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.
Marjorie A. Rutherford is more knowledgeable in implementing the Nursing Intervention Classification (NIC) and Nursing Outcome Classification (NOC) and has more than thirty years of experience in performing this terminology. It is interesting her about the role of nurses in the caring for the patient. She focuses on a statistically important issue of the standardized nursing language. She can also highlight the points of an impressive conclusion that excites the target audience. She additionally explains how standardized nursing language will improve patient care.
NU 413 Week 9 Discussion Board Post student response to Katie-Lynn Fournier by Kathryn Moultrie Good afternoon Kathie, Enjoyed reading your post, and seeing how other organizations handle the operations of their facility and nursing departments. My biggest concern with improving quality care and patient safety issues in that, the responsibility is not ours alone, our Chief Nurse Executives (CNEs) and Director of Nursing (DON), and senior nursing management staffs to lead the journey Disch J. (2008). I find it overwhelming that the majority of the research literature (studies, surveys and reports believe nursing plays the pivotal role in changing the face of health care and improving quality care and patient safety.
It is done by measuring the ongoing commitment of a registered nurse in his or her capacity to apply and integrate the skills, knowledge, and judgment with the values and attitudes required for the practice of ethical, safe, and effective measures to help patients (Eastman, 2010). At times measurement is done objectively based on the roles that they play. And how effective their results are. The evaluation is sensitive to situations and context. Competency in several cases can only be observed by an individual’s way of handling his or her duties.
The National Organization of Nurse Practitioner Faculties (2014), outlines the quality competency as continued improvement of practice through the use of the best evidence, evaluation of the influence of safety, access, cost, and quality of health care. Also, the application of skills to encourage a culture of excellence, and the ability to implement interventions
(2014, June 6). Retrieved from ANA American Nurses Association: http://nursingworld.org/DocumentVault/Ethics-1/Code/Code-Provision-1.pdf Code of Ethics for Nurses with Interpretive Statements Provision 2. (2014, June 6). Retrieved from ANA American Nurses Association: http://nursingworld.org/DocumentVault/Ethics-1/Code/Code-Provision-4.pdf Kangasniemi, M. P. (2014). Professional Ethics in Nursing:
The understanding of nursing sensitive indicators are measures that focus on increasing quality and safety in patient care. Understanding nursing sensitive indicators can help the nurse can identify the issues in the scenario. One important nursing sensitive indicator is complication from pressure ulcers, restraint prevalence, and patient satisfaction. It was evident that Mr. J has the beginning of a pressure ulcer. In the scenario Mr. J had what can be perceived as a stage 1 pressure ulcer, he has redness over a bony prominence (Hughes, 2008)
As we transition into the new role of NPs, our scope of practice expands. Moreover, as our responsibilities increase, we later become policy makers, and develop autonomy and decision–making skills. NPs are responsible for providing safe nursing care with more specialized knowledge and advanced education. We are also responsible for pursuing continuing education and advanced knowledge to remain competent quality providers, and meet the needs of the community. With our acquired repertoire of skills, it is essential that we utilize them to make informed decisions and collaborate with our community to promote wellness and healthy living.
Nursing sensitive outcome measure demonstrates the sensitive need of the patient. Poor nursing care will have a negative impact on the quality of care the patient receives. According to Saul’s, nursing sensitive indicators are outcomes related to the quantity and the quality of care a patient receives (Sauls, 2013). Here in this situation, nurses must be aware of sensitive indicators, such as: pressure ulcers, a patient’s dignity, and quality of life. These indicators represent unfortunate nursing care, and reflect a negative outcome.
With a nurse shortage, patients are not getting the best quality care they should be getting. Archive stated that hospital nurse staffing, is a matter of major concern because of the effects it can have on patient safety and the quality care patients deserve. Nursing-sensitive outcomes is an indicator of the quality care and can be defined as variable patient or family caregiver state, condition, or perception responsive to nursing intervention. Some unfortunate patient outcomes potentially sensitive to nursing care are shock, urinary tract infections (UTIs), pneumonia, longer hospital stays, upper gastrointestinal bleeding, failure to rescue, and 30-day mortality. Research has focused on negative rather than the positive patient outcomes for the simple reason that adverse outcomes are more likely to be documented in the medical record.
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
Thank you for your sharing. It is a very nice post. I understand more on how the nursing-sensitive indicators work with your appropriate example. For my understanding, “nursing-sensitive indicators” work like as a meter. The low meter reading represents something such as inefficiency or low score.
This connects back to the learning outcome (4.1), “Demonstrates use of professional standards and the Code of Ethics to inform safe nursing care as applicable”. Using the code of ethics will help me provide competent, safe, compassionate care to clients. And my awareness and knowledge still need to develop to perform the ethical care I require to do in the long-term care
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.
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.