. As a result, nurses could not perform well which compromise with the quality of service. This could be improved by increase in the staff member of the hospital. The nurses’ manager should discuss with the nurses about their occupational stress and reason behind poor performance. It is the responsibilities of leaders to find out the problem associated with work culture and should encourage the nursing staff to participate in decision making program.
Those nurses unwilling to comply with monitoring after a positive drug screen would be terminated from employment. Conclusion The nursing profession is guided by the principal of nonmaleficence, or “Do no harm”. Nurses are responsible for maintaining and optimizing a patient’s quality of life. When nurses fail to care for themselves, they also put their patients at risk. The patient has a reasonable expectation to receive safe and competent care.
Their autonomy was violated, their loyalty was questioned, and they were threatened to either accept the situation or they will lose their job. Therefore, I believe provision six of the code of ethics is related to this situation the best. According to ANA, provision six describes “The nurse participates in establishing, maintaining, and improving healthcare environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action” (code of ethics, 2011). Nurses in this case study have to work in an environment that patients’ rights have been violated. Nurses are not able to advocate for their patients.
While participating in this activity, I was expected to follow the strict guidelines by the instructor and nurse; as required by the rules and regulations, and code of conduct in nursing. The nurse I was assigned to seemed a little intimidating in terms of her strictness when dealing with a student. This made me strive to avoid mistakes by documenting on time, and restoring the confidence of the patient to my ability. My key issue is that sometimes, the nurse would go with me to the patient and this heightened my anxiety. This led to jeopardizing the client’s safety, in this event; I forgot to lower the patient’s bed back to the appropriate height.
Whether they are aware of it or not, nurses are becoming more and more involved in making ethical decisions regarding their patients. However, the doctor’s policy always rules over the nurse and the patient’s wishes must always be respected. The consequences of not being heard by fellow co-workers or having your plan of action overruled by other policies can often be frustrating and upsetting for a nurse. While there is no data that directly connects the effects of moral distress and the quality of care nurses give, it can be inferred that the feelings of moral outrage, frustration, and anger cause nurses to care for patients in a less effective way. A nurse who is at conflict with him/herself and those that surround him/her will experience difficulties in treating a patient with the best care.
One of the most important principles for a new nurse is to develop the adherence to patient safety and advocating for the patient. Shawna appears concerned for her patients, realizing how the current unit staff do not seem to care for their patients’ safety as she does. She is also concerned because the staff and herself seem to be overworked and understaffed. She does indeed have a right to be concerned, since “Workload can be a factor contributing to errors” (Carayon & Gurses, 2008). One thing she might consider is seek help by taking her concerns to the hospital’s director for patient safety.
There are programs and peer support groups that help nurses with rehabilitation and returning to work. However, the stigma attached to having an addiction and distrust can make it difficult for coworkers to forgive and allow the nurse to reenter the profession, because it “threatens professional standards, conduct and morals” (Cook, 2013, p.21). In times of nursing shortages, it is imperative to allow these nurses to return to the nursing profession and earn back the trust of coworkers and society. Literature Review Substance abuse is a disease that affects nurses to the same extent as the general population. “Addiction is a chronic, progressive and potentially fatal disease involving the continued, often compulsive, use of mood-altering, habit-forming substances despite perceived negative consequences” (Patrick, 2010, p. 8).
Background of the Problem As I personally observed in our ICU, ineffective communication between doctors and nurses can affect the delivery of care. Unclear communication during the end-of-life care in the ICU can raise ethical questions and pose a challenge to those who are involved. Incons... ... middle of paper ... ...arch are to gain more knowledge and apply the solutions that I will find from evidenced based practice to my own. Identifying the barriers to effective communication and finding ways to overcome them can help improve the gap. As a critical care nurse, I have to provide exceptional patient care to sustain life, but must also accept the circumstances when a patient’s death is inevitable.
A moral distress is a marvel experienced by nurses and doctors when they feel that there is a distinction between what they feel should be done and what they are capable of doing. Moral distress is characterized as "mental disequilibrium" that happens when, for whatever reason, the healthcare provider is not ready to give the consideration that is seen to be "correct" or "best" for the patient (Corley, 2002). This may incorporate circumstances of oversight (consideration saw to be fitting is most certainly not ready to be given) or circumstances of commission the nurse gives the consideration, despite the fact that he/she doesn 't see it to be "right" for the patient (What do I Do,
Which is very important for nurses or any medical professional to do in the healthcare profession. Nurses are receiving these patients in their most vulnerable state, nurses are exposed and trusted with the patients’ information to further assist them on providing optimum treatment. Keeping patient’s information private goes back to not just doing what’s morally right but also it also builds that nurse – patient relationship as well. We also have provision three that specifically taps on this issue as well, as it states: “The nurse seeks to protect the health, safety, and rights of patient.” (Nurses Code of Ethics,