...Ethics Case Study HCS478 January 6, 2010 Barbara Scheibe, RNC, MSN Ethics Case Study Healthcare professionals are faced with ethical dilemmas and issues on a regular basis especially in the emergency department. The purpose of this paper is to identify ethical issues within a case study. This case study involves an eight month old infant who presents to the emergency department with injuries. After arriving at the emergency department it is noted that the infant has bilateral fractured femurs. The ethical issue identified within this case study is the possibility of child abuse by either the mother or a worker at the daycare facility. The nurse makes notes of her concerns within the patients chart as well as verbalizes concern to the emergency room physician regarding the injuries to the infant. It appears to be a lack of follow-up with these concerns so this presents an ethical issue. There are eight ethical principles that a nurse should learn to apply to each situation that he or she feels there is an ethical decision that needs to be made. The eight principles to apply are autonomy, beneficence, nonmaleficence, veracity, fidelity, justice, paternalism, and respect for others (Guido, 2010). Within the nursing field advocacy plays a critical role in keeping the patients safe throughout their encounters with the health care system (Beyea, 2005). One of the conflicts noted in the situation listed is, more research should have been conducted to investigate...
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...Benner Analysis Paper Scott Hultquist Daemen College Benner Analysis Paper I was first introduced to the Benner and the Dreyfus model of skill acquisition nine months after I graduated from a two year nursing institute. I had been hired to work in an Intensive Care Unit. Of course I was excited and could not wait to begin my new career. I was told that orientation was going to be six months long and that the first three months would only be class room training. I was a little disheartened because I thought I was ready to work as a professional nurse in an extremely busy unit. In retrospect, I was wrong I definitely needed that orientation. The first day on the unit with my preceptor was very memorable. She was a nurse that had been working on the unit for the past thirty-five years and didn’t have any plans to retire. She said to me, “Scott, I know you think you know everything; but in fact you really don’t know anything yet.” Her statement confused me as I had just graduated from school and completed half of my orientation process. I felt that I could handle anything that was presented to me. My preceptor went on to say, “nursing is about caring, I can teach anyone the skills and the theory but if you do not care about people then you will never be an expert nurse. At that point I was uncertain of how things were going to proceed. Throughout this paper I will explain my journey using the seven stages of the Benner model and how I perceive my levels of competency...
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...2013 Personal Definition of Nursing The definition of nursing has many different meanings depending on whom you ask. To some a nurse is simply the person who brings you your medication and takes your vital signs. To others, including myself, it is someone who keeps you safe and watches over you while you are in a healthcare setting. A nurse along side a physician with the patients best interest in mind to care for them not only physically but emotionally and mentally. A nurse must have the knowledge of that exact medication you are receiving. I must know the signs and symptoms of an adverse reaction and be able to inform my patients why the medication is beneficial. I must also show compassion for a sick patient or a family member who is saying good-bye to a loved one. In this paper through examples and personal experiences I hope to define what nursing means to me. Description of Terms Health “An individual’s physical, mental, spiritual, and social well-being; a continuum, not a constant state” (Chitty & Black, 2011, p. 413). I believe that without all four of these components a person truly is not in a state of health. If a patient is at an ideal weight and is in a state of depression there is a lack of pure health. I had a patient recently that on the outside seemed to be “the picture of health”. She found herself in the Emergency Department not because she had physical pain but because she was suffering with depression. With the lack of simply one component...
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...Career Research Paper I have designed this assignment as a step by step guide to walk my students through the research process. Of course, you may adjust it as you feel is necessary according to the level of students you are working with. This project explains in detail everything they need to research, as well as, giving them real world insight into what to expect in a career in terms of education, job duties and responsibilities and income. I begin by having them take a reality check quiz on the Jump Start Coalition website. This little quiz helps them determine how much money they will need to earn in order to live the lifestyle they would like to have. This income amount in turn helps open their eyes to the type of job necessary to achieve that income and what amount of education is involved. It was a real wake up call for many of my students. In this package I have also included a grading rubric for the project and a list of possible career choices for their assignment. Student Instructions You will be writing a research paper on a career chosen from the attached list. Think carefully about which career you chose to research. Read through these directions and the requirements for this assignment BEFORE making your choice. Materials needed for this project - ---note cards (preferably 3x5 lined) ---folder with pockets to keep all research materials in ---access to internet and reference books A. Take reality check quiz at http://www.jumpstartcoalition...
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...copper and it had wood as the rails. As I was sliding down it my leg got to close to the side of the rail and I got a huge splinter in the side of my leg. I was crying very loudly because it hurt so bad, my mom heard me so she ran out there to see what had happened. I had to go to the emergency room to get the splinter removed so it wouldn’t get infected. I knew right then at that very moment that I wanted to be a nurse. Here are a couple things that I found to be interesting about nursing. Did you know that Jan 27th is school nurse day? Or did you know that in 1783 a black slave named James Derham worked as a nurse in New Orleans, eventually earning enough money to buy his freedom and move to Philadelphia, where he studied medicine and became a doctor? And I also bet that you didn’t know that the largest demand for Licensed Practical Nurses through 2110 will be in nursing homes? Or that the 4th week of May is National Nurses week, which is coming up pretty soon. And May 8th is national Student Nurses’ day (Start a nurse staffing agency). Well I didn’t know any of that either until I started my paper on my nursing career. In December 2010 I finished my schooling for a Licensed Practical Nurse at the JCTC Campus in the accelerated program. I chose to start out at that campus because its only five minutes from my house, and it was only for about ten and a half months. Now that the LPN program is over and I have completed my one hundred and twenty internship hours and passed...
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...Dominick Francia Senior Project Paper CRNA Mrs. Basile 9 November 2012 Nurse anesthetists provide anesthesia to patients in virtually every medical practice setting, for a variety of surgical and essential pain assistance procedures. Additionally, they care for patients before, during, and after medical procedures or surgery by an assortment of tasks including: patient assessments, patient preparation for anesthesia, administering and maintaining anesthesia to ensure proper sedation and/or pain management, overseeing the patients recovery from anesthesia, and last caring for the patient's immediate post-operative needs. The credential CRNA evolved in 1956 in the United States, and is an acronym for Certified Registered Nurse Anesthetist. CRNA professionals are those who administer more than 33 million anesthetics safely to patients each year in the United States, according to the American Association of Nurse Anesthetists (AANA) 2011 Practice Profile Survey. CRNAs are the primary providers of anesthesia care in America enabling healthcare facilities to offer obstetrical, surgical, pain management and trauma stabilization services. In some states, CRNAs are the exclusive providers in nearly 100 percent of their hospitals. CRNAs provide anesthesia in cooperation with surgeons, anesthesiologists, dentists, physicians and other qualified healthcare professionals. When anesthesia is administered by a nurse anesthetist, it is recognized as the practice of nursing;...
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...unaware of. I always had an active role in helping others and making sure of their well-being. In Oak Hill Hospital I was a patient floor volunteer, it was a great experience especially due to the career I’m striving for. Although the funds that weigh me down within my career, I attend many events,...
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...and of course the majority of all nurses work in hospitals, and that the one that I am most interested in, just for the fact that I like helping others in need, just the knowing that I will be a part of something, regardless if its minor or life changing, being able to say that I helped in that situation is the only recognition needed to keep me going to pursue the career in this field. The work area is vast, one may never know when the situation will change, one minute you may be dealing with something minor then the next you have an emergency patient rushing through the ER doors, but its safe to say that most nurses work in a well-lighted, comfortable health facilities, but they also spend a considerable time walking, as said in the Ferguson’s career guide. Being in this spot that upholds many responsibilities, such as calming irate patients that are over worked due to the trauma and stress they may have, but today’s RNs are relied upon for their critical thinking and problem solving skills, and are expected to possess a much broader base of knowledge other than just the training they received. To get into this field you firstly have to graduate from an accredited school of nursing, there are 3 paths to nursing, a associates degree in nursing, the bachelor of science, and a diploma in the A.D.N. program, other than that there is one more degree that one may earn but it takes up to five years more to obtain, as stated in the Ferguson’s career guide. There are not really any particular...
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...Running Head: BENNER ANALYSIS PAPER Benner Analysis Paper This paper will discuss the functions of caring within the nursing practice, as well as my own personal views regarding caring. I will review the Benner model of Clinical Nursing and the Dreyfus Model of Skill Acquisition in relationship to my own personal skills. I will identify my competencies within each domain of the Benner Model. I will reflect upon my own personal nursing practice in terms of my strengths and weaknesses. Also included will be a discussion of my own professional goals, areas of improvement needed within my practice and solutions for how I can improve in order to help me achieve these personal goals. Caring To me caring and nursing go hand in hand. Caring is an essential part of nursing. As nurses we come in contact with patients having surgical interventions or medical issues or are sometimes are going through a major health event in their life. Patients that have a health event need us nurses to listen and provide comfort whether it be giving pain medications, providing a quiet environment or just listening and letting the patient talk about their illness, anxieties or fears that they are feeling. So many times throughout my career I have seen nurses simply take care of their patients needs but when I was doing staff nursing I was really into it. Some nurses simply go through the motions that a nurse would do and they are detached and have a non caring attitude...
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...Educational Needs Assessment Paper Geneva Young University of Phoenix NUR/588 Professor Jennie Pattison May 12, 2014 Educational Needs Assessment Paper An educational needs assessment is a procedure that identifies training and ranks educational needs in order of priority ((Yuskiewicz, 1975). An educational needs assessment helps the organization to discover the knowledge, skills, and abilities of staff and those needed by the organization to function at a desired level ((Wynne, n.d.). The following information will be discussed in this paper: type of institution, type of nursing care or services provided, volume of activity of the G.V. Sonny Montgomery Veterans Affairs Medical Center, levels of nursing care involved, a summary of the results of the educational needs, assessment, and analysis, identification of the highest priority educational need, identification of institutional forces and those against responding to educational needs, and identification of the next step to respond to the educational need. Type of institution The G. V. Sonny Montgomery Medical Center (VA) is a federal hospital that provides convenient access to high quality medical and surgical service to more than 125,000 veterans ("VA Medical Center," 2014). VA is also a teaching hospital that is accredited by the Commission in Accreditation of Rehabilitation Facilities (“VA Medical Center, 2014). The hospital provides primary, secondary, and tertiary medical, neurological, and mental health inpatient...
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...Communication Case Study There are several different communication methods during the delegation process. After analyzing three scenarios, this paper will illustrate the passive, assertive, aggressive, and passive-aggressive techniques. Scenario 1 The nurse in the scenario is displaying a very aggressive attitude. The assistant becomes quiet and has some passive-aggressive ideas for retaliation. While being a charge nurse, I had to delegate a task to radiology technologists. They became very defensive and questioned the authority. At this point, I became aggressive, and stopped all communication. If I could do it again, I should have remained calm and explained the reasoning behind the tasks. I could have kept a firm and confident tone with being aggressive. Scenario 2 The nurse is following up on tasks delegated to the volunteer. Avoiding confrontation, the nurse takes a nonassertive stance and finishes the tasks herself. Early in my career as an emergency room nurse, I would take a nonassertive approach to dealing with difficult seasoned techs. It was very exhausting, and it seemed the techs would take advantage of it. The thought of an encounter with techs led to the nonassertive behavior. I would always feel so overworked when working with the techs. The nurse manager finally gave some advice for ways to improve assertiveness. She also supported me during staff meetings. Scenario 3 The surgical tech told her boss that she would not scrub any orthopedic...
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...Career Paper Nursing as a Profession No one is more important to the quality of patient care than a nurse. I don’t think there has ever been a time when nurses weren’t needed to provide care and nurturing to others in need. Whether it’s a mother ready to deliver a baby or give comfort to an elderly gentleman, nurses have a special role they play in everyone’s life. Today, prospective nurses take on many challenges as they look forward to their career choice such as the education and need for nurses in the future, the employment options and healthcare costs, and the environment and people they may work with. Nursing as a career takes quite a bit of education and training. Many colleges offer education in associate degree programs of nursing. There are also many classes which are required prerequisite to applying for an associate program. They are important in teaching a student about the anatomy and physiology of the human body. Psychology and nutrition are also important to understand as a nurse to help better understand the people they work with. English, math, and communications are also essential skills needed when working with the general public (Snow college). Once accepted into a nursing school, a student will attend classes five days a week for up to six hours a day. Those days get long and tiring. The learning is strenuous physically and emotionally. Nursing classes include pharmacology, pediatrics-maternity, nursing fundamentals, and medical-surgical training...
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...Professional Ethics Paper Carolyn Smith HCS/478 August 15, 2011 Ann-Marie Peckham Professional Ethics Paper The purpose of this paper is to discuss the relationship among professional values, ethics, and legal issues. A person’s personal values and ethics can influence their professional values and ethics in the workplace. Finding the right balance between personal and professional views in the workplace will help foster a successful career. This paper will cover relationships between legal and ethical issues as well as personal values and professional ethics. Relationships between Legal and Ethical Issues According to Wacker-Guido & Watson (2010), there are eight ethical principles that nurses encounter when making decisions in clinical settings, autonomy, beneficence, no maleficence, veracity, justice, paternalism, fidelity, and respect or others. In other terms nurses have personal freedom, the right of self-determination, a duty to perform good actions, duty to prevent any harm for occurring to their patients, the obligation to tell the truth, treat all patients equally and fairly, allow others to make decisions for individual patients, keep promises and commitments they make, and to treat everyone with respect. Ethical values are influenced by personal feelings, and are interpreted differently depending on the beliefs of the individual. The Britannica Concise Encyclopedia defines the code of ethics for nurses as follows: The code of ethics for nurses was developed...
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...Practice Abstract This paper will discuss the thoughts and feelings of a clinical nurse specialist and how she feels the role of nursing has changed over the years. Nursing Role in the Healthcare Delivery System The role of nursing is a dynamic one. It continues to change day by day, year by year since the days Florence Nightingale when nursing was “invented,” if you will. Beverly Glick a clinical nurse specialist in a busy level three-trauma center has witnessed firsthand many of these changes. Beverly Glick has been a nurse for 38 years. Twenty of those years, she has worked in the emergency department (ED) (Glick, 2009). During her time as a nurse, Beverly has witnessed many changes in the role of nursing. She recalls how nurses used to sit at the nurses’ station and smoke. She remembers times when as soon as the physicians rounded the corner in the department the nurses would jump from their chairs so the physicians could sit down (Glick, 2009). Beverly recognizes that nurses are more respected members of the inter-disciplinary team than they ever used to be. Physicians are respecting their opinions and clinical judgment more than ever. She also recognizes along with that comes and increased responsibility for knowledge. She states “nurses are required to know more now than they ever did and be right about it” (Glick, 2009). Beverly also noted that with this more trusting relationship with the physicians that nurses today have more autonomy than...
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...profession as a whole. While all registered nurses take the same NCLEX exam to gain licensure, their educational backgrounds are completely different. The educational curriculum in each program has similarities and differences and due to the differences nurses will have various competency levels. The diploma program was the first type of nursing education offered and was established in the late 19th century and became the dominant model in the United States during this timeframe. This educational model was the main entry into the nursing field until about 1950. Today the number of accredited diploma nursing programs are diminishing and take place out a hospital based setting (Creasia & Friberg. pp24.). Most schools that are left partnered with local community colleges so students can take classes to fulfill the degree requirements. Nursing students in these programs learn basic nursing skills that allow them to sit for the NCLEX exam. The Associate’s degree in nursing was created to counter the nursing shortage and allow nurses obtain licensure quicker due to the amount of time required to obtain the degree(Creasia & Friberg pp26). The degree contains both general education and clinical nursing courses. This course of degree was designed by Mildred Montang, her vision was for the Associates Degee in Nursing (ADN) nurse’s to be under the direct supervision of the nurses with a Baccalaureate degree (Creasia & Friberg pp26). Nurses completing the ADN were also able to sit for...
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