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.
Participatory Leadership in the Nursing Industry Introduction Today, the old traditional image of an authoritarian leader with a non-negotiable expression on his face that always gives strict orders to employees is no more consistent. The very concept of leadership has significantly evolved over the past decades. Scientific evidence confirms that participative leadership style significantly improves team performance and contributes to the effective change management (Kumar & Khiljee, 2016; Saleeby, Holschneider, & Singhal, 2016). Demonstrating effective leadership qualities has become a necessity for clinicians in today 's healthcare system. Participatory leadership style, when applied in the healthcare settings subjected to change implies an active participation of the key stakeholders in the transformation process.
The various middle-range theories are preferred over grand theories, as researchers need the generation of testable hypotheses. (McEwen, 2014. pp. 213-214). This discussion will identify how the middle-range theory Interpersonal Relations and how it is applicable in solving nurse fatigue.
Introduction Nursing judgment refers to a clinical assessment concerning person’s response to health situations or how vulnerable the response is to individuals, household, clusters or the entire community. Clinical judgment consists of two main sections, descriptor, and attention on examination inclusive critical aspects of examinations. In some cases, exceptions are made on judgment and given in one term like anxiety, pain, and dehydration. Clinical officers should not concentrate most on diagnoses from focused challenge but to risks realized (North American Nursing Diagnosis Association, 2005).
The thing I did best today, was, communicating with my patient, and doing his physical assessment. My clinical rotation this quarter for Galen College of Nursing ,is at the VA medical center, in Louisville Ky. The VA medical center is a govt hospital for the veterans.
When an adverse incident occurs within healthcare, it is the duty of an investigator and healthcare regulator to investigate the any failings and hold the relevant healthcare professional responsible. Working as an investigator within the Nursing and Midwifery Council, my role is centred around public protection and investigating and holding registered nurses and midwives accountable for their misconduct, competency concerns and failings. A constant theme within investigations is the question of whether any patient harm occurred and the impact the incident had on a patient, although we rarely take into consideration the impact the incident had on the registrant, or how the lengthy fitness to practise proceedings create a period of uncertainty
They explain most HIPAA violations are due to lack of employee awareness related to patients’ privacy procedures and a deficiency in communication from management regarding education on proper patient confidentiality processes. They advocate for regular staff trainings on HIPAA laws and instruction on specific privacy weaknesses that affect their organizations’ healthcare information systems. They also explain that healthcare information system privacy training should ensure employees are aware of their responsibilities when it comes to protecting their patients’ confidentiality. They emphasize management should regularly communicate about the importance of HIPAA compliancy to their staff members and make privacy training a top priority within their organizations (Mishra et al., 2014). Staff members’ awareness and agreement through consistent communication and training sessions concerning HIPAA regulations and updates will ensure healthcare centers are adequately protecting the privacy of their patients’ healthcare
Professionalism is the core value of any healthcare profession. According to the article written by McSherry, “Excellence in nursing care will only happen by ensuring that nurse managers, leaders and educators are able to respond to the complexity of reform and change by leading, managing, enabling, empowering, encouraging and resourcing staff to be innovative and entrepreneurial in practice” (Mc Sherry, Pearce, Grimwood, & McSherry, 2012, p. 7). McSherry’s article expressed the public’s deleterious views of nursing and the lack of empathy. Basis for these views stemmed from undesirable standards of patient care as a direct result of under staffing. The public unfortunately see’s negative before positive, therefore, exemplification of professionalism
Since this study was limited to only two clinical hospital settings, it is hard to say if the study can be transferred to various clinical settings. In an early study, Skei (2008) nurses working with an orthopedic surgeon reported difficulties collaborating with the physicians, which makes them feel powerless, by contrast nursing in hospital settings reported working with physicians well. The researcher mentions a need for a continuing study in the area of sociopolitical understanding. Once the level of competency has been assessed, the weight of a given nurses voice can be adequately applied. The study contributes meaningful evidence to nurses’ practice by promoting nurses to feel powerful.
This framework is a useful standard against which the professional behavior of a nursing practitioner must be measured. The Nursing Staff Supervisor (NSS) can refer to this standard (or standards of ethical behaviors) when resolving ethical issues in nursing practice. In situations wherein the ethical issues are so complicated to be resolved at the hospital level, the ANA may be able to step it within a pre-defined parameter, to extend their institutional ethical expertise to help resolve the ethical issue involved (Wood, 2014). Nursing associations oftentimes have a dedicated ethics committee who are comprised of ethics experts over issues relevant to, or uniquely encountered only in, the nursing practice.
A 1- The one question or decision relevant to a Hospital business that I will answer by collecting and analyzing a set of data is: Is there a relationship to the number of hours a Registered Nurse (RN) works and patient safety? RNs are the main caregivers to the patient. They
Issue: For many alcohol withdrawal patients, providers will order assessments using the Clinical Institute Withdrawal Assessment (CIWA). Since it is not ordered for all withdrawal patients, there is confusion at times among staff on how to use properly. Action: As the unit champion for CIWA, she collects data and performs chart audits on patients on the CIWA protocol. With the data she collects, she ensures proper documentation is completed and the bed alarm is on or a Patient Safety Aide is present. She updates staff on issues discovered during audits and informs them of changes to the CIWA protocol.
At my place of employment, there is an alert in the system for the veterans who are on Coumadin. This is a clinical decision support tool to notify a provider that this patient is on Coumadin and a list of criteria to follow. In addition, these veterans are followed by a pharmacist to manage an adequate Coumadin levels. Evidence-based practice
128 Treas, Wilkinson) in which include vitals, auscultation of breath sounds, observation of activity, and asking the patient how they are feeling and family for observation. The RN would record the evaluation summary in the nursing note or care plan about the conclusion whether the outcome was achieved and the reassessment data supports the judgment. In order to revise a care plan, an RN must " review all the steps of the nursing process. "(pg. 130 Treas, Wilkinson).
Professional boundary, boundary crossing and boundary violation. Professional boundaries are the spaces between the nurse’s power and the patient’s vulnerability National Council of State Boards of Nursing (NCSBN), (2014). An example of a nurse using professional boundaries would be if the patient offered the nurse a gift, and the nurse responds with thank you, but we are not allowed to accept gifts, it is my job to provide patient care. Then the nurse reports the incident to their supervisor.