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 article focuses on hospitalized older adults, but it talks about how the same can occur in a long term care facility if the patient has some sort of disease or is unable to move themselves. From this article I learned that many times nurses do not help with moving patients because they are not taught it is essential or they are not taught how to. I also learned from the article that increased mobility also leads to increased healing of certain injuries or diseases, and better overall health. An evidence based intervention the article discussed was better education and more theoretical framework for nurses about the knowledge or mobility. Another intervention the article discussed was using the knowledge and theoretical framework to change nurse’s attitudes about mobility.
Most likely, they are admitted to a nursing home or hospital, but this is not the permanent solution for them and also an expensive way. In that case, wearable technology is playing an important role to solve this particular problem. It continuously monitors the physical activities of elder people which minimizes the risk of illness and injuries. With the help of wearable devices, they can observe their own health activities and measure, blood pressure, heart rate, calories burned etc. (Chan et al.
The altruistic behaviour of healthcare practitioners may include consistent work or the providence of informal medical advice beyond the boundaries of contracted hours along with the general willingness to move beyond the additional miles in professional activities. There is sufficient evidence that many healthcare practitioners perform their duties beyond their contracted hours but there is a declining trend evident related to the altruism in medicine. This can be expressed within the unwillingness of anaesthetist for accepting a final case on the list due to the time of operation to be run beyond the contracted session limit. The emergence and maintenance of altruism and cooperative social behaviour is found to be a major issue in the biological
The nurses are the main perpetrator in this case, as they are the one handling most of the care of the patients. The current situation right now is that there are incidences of missed follow-ups, incorrect diagnosis and poor management of chronic diseases happening in the hospital. I must evaluate if the nurses are neglecting their duties to provide optimal care to the patients or whether it is unintentional. I must also determine whether the hospital management is also to be blamed for the sub-optimal care being provided to the patients admitted in their
They include deterioration of health status of the individual, increased financial expenses (as there is possibility of longer stay in the hospital) and development of medical complications. Severe outcomes can be result to medication errors including disability, paralysis and death. These errors may also have impact on the family members of the victim as they know that the danger facing the victim could have been avoided if the care givers could have been more careful. These errors can be prevented by careful changes in operational systems in the hospital. Hospital managers can harmonize their systems and summon their workers to be more careful when handling the patients.
Although hospitals worker various methods of rounds for hospitalized patients, the main components of all rounds are pain preventing, bathing, changing position, and environmental comfortable . (Meade, Bursell, & Ketelsen, 2006). In addition Nurse staffing in outside of NZ have been found to affirmative effect the quality and the number of life experienced by the persons , families, and communities they serve (Brown and Grimes 1995 ) . However , Heavy hard work (and as a result in less time spent with patients) has
Nursing is a profession that started as part of the larger medical field. Nursing has dropped its dependence on the medical field and it has grown independent with its models and separate interventions. Many nursing leaders have devised different theories to fit into the nursing field. There are some different nursing theories that encompass the nursing theory. The need theory, unitary human theory, self-care theory, interpersonal theory, transcultural nursing, and from novice to expert theories are all nursing theories.
Health Care - The act of taking preventative or necessary medical procedures to improve a person 's well-being. This may be done with surgery, the administering of medicine, or other alterations in a person 's lifestyle. These services are typically offered through a health care system made up of hospitals and physicians. Purpose Health systems around the world are struggling to meet the needs of aging populations and increasing numbers of clients with complex health conditions. Faced with multiple health system challenges, governments are advocating for team-based approaches to health care.
Continuous relationships with the care team, individualising of care and providing care that anticipates the patient’s needs all achieve best care delivery. (Wagner et al 2001). However the course of any chronic disease is determined by personal attributes, social influences and the professional treatment delivered. Yet, nurses and healthcare professional can try to maintain steady control of any chronic disease by accurate management. The TM model can be used along with other nursing models of care for effective
In recent times, studies have investigated in the divergence of nursing and social work and the overlapping activities (Kronenfeld, 2009). The MHN principally deals with the physical and psychological well-being of patients in terms of clinical diagnoses, medication and reviews, adherence and psychological therapies. Sommers et al (1992) emphasised on the communication techniques of MHN and Social workers in their interactions with General Practitioners (GPs). Sheppard pointed out that MHN contacted GPs more frequently than Social workers and the rationale for contact often differs. Generally, MHN get in touch with the GPs for the patient’s condition and treatments.
Transitions in care, such as admission to and discharge from the hospital, put patients at risk for errors due to poor communication and inadvertent information loss (1–5). One discrepancy does not necessarily mean an error. In fact, most discrepancies are due to adapting chronic medication to the patient’s newly diagnosed condition, or because the examinations and/or interventions performed could interfere with their usual medication. Medication discrepancies, established as unexplained differences among documented drug regimens at the interfaces of care1 (admission, transfer, and discharge) are highly prevalent. Some are intended therapeutic modifications, but others are unintentional and clinically unjustified.
Reading this article for the elderly care, I feel that ethical issues commonly occur anywhere in the treatment of older patients. I had a clinical experience both in an acute-care hospital and in a long-term care facility. Before working in a long-term facility, I was not aware of how many ethical principles were violated in the treatment of older patients as a daily routine as stated in the article. In reality, there are many situations in which older patients don’t completely exhibit their autonomy because they are vulnerable physically and emotionally and dependent on others. Therefore, they become more conscious of caregivers or healthcare professionals.
Schizophrenia requires lifelong treatment, even when symptoms have subsided. Treatment with medications and psychosocial therapy can help manage the condition. In some cases, hospitalization may be needed. A psychiatrist experienced in treating schizophrenia usually guides treatment. The treatment team also may include a psychologist, social worker, psychiatric nurse and possibly a case manager to coordinate care.
These burdens, that stroke victims face may hinder their daily activity and living conditions. Thankfully, there has been on-going research conducted, that relates to the overall care of post-stroke victims, and how they have been conditioned back into their old living habits prior to the stroke. When the care of a patient, who has suffered from a stroke is determined, rehabilitation that may suite the individual’s needs, is often recommended and required to get the best end results possible. Furthermore, most of the aftercare that post stroke patients receive is acute patient care; which provides an extensive amount of care, given within a