Nursing is a profession which requires frequent dealing with ethical issues. So, nurses have been facing ethical dilemmas in their practice. In the process of doing good and promoting health of the patient, the issue of paternalism is evident in nursing. Paternalism in health care means violating the patient’s right to make the decision to do good or to do no harm to the patient (Burkhardt, Nathaniel, Walton, 2014a, p. 56). The issue of paternalism arises because of the power differential between the nurses and the patients’.
The overall synopsis gives prompt for the need of utilizing standardized handoff tools as well as negotiation of patient transfer among departments. As nurses, the transfer of information efficiently is the ultimate responsibility to aid in communication for success rather than contribute to its failure. This could potentially be a barrier to improvement if many nurses fail to adopt the initiative. In preparation for a future career in nursing and being first line in patient safety, it is a personal responsibility and goal to implement efficient communication in my own professional practice. With efforts to promote effective communication, success among the transfer of information to eliminate issues will be exemplified through
Potential factors include lack of adequate staffing ratios in hospitals and other health care facilities, lack of placement programs for newly trained nurses, and inadequate worker retention incentives.High nurse turnover and vacancies rate negatively affect health care access, patient care qualities and nurse job satisfaction. Nursing shortage can be described as lack of sufficient skilled nursing staff as well as lack of sufficient educated staff that are able to care for patients. Two problems, floating and scheduling issue, are frequent causes for dissatisfaction among nurses, but solution can be found to reduce those
Roper Logan and Tierney (RLT) model of activities of daily living (ADLS) will be used to determine what is important and necessary in providing individualised care (Roper et al, 2001). The nursing process involve assessment, planning, implementation and evaluation and help to identify likely problems, develop solutions and monitor results of a patient care. This systematic method will focus on Mary as an individual ensuring her holistic needs are taken care of, which include psychological, social, physical cultural and environmental factors (Holland et al, 2008). A nursing process in collaboration with the nursing model should provide a care plan that reflect patient centred and holistic care rather than focusing on medical diagnosis only and is a problem-solving outline for planning and delivering care for Mary and her family (Barrett et al, 2012). However, if the process does not improve Marys state then it should be re-evaluated and the good adjustment made to correct the
The other thing that I will do is review my states scope of practice for registered nurses along with the facility policies to make sure that I am more aware of what I can and cannot do legally as a nurse. The other thing that I am going to do is consider my own personal malpractice coverage. After reading all this information, even though I am a safe practitioner, it would be wise to protect
If conflict arises in the patient 's health choices the nurse will be courageous by continuing to advocate for what is ethical and best the the patients. Overall, nurses need to be culturally aware, educated, and able to apply knowledge situationally depending on patient’s beliefs, values, and
Long hours and shortage of personnel can lead to routines of practice, which can hinder the development of patient centered care in hospitals. Even when patient centered care is valued, the demands of caring for many patients at a time can restrict the professionals’ ability to provide physical and emotional support, and respect for their patients’ preferences (Kelly, 2007). Recommendations Patients ought to understand that nurses do everything to ensure their safety. They should not demand what is unachievable from nurses. To achieve this, the government must engage the public on their rights once they visit a health facility.
In addition, accountability regulates behaviour, acts as a deterrent to prevent misconduct, and educates by learning from the mistakes of others. As autonomous health care professionals that are accountable for their practice, nurses must make informed decisions to make sure that they respect and protect the confidentiality of patients at all times. It is therefore vital that nurses continually evaluate their practice, and ensure that their knowledge and skills are up to date, so that their care is evidence based, and in the patients best interests. This is important as it ensures that care is delivered that is of the highest
In contrast, if working with other healthcare providers become difficult, the quality of patient care, health promotion, and established teamwork strategies will become difficult to implement. Therefore, nursing teamwork with other health-care professionals is essential in the transition of patient care. Personally, teamwork is sometimes difficult to attain, especially if the team lacks professional and personal respect for others. For example, one time I had an upcoming nurse disrespectfully inform me that my physical assessments needed work. Despite my new nursing graduate status, those comments had a great impact on my professional growth as a nurse.
Assessment studies through observation determine the high intellective service of nurses combined with repeated interruptions, unavailability of needed supplies and multitasking behavior during bedside care activities in hospital settings. The workplace is susceptible to errors, particularly during complicated or risky activities, since interruptions, unavailability of supplies, and multi-tasking conducts generate an environment influencing storage of working cognition and awareness initiatives. Registered nurse cognitive ability and process during medication administration are multiplex and demand an in-depth critical thinking and attentiveness to safeguard patient safety. Medication management is the primary significant highly interjected nursing