Despite JB expressing his dislike of being placed in seclusion, nursing and medical staff agreed JB’s capacity to make an informed autonomous decision was impaired due to his current mental distress. Roberts (2004) states that the paternalism in mental health is rationalized through the concept that mental illness can inhibit a persons’ competency and ability to act autonomously in the governance of their care and therefore principles of beneficence and non-maleficence must be introduced to ensure that person receives adequate care. Prinsen & van Delden (2009) also argue that coercive measures such as seclusion can be necessary in reclaiming personal autonomy and control. However this paternalistic viewpoint of overruling a patient’s autonomy is arguable especially if a person is deemed incompetent due to their mental illness. Szasz believed mental illness was mythical and the introduction of a diagnosis was merely to label social deviancy from social norms.
The silencing of their voices and desire to make them passive was a technique that was used in an attempt to control and lessen their sensibilities. Furthermore, the idea of controlling the patients became the tool that enhanced the fortified structure and power of Ratched over the ward. The nurse prevented the freedom of the men on the ward by keeping a list of rules in an attempt to maintain control and order. The men were told to stay together at all times, which made it easier to control the patients because they lacked the experience of independence. Being apart from the group would enable them to think critically about their surroundings, consequently, the rule of forced socialization was done to enhance Ratched’s jurisdiction.
I believe that the nurse leader ought to first have the nursing expertise and be able to utilize interpersonal skills to influence and empower the other nurses to deliver quality nursing care. Importantly, I would only consider nursing leadership effective when the leader is directly and actively involved in clinical care provision as that provides opportunities to improve care provision by influencing the nurses that one is leading. Notably, improvements would not be guaranteed if nursing leadership is restricted to management as leadership is founded on the strength of the opinions that the leaders raise, which I believe applies to nursing profession. On considering the aspect of interpersonal skills, I would focus my nursing leadership efforts on team building, establishing respect and confidence in other nurses, coming up with a vision and empowering them. Moreover, I believe that nursing leadership is critical to the lives of nurses.
Victims need proper support and the offenders need to have discipline in order to correct this issue. Based on the article, Impact of Workplace of Workplace Mistreatment on Patient Safety Risk and Nurse-Assed Patient Outcomes, suggest that organizations should have a zero tolerance policy and to implement programs to work on, “building positive interpersonal relationship” can help protect the safety of the patient and the nurse. (Laschinger, 2014) As a nursing assistant and in clinical, I have experienced workplace violence and I believe that respect amongst each other is a way to effectively deliver quality care and it is unacceptable to display those types of
The current healthcare system may seem confusing and fragmented to a patient and their family (Choi, P. P, 2015). In lines with the idea of equity and equality, any patient should be able to receive the same quality care despite their background or position in life. Yet, given the imperfect state of our healthcare system, patients who are in a vulnerable position can be marginalized and pressured into unfavorable situations. Nurses, in turn, have a unique power in the healthcare system, which allows them to be the voice for these trivialized patients (Choi, P. P, 2015). This draws on the concept of social justice advocacy.
Patients are aware of their rights; it’s unethical to distort it. Need arises to frame clear philosophy to safe guard their right. Therefore, nurses should endeavour to maintain and respect the patient rights to promote professionalism of action. b. Needs arises of framing nursing philosophy to direct all individuals effort in appropriate direction.
These taboos and rituals are used as the medium to create ambivalence and resentment between generations into culturally defined and tolerable ways of expression. Cultural symbols are used to link combine the social meanings and individual psychodynamics. Freud’s suggests that symbolisms are universal however, he is contradicted there are researchers who believe that symbols are collective
From the narration, David’s toxicity is exposed through his acknowledgment of the wrongs in his actions, yet he decides to ignore it. Coetzee exposes the society’s views on David’s actions through the reactions of his wife, colleagues, and society. The primary concern of David’s wife and his colleagues after the exposure of his sexual harassment was whether it was worth it for him to risk everything and for him to just apologize to maintain his job. From this scene, there is a clear comparison between today’s society and the book’s. Based on the “#Me Too” movement, it is observed that these actions cannot be erased from society by acknowledgment and a meaningless apology.
It is about conformity which means change behavior in order to adhere to social norms or as a result of real or imagined group pressure. For nurses, the ward they work at decides what the social norm is about. For example, the ritual of a ward is using hibitane solution for all wound dressing. Although a nurse working at that ward has learned that normal saline solution would be a better dressing solution for normal wounds, s/he may still choose hibitane for all wound dressing because this is the habit of the ward. As the social norm about wound dressing in that ward is using hibitane for all wounds, s/he may feel group pressure from her/his colleagues such as questioning her "why don 't you follow our habit using hibitane for dressing?"
Expected Utility theory The expected utility theory is a body of evidence that provides strong foundation for critical thinking and the decision-making process (McKenna, Pajnkihar & Murphy 2014, p. 61). This theory allows for nurses to provide links between treatment guidelines and the evidence-based practice which supports the treatment to provide the best possible care for patients (McKenna, Pajnkihar & Murphy 2014, p. 61). The expected utility theory allows for nurses to be able to accurately and effective decisions, through ensuring that all information about the decision is being considered by the nurse (Scott et al. 2014, p. 232).This decision-making process is achieved by looking at the positives and negatives of the treatment to determine the risks and any possible treatment alternatives to determine which would be best for the patient’s outcome (Scott et al. 2014, p. 232).