Also the autonomy of the second patient was jeopardized as she wanted to transfer to another hospital but was misled by false information. Beneficence is defined as “compassion; taking positive action to help others; desire to do good; core principle of our patient advocacy” (Beauchamp & Childress, 2009). In this case, beneficence was violated as second nurse was not able to advocate for patient or she would lose her job if she was not loyal to the
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.
A nurse working in a hostile environment can feel stress and overwhelmed, which can lead to an altered emotional state. Blevins (2015) reports in Impact of Incivility in Nursing that nurses working in this type of environment can “experience stress-related disorders and physical illness” which can decrease work attendance. A nurse or healthcare provider providing patient care in this emotional state can turn their negative feelings into uncivil behavior toward the patient or miss something critical to patient care, leading to patient harm or death. For example, if a nurse is upset about being disrespected from a fellow healthcare worker the nurse might turn her emotions on the patent by not asking the right assessment questions, or writing off a critical detail the patient is reporting. Incivility can also reach the patient level when a nurse is afraid to ask questions regarding patient care to the charge nurse as a result of recent bullying.
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.
Peplau’s theory is considered to be an interaction theory, an interaction theory, “revolves around the relationship nurse form with patients” (Colley, 2003, p. 34). I believe that if a nurse does not have a good rapport with the patient he or she will not be able to heal adequality. The patient might focus more on him or her not getting along with the nurse and thinking that the nurse does not care, then taking the to make sure that he or she is healing properly. The patient may not ask for pain medication when they are in pain because he or she does not want to deal with the nurse. The environment also has a lot to do with the patient feeling better and
If a nurse is being bullied at work they will not feel safe. This problem is critical as it extends beyond the well-being of the nurse and into the functioning of the unit they work within as well as into the quality of care provided to the patient. As identified in Nursing’s Agenda for the Future (2002) there are multiple strategies which could be used to end bullying and ensure a safe work environment for all nurses. An approach which combines many of them would be for nurses to be involved in determining how bullying is dealt with and prevented on a national level. They need to work together to ensure that employers support the pursuit to end bullying and will enforce any policies that are developed.
However, nurses and staffs disagree. When facilities do not have enough staff, it is the workers, especially the nurses that are having a hard time. They are the one that are suffering from overworking and pressure which leads to mistakes that will affect the hospital’s reputation and patient’s health. Nurses are here to care and nurture a patient and therefore
After noticing that your resource nurse is impaired several steps should occur. The nurse is not following appropriate ethical guidelines. According to lecture, ethics is defined as rules or standards that govern conduct. The nurse who has slurred speech and glassy eyes has the autonomy to make his/her own decisions, but showed up to work acting in a harmful manor to her patients. However, the new RN needs to alert her supervisors because everyone disserves to receive the care that is appropriate.
When nurses ignore the signs of fatigue, they risk the development of chronic fatigue and other health problems that may not be easily treated. Additionally, fatigue may cause nurses to lose more time at work as they may have to be away from work for several days to treat it. The issue of nurse fatigue has permeated the nursing profession to the extent of causing errors in the work performed by nurses. Fatigue causes a decrease in a nurse’s ability to make accurate decisions for themselves and their patients. It is therefore important to find ways to curb nurse fatigue such that it is no longer a problem.
Applying Health Promotion Model and Theory of Reasoned Action to Safe Staffing Level Safe staffing issue has been identified as one of the problem in health care. The problem resulted from the inappropriate ratio between the nurse and the number of patients a nurse takes care within a shift. Patients and nurses well-being are being at risk because of the inappropriate safe staffing because of nurses feeling overwhelmed and stressed with their job. It was learned from the previous papers that the issue with staff level can be intervened by applying the theory of Health Promotion Model as a framework in assisting nurse leaders in creating policies that ensure healthy and appropriate work practices, determine the appropriate number of nurse to