The nurses should conversant with the patient’s bill of rights and apply them in practice to protect themselves and patients too. 7. Understanding Ethical Dilemma: The topic is taken from module 7.1 of BMN03 of the Ethical Issues in Nursing Practice. The topic deals with the ethical dilemmas that nurses encounter daily in the practice of their profession, origin of ethical issues, types of ethical dilemma, common ethical dilemmas faced by nurses every day, decision-making model in ethical issues, and lastly scenarios of ethical issues with examples. 7.1 Personal context: Dilemma occurs when one is faced with a situation where one is to choose between unsatisfactory equal alternatives.
The American Nurses Association (ANA) approved that address ethical practice issues such as empathy and respect .The nurse primary compliance to patient , patient advocacy, accountability , duties ,responsibility and participation in the health care (shrestha& jose ,2014). With today changes, nurses face cases such as heavy workload, lack of resources, increased patient awareness, low occupational ,various problems related to staff skills, life quality and workplace violence. In But, there is the anticipation that nurses should treat patients in an ethical manner and put ethics first in their professional performance. Across the world, nurses are guided to use professional codes that highlight their obligation to respect, protect and safeguard the essential rights of the patient involved in nursing and health care(Sharifabad
To support this claim Watson stated that ‘nurses who are not able to practice caring can become hardened, brittle, worn down, and robot like. (Watson p.467). Watson calm that patients heal are directly affected by how they feel about their current situation. Therefore, it is the nurses and healthcare practitioners’ duty to ensure that patients are comfortable and are properly cared for. Due to overload, nurses and practitioner experience reoccurring errors, which place patients and healthcare workers’ life, at risk.
Hospitals have a guideline and regulations in which to maintain a proper and safe environment. This environment is more than optimal for the nurses produce exceeding work that will be easily seen through their actions. These actions are to a point very simple and show great success in the care of patients because it fulfils the quota for keeping patients in great health. When the patients are in great health, this shows great fulfilment of hospitals to maintain patient care. But there are problems, in this because nurses are very likely to experience nurse burnout in which is caused by these guidelines.
Factors contributing to missed nursing care ranged from nurses’ values, perceptions, and socioeconomic factors (nurses’ accountability) to facilities scarce resources, staffing, and increased work demands (wards’ accountability). Additionally, this research article included the researchers own findings from a primary cross sectional study involving RNs from different wards in eight general hospitals aiming to test the effects of personal and ward accountability. The study included articles of established research from other related disciplines such as psychology, organizational controls and safety, hierarchical models, multilevel theory research, and other cross sectional studies. •Does the review rely on appropriate material (mainly primary source articles)? The review relied on appropriate material and used a majority of primary source articles.
The importance for the nursing community to be involved in patients safety encompasses the method from health policy legislation to local system policy. We discussed in earlier chapter nurses must become familiar with the legislative process that dictates nurses work environment, safety, and ultimately affects patient care and outcomes (Wallace, & Ivanov, 2014). Therefore nurses must commit to patient safety by creating a healthy work environment in which teamwork and communication are utilized as an essential daily task as outlined in the American Association of Critical Care Nurses Healthy Work Environment Standards of Care (Wallace, & Ivanov,
On the other hand, when a hospital is understaffed it can seriously affect the patient and even possibly kill them. I am extremely proud of the nurse for not backing down nor giving up. She believed what was
In nurse’s perspective, the poor and inconsistent of pain assessment can lead to unrelieved pain and reduce patient mobility, resulting in complications such as deep vein thrombosis, pulmonary embolus, and pneumonia (Ed. Caltorn, 1997). Postsurgical complications related to inadequate pain management will affect the length of hospitalization; the risk of readmissions, and increase the cost care of treatment. Somehow, a poor documentation of current status pain assessment will delay the intervention and responses to the care plan (Gordon, 2005). Thus, to overcome this situation in clinical practice, The American Pain Society (2005), created the phrase “Pain: the fifth vital sign” to increased awareness of the important in pain management
Nurses often face ethical dilemmas and moral distress throughout various levels of direct and indirect patient care. According to Moon and Kim (2015), patients often die in the intensive care unit, and ethical conflicts frequently occur due to a variety of factors, such as verbal abuse, poor communication between health care providers, and increased incidences of end-of-life issues. I think this is a very important subject to think about, especially when these conflicts can significantly impact job satisfaction, burnout, and ultimately threaten the quality of care for patients. Furthermore, a qualitative study conducted by Henrich et al. (2017) shows that healthcare providers often experience negative emotional repercussions from moral distress in the ICU, and patient care is frequently perceived as being negatively affected.
According to AJN 2008 “the large gaps in care that are for patients and their caregivers during critical transitions can lead to adverse events.” This eventually result in , low satisfaction with care, and high hospitalization rates. As per the Journal of Nursing Education and Practice, 2013, “It is evident from study that nurses have a negative attitude towards the care of the elderly whereas they showed equally good knowledge of geriatric care.” secondly there is no specialized health care professionals due to which the care of elderly compromised. The existing health care providers lack of proper training to handle elderly patients with special health care issues. Explore the reasons for identified gaps in your practice settings 1. Gaps in transitional care and Improper training 2.