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Professional standards in nursing ethics
Ethical dilemma case studies
Ethical dilemma case study
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Recommended: Professional standards in nursing ethics
Introduction
Ethics can be defined as a system of moral conduct and principles that guide a person’s actions in regard to what are considered to be right and wrong (Marquis & Huston, 2012). Nurse managers make decisions each day about their patients, their employees and their organization. According to Marquis & Huston (2012), management is a discipline not a profession and because of that management lacks the set of norms to guide ethical decision making. Therefore managers’ decisions are made based upon the organization’s values and ethical principles. The American Nurse Association (ANA) code of ethics is a set of principles that help both nurses and nurse managers to solve ethical problems. This paper will discuss a case study involving the unsafe practice of a student nurse in clinical and the professional responsibility of the hospital and the nursing school. In addition, the Moral Decision Making Model will be applied to the ethical scenario and two ethical principles that are appropriate for this scenario will be identified.
This is a case study of a student nurse whose performance in clinical is unsafe. According to Killam, Montgomery, Luhanga, Adamic, & Carter (2010), an unsafe student is defined as a student who performances in clinical place the client or staff in either physical or emotional jeopardy. From the case study from NetCE (2014), JC is a senior nursing student who chose the intensive care unit (ICU) to complete her university nursing program requirement of a 200 hour practicum. Within the first week of the 6 week practicum, JC’s preceptor reported to the ICU nurse manager that JC dresses inappropriately for work, has an arrogant attitude towards staff members, and is always discussing the amount of money...
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...s of unsafe nursing students in clinical learning. International Journal of Nursing Education Scholarship, 7(1), 1p.
Killam, L. A., Luhanga, F., & Bakker, D. (2011). Characteristics of unsafe undergraduate nursing students in clinical practice: An integrative literature review. Journal of Nursing Education, 50(8), 437-446.
NetCE. (2014). Course # 3707 ethical decision making. Retrieved from http://www.netce.com/casestudies.php?courseid=700
Marquis, B. L., & Huston, C. J. (2012). Leadership Roles and Management Functions in Nursing: Theory and Application. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins
McNamara, S. (2012). Incivility in nursing: unsafe nurse, unsafe patients. AORN Journal, 95(4), 535-540
Scanlan, J., Care, W., & Gessler, S. (2001). Dealing with the unsafe student in clinical practice. Nurse Educator, 26(1), 23-27.
Huber, D. (2010). Leadership and Nursing Care Management (4th ed.). Maryland Heights, MO: Saunders Elsevier.
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
Incivility is an issue in nursing. Our profession is of caring and as nurses we do this without second thought. It’s a cruel act of a nurse’s character to treat colleagues the opposite of the values which form why nurses are nurses. An issue of incivility exists among nursing students. According to Karatas, Ozturk, and Bektas (2017), the issue of bullying in the academic setting is well known and frequent. As a family nurse practitioner (FNP) student it is important to be aware
Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2010). Essentials of nursing leadership and
Nurse horizontal violence towards new nurses and nursing students includes methodical, unwelcome or unprovoked behaviors with the intent to upset, control, humiliate, harm, or segregate (Hutchinson, Vickers, Jackson, & Wilkes, 2006). Horizontal violence can be furtive and shrewd (such as withholding information or spreading gossip) as well as obvious and direct, such as reproaching in front of other staff, false complaints, or threatening body language (Hutchinson et al., 2006). Other forms of the experience, described both in nursing and non-nursing literature, include bullying, mobbing, intimidation, and aggression (Farrell, 2001). Bullies form cliques and engage in repetit...
Furthermore, nursing action guided by the theory and principles of moral and legal rights complements excellent nursing care. Nurse’s awareness of moral and legal codes helps them control the complicated scenarios encountered and direct the nurses in the best possible action answerable by law (Lachman, 2006). 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 at the expense of the patient and the care workers. In addition, the author will also evaluate the strength and limitations of the scenario in a broader issue with reasonable judgement supported by theories and principles of ethical and legal standards.
Patient safety is a top priority for every healthcare organization, but knowing where to direct patient safety can be a difficult task. To help guide organization in deciding where to focus their patient safety efforts, risk managers are hired by healthcare facilities to monitor and manage risk and liabilities. Nurses working in healthcare facilities keep their patients safe by risk management, according to studies. Interviews with RN revealed that nurses continually assess the clinical environment for possible risks of harm and use their knowledge of potential risks and knowledge of the patient to prevent harm. Successful risk management require nurses to recognize risks before they reach the patient, constantly prioritize the identified risks,
Safety competency is essential for high-quality care in the medical field. Nurses play an important role in setting the bar for quality healthcare services through patient safety mediation and strategies. The QSEN definition of safety is that it “minimizes risk of harm to patients and providers through both system effectiveness and individual performance.” This papers primary purpose is to review and better understand the importance of safety knowledge, skills, and attitude within nursing education, nursing practice, and nursing research. It will provide essential information that links health care quality to overall patient safety.
In nursing school, nurses are taught to apply the nursing process to administer care safely and effectively. However, that value doesn’t always coincide with the employer. Instead it is about the e...
Nurses continually strive to bring holistic, efficient, and safe care to their patients. However, if the safety and well-being of the nurses are threatened or compromised, it is difficult for nurses to work effectively and efficiently. Therefore, the position of the American Nurses Association (ANA) advocate that every nursing professional have the right to work in a healthy work environment free of abusive behavior such as bullying, hostility, lateral abuse and violence, sexual harassment, intimidation, abuse of authority and position and reprisal for speaking out against abuses (American Nurses Association, 2012).
...elly, P., & Crawford, H. (2013). Nursing leadership & management. In Nursing leadership & management(2nd ed., pp. 168-177). Canada: Nelson Education.
The study concluded with results that recommend all nursing students to be supervised in the clinical setting. Undergraduate nursing student are at risk of making errors when administering medications to patients in hospitals. Adequate supervision assisted avoiding errors which indicates that supervision is an essential component for safe medication administration by nursing students. Educators for the nursing
Azaare, J., & Gross, J. (2011). The nature of leadership in nursing management. British Journal of Nursing, 20(11), 672-680. Retrieved from EBSCO host
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
Leadership is defined by Northouse (2013) as a transactional experience between persons whereby one individual influences a group of individuals who have a mutual goal. Leaders may hold authority attributed to them by the group, substantiated by how they are regarded, whether or not they have positional authority. In contrast to management, where the goal is to provide order through control, leadership is concerned with producing change through transformation and practical adjustments (Northouse, 2013). Because of the nature of nursing, its obligation to promoting health and healing of people, nursing leadership concentrates change efforts based on human needs and concurrently ponders the needs of administrations largely because they understand the interrelatedness of the two influences.