this current issue include the College of Registered Nurses of British Columbia (CRNBC) Standards of Practice (2016), and the Canadian Nurses Association (CNA) Code of Ethics (2008). Currently, all nurses must apply both the standards of practice and the code of ethics in their nursing care. In relation to the issue with mental health and addiction, patients who receive negative attitudes and discrimination within their care are from healthcare staff neglecting the standards and guidelines of practice; they are not acting in a professional manner and following CRNBC (2016) or CNA Code of Ethics (2008). One of the principles in
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.
When we arrived at Jefferson City I did not know what to expect in the hearings but it was much more interesting than I thought it would be. The first case involved an older woman who violated nurses practice act by having a positive drug test. She denied the drug use in an improper way. This registered nurse worked over night so she had been use to taking sleeping pills to help her with the insomnia. On the night she was disciplined she was reported by another nurse that she was not acting right and was slurring her speech, confusing coworkers, names, appeared disoriented and staggered while walking.
Nurses must follow beneficence which means to do good. Nurses do not want to harm a patient in any way. They must provide confidentiality and privacy when going thru the process with their patient. Patient’s have the right to autonomy which is the freedom to make choices about issues that affect one’s life, free from lies, restraint, or coercion. Nurse’s must provide care that is patient centered even when the nurse might not agree with the patient, he or she still has their rights.
D-The patient arrived on time for her session and informed this writer that she has decided to remain with the clinic as she learned on her own that no detox facility will accept her because she is testing negative and currently on methadone. The patient further mentioned that she is questioning as to whether or not her sister and her mother would help her as they said they would; however, the patient had a moment and looked back when her family did not help her as she struggled with her children. Furthermore, the patient reports, her sister did not give her the $80.00 for her rent. The patient reports that she had asked some guy for assistance. This writer addressed with the patient about her employment status and money management.
The standard of care has set a minimum criterion for job proficiency (Melanie T. Gura, 2008). 4. Discuss professional accountability and responsibility and their implications for nursing
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). Provision 3 of the ANA Code of Ethics affirms, “the nurse promotes, advocates for, and strives to protect the health, safety and rights
Embedded within the code are four fundamental responsibilities that include promoting and restoring health, preventing illness, and alleviating suffering. Several of the codes can apply to the use of social media and HIPAA regulations. According to the ANA, the nurses’ primary commitment is to the patient, whether an individual, family, or community (Arnold & Boggs, 2016). This includes maintaining patient privacy of any medical information. They are conjointly responsible for being the patient’s advocate, protecting health, safety, and patient rights.
I agree with you Walter. Nursing is a teamwork. In an acute hospital setting, an RN is assigned a set of patient to deliver care that means RN has full responsibility about these patients. In this case, RN who is the primary care nurse can complete her task by herself or delegate some of the task to the nursing assistant according to their scope of practice. The abilities to delegate, and supervise other healthcare workers is not an easy job.
Background The ability to recognize, understand and treat symptoms related to illnesses, along with crafting the right questions in order to promote optimal care is considered a fine art in the field of healthcare. However, sensitive and time-critical conditions can pose questions that could challenge the status quo in relation to healthcare policy and decision making. Challenging circumstances often call for drastic measures that make difficult to decide right vs wrong. An ethical dilemma defines this decision-making process.
Ethical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
The mental capacity of the patient should be considered in this case. The patient is under a huge amount of stress and pain which will most likely affect his mental capacity. Pain and trauma is can change a person’s viewpoint on the situation and in turn change their decision about the treatment that they want to receive. Religion has and always will play a big part in medicine. Many patients refuse treatment because it goes against their beliefs and later they die to the disease.
If the student nurse decide to go away as Gerald has requested in respect of his autonomy she would have breached the duty of care and this would be considered as negligence. The word negligence is a tort law that regard individuals to exercise reasonable care in order to prevent harm that can be acts or omissions to any person. In order for negligence to have happened four elements must have occurred, these include duty of care that the nurses owes Gerald, breach of duty of care, harm caused by this duty of care and the result of the damage or harm that occurs (Johnstone, 2015). Employers are also accountable for employee actions, which means they are answerable to any actions, omissions and negligence.
Negligence: Negligence is conduct that falls below the standards of behaviour established by law for the protection of others against unreasonable risk of harm. (Gayle, 2015) The core idea of negligence is that people should exercise reasonable care when they act by taking account of the potential harm that they might forcible cause harm to other people. (Fein man, M. 2011) Negligence can be defined as a failure to take reasonable care or steps to prevent loss or injury to another person.
Power has varied definitions. According to Mullins power is considered as having control, influence or dominion over something or resources (Mullins, 2002).As stated by Benner” Power includes caring practices by nurses which are used to empower Patients” (Benner, 2001) . Ideally, nursing leaders must have knowledge and abilities which are strong in the multi-factorial domains of nursing practice (E.A. Ward, 2001).The challenge of leadership is all about how leaders can channel their subordinates to get things accomplished. It is about transforming ideas into actions, dreams into realities, and problems into solutions and hurdles into positive outcomes (Kouzes J. M., & Posner, B. Z. 2015). the power in the leader that encourages