...In the career of a registered nurse, ethical dilemmas can arise at any moment. It is imperative that through proper education and training registered nurses have the ethical capacity and intelligence to work through these issues with compassion and integrity. Take into account he following case scenario; a 6-year-old child develops a high fever, vomiting, and convulsions at school. After seeking medical care, the diagnosis of meningitis is reached and the physician requests to start treatment from the child’s parents. The parents are divorced; the mother has primary custody but is not the biological parent. The mother is a Christian Scientist who insists that no medical treatment be initiated per her religious beliefs. The biological father resides in another state, but he insists that treatment be initiated and seeks independent consultation from another physician. Through ethical decision making with assistance from Uustal’s nine-step model, it is possible to identify the ethical dilemma presented, integrate the decision-making model to identify an ethical solution, and incorporate family dialogue to both parents of the child regarding the issue at hand. When an ethical decision must be made, one must first identify the ethical dilemma. "...An ethical dilemma is a common type of situation that involves two, or more, morally correct courses of action that cannot both be followed” (Purtilo, Ruth & Doherty, 2011, p. 57). Ethical dilemmas involve both ethical conflict and conduct...
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...Ethics Interview on Registered Nurse. Name: ---------------. Institution: ----------------. Course: Law & Ethics. Prof. Agapito Sta. Romana. ETHICS INTERVIEW ON REGISTERED NURSE Abstract Registered nurses are normally the clinicians who are expected to have taken their studies up to at least an associate degree in nursing. These practitioners are usually trained for about two years in such areas as medications, anatomy, and physiology as well as practical patient care. These professionals are also expected to pass the board exam that qualifies them to be accepted in their particular nations that they belong as well as the whole world at large. Moreover, they are also required to have a license from the board that governs their profession. (American Nurses Association, 2010) The registered nurses usually work under the supervision of the qualified physicians in the hospitals and are also assisted by the nurse assistants in those particular clinics. Nurse assistants are often considered of lower medical qualifications as compared to the registered nurses in the hospitals. According to my knowledge before the interview, a registered nurse profession gives them the ability to be mandated to supervise licensed practical nurses, assisting nurses, as well as the orderlies in any given clinic or hospital. (Clark, Cowan & Wortley, 2009) Moreover, I believed that according to the medical knowledge that registered nurses possess they are supposed to be in...
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...Running Head: EITHICAL FRAMEWORK Ethical Framework Grand Canyon University: NRS437V June 14, 2010 Ethical Framework As a professional health care worker, the implication confidentiality breach regarding ethical dilemmas are significant to nurse and patient. The information disclosed can cause problems on a personal and professional level. Breach of confidentiality occurs when the heath care work discloses the patient's medical or personal information without the patient's informed written or verbal consent. Confidentiality is needed between the nurse and the patient to maintain a good open and honest relationship between both parties. There are several ethical implications regarding breach of confidentiality, for example, patient trust, nurse responsibility, and disclosure of important information regarding treatment; however, there are certain situations when disclosing information is legally and ethically required. The ethical implication of confidentiality breach are not only legal but ethically important and the responsibility of a nurse or any other health care work. The nurse must keep "her word" of honesty to help gain the patient's trust. The nurse is then able to gain the vital information that may help to appropriately care for the patient and preserve continuity of care. In the article by Pamela G. Nathanson entitled "Betraying Trust of Providing Good Care? When is it Okay to Break Confidentiality," nurse Hathaway actions where appropriate in informing...
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...Ethical decision making in healthcare NRS-437V Jyoti Battar Grand Canyon University February 2nd, 2014 Breaking confidentiality is never ethical and is also losing faith between the patient-nurse relationships or amongst healthcare providers. The minute a patient walks into a health care setting they feel a trusting bond with the providers and expect reciprocation. The U.S. department of health and human services has the office of civil rights which imposes the “Health Insurance Portability and Accountability Act” (HIPAA) which protects patient information. Breaches of confidentiality are taken seriously by the office of civil rights and any breach of unsecured health information will be analyzed, and the person responsible will be prosecuted. All healthcare providers are expected to follow basic ethical principles during their practice and they are: “Respect for autonomy, Veracity, Beneficence, Non-maleficence, Fidelity, and Justice” (Maurer & Smith, 2013). These ethical principles are implemented and mandated through standards of practice and federal law in all healthcare and professional organizations. According to the American Nurses Association’s (ANA) standard of codes, the most important ethical principle is “respect for the inherent dignity and worth… of human existence and the individuality of all persons” (Maurer & Smith, pg. 12). When a patient arrives to the hospital the first task the patient goes through is to sign an informed consent form, also known...
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...As professional Registered Nurses (RN’s) maintaining patient confidentiality is very important. Confidentiality is defined as “the right of an individual patient to have personal, identifiable medical information kept private.” (http://www.ceus-nursing.com/courses/material_detail). This information should only be shared with the physician, nurse and other members of the health care team. The imperative of confidentiality can be traced back to the Hippocratic Oath not to reveal secrets, and to the Nightingale Pledge. “I will do all in my power to elevate the standard of my profession and will hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my profession”. (Burkhardt & Nathaniel, 2008, p. 69). The implications of a breach in confidentiality can have a significant impact on the nurse and the patient and create ethical dilemmas. Disclosure of information can cause problems on a personal, legal and professional level. The ethical need for confidentiality in nursing is vital, due to the need to establish mutual trust between the nurse and the patient. When this relationship is established the patient would be more comfortable in discussing personal matters such as their sex life and other things considered taboo if they know that their information would remain confidential. Several ethical implications occur as a result in the breach of confidentiality, for example the loss of patient trust and respect...
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...Boundaries in a Healthcare Setting Professional boundaries are the defining lines which separate the therapeutic behavior of a registered nurse from any behavior that could reduce the benefit of nursing care to clients, well intentioned or not (as cited in Fronek et al., 2009). Paavillainen & Astedt-Kurki (1997) state that each nurse "ensures that the nurse-client relationship is a therapeutic relationship" and "maintains appropriate boundaries in all interactions with clients at all times" (p. 138). Nurses must maintain their professional boundaries and be aware of events or situations that may threaten them. They should have limitations in their scope of practice. It is staying within their role by refraining from personal involvement with a patient. As nurses, they are limited by their duties and activities as defined by their job scope, so it is very important for them to understand their job description (Gutheil, 2008). The concept of professional boundaries is so important to psychiatric nursing because the health and well being of patients depends upon a collaborative effort between the nurse and the patient (Muskin & Epstein, 2009). It is the nurse’s professional responsibility to understand the dynamics of the therapeutic relationship, to establish the relationship, and to maintain the relationship within therapeutic boundaries. Nurses must understand the differences between a therapeutic relationship and a social or personal relationship (Paavillainen & Astedt-Kurki...
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...FOUNDATION DEGREE IN HEALTH AND SOCIAL CARE MANAGEMENTETHICS, LEADERSHIP AND INTERPROFESSIONAL WORKING IN HEALTH AND SOCIAL CAREHS4501-40Describe The Importance Of Quality Leadership And The Difference Between Leadership And Management Within A Health And Social Care Environment, And Explain The Ethical Value Framework Leaders Of Services Should Adhere To STUDENT ID: 213599 06/05/2011 WORD COUNT 3,606 | | Describe The Importance Of Quality Leadership And The Difference Between Leadership And Management Within A Health And Social Care Environment, And Explain The Ethical Value Framework Leaders Of Services Should Adhere To | | This essay will discuss the importance of quality leadership, the diversities between leadership and management within health and social care and explain the ethical frame work leaders of services should adhere to. Every organization strives to be successful regardless of the type of business it conducts; no organization can be fully successful and productive without good quality leadership. Haris and Ogbonna (2000) discovered that although leadership may not completely affect the organisations achievement, the quality of leadership does affect the workers of the organisation who in turn have a substantial affect on the organiation. (cited in Haracre, et al 2011) If workers are contented and without stress in their work they will be more likely to be enthuiastic...
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...Ethics Steven J. Ramsey University of Minnesota Introduction In this paper, I will be applying ethics – principles of right and wrong – from an administrative perspective to three specific situations. In the first situation I describe the application of two ethical principles in relation to access to healthcare at a hospital. The next situation deals with the moral issues raised by mandating the use of ultrasound technology. Here I explain which ethical principles are used to justify this practice, and which ones are violated by this practice. In the last situation, I describe an ethical dilemma I was personally faced with and the ethical principles I used to resolve it. 1. Access to HealthCare The Principle of Utilitarianism Utilitarianism is the moral theory that says the rightness of an action is determined by its contribution to the greatest good for the greatest number. This theory argues against specific actions that would benefit an individual in favor of actions that serve to benefit society overall. Using this theory as a principle for making healthcare decisions, the objective becomes to maximize the health of the population served, which is in conflict with the widely held objective to maximize the care to every individual patient. For example, when having to choose between offering a program that benefits one thousand patients every year verses a program that benefits only five patients...
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...nursing. a. Leadership theories i. Trait theories: 1. 2. Innate leadership skills: being born with a certain set of physical and emotional characteristics for inspiring others to reach a common goal ii. Style theories: 3. 4. How leaders behave in certain environments and situations. a. Democratic: you care about what others think b. Lasae faire: no structure; people can do what they want c. Authoritarian: you are in charge iii. Situational-contingency theories 5. 6. These theories consider the challenge of a situation and encourage an adaptive leadership style to complement the issue being faced. Assess, assess, assess 7. You are typically democratic; you assess the situation and change your style based on what the situation is. iv. Transformational theories 8. 9. Inspires, motivates, empowers, mentors, provides intellectual stimulation and promotes creativity b. Motivational Theories v. Hierarchy of needs 10. 11. Low level needs will always drive behavior before higher levels needs can be addressed. For example, pain level, nutrition, and energy level need to be considered before delivering patient education. vi. Two-factor theory 12. 13. Must have good working conditions as well as recognition...
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...answers which have not been discussed at the meeting they are required to refer these to the Principal Examiner. It must be stressed that a mark scheme is a working document, in many cases further developed and expanded on the basis of students‟ reactions to a particular paper. Assumptions about future mark schemes on the basis of one year‟s document should be avoided; whilst the guiding principles of assessment remain constant, details will change, depending on the content of a particular examination paper. Further copies of this Mark Scheme are available to download from the AQA Website: www.aqa.org.uk Copyright © 2013 AQA and its licensors. All rights reserved. COPYRIGHT AQA retains the copyright on all its publications. However, registered centres for AQA are permitted to copy material from this booklet for their own internal use, with the following important exception: AQA cannot give permission to centres to photocopy any material that is acknowledged...
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...the Surgical Care Practitioner within the NHS . Many changes have occurred within the last few years with the UK government realising the need to modernise the service to suit the needs of the population it serves (Nicholas 2010 p94). The evolution of the nurse practitioner started with the Junior Doctors New Deal (NHSE 1991) and the compliance of junior doctors working hours from the European Working Time Directive which reduced the maximum hours a junior doctor can work each week and therefore created a massive hole that the NHS needed to fill. The publication of the document The Scope of Practice (UKCC1992) recognised that nurses could expand their roles through further education and training, and undertake roles that were once the domain of junior doctors. It wasn’t until 1999 when the Department of Health published Making a Difference (DoH1999)which identified the contribution of nurses to the health care team, but then further identified that nurses could expand and develop new roles to improve patient care and services. The Department of Health published a further document NHS Plan (2000) which included the Chief Nursing Officers 10 key roles which advocated the ability of nurses to order diagnostic tests, perform minor surgery, run outpatient clinics, and to admit and discharge patients from their work load. These are key roles of the surgical care practitioner. The Royal College of Surgeons of England published Developing a Modern Surgical Workforce (RCS Eng 2005) identified...
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...Mandatory reporting of child abuse and neglect Last updated July 2013 Contents What is mandatory reporting? Who is mandated to make a notification? What types of abuse are mandated reporters required to report? Commonwealth law What protections are given to reporters? About whom can notifications be made? What type of concerns must be reported, and what may be reported? In what cases can child protection and welfare agencies respond? What are the benefits of mandatory reporting requirements? Are there challenges with the introduction of mandatory reporting? Further reading Authors / Acknowledgements Share or comment Email Facebook Twitter Digg reddit del.icio.us StumbleUpon Leave a comment This sheet examines legal provisions requiring specified people to report suspected abuse and neglect to government child protection services in Australia.1 This document is provided as a guide only. Individuals are encouraged to contact the relevant department or organisation to clarify requirements in their states or territories, or in relation to legislation. For more information, see Reporting Abuse and Neglect: State and Territory Departments Responsible for Protecting Children. What is mandatory reporting? Mandatory reporting is a term used to describe the legislative requirement imposed on selected classes of people to report suspected cases of child abuse and neglect to government authorities. Parliaments...
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...Patient Group Directions December 2009 A practical guide and framework of competencies for all professionals using patient group directions National Prescribing Centre Patient Group Directions 2009 Acknowledgements Editors John Wright Business Manager - Non-Medical Prescribing Department of Health Gillian Arr-Jones National Pharmacy Advisor Care Quality Commission Angela Bussey PGD Website Pharmacist Editor London and South East Medicines Information Service, Guy’s and St Thomas’ NHS Foundation Trust Mary Golding Associate Director Community Health Services East & South East England Specialist Pharmacy Services Sandra Wolper Associate Director Community Health Services East & South East England Specialist Pharmacy Services Liz Mellor Clinical Governance Lead Pharmacist Leeds Teaching Hospitals NHS Trust Anne Fittock Non-Medical Prescribing National Advisor National Prescribing Centre Production Colin Bowers Web and Publications Officer (Corporate) Merissa Bellew Web and Publications Manager Published by: National Prescribing Centre Ground Floor, Building 2000 Vortex Court Enterprise Way Wavertree Technology Park Liverpool L13 1FB Tel No: (0151) 295 8671 Fax No. (0151) 220 4334 Websites: www.npc.co.uk www.npci.org.uk Contributors © National Prescribing Centre National Prescribing Centre Patient Group Directions 2009 Contents 1 Introduction 1.1 Purpose of this document 1.2 Audience for the document 02 03 03 03 06 06 07 07 08 11 11 11 12 12 13 14 15 15 16...
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...Consulting Project Alicia Gilbert, Erin Dreyer, Carley Pearson, Devon Fulton Consulting Project Alicia Gilbert, Erin Dreyer, Carley Pearson, Devon Fulton BuAd 248: Occupational Health and Safety Cathy Fitzgerald November 27th, 2015 BuAd 248: Occupational Health and Safety Cathy Fitzgerald November 27th, 2015 Executive Summary https://www.interiorhealth.ca/AboutUs/BusinessCentre/Construction/Documents/Staff%20Safety%20Guidelines%20for%20Healthcare%20Facility%20Design%20Projects.pdf designed to produce an environment of care that is safe and secure for all occupants (patients, staff, and visitors). The planning and design of the facility shall include provisions for achieving the following objectives related to the safety and security of patients, staff, and visitors: * All current provincial and national ergonomic, violence prevention and occupational safety regulatory standards are followed * The built environment promotes wellness to all those within it including staff * The built environment does not contribute to physical, psychological and emotional risks to patients, visitors or staff. * The built environment provides security from criminal activity such as personal assault or theft of property Table of Contents Executive Summary 2 Introduction 4 Literature Review 5 Methodology 6 \ 7 Findings and Discussion 8 Definition of Problem 9 Analysis of Causes 9 Under Staffed 9 Patients 10 Develop, Evaluate and Select...
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...SURGICAL NURSING Making patients better: a qualitative descriptive study of registered nurses’ reasons for working in surgical areas Carolyn Mackintosh BA, MSc, RGN, Pg Dip, PhD Senior Lecturer, Division of Nursing, University of Bradford, Unity Building, Trinity Road, Bradford, UK Submitted for publication: 13 May 2005 Accepted for publication: 16 December 2005 Correspondence: Carolyn Mackintosh Division of Nursing University of Bradford Unity Building Trinity Road Bradford BD5 0BB UK Telephone: þ44 1274 236546 E-mail: c.mackintosh@bradford.ac.uk M A C K I N T O S H C ( 2 0 0 7 ) Journal of Clinical Nursing 16, 1134–1140 Making patients better: a qualitative descriptive study of registered nurses’ reasons for working in surgical areas Aims. To explore the reasons and motivation identified by qualified nurses for working within the surgical area. Background. Little is known about the career decisions qualified nurses make, although it is clear that some areas of practice are more popular than others. This qualitative descriptive study considers one common area, surgery, and explores the motivation for decisions made by Registered Nurses (RNs) to work in this area. Method. A sample of 16 RNs working within surgical areas participated in semistructured interviews, using a thematic interview schedule. Findings were analysed using the framework suggested by Morse and Field. Results. Analysis of findings indicates that all participants actively...
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