Moreover, I believe that nursing leadership is critical to the lives of nurses. Thus, it is essential that a nurse leader is consistent and knowledgeable on ways to facilitate the development of nursing practice environments that enable nurses to deliver quality nursing care. For such an environment to be met, it is my belief that I will not only be required to advocate quality care but also need to communicate articulately, be a mentor, a visionary, a mentor and a role
Consent is one of the key principles that guides health care professionals in the NHS constitution, this reflect the needs and preference of patients, their families and carers where right decision will be made and will be informed on all decision of their care and treatment, (DH ,2012), however healthcare professionals need to share information with the family and carer with the patient consent, and ensure a confidentiality policy is in place and followed by all staff (DH, 2003). It was important to explain to Mary-Jane of her need to be in the chair as it was a part of her ongoing treatment which was put in by the physio-therapist, as it was Mary-Jane right to accept or refuse this part of her treatment, (DH ,2012). In keeping with (NMC, 2013) code the student nurse gaining consent before taking Mary-Jane out the bed had to fully respect her right to decline or to accept as long as she fully understand what was said to her (Mental Capacity Act, 2005) as this shows that the patient decision was been respected. This indicates that the client is being protected
Reflection involves methods of “reflection on and in action”. Reflection is used in practice to assist with factors, such as NMC Revalidation, support and enhance safe practice, improve skills and knowledge and enable professional development. Reflection is significant in practice because nurses are accountable for their patient’s specific requirements. There are numerous skills required for reflection to work, which are known as self-awareness, description, critical analysis, synthesis, and evaluation. The reflection process is carried out through many different models of reflection, for example, Gibbs (1988) Model, which is used as a guide to examine the critical incident.
According to the Nursing Code of Ethics and advocacy guidelines from the Edelman & Mandle text, the ethical and advocacy responsibilities nurses have when promoting health across the lifespan is very broad. Nurses’ responsibilities are depending on the patient’s needs or care. According to Elderman, Kudzma, & Mandle (2014) “Codes of ethics offer guidelines on not only about responsibilities for ensuring good care but also about responsibilities for recognizing and addressing barriers to service” (p. 110). The textbook by Edelman et al, outlines those essential responsibilities of nurses in ethical and advocacy that facilitate health promotion across life span. However, nurses have adopted a narrow approach to health promotion that focuses more
Respecting autonomy means respecting the individuals capacity to make decisions consistent with the patient’s own personal desires or life plans. The British Medical Association (2007) states that these are decisions with which others may not agree with. If a patient is requesting or seeking support in carrying out assisted suicide it poses a challenge for the nurse to seek the underlying reasons for the request. Likewise, Carr and Mohr (2008) concurs with the British Medical Association (2007) and also expresses concern with regard to patients having powerful feelings of depression or isolation, pain or suffering or feel a sense of burden on their families. Better symptom management and palliative care, appropriate referrals to counsellors and hospices and increased knowledge about the right of a competent adult to refuse treatment even if the refusal will hasten death may provide satisfactory alternative to assisted suicide.
Educating nurses on the principles of nursing ethics give them the appropriate tools to base ethical decisions upon. Nevertheless, this information is then moulded by the values, beliefs and experiences of the nurse. Therefore, very different choices may be made regarding the same dilemma. Restraint must only be used: (1) as a last resort only, when it is absolutely necessary to protect the patient’s or others’ safety; (2) as safely as possible; (3) with respect for the patient’s human dignity; and (4) under the supervision of a doctor (The Mental Health Act, 2008). Restraint can be categorised into: physical, chemical, mechanical, technological and psychological.
Nursing Core Competencies, Leadership At The Forefront Paul Oviasogie Broward College Nursing Core Competencies, Leadership At The Forefront Daphne Mallory stated, "Leadership is the art of serving others by equipping them with training, tools and people as well as your time, energy and emotional intelligence so that they can realize their full potential, both personally and professionally.” In nursing, RNs are encouraged to become proficient, professional leaders in the workplace. Nurse leaders embrace the responsibilities of their fellow nursing staff as well as the care of their patients. Also, leaders in nursing are devoted to advocating for their patients, ensuring patient and nursing satisfaction, delivering safe,
Caring helps influence the ways in which people think, feel, and behave in relation to one another (Ozan, Okumus, & Lash, 2015). Caring in the nursing practice provides the presence of a touch, listening, spiritual caring, relieving pain, and a support system. Jean Watson 's Human Science and Human Care Theory includes transpersonal caring and relationships (a moral idea), carative factors (what to do), carative process (how to do), and the human care paradigm (Hood, 2018). These tools are necessary to use in a nurse’s daily life. Watson’s theory focuses on caring as the moral ideal of nursing and helping a person understand meaning in sickness, pain, and existence.
Telling the truth or not intestinally deceiving or misleading patient. In this event not telling patient the truth about his choices can dismissed his self-esteem and reliability (Ellis & Hartley, 2012, p. 295). Edwards (2011) acknowledged that “the obligations to respect autonomy include the obligation to be truthful to the patient” (p.107). In given scenario, the physician should be discussing and updating the patient about his prognosis and plan of care, it violates the ethical principle of autonomy by not giving the patient the complete information and therefore no choice to decide for himself the future treatment plans. Edwards (2011) concluded that by keeping the necessary information from the person, the number of choices available to that person is reduced which inhibits her
Rhetorical Analysis on an Exposia of Nursing Ethics In the essay “ Nursing’s Code of Ethics, Social Ethics, and Social Policy,” Marsha D. Fowler explains the history of Nursing ethics and what should be utilized in today’s society. Fowler explains to her readers what nurses should promote within the healthcare field. The purpose of her essay is to persuade her audience, whom are Nurses or someone who has background knowledge, into taking action. In order to explain the importance of ethics, Fowler uses two primary arguments emphasising, nurses need to have a stronger voice in policy making and they need to follow the code of ethics which was set for them. Fowler (2016) concludes in her article by encouraging nurses to take action and
Palliative care is provided by prescribing medications and diversified other strategies for improving overall health and well-being of individuals (Ingleton & Larkin, 2015). On the contrary, the end of life care is only recommended for patients, who could not be further treated due to their terminal illness (Dixon, King, Matosevic, Clark & Knapp, 2015). It involves agitation which is distressing for cognitively impaired patients and their families for which psychological therapies and mini mental state examination (MMSE) should be performed (Oxford Medical Education, 2015). De Souza & Pettifer (2013) suggests that psychotherapy and MMSE are necessary because agitation and anxiety is linked to biochemical abnormalities and it might effect on body organs to fail (De Souza & Pettifer, 2013) In the year 2014, the fundamental priorities related to the provision of care during the last days of life and previously implemented policies and procedures implemented in Wales were reviewed (NHS Wales, 2016). This review significantly contributed in launching care decisions for the last days of
Furthermore, there is a vast need for additional research. There is a necessity to gain knowledge on risk factors and on ways to prevent suicide in order to aid nursing home residents (Bugeja et al., 2015, p. 811). The knowledge of preventing suicide in a nursing home can be helpful for residents as well as for social services. Suicide occurs in nursing homes partially fur to the lack of knowledge on depression. Current research depicts that physicians fail to recognize depression and tend to provide inaccurate treatment (Allgaier, Fejtkova, Hegerl, Kramer, & Mergl, 2009, p. 355).