...nurse's personal and/or professional convictions. 4 Just as the concept of the Advance Directive is not for every patient, it is also not for every critical care nurse. There will be no legal ramifications if a nurse finds it impossibleto care for a patient who has an Advance Directive. This is a very personal, moral, and ethical decision for the critical care nurse. The responsibility isthe timely and appropriate transfer of care to another nurse who can treat and respect the personal directives of this patient. CONCLUSION The critical care nurse is bound by duty to protect the patient's rights, including the patient's decision concerning treatment or withdrawal of medical care. The Advance Directive is a legally binding document writtenby a competent adult and should be carried out as such in the health care facility. Although the directive may not be consistent with the nurse's beliefs, it is the patient's legal right to make an informed decision about his or her medical care, and the hospital facility is legally bound to carry out the wishes of such a directive. Conflicts will arise regarding the Advance Directive because of the moral and ethical beliefs of family members who might not be in agreement...
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...Week 2 Research Summary and Ethical Considerations To purchase this tutorial visit here: http://mindsblow.us/question_des/NRS-433VWeek2ResearchSummaryandEthicalConsiderations/2853 contact us at: help@mindblows.us NRS-433V Week 2 Research Summary and Ethical Considerations Select either the qualitative or quantitative study method for this assignment. In an essay of 750-1,000 words, summarize the study, explain the ways in which the findings might be used in nursing practice, and address any ethical considerations associated with the conduct of the study. Refer to Resource Research Summary and Ethical Considerations Guidelines for suggested headings for your paper. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. NRS-433V Week 2 Research Summary and Ethical Considerations To purchase this tutorial visit here: http://mindsblow.us/question_des/NRS-433VWeek2ResearchSummaryandEthicalConsiderations/2853 contact us at: help@mindblows.us NRS-433V Week 2 Research Summary and Ethical Considerations Select either the qualitative or quantitative study method for this assignment. In an essay of 750-1,000 words, summarize the study, explain the ways in which the findings might be used in nursing practice, and address any ethical considerations associated with the conduct of the study. Refer to Resource Research Summary and Ethical Considerations Guidelines for suggested...
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...Assessment is the first stage of nursing process in which the nurse should carry out a complete and holistic nursing assessment of every patient’s needs, regardless of the reason for the encounter. Usually, an assessment framework, based on a nursing model is used. This assignment attempts to define the points of view of two different frameworks used to collect health assessment data, which are Majory Gordon’s Functional Health Pattern (1994) and The Roy Adaptation Model (2009). The next part would be mentioned about codes of professional, ethical and legal considerations. Finally, I would reflect myself regarding to how to collect and organise patient’s comprehensive health assessment data use these frameworks. The Functional Health Pattern assessment framework is particularly useful in collecting health data to formulate nursing diagnoses (Gordon, 1994, p. 69). Gordon has defined 11 functional health patterns that provide for a holistic client database (p.70). The first pattern is Health perception-health management pattern, is focused on the patient’s perceived level of health and well-being, and how to manage patient’s health. The next pattern is Nutritional –metabolic pattern. This assessment is focused on the pattern of food and fluid intake relative to metabolic need (pp. 80-82). The Elimination pattern is the third pattern. In this pattern, data collection is focused on excretory of the patient. Includes regularity and control of bowel and bladder habits...
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...Implementing ethico-legal issues in nursing practice. Caldwell, E., Lu, H., & Harding, T. (2010). Encompassing multiple moral paradigms: a challenge for nursing educators. Nursing Ethics 17(2), 189-199. Retrieved August3, 2010, from Health Source: Nursing/Academic Edition Database. Aim: As society becomes increasingly globalised, it is imperative to include international educational perspectives in the nursing profession (Robinson, Sportsman, Eschiti, Bradshaw and Bol, (2006). Caldwell, Lu & Harding (2010) argue that the quality of nursing care necessitates nurses to reflect on nursing ethics in relation to their individual principled way of life. Cadwell, Lu & Harding (2010) paper explores these ideas. Summary: The fundamental nature of professional development implies personal development (Glen, 2005). ‘Encompassing multiple moral paradigms: a challenge for nursing educators’, is an in-depth analysis of nursing ethical dilemmas; the efforts that are undertaken to implement professional development through reflection, self-monitoring and self-control; and the challenges for nurse educators to integrate the syllabus into real-life clinical practice situations. Caldwell, Lu & Harding (2010) study analyses nursing ethics, Chinese ethical philosophies, and Judeo/Christian traditions as they endeavour to demonstrate the real-life issues of morally conflicting situations in nursing practice within these groups and the possible legal consequences. Relevant to topic yes/no...
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...ETHICS IN NURSING Ethics: Are a branch of philosophy which seeks to address questions about morality; that is, about concepts such as good and bad, right and wrong, justice and virtue. Moral principles in health ethics: Autonomy: is the process of including clients in their health care decisions. * Informed Consent Beneficence: is the act of taking positive action to help others, it encourages people to do good for others and working in the best interest of the clients. * Performing a task for a patient that otherwise is not necessary but makes the client feel more at ease. For example crushing their pills in applesauce, at their request, even though they are perfectly capable of swallowing. Nonmaleficence: this involves the avoidance of hurt or harm to an individual. When referencing health care it refers to the will to do well as well as to do no harm. A good health care professional will balance the risks and benefits to ensure the best path of care for their patient. * Considering the associated discomfort or pain associated with a procedure that is designed to treat the patient. For example, radiation is designed to help treat cancer, but does have side effects that are undesirable. Justice: in simple terms it means fairness; in health care providers strive for fairness in medical treatment. Justice most often arises in discussion of health care resources. * Fair distribution of organs. Because the number of recipients outweighs the number of...
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...Consideration for Ethics and Diversity Proposal There are some ethical and diversity considerations which have emerged in the Human Resource Department (HRM). These are important for the strategic HRM planning process and should be addressed effectively, efficiently and in a timely manner. These considerations have been researched and thoroughly analyzed and are essential to the continued growth of the company. Specific recommendations have been included to handle the considerations. Ethical Consideration Currently faculty in the Practical Nursing Department input their time in an excel spreadsheet and submit to the coordinator of the department. It has come to the attention of human resource department that there have been discrepancies in the reported time, actual instruct time and instruct time scheduled. These inconsistencies in time reporting could be mistakes on the part of the actual faculty members, or oversights in the time sheet approval process by the department coordinator. This issue is considered an ethical issue because it can hinder the company’s financial growth by affecting the budget. The proposal for this ethical consideration is that we integrate a computerized time keeping system. The computerized time keeping system will correlate with the actual time the faculty member is scheduled to instruct with the exception of fifteen minutes before and after. Any overtime should be pre-approved or approved...
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...NUR 159 Class Information and Procedures B-1 NUR 159 Class Information and Procedures NUR159ClassInformation 3/10/2014 NUR 159 Class Information and Procedures B-2 CLASSROOM BEHAVIOR Refer to Classroom Behavior in Student Nurses Handbook TESTING INFORMATION AND PROCEDURES 1. Silent Test Reviews: Silent test reviews will be conducted after each test. Refer to Test Security in Student Nurses Handbook for further information on test reviews. Students may also schedule individual test reviews with their seminar leader. 2. Test Make-up Policy: Refer to Test Security in Student Nurses Handbook for further information on test make-up. 3. Make-up of Final Exams: In the event that a student misses the final exam for the nursing course, the student will receive a grade of incomplete or “I” for the course. Refer to the Course Grades policy found in Student Nurses Handbook. 4. Collaborative or Group testing activity: An opportunity to add a maximum of two points to individual test scores may be earned through a group testing activity. Two points will be added to individual student scores if the group activity score is 91 and above. One point will be added to individual student scores if the group activity score is 81 through 90. No points will be added to individual student score if the group activity score is 80 and less. Group testing will be conducted as follows. a. After taking the exam, individual test scantrons will be collected. The students will keep the test booklet...
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...Euthanasia The ethical principle of non-malefiecense is the duty to do no harm. This is promoted by doing three interventions. First intervention is avoiding deliberate harm, risk of harm that occurs during the performance of nursing actions. The second intervention is considering the degree of risk permissible. The third intervention is determining whether the use of technological advances provides benefits that outweigh the risks. The ethical principle of beneficence is the doing or active promotion of good. This is done by providing health benefits to the patients, balancing the benefits and risks of harm, and considering how a patient can be best helped. The ethical principle of Justice is the promotion of equity or fairness in every situation a nurse encounters. The two nursing implications that promote justice are ensuring fair allocation of resources, and determining the order in which clients should be treated. ("Ethical Principles," January 2011, p. screen) There are several nursing ethical arguments on Euthanasia. Those that are against mercy killing have the ethical arguments that euthanasia might not be promoting the patient’s best interest, accepting that it means acknowledging that some people are more important than others, weakening the society’s respect for the holiness of life, and arguing that if voluntary euthanasia were to become legal nationwide, then most probably involuntary euthanasia will be committed at a higher level. The ethical arguments for those...
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...Ethial Issues in Health Care Name: Professor: Institution: Course: Date: Ethical Issues in Health Care Section 1: Ethical Decision Making Processes The Consequential Framework This method of ethical decision making is necessary particularly when dealing with future effects of the lines of action adopted for a particular situation. The method considers all the individuals who will be affected either directly or indirectly (Robinson & Reeser, 2000). The first step is to consider what results are desirable in the particular ethical complication. Secondly, there is consideration of the ethical conduct that will help in realizing the best of the consequences. An individual using this method of consequences framework has an aim of producing the most good. The Duty Framework The duty framework method of coming up with ethical decisions focuses on the obligations and duties that are usually posed in different situations. The method considers the ethical obligations that individuals have and the things that they should never do. The method defines ethical conduct as fulfilling one’s duties and doing what is right. The main aim of the method is performing the right act. Section 2: The Duty Framework Decision Making Process The duty framework is the more preferable of the two methods discussed above. Firstly, the method presents a solid ground for the formulation of decisions. Mainly, it is due to the fact that most moral duties are standardized and an expected course...
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...and moral values of my commitment to nursing profession. It will also manifest the ethical nursing responsibility consistent with nursing quality of care, ethical dilemmas and how it impacts my life in making decisions. Nursing practice is influenced by a person’s cultural, spiritual and personal values. Personal values represent importance, advantage or significance, it has a strong impact on the lives of people in the way they live and the decisions made. Values are thought to be the basis of the decisions made; it is developed as a child when they start interacting with their families, society, community or religious organizations. My personal ethics are sincerity, truthfulness, being empathetic and courteous, prompt and to respect other human beings with dignity. I was born and raised in a Christian family with strong Christian values, that every human being is god’s creation and Christianity teaches us to love the creator and his creations. I as a nurse consider nursing as a blessed and noble profession, by which I am able to practice with self-respect and empathy, treating each person as unique by preserving their dignity and rights. Nursing profession and its practices are based on the philosophical theory of autonomy, beneficence, nonmaleficence, veracity, confidentiality, justice and fidelity. These ethical principles help a nurse to build up a philosophically reliable structure by which a base to consideration, action and judgment can be achieved...
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...Module 2 Assignment: Research Summary and Ethical Considerations Karissa Skowron Grand Canyon University NRS-433 V Christine Thompson-Sanxter March 13, 2015 Research Summary and Ethical Considerations Understanding a patients’ experiences in relation to pain management is an important evidence based practice in the field of nursing. The significance as a nurse is in the understanding of the patient’s perception of pain in order to administer the appropriate treatments. This particular study was performed to understand the patients experiencing pain that have been hospitalized for cancer treatments. The objective was to obtain different perspectives in order to determine what is believed to be proper pain management. The study included 18 participants each was diagnosed with an advanced stage of cancer involving bone metastases. The data was achieved through interviews, the descriptions that were provided were to remain as low-interference interpretations to acquire an understanding of the essence of pain and management. Through the process it appeared that some of the subjects did have some difficulty expressing their expectations with regards to pain management. The most prominent results were being present and supportive, providing information and knowledge, medicating appropriately according to the orders and the needs of the patient, and finally recognizing the pain emerged as themes of pain management. At the completion of the study it was noted that although...
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...Professional Nursing Accountability: Our Ethical Responsibility Ralaya L. Allen R.N. Grand Canyon University: Professional Dynamics 08/27/11 Professional Nursing Accountability: Our Ethical Responsibility In healthcare, accountability can be regarded as a responsibility as well as a legal obligation. Patients have the right to be treated by well educated professional personnel such as doctors, nurses, and ancillary staff. Without accountability, there would not be consequences for unfavorable actions taken on the behalf of the patient. It is reverent in the physicians oath “do no harm"; this is a fundamental truth in all healthcare practices. Professional Nursing Nurses have both an ethical and moral responsibility to their patients. According the American Nurses Association, "Ethics is central to the way we care, and to the way we envision ourselves as professionals..."(2011, p.1). A nurse’s moral responsibility is based from their own personal conviction of doing what is right for the patient. Legal Obligation Today, healthcare regulations are governed by laws. All medical professionals are required to obtain and uphold adequate licensure and provide patient care per the current laws. The nursing licensure is dictated by the State Board of Nursing. In Nevada, completion certification must be presented to the State Board of Nursing from a state approved nursing program. The student must also pass a full background investigation, as well as also pass the...
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...Sinclair, a tutor of Professional issues in nursing BN 511 at Sourther Institute of Technology. This report was assigned during orientation week in Fbruary 2015. The aim is to demonstrate that the author is compentant in research by, cdemonstrating the ability to use relevant search parameters in suitable databases. Identify and discuss the not only the methodology but the ethical and legal considerations relating to the said research topic . To understand key components of the research design and discuss the current and/or future implications on nursing practise. The report is to be submitted by 8th June 2015 no later than 1600hrs in assignment box C2-06 Database search procedure The course of action undertaken to find the research study ‘Older persons have ambivalent feelings about the use of monitoring technologies’ are as follows: The author logged onto the Mysit webpage located at web address https://student.sit.ac.nz/MySIT/pages/Home.aspx The author then selected the Study and Course Resources hyperlink on the on the web address https://student.sit.ac.nz/MySIT/pages/MyStudy.aspx t The author then found several further options. The option chosen was Health and Sport under the Online Data bases As the summative assessment required a research article that related to innovation, implementation or delivery of contemporary technology in nursing, the CINAHL (Nursing & Allied Health Index) was used. When the CINAHL (Nursing & Allied Health Index) t was chosen...
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...Abstract Nursing is a profession focused on assisting individuals, families, and communities in attaining, maintaining, and recovering optimal health and functioning. Modern definitions of nursing define it as a science and an art that focuses on promoting quality of life as defined by persons and families, throughout their life experiences from birth to care at the end of life. In nursing, ethical issues arise daily. There are issues such as death, dying, birth, abortion, genetics, quality of life, and general human rights. The legal system and ethical system overlap in most situations. Every patient contact can produce a legal or ethical situation. Nursing Ethics According to Aiken (2004) “Ethics is the discipline that deals with rightness and wrongness of actions”. The goal is similar to that of the legal system except that in most cases there is no system of enforcement or ethical penalties. “General ethics is the consideration of the morality of human acts in general”. (Fitzpatrick 2002) The Nursing Code of Ethics began in 1893 with the "Nightingale Pledge" which was patterned after the Hippocratic Oath in medicine, and is understood as the first code of nursing ethics. Nursing ethics is a branch of applied ethics that concerns itself with activities in the field of nursing. Nursing ethics shares many principles with medical ethics, such as beneficence, non- maleficence and respect for autonomy. It can be distinguished by its emphasis...
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...Catheter-Associated Bloodstream Infection Surveillance Variability Kochurani Thomas Grand Canyon University NRS-433V May 1, 2011 Bloodstream infections are the most common hospital-associated infection (HAI) in intensive care units (ICU) and a significant source of in-hospital deaths, increased length of stay and added medical costs. Both adult and pediatric patients who have catheters inserted into their blood vessels face increased risk of an infection developing along the invasive plastic devices which can become life-threatening as they spread into the bloodstream. According to Centers for Disease Control and Prevention (CDC), an estimated 248,000 blood stream infections are reported per year (CDC, June 2010), and mortality rate of 12%-25 %( CDC, 2011) .This dangerous lethal medical complication can be prevented by proper management of the catheter insertion and strict aseptic technique during care. Even though CDC has recommended standard catheter associated blood stream infections (CA-BSI) prevention strategies, the study shows areas of variability in the surveillance. A central line is an intravascular catheter that terminates at or close to the heart or in one of the great vessels which is used for infusion, withdrawal of blood, or hemodynamic monitoring. The Aorta, pulmonary artery, superior vena cava, inferior vena cava, brachiocephalic veins, internal jugular veins, subclavian veins, external iliac veins, common iliac veins, common femoral veins...
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