Argument for Drug Testing A nurse is required to exercise appropriate clinical judgment and respond safely and quickly in order to effectively care for a patient. Substance abuse among nurses is an issue that compromises the delivery of quality care and professional standards of nursing. Many nurses are not recognized as having a problem until a patient has been endangered (Clark and Farnsworth, 2006). It has been estimated that 10-... ... middle of paper ... ... nurses would be receiving help. Those nurses unwilling to comply with monitoring after a positive drug screen would be terminated from employment.
Now a days, in the healthcare field the nurses are known to prevent, promote and improve the health and abilities of patients, families and communities. It is very heartbreaking to hear that in this honorable profession exists violence, bullying which is among not only nurses but also other healthcare professionals. According to the article, Reducing Violence Against Nurses: The Violence Prevention Community Meeting, violence is defined as any verbal or physical behavior resulting in, or intended to result in, physical or physiological injury, pain, or harm. In the healthcare field the term that is used when there is violence between coworkers is called horizontal violence. This is a term that is continued to be used but some hospitals have replaced it with the terms bullying or lateral violence.
This situation can occur, such as the patient lack of attention, then patient fall and it is probable that the patient will die because nurses are slow to act. Nicloe Favell, Deddie James and Cecil Elwood Holland (2012) explain patient safety be affected by the deficit of nurses, staff while may be a stressful and unhappy because neglected work of patient. Poor team work gives me to improve my work place. Team work is very important in patient care. According Jeninifer ward (Jan 14.13) teamwork is emphasized and valued every member work together to improve patient care.
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.
Horizontal violence is known to be the type of violence between coworkers. For some people this type of violence new and in the healthcare field, nurses world, it describes the behavior nurse have towards colleagues or other healthcare entities. This type of behavior interferes with communication and teamwork needed in order to promote and care for others. For this reason this type of behavior not only affects healthcare workers but also the community and families that we are taking care of. At the end of all if there is a behavior that causes another nurse to be offended or inability to perform their job is considered to be horizontal violence (Morse, K.J., 2008).
The registered nurse act as client advocates in health maintenance and clinical care (Standards of Nursing conduct or practice, 2003). Advocating for patients could bring implications such as conflicts with physician and families regarding decision on the plan of care. Nurses struggle with having the feeling of powerlessness towards family decision rather than supporting patient decision. Nurses also experience moral distress and outrage at unsuccessful attempts at becoming patient advocate. According to provision two of the American Nurses Association nursing code of ethics, the nurses’ primary commitment is to the patient, whether an individual, family, group, or community (American Nurses Association, 2001).
During this time when the nurse works under supervision, random drug tests are given and participation in 12 step meetings is mandatory. According to Cadiz, et al., (2012), a special program, called Fit to Perform, was developed in Oregon, which trains nurses responsible for monitoring nurses returning to work. The supervising nurse has to be able to quickly identify the signs and symptoms of relapse and address any issues related to unsafe practice. It is imperative for the supervising nurse to have a good understanding of addiction as a disease, as well as the attitudes of his or her co-workers related to substance abuse. Lack of this knowledge can “lead to prejudice and discrimination against nurses who return to work after seeking treatment for substance use disorder” (Cadiz et al.
Identification of the Evidenced Based Problem The evidenced based problem that was identified for this research assignment, was that nurses were causing multiple medication errors in a clinical and practice setting. According to the authors Wolf, Hicks, and Serembus (2006), a medication error is defined as any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. It is very important for experienced nurses and nursing professors to identify medication errors to prevent them from harming the patient. Some of the errors that were identified were not reported because registered nurses didn’t want their peers to think they were irresponsible (Unver, Tastan, & Akbayrak, 2012). Nurse shaming did not help increase positive outcomes of reporting errors among nursing students and registered nurses (Harding & Petrick, 2008).
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.
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. The opposite is also true; If a patient is being discourteous to a nurse who is being civil and helping to the patient, it might make the nurse unconcerned about patient care satisfaction. This can spiral into an incivility cycle that is hard to