With reference to the patient within my scenario: the patient is also a practicing ward nurse and has been so for the last eighteen years. On one occasion, the patient had removed her own IV leur believing that she had completed all of her IV medications. Unfortunately, I needed to administer Ferinject IV medication but was delayed in doing so until a new IV leur could be inserted several hours later. On a separate occasion, the patient had forcefully snatched her hospital notes out of my hands, stating that ‘I am a nurse, it is my right to see this’. Due to these two instances, I have decided to investigate the nurse-patient role and relationship in regards to power balance.
I believe that, in accordance with Beck, (2013), nursing and patient
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Therefore, she may find it harder than most of the population to transition into the role of the patient and rely on others to make clinical judgements to promote and protect her recovery. Moreover, she was in a lot of physical pain, with her right leg in a full cast, causing her to be at bed rest. This I believe, as well as the patient being more aware of the inner workings of the hospital compared to other patients without a medical background, may of contributed to her ill ease and need to feel in control of her nursing care, over that of her care plan set by the …show more content…
However, ethically it was my role of responsibility or that of my registered nurse, to openly share medical knowledge and provide health care education for the betterment of the patient. This is an example of facilitating autonomy without crossing the boundary of making decisions for the patient, Choi, (2015). Moreover, within the scenario, I did support the patient’s self determination, by explaining to the patient that she could fill in the appropriate hospital permission form to read her chart with a doctor present, so medical diagnosis and medical terminology can be properly explained through the correct channels. Although the patient is a nurse by profession, it is outside of her scope of practice to be using her title as a nurse while she is a patient as she too must follow hospital protocols and ethical guidelines like any other
Therapeutic nurse-patient relationships lay the groundwork for successful care and rehabilitation of a patient in any setting. Whether the patient is in a nursing home, hospital, or receiving home care, a therapeutic nurse-patient relationship is vital to the care of the patient. A therapeutic nurse-patient relationship can be defined as a professional relationship between the nurse and the patient that, “focuses on the client, is goal directed, and has defined parameters” (Craven & Hirnle, 2009, p. 329).
Under the code of ethics for nurses this moral issue is also conflicting because you’re first and foremost obligation is to the patient. Now you also have your institution ethical code conduct that you also has to abide by. Provision 5. The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth (ANA, 2001, p.18). In this case the nurse owes it to herself in making the right moral decision to preserve integrity and safety of patient and
Nurses are required to protect and support their patients if they are to be an efficient patient advocate. Ethically questionable situations are quite common for nurses that conflict with their professionals and personal morals. At times, the patient necessitates the nurse to speak out for them demonstrating
In this essay the author will rationalize the relevance of professional, ethical and legal regulations in the practice of nursing. The author will discuss and analyze the chosen scenario and critically review the action taken in the expense of the patient and the care workers. In addition, the author will also evaluates the strength and limitations of the scenario in a broader issue with reasonable judgement supported by theories and principles of ethical and legal standards.
Personally I would be embarrassed at the thought of someone questioning my nursing judgment and actions. I am not someone to get confrontational when I know I have made a mistake even a small mistake. I try to be very aware about my actions and how I affect others. I believe I would most likely breakdown emotionally and explain how I had become unintentionally over involved. I would explain I just wanted to help Matt because he reminds me so much of my brother. I also would say that I am having problems with my husband and I felt like I had a good connection with Matt. I just seen a hurting body and soul and just didn’t want him to fall into a greater depression. I would apologize and admit I was wrong and would understand how my little mistakes turned into a huge one. I would apologize and ask how I could make amends and might make a change in departments.
We are not only responsible for patient care, but we are also included in many other roles. Before nursing school, I thought that the main responsibility of the nurse is to take care of patient. During nursing school, I learned that patient care was not the nurses known just for. We took many general courses and nursing course work to prepare ourselves to be an educated member. For example, it was required to us to take microbiology, anatomy, leadership, professionalisms, etc to help us to become a better nurse and have a foundation base of education. We give patient care in the hospital, but we are also provider of care. We use the nursing process to help and make decision for our patient. Our decisions are based on critical thinking, clinical reasoning, and accountability. We are hold accountable for everything we do and based on our judgment to provide care to the best of patient’s benefit. We are also known for our role as a manager, designer, and coordinator of patient care. I plan and coordinate patient’s care based on their health care needs. In clinical, my patient has a Foley catheter, I will know to plan and implement Foley care to help with personal hygiene and preventing infections. It is important to make decisions based on priorities, time, and resources. As nurses, we need to know how to delegate and ask for assistance when needed. For example, I needed help to ambulate my patient who has a total knee replacement, I then ask
4). Examples of how nurses can integrate this competency include; using current practice guidelines and researching into hospital’s policies (Jurado, 2015). According to Sherwood & Zomorodi (2014) nurses should use current evidence based standards when providing care to patients. Nurse B violated one of the rights of medication administration. South Florida State Hospital does not use ID wristbands; instead they use a picture of the patient in the medication cup. Nurse B did not ask the patient to confirm his name in order to verify this information with the picture in the computer. By omitting this step in the process of medication administration, nurse B put the patient at risk of a medication error, which could have caused a negative patient
The healthcare system can be difficult for clients to navigate and they are often unsure how to access information which puts them at the mercy of others and can lead to feelings of helplessness (Erlen, 2006). Nurses can provide resources to educate patients when they becomes dependent on a health care provider and no longer feel in control of their own body which can lead to fear, hopelessness, helplessness and loss of control (Cousley et al., 2014). The change in roles individuals face can further increase their stress and feelings of powerlessness (Scanlon & Lee, 2006). According to the CNA code of ethics, nurses are responsible for protecting patients from objective risks that place them in an increased level of vulnerability (Carel, 2009). They can do this by providing the resources necessary for patients to educate themselves and be better able to cope with the health challenges they
I have come to fully understand that in order to treat my patients in a way that is person centred, I have to treat each person as an individual and realise that every individual has different needs and different rights and preferences to me which may go against my morals and beliefs but I always have to maintain my professional boundaries and treat each individual with respect and dignity. If I was a nurse who witnessed a similar situation to Kat’s, where another healthcare professional was disregarding my patient or any patients views or requests I would go into the patient’s room and find out what the problem was. Then I would politely ask the healthcare professional to step outside of the room and I would gently remind them of the code of ethics ((Kozier, Erb's & Berman, 2010, p.97) and the Registered Nurses standards of practise (2016), and how every individual has the right to make their own independent decisions about their healthcare needs/goals based on their own values, morals and beliefs. I would further explain that the patients are our main priority and it is our responsibility as nurses’ to ensure that the patients are safe and are receiving the proper care. I would then explain to the patient what was happening and apologise to them about the situation, and I would rearrange and try to negotiate with the patient when the procedure could be performed. Then I would notify the Nurse Unit Manager on the ward to ensure that situations like this do not occur
In order for nurses to advocate for their patient, the patient has to have a trusting relationship with his/her provider. It is observed that the nurse and patient have a trusting and respectful relationship. During the observation, the patient reported that he was skeptical about the physician's order to maintain strict bedrest. The patient wanted the nurse to ask the physician if strict bedrest was necessary. The nurse was observed telling the patient that she would let the physician know. The nurse also stated that she would suggest physical therapy and a home nurse. The nurses took the responsibility and the challenge of becoming the advocate for the patient.
This paper is a literature review of the results of three empirical studies on trust within the nurse–patient relationship. Studies implemented a descriptive qualitative design, and studies used quantitative research, and phenomenological approach method. The context of most quantitative studies was nurse caring behaviors, whereas most qualitative studies focused on trust in the nurse–patient relationship. The quantitative studies used a descriptive design, while qualitative methods included the phenomenological approach, Data collection was mainly by questionnaires or interviews. Evidence from this review suggests that the development of trust is a relational phenomenon, and a process, during which trust could be broken and re-established. Nurses’ professional competencies and interpersonal caring attributes were important in developing trust; however, various factors may hinder the trusting relationship.
I introduced myself to the patient stating that I was a student nurse and gained verbal consent to carry on with the assessment, as a student nurse you must respect patients wishes at all times, if t...
Therapeutic relationship is an essential part of nursing; it is the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses state that nurses are responsible for “establishing, sustaining and concluding professional relationship with individuals/groups.” Throughout this essay the importance of forming a therapeutic relationships will be explained. The process of building a therapeutic relationship begins from prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important to understand how they influence a person. The process and skills listed below are all relevant to nurses working in the contemporary hospital environment today.
Relational Practice is being mindful of your own actions, environment, and situations. It goes beyond treating the disease and focuses on the patient as an individual with his or her own unique needs. In order to establish and maintain a concrete nurse-client relationship, nurses must utilize a wide range of effective communication and interpersonal skills. The ability to communicate effectively is an important skill that not only proves to be imperative as a nurse but also in everyday interactions. That said, for the purpose of this paper, I will evaluate an interaction I had with a close family friend, where he disclosed his history of alcohol abuse and how it affects him every day. I will discuss the style and skills that I fulfilled during
Procurement of this goal involved clustering my duties as a student nurse to aid in providing a comfortable environment with minimal disturbances. Additionally, keeping him informed of his rights and available options as a patient strengthened this nursing role. By choice of my patient, his scheduled hip replacement was to be performed by a physician that solely worked at Holy Redeemer. After learning of his decision, I focused on vocally confirming this to be his personal option. The nurse is to deliver suitable information to patients, families, and caregivers that pertain to their situation. Unfortunately, because patients are not often asked what role they want to play in treatment decision making, their information needs and those of their family are frequently unmet (Katz 2015). It is a requirement of the nurse following the role of manager of care to coordinate the process and preparation of the patient and their family for discharge and, in this case, admission to Holy Redeemer. Providing advocacy for patients, as guided by the ethical and legal philosophies of the practice of nursing, is a crucial role that nurses perform in clinical practice (Tariman & Szubski 2015). Being depicted as the front-line of communication for the patient and keeping them informed of changes in care are examples of how to fulfil