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.
This is a personal statement for my application to the Family Nurse Practitioner Concentration in the Ball State School of Nursing. My personal statement provides details on my personal background and the unique impact that Family Nurse Practitioners have had on my life. I describe my undergraduate studies and how I firsthand gained interest as well as insight on the skills of a Family Nurse Practitioner. I go into detail about my aspiration to be a Family Nurse Practitioner to directly affect the patient care of a variety of patient populations. The personal statement connects qualities of my current practice as a Registered Nurse to the proficiencies of a Family Nurse Practitioner.
How might the ANA code of ethics and the Nurse Practice Act help to guide Josepha? The legal and ethical issue that Josepha has to use is. He has to know how to discuss the issue he has with the higher or manager of the head nurse. It is good to communicate the issue you have with the managers instead of felling bad thing about them. As I read the “Team STEPPS makes strides for better communication”, some of the tools like; (SBARQ) is used in many organizations, especially during patient hand-offs.
It examines and evaluates the decision making process integrating ethical principals. Advance practice nurses must be aware there are ethical consequences for decisions that are made. This core competency addresses the need for ethically sound solutions to be applied to complex issues. During this course ethical principles of decision making was addressed in the case studies. For example, a patient became pregnant and contracted a sexually transmitted infection from her estranged spouse.
State-mandated nurse-to-patient ratios remains a controversial topic in healthcare. Sufficient nurse staffing is key to ensure adequate patient care, while scarce staffing effects patients’ safety and puts nurses at risk for burnout. Determining nurse-to-patient ratios in nursing facilities remains a challenge for the nursing profession. There are many factors to consider when determining staffing methods, such as cost, nurses’ satisfaction, patient outcomes and safety. Mandating ratios is one attempt at ensuring nurses’ workloads do not exceed what is needed for adequate patient care and safety.
By continuing to partake in the Quality Assurance program and self-regulating, behaviours can fulfill the standard of being “safe, competent and ethical practitioners” (CNO, 2014, pp. 3). Setting of First Year of RN Practice The ideal setting of my first year of practice, as an RN will be at the Juravinski Hospital in the hematology unit. I have always known that I wanted to work in oncology and my placement on the hematology unit solidified my decision to pursue this goal. During a clinical shift, I would be responsible for providing care to patients with malignant hematological diseases, completing pertinent assessments and teaching skills, such as how to care for the mouth when experiencing mucositis and how to avoid infections.
Educating nurses on the principles of nursing ethics give them the appropriate tools to base ethical decisions upon. Nevertheless, this information is then moulded by the values, beliefs and experiences of the nurse. 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.
As I pursue my career in nursing, the skills and experiences that I have gained from 4-H will continue to play a major role in my life. Planning and organizing, critical thinking, and empathy are definitely needed in order to become an exceptional nurse. It is crucial to be organized when taking care of patients. Paperwork must be adequately filed for each individual patient and any confusion with documents is unacceptable. Inaccurate documentation could potentially lead to medications being misused, which would in turn harm the patient.
First impressions are made and these judgements can greatly affect how a client perceives a nurse (Patrick, 2013). Through this initial assessment, the nurse can obtain information that is crucial in providing the client with effective holistic care. Nursing assessment framework tools are used to help the nurse obtain accurate information about the patient’s wants and needs. This initial assessment based on subjective and objective data, helps to determine the patient’s actual problems and potential problems (Weber & Kelley, 2013). An assessment is carried out to obtain objective data and a physical baseline of the patient on admission.
This assignment is a reflection of ethical dilemmas in nursing practice as a registered nurse; this paper is based on the group assignment which was completed for NURS3004. This reflection will include an explanation of the role that I portrayed in the group, the preparation that I did for the role, what could have been done differently, how this group assignment has impacted me in terms of working in a team and finally explain how this assignment will assist me in my future clinical practice as a newly registered nurse. The role that I played in the group was a patient who has a mental health disorder and I didn’t want his mother to know about the illness, as a front it seemed as though we had a close relationship. When my mother leaves the room I asked the nurse to keep my illness confidential as she does not really understand it. As a group we all decided that it is best for the patient’s notes to be filed in the nurse’s station due to issues surrounding confidentiality and privacy.