Essay On Abandonment In Nursing

Leadership is the ability to guide or influence others with an objective of achieving a desired outcome. It involves influencing beliefs, opinions, values, perceptions, or behaviors of an individual or a group, and it is an amalgamation of inherent personality traits, learned skills, and it is a response to situational stimuli. I believe that, at any particular moment, where two or more individuals are interacting, one of them will emerge as the leader the other(s). To me, this means leadership role is fluid, and it changes as situational stimuli changes. For instance, during interpersonal interaction involving two individual, the leadership role has potential to shift from one individual to the other, as the situational stimuli changes.

In this case study the primary nurse, Amelia Wilkerson, is caring for a patient, Katy Palmer who has recently been admitted to the hospital for fatigue and abnormal lab counts. The patient asks Amelia for information regarding her diagnosis. Amelia has seen Katy’s results and knows that she has been diagnosed with acute myelogenous leukemia. The ethical dilemma seen in this situation is that it is outside of the scope of practice for Amelia to discuss Katy’s original diagnosis with her. This is reserved for the doctor alone. However, as a nurse that has developed a relationship with her patient it would be very difficult to not answer her question honestly. In addition, the patient might feel more comforted hearing the diagnosis from her nurse rather than the doctor as the nurse has been caring for her and they have developed a therapeutic relationship.

Burnout is classified viewed in three phases. The first phase of burnout is the arousal phase. The nurse shows anxiety, insomnia, forgetfulness, inability to concentrate, feelings of beings overwhelmed, frustration, sadness, and new physical symptoms, such as headaches and stomach problems. If the nurse does not recognize that these symptoms require intervention, the second phase is energy conservation. In this phase, the nurse starts to call in sick to work; o she may be chronically late getting to duty. Deadlines are not met, a cynical or resentful attitude develops, a persistent sense of fatigue pervades both are the nurse’s personal and professional’s life.

The idea of shift work is a common one, but for nurses this is not a simple changing of staff during a certain time, change of shift signifies a time of purposeful communication between nurses and patients, in order to promote patient safety and best practices (Caruso, 2007). During this time, there is the possibility for this critical opportunity to relay important information to become disorganized by extraneous information, rather than concentrating on the needs of the patient (Sullivan, 2010). Often the patient is left out of the conversation, and is not a part of the process. Patients and families can play an important role in making sure these transitions in care are safe and effective (AHRQ, 2013).

Florence Nightingale(1860)has shaped Nursing and this history shapes contemporary nursing today. This assignment shows how social media is a contemporary influence on nursing. This discussion will include the purpose and impact of the Health Practitioners Assurance Act 2003 (HPCA) and the Nursing Council of New Zealand Code of Conduct(2012) and how they have been implemented to underpin contemporary nursing practice today.

There are many concerns the scenario illuminates for practicing nurses. Prior to going out on placement to a healthy facility,

Laws are created with the intent to define what is right or wrong and built off moral beliefs, similar to ethics (Burkhardt & Nathanial, 2008). The law acts to regulate and authorize what is right and wrong in nursing practice.

Provision one, a provision in the American Nurses Association Code of Ethics for Nurses, entails that nurses should pursue their nursing career with empathy and respect towards all patients. In other words, patients should be viewed as separate individuals with separate values and beliefs. Nurses and other healthcare professionals should respect their individual decisions, whether they agree with them or not. This code of ethics provision relates to the ethical dilemma of a patient refusing medical treatment. Although nurses are trained to do all that they are capable of doing to save patients’ lives, sometimes nurses reach a dilemma that puts a strain on their practice. At times, patients’ refuse medical treatment, even if the treatment will

Markle-Reid, M., Dykeman, C., Ploeg, J., Stradiotto, C. K., Andrews, A., Bonomo, S., ... & Salker, N. (2017). Collaborative leadership and the implementation of community-based fall prevention initiatives: a multiple case study of public health practice within community groups. BMC health services research, 17(1), 141.

What new strategies can we introduce to reduce moral distress among practicing nurses compared to current strategies that would reduce moral distress and increase retention of experienced nurses? According to a survey conducted Woods, Rodgers, Towers and La Grow (2015), 48% of nurses surveyed considered leaving their position due to moral distress. Some nurses may even leave the profession. This should be a major concern for nurse managers because retention of experienced nurses is essential for mentoring new nurses, provides a balance of experience in patient care settings, and leads to improved patient outcomes.

Like the patients have the rights to refuse the treatments, we as nurses have the rights to refuse any assignment that we think is not balance, bias or that could make our practice unsafe. “The American Nurses Association (ANA) upholds that registered nurses – based on their professional and ethical responsibilities – have the professional right to accept, reject or object in writing to any patient assignment that puts patients or themselves at serious risk for harm” (American Nurses Association, 2015, 1). The nurses' refusal should not be based, however, on personal preferences. Any nurse who acts in such matter can be held accountable in the decisions of refusal an assignment personal preferences patient abandonment. Nevertheless, the refusal can be based solely on moral, ethical, or religious beliefs.

Nursing is proving care, support, and serve people who are in need. The purpose of nursing is to improve patient 's health condition to a better life. The goal of this paper is to explain my personal philosophy and clarify some of my values of nursing.

Moral integrity is the key ingredients and navigator in professional nurses that lead to ultimate goal of nursing care. It has been recognized as a fundamental part of professional nurses’ practice (Ulrich et al, 2010; Pavlish et al, 2012). Professional nurses play the largest role to support the need for individualized treatment of the patient. The goals of the profession of nursing are related to ethical and involve protecting patients from harm while providing care that is the most benefit for the patient (Bosek, 2009; Kopala&Burkhart, 2005; Helft, 2011; Susan, 2013,). Nowadays, professional nurses have encountered to face and manage with moral problem that occur from complexity of patient health problems, advances in technology, inappropriate of health care system, policies and priorities that conflict with care needs, inadequate staffing and increased turnover, or lack of administrative support (Brazil et al. 2010; Eizenberg et al. 2009; Elpern et al. 2005; Epstein, 2008; Gutierrez, 2005; Peter, 2008; Radzvin, 2010; Redman and Fry, 2000; Solomon et al. 2005; Sporrong et al. 2006; Wigglelon et al 2010).

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.

My philosophy of nursing is a statement I will stand by as a nursing student and as a graduate nurse and will continue to incorporate it into my daily care. In my eyes, nursing is the ability to provide safe, holistic care to all people regardless of their age, race, gender, social status, or sexuality. Nursing is a profession in which it is essential to be caring and respectful of all patients in which they may be experiencing the most difficult health situations of their lives and to provide culturally safe care.