Since nursing homes tend to provide care to a vulnerable population they can be taken advantage of, overlooked or mistreated by staff and with residents potentially underreporting these incidents due to fear of retaliation by staff identifies this as significant ethical issues among nursing homes. The use of restraints that restricts a resident, whether physical or chemical applies to the ethical considerations within a nursing home as it not only impacts the resident, it can affect staff members and other resident’s safety. There is always the conflict between providing the resident with a fair amount of decisions regarding their activities of daily living, special accommodations, and independence. However, there is also the reflective issue of whether these freedoms impact the safety and the ability to comply with the institution's policy and how they are handled to deliver ethically appropriate customer service to those
As all know, the incidence of patient falls will be the big thing in every health care centre. I also worry if Madam Y experienced any complications, I might not be able to forgive myself. This critical incident made me feel sad and disappointed in myself. After this incident, I started to blame myself for the fall and this affected my nursing practice until the end of my shift. I still being uncomfortable and not confident on that day while performing my nursing skills and felt sad throughout the day.
Cultivating Healthful Environments Incivility in the workplace was once a remote issue; however, it has increasingly shown concern in the workplace and how it affects nursing staff as well as patient care. Workplace incivility is identified as a behavior with a vague intent to harm someone while having no concern for workplace standards or respect for others (Laschinger, Wong, Cummings, & Grau, 2014). Incivility negatively impacts interpersonal and professional relationships, diminishes nurses’s care provided to patients, and provides more room for medication errors and patient dissatisfaction (Abdollahzadeh, Asghari, Ebrahimi, Rahmani, & Vahidi, 2017). Prevention methods need to be warranted to limit workplace incivility to provide nursing staff with increased self-esteem, and to provide quality of care that is safe to all patients. Organizational outcomes are also negatively impacted when it comes to incivility.
This is very critical as it helps in the diagnosis and also helps me to get to know the patient’s history [Doctor 1]. However, one challenge with regard to patient active participation in the encounter process is the lack of role clarity. Both doctors and patients shared this view. Some patients are not sure of their role in the consulting room…some believe that with the minimum or scanty information, doctors should be able to diagnose and treat them accordingly [Doctor 7]. It is quite worrying that some patients come to the consulting room and try to suggest what to prescribe for them.
The Hospital or Trust you are working for deems it necessary on the grounds of competence and / or public interest. iv. You have seriously breached the rules and / or policies of the client you are working for. v. You continually fail to notify Sanctuary Health that you will not be attending a duty once you have accepted it, or you are continually late without acceptable reason. vi.
Justice Clark’s dissent emphasized the importance of confidentiality: “Until today’s majority opinion, both legal and medical authorities have agreed that confidentiality is essential to effectively treat the mentally ill and that imposing a duty on doctors to disclose patient threats to potential victims would greatly impair treatment” (Tarasoff v. Regents of University of California, 1976, p. 20). If patients are unable to trust their therapist completely, then it is likely that they will not be as open during their sessions, which will make it difficult for the therapist to accurately diagnose and treat the patients. The decision by the court places the therapist in a difficult position. A therapist could utilize the ethical principle of beneficence, defined as acting in ways that benefit another and prevents harm, in determining the best way to act to benefit both the patient and protect the third party. Per the ruling of the court, “when a therapist determines, or pursuant to the standards of his profession should determine, that his patient presents a serious danger of violence to another,” he is required to warn the victim of that “danger” (Felthous, 2006, p. 339).
I did my initial assessment on the patient and immediately called the doctor to come see the patient because his status was evidentially unstable from my perspective. The family was anxious and kept asking me questions as they didn't know what was happening. I decided to stay with the patient even
From the perspective of a person within the health sector, autonomy may and may not be practical for the purposes of preventing liability from litigation and avoiding ethical criticism, especially when it 's measured against the patients’ best interests. In certain circumstances such as cases where patients don 't have the decision-making capacity, then nurses may treat the patient without consent. This type of situation is usually grounded on the principle of necessity. When professionals working within the health sector act under necessity, they must be able to prove that they did no more then what was necessary and in the best interests of the patient. This is a common problem in today 's nursing homes as many residents are not of sound mind and are unable to make decisions that affect them.
When I read this guideline I realize my hospital don’t even have a Standing Operating Procedure (SOP) on administration of medication. I strongly believe this is one major contributing factor why the medication error took place in my practice area. A key point that I notice in this guideline is that, the nurse who is administrating medication should have knowledge especial the risk involved in this group of drugs and must have had read the guidelines on Medications
The Francis report is clear confirmation that when the 6C’s, a therapeutic relationship and ethical boundaries are ignored in patient care it becomes a major barrier that leads poor healthcare. (Department of Health, 2013). It is evident that a therapeutic relationship and effective communication underpins good healthcare (Brown & Bylund, 2008). Communication is therapeutic and building relationships is the cornerstone of nursing work, particularly with patients who have learning disabilities or mental health issues (Clarke, 2012). With such patients, nurses have to consider emotional factors as the patients may find it hard to listen, concentrate and communicate if they are emotionally, scared, anxious or maybe just do not understand the
They shifted focus on taking care more of paperwork (or are they?) and not attending and supervising the actual surgery as it unfolds. This persistent breach in supervision is expected, after all current perioperative nurses doesn 't receive instructions and training in nursing school on surgical technology functions and job description anymore, which raises a quandary and a question of how can one supervised when you’re not competent, don’t have the aptitude and knowledge in that capacity. AORN standard defines “Direct Supervision/Supervision” as an active process of directing, guiding and influencing the outcome of the planned activity. The Circulating RN then delegates direct supervision to the surgical technologist during the intraoperative
BJ Miller’s first view point is that we all need a reason to wake up, however, I do not completely agree with this idea. God is the reason why we wake up or do not wake up, but we do have things to do when we wake up, so this point is somewhat valid. BJ raises a good point about all of us being patients for all humans have aliments that bothers them in life whether medical or psychological. I do believe the speakers concept that the American health care system is flawed for I have witnessed this myself while being a patient. Consequently, many American do not have access to the health care they need for they are uninsured or do not have enough money for the co-payments.
The United States culture is a completely different experience for the Hmong people, something that is very foreign and unusual for them. The Hmong people and Lia’s family especially are faced with huge culture shock when it comes to the United States heath care system. They are use to more spiritual practices, while the doctors are focused on using strictly medication in order to heal patients. These completely different methods make it difficult to finding a common ground when trying to heal Lia. Many things that the Hmong culture is accustom to are not very well excepted in the US culture.
The one piece of information that will most likely affect my nursing practice will be to ensure I inquire about a caregiver’s emotional state and how he or she is coping. As an intensive care unit (ICU) nurse, I see firsthand how caregivers resume care at the hospital for his or her loved ones, even though there are health care professionals ready to take care of personal needs. It seems as if a caregiver does not know when to stop giving. A caregiver will at times, succumb under mounting challenges and tribulations at some point and will need support. For caregivers experiencing stress, self-help groups can be beneficial (Tabloski, 2014).