The article describes correctional nursing as one of the hardest jobs to keep values in such, ethically and legally in a sense of what it means to be a nurse. The reason their job is so hard is they have to set aside their feelings and view on things they don’t necessarily agree with. Whereas, nurses in a hospital setting or clinic don’t have to make or choice if they want to help a patient, they just do because it’s the duty of the nurse under the American Nurse Association. The correctional nurse has to be able to deal with incarcerated inmates every day and on a daily basis. They have to be trustworthy of the inmates who may have done something against their beliefs and religion.
In an ethical standpoint the correctional nurse have to set the tone for how they will set their ethical, legal and professional issues that nurse’s face especially in the correctional setting than a traditional medical setting. Say in a traditional medical setting on some occasions there may be a dilemma but not as often as correctional nurse’s face. They have to make decisions all the time on care of delivery, caring and advocating on behalf of patients and providing safe care however there are other ethical principles on top of a nurses work in the correctional setting such as having, “respect that uses autonomy and self-determination; doing good, trying to avoid harm; having fairness; telling the truth and remaining faithful to one’s commitment” (www.ncchc.gov ) This helps guide the nurse in making ethical decisions though the correctional nurse relates to the
…show more content…
Because they are in contact with inmates-patients more than any provider the law is to give them the equal treatment as any other person has rights to service. Failing to provide that service will lead to serious litigations under the Eighth and Fourteenth Amendments which would be a violation to the civil rights
In the New York Correctional Association’s 2005 report, is was brought to attention that 6.5 full time registered nurses out of the suggested 28.5 positions were not filled. There is also 3.0 full time licensed practical nurses out of 4.0 suggested positions left unfilled. The 23% vacancy of RN’s and 75% vacancy of LPN’s is a large part of why the medical services are falling short (“Fishkill Correctional Facility”, 2005). The nurses that are available are scheduled for extensive overtime, to the point that it is interfering with their family life. This also causes certain patients needs to not be met.
People who are incarcerated does not have a choice from whom they seek healthcare service from when it comes to their medical needs. Their circumstance should not dictate if they are entitled to quality ethical service or not. According to Findlaw.com Inmates are entitled to medical care and attention as needed to treat illnesses whether it be on a long or short term basis. In our facility alone we receive over 150 greviances a month with inmates complaining of not having their needs entirely met due to correctional regulations and poor service. The most ethical practices to help combat these issues is to promote patient advocacy, ensure accessibility to care, and to always be respectful.
These staff members will need to take the time to talk and learn about the prisoner because prisoners who endure histories of physical, sexual, and or emotional abuse do not trust anyone and feel worthless. If these staff members were to never be included, once the prisoner would leave they would come right back because they started behaving upon impulse. Prisons need to involve
Amidst a whirlwind of change, nurses continue their roles as competent, honorable professionals. A relatively new issue, cultural integrity, correlates with the Code regarding “treatment of the human response.” The American Nurses Association’s “Code of Ethics for Nurses with Interpretive Statements”, also called the Code, highlights nurses’ consensus on professional principles. Nursing ethics guide how practitioners treat their patients and peers. Sensitivity to individual societal, familial and cultural background plays an important role in organizational integrity.
Outline ethical issues that impact the APN Ethical issues can impact the health care system in a variety of ways. The APN is expected to provide excellent regardless of the work environment. One issue that continues to influence the entire nursing profession is staffing inadequacies. “Without sufficient staffing it is difficult to meet ethical standards of professional practice responsibilities, including protecting the rights of individual patients and families, alleviation of suffering, and preserving their integrity”(Ulrich et al., 2010, p. 1).
The issue of retention and safety is also a barrier correctional nurse face as well as a key concern for policymakers. Overall, retention of correctional nurses can be addressed by creating an environment with opportunities for prison nurses to identify their practice needs and meeting their learning needs appropriately. The primary goal of the Correctional Facility is custodial care. Barriers that arise include; high security, regulated, and a punitive environment all presents unique challenges for nursing education. Subsequently, correctional nurses are not always able to obtain training or ongoing evidence-based education that is required for a prison setting.
Ethical Dilemmas in Nursing Numerous situations present with ethical dilemmas in the field of providing and receiving nursing care. Although laws and regulations are in place to guide healthcare workers in setting up care plans and in making choices while following those, day-to-day events may challenge those choices. Clients and their families may have requests or needs, outside of the plans already set, where values and beliefs are clashing. One such dilemma is placing a patient in restraints.
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.
Ethics is very important in nursing practice and involves respect and advocacy for the needs of the patient. Both, ethics and honesty have major impact on patient safety. Another core value is autonomy. Autonomy is demonstrated when the nurse supports independent decision making and respects the patient`s right to self-determine the course of action. Human dignity is another core value in nursing practice.
The situation I found in the correctional setting was a nurse-centered model, where my colleagues perceived the client as a dangerous criminal who is a threat to the safety of the nurse, prior perceiving him as patient. However, my perception, as a care giver, is to foremost regard the client as a patient who deserves my empathy and care, without losing cognizant that he is a potential
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
They have to deal with inmates with infectious diseases, prison gangs, inmates with mental illness, and riots; that is not even half of the risks that they face in their profession. To commence, Correctional
A nurse must keep up to date on education and new processes in health-care, so they can provide the best care. As a nurse, you have promised to give each of your patients the best care that can possibly be given. Nurses must follow a code of ethics, to act safely, provide ethical care no matter how they feel about the patient or the reason they are in your care. Following this code of ethics shows your commitment to caring for people and society, it is a guide of ethics and standards to follow to keep everyone safe. Nursing is also a wonderful opportunity to meet hundreds of people from almost every nationality and every walk of life.
According to the case scenario, this is an ethical dilemmas because there is a choice between two equally appealing mutually exclusive choices that is shown as the nurse’s awe while against the prisoner’s wish among of the fear of reprisal if disobeying orders. The RN is working in military, so obeying orders is the most important rules in where the nurse practices. Therefore, the nurse notes that a moral distress arise while following the healthcare members’s decisions which are considered as
Differences between the Basic and Advanced Practice Nursing in Difference Correctional Facilities and Those outside Correctional Facilities As I try to establish some differences between the basic and advanced nursing practice in different correctional facilities and those outside of the correctional facilities, it has been found that some of differentiate standards exist between the basic and the advanced nursing practice in the correctional facilities and also outside of the correctional facilities ( Clark C. ,2010). This slight difference exists because it requires difference standards of care for the prisoners in the correctional facilities. Those prisoners are entitle to receive either the basic nursing care or advanced nursing practice of the standards of care (Clark, C., 2010). The basic nursing practice primarily involves the provision of care to the individuals and families.