Moreover, I believe that nursing leadership is critical to the lives of nurses. Thus, it is essential that a nurse leader is consistent and knowledgeable on ways to facilitate the development of nursing practice environments that enable nurses to deliver quality nursing care. For such an environment to be met, it is my belief that I will not only be required to advocate quality care but also need to communicate articulately, be a mentor, a visionary, a mentor and a role
If you look out for the wellbeing of you patient and express what is best for your patient then you are actively practicing the value of altruism in the field of nursing. Next, the professional value of autonomy. Autonomy is the personal value of one over themselves, free form control of others (96). An autonomous person is one who acts intentionally, with understanding and without the influences of others opinions on them.
Therefore, very different choices may be made regarding the same dilemma. Restraint must only be used: (1) as a last resort only, when it is absolutely necessary to protect the patient’s or others’ safety; (2) as safely as possible; (3) with respect for the patient’s human dignity; and (4) under the supervision of a doctor (The Mental Health Act, 2008). Restraint can be categorised into: physical, chemical, mechanical, technological and psychological. Physical restraint involves holding patients
This framework is a useful standard against which the professional behavior of a nursing practitioner must be measured. The Nursing Staff Supervisor (NSS) can refer to this standard (or standards of ethical behaviors) when resolving ethical issues in nursing practice. In situations wherein the ethical issues are so complicated to be resolved at the hospital level, the ANA may be able to step it within a pre-defined parameter, to extend their institutional ethical expertise to help resolve the ethical issue involved (Wood, 2014). Nursing associations oftentimes have a dedicated ethics committee who are comprised of ethics experts over issues relevant to, or uniquely encountered only in, the nursing practice.
The nurse faced a barrier due to the physician hierarchical working style. Collaborating using a multi-disciplinary approach and communicating effectively in explaining the disease process could have better manage her symptoms and improve the quality of her remaining life. It is important that early detection and treatment options are discussed by the physicians in an honest and open manner. As patients performance status decline healthcare members should provide informed decisions regarding diagnosis, prognosis and
Patients may be of different sex, age, nationality, profession, social status, and health status. However, they all deserve respect, attention, and compassion. The nurse should cooperate with the patient to find the solution to the health problems. The combination of creative knowledge of the nurse together with the maintenance of the patient is the aesthetic knowing. The means of transformative acts support the issue of aesthetics in nursing.
Nurses are determined to accomplish one thing in their career; save and change lives. That being said, nurses must have the determination and drive to do what every it takes to assist their patient. Nurses are naturally determined to make sure that their patients are able to recover and return back to their normal lives. As described in Fundamentals of nursing: The art and science of nursing care, “Autonomy is the right to self-determination.
Reflection involves methods of “reflection on and in action”. Reflection is used in practice to assist with factors, such as NMC Revalidation, support and enhance safe practice, improve skills and knowledge and enable professional development. Reflection is significant in practice because nurses are accountable for their patient’s specific requirements. There are numerous skills required for reflection to work, which are known as self-awareness, description, critical analysis, synthesis, and evaluation. The reflection process is carried out through many different models of reflection, for example, Gibbs (1988) Model, which is used as a guide to examine the critical incident.
The study of principles of ethics equips nurses with core values in nursing which serve as a foundation of nursing practice. Goodness or rightness, justice or fairness, truth telling or honesty and freedom or autonomy. However, the application of these principles during care in a specific situations is often problematic since there may be disagreement on what the right way to act in a specific situation. The only way is to ensure that you have consent in everything you do for the patient. Nurses of all cadres without the application of ethical principles we would be in very big problem because they act as a guide to what we
w beliefs and practices, nurses must understand patient’s values indicating “both a consistent heritage (traditional) and an inconsistent heritage (acculturated/modern)”(Spector, 2002, p.197). They must connect, listen, and understand that patients can have diverse beliefs regarding their health. Nurse often will find themselves in difficult situations that might disrupt their personal or professional morals. In those situations it is important for the nurse to speak out demonstrating moral courage by advocating for the patient. It will be difficult to completely comprehend some patient’s practices, but it is good to have knowledge on these topics, so they can add their cultural implications into their care plan.
To help make a choice, they should first look at their personal and professional values that define their nursing practice. After, they need to look at ethical principles and legal documents to help guide their decision. In the end, they must compare and contrast these factors together to come up with the ethical decision that they ultimately feel is best for their
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.