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Patient safety in hospital setting
Patient safety in hospital setting
Code of ethics in medicine
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Recommended: Patient safety in hospital setting
In the hospital setting, accountability issues can occur from a variety of issues such as not following orders, to medication errors, and not overseeing delegation of tasks. In every workplace there will be employees being held accountable for their lack of maintaining interpersonal boundaries. These issues can include discrimination, inappropriate sexual advances, and personal conversation that are not work appropriate. Ability to recognize and honor the interpersonal boundaries Boundaries are established to protect the patient, the nurse, and the co-worker from over or under involvement in each other’s lives. Therapeutic care belongs in the middle of a continuum, deviation to either side skews the interpersonal boundaries established for “effectiveness and patient safety” (National Council of State Boards of Nursing, 2011). These boundaries are not just established for the benefit of the patient and the nurse, but for all of those in the workplace. Interpersonal boundaries should be respected by all employees. These boundaries include information regarding our personal lives, patient information not pertinent to those involved in their care, or allowing relationships to alter into forms that are inappropriate. What is important to remember about interpersonal boundaries, is that these boundaries are not just established for the benefit of the nurse-patient relationship, but for all employees of a business. Outside of a business, boundaries are established throughout different types of relationships. Maintaining boundaries keeps all people involved in everyday and workplace life safe and professional. This can be a confusing topic, trying to decide what is okay to disclose and what is not okay to disclose. The nurse a... ... middle of paper ... ...huge responsibilities to the patient’s that the nurse cares for. These responsibilities require the nurse to maintain the safest environment possible for the patient. To do that the nurse must be able to meet the character requirements written about in this paper. Ethics, integrity, accountability, responsibility, and boundaries, keeps everyone in a safe environment. Without these attributes the door opens for questionable behaviors to occur inside of the hospital or other environments. Once the behaviors are allowed to occur, then the standards that nurse’s standby will diminish. Standards such as these do not just belong in the clinical setting. These are standards that everyone should live by in their day to day life. The Board of Nursing topics discussed here, are the foundation for the moral fiber that each person should weave within into their lives.
Nurses everywhere face problems and challenges in practice. Most of the challenges occur due to a struggle with the use of ethical principles in patient care. Ethical principles are “basic and obvious moral truths that guide deliberation and action,” (Burkhardt, Nathaniel, 2014). Ethical principles that are used in nursing practice include autonomy, beneficence, non-maleficence, veracity, confidentiality, justice, and fidelity. These challenges not only affect them, but the quality of care they provide as well. According to the article, some of the most frequently occurring and most stressful ethical issues were protecting patient rights, autonomy and informed consent to treatment, staffing problems, advanced care planning, and surrogate decision making (Ulrich et. al, 2013). The ethical issue of inadequate staffing conflicts with the principle of non-maleficence.
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
Professionalism in the workplace in many professions can be simplified into general categories such as neat appearance, interaction with clients, punctuality, general subject knowledge, and likability. In nursing, professionalism encompasses a much more broad and inclusive set of criteria than any other profession. Nurses specifically are held to a higher standard in nearly every part of their job. Nurses are not only expected to uphold what it seen as professional in the aforementioned categories, but they are also expected to promote health, wellbeing, and advocate for patients, but also continually provide the highest standard of care, demonstrate exemplary subject and procedural knowledge, and abide by the Code of ethics set forth by the American Nurses Association. This Code of Ethics includes the complex moral and ethical principles of autonomy, beneficence, nonmaleficence, fidelity, honesty, and integrity.
According to Arries & Cur (2005), “the virtue ethics in nursing can be viewed as an approach of ethical deliberation about the moral character and dispositions of nurses as moral agents that enables them, as virtuous human beings, to fulfill their purpose and function as professional people.” The nurse exercises virtues of honesty, truthfulness, benevolence and moral courage to fulfill code of ethics and address ethical dilemmas. According to ANA Code of Ethics for Nurses and Interpretive statements (2015) “nurses are leaders who actively participate in assuring the responsible and appropriate use of interventions to optimize the health and well-being of those in their care. This includes acting to minimize unwarranted, unwanted, or unnecessary
According to the American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the health, safety and rights of the patient” (p. 6). Nursing responsibilities should be acted upon at the highest standard and must be based on legal and ethical obligations. Healthcare provider’s perception and judgment of the patient’s well being, as well as taking into account the rights of the patient in every action, is one of the key elements in nursing practice. International Council of Nurses (ICN) (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3).
As a nurse, we serve a society which is very culturally diverse. We provide care to many individuals whom have their own unique set of ethics, values, morals, and beliefs by which may be very different from our own. Because of our professional role, we must use lifelong learning as a tool to broaden our views, increase our knowledge, and understand the influences which affect it. To make this possible, we have to continually educate ourselves about the nursing laws, professional standards, and code of ethics all of which we are committed to.
Section 5.4, which is the preservation of integrity, suggests that nurses will inevitably have to deal with threats to their moral or professional integrity at some point in their careers. Nurses should do their best to maintain professional integrity when met with adversity, weather it be from uncooperative issuance companies, an unsound work environment, or from the patients themselves. When working in an unsound or unsafe work environment that violates law or the ANA code of ethics nurses must go through the proper channels to fix the problem. If a nurse feels that a procedure or treatment their patient is having conflicts with his or her own moral integrity and they cannot participate, the nurse must report they unwilling to tr...
Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as well as the nursing standards. Through education in areas such as confidentiality, boundaries can remain in tact and the patient care can remain within the zone of helpfulness.
The word ethics is derived from the Greek word ethos, which means character (1). Being moral always fills a nurse with morals respects, guidelines of good judgment and expert lead. There are three essential obligations for nurses, among many other which are the duty of autonomy, confidentiality, and obligation of care to all patients (2). There are professional duties with becoming distinctly legitimate obligations if any law and policies are ruptured in between professional practice. In 2001, a review found that there was an apparent requirement for more guidance on moral predicaments inside the medical professionals, subsequent to expanding legal cases and open request (3). Medical attendants ought to withstand to regulatory law and statutory law while managing the nursing practice.
“The most important environmental issue is one that is rarely mentioned, and that is the lack of a conservation ethic in our culture” – Gaylord Nelson. Energy has become an extremely hot topic over the last couple of years, with arguments for our energy worries ranging from environmental to political to economical or financial problems. The variety of energy sources available for Ontarians has been a positive outcome for citizens, but the consequences of using some of these sources has not been. The situation, although severely thought through, has been the root of inflamed quarrel among people. With approximately thirteen million citizens living in Ontario, the future of the environment and sustainable energy source is questioned. While there are many different types of energy sources that Ontarians can get their power from, the Premiere of Ontario should focus on renewable energy for the sake of future generations, the economy and the province. The majority if not all Ontarians utilized energy sources originate from; nuclear power plants, hydro power plants, and renewable energy sources.
The professional boundaries in nursing are defined as limits, which protect the space between a professional’s power and the client’s vulnerability. When a nurse crosses this boundary, they are generally behaving in an unprofessional manner and misusing their power in the relationship. The guide to professional boundaries consists of a diagram representing a continuum of professional behaviour. This diagram provides a picture of therapeutic versus non-therapeutic behaviour in the relationship between a nurse and the patient. Additionally to this diagram is a list of guiding principles for safe, professional practice. These guiding principles consist of dual relationships and boundaries, access to or the disclosure of information, therapeutic and care relationships and gifts, services and financial relations. The purpose of these guidelines is to protect the community by helping to prevent distress, confusion, harm or abuse of people being cared for by nurses. It is intended this resource will encourage reflection, discussion and guide the decision making in all aspects of the relationship that is established when care is provided by nurses.
Nursing is one of the most trusted professions in the community. This means that nurses are trusted to enter into therapeutic relationships that adhere to the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the professional knowledge and skills of the nurse and the patient trusting in the nurse’s ability to care for them. Professional boundaries are an intricate aspect of a nurse’s daily work. These boundaries are based on trust, respect and the appropriate use of power. Breaches can be classified as boundary crossings, boundary violations or sexual misconduct. Breaches of boundaries lead to violations of a nurse’s professional responsibility. Nurses must maintain these boundaries to ensure patient care can remain within the zone of helpfulness.
Nursing may be seen as very independent work even though there will be situations that will require others. Friendships may be formed; however, to have professional interactions is something that is not always followed. In terms of patient confidentiality, we may not realize that a HIPPA violation has occurred due to friendly conversation with coworkers. If a patient were to overhear their nurse discussing their information in an unprofessional manner then it may cause issues with a patient’s dignity and their rights. If a patient’s right is violated then it can lead to a patient’s mistrust in their caregiver, leading to mistrust in the facilities, and can end with a patient’s health being compromised. The patient is the reason for this career; if the needs of the patient are being unmet or violated then the purpose of our occupation will be unsuccessful and
The American Nurses Association created guidelines for the profession including, a set clear rules to be followed by individuals within the profession, Code of Ethics for Nurses. Written in 1893, by Lystra Gretter, and adopted by the ANA in 1926, The Code of Ethics for Nurses details the role metaethics, normative ethics, and applied ethics have within the field (ANA, 2015). Moral obligation for an individual differs within professions than it does within an individual’s personal life, so the code of ethics was written to establish rules within the profession. The moral obligation to provide quality care include the fundamental principles of respect for persons, integrity, autonomy, advocacy, accountability, beneficence, and non-maleficence. The document itself contains nine provisions with subtext, all of which cannot be addressed within this paper however, core principals related to the ethical responsibilities nurses have will be
Ethics asses the values, morals, and principles of nurses. Legal codes or laws are rules established by our government. It’s important that nurses have a clear and comprehensive understanding of ethical and legal codes within their career. The understanding of these codes is essential for nurses to safely practice and to protect their patients. Nurses must abide by these principles or face the consequences of legal action. These principles include autonomy, utilitarianism, confidentiality, and many others. Autonomy is the agreement to respect ones right to determine a course of action, while utilitarianism is what is best for most people as defined in American Nurses Association. In order to give you a