Wednesday, July 17, 2019
Professional Issues in Nursing Essay
As a apply, I win judgement that would affect unhurried roles wellness every day, I am aw are that I capture a great art to master my longanimouss risklessty to maintain the prevalent trust (Chitty & Black, 2011). afterwards learning this module, it tendinged me acquire tolerable knowledge to better manage legal and estimable issues at work. For the sake of providing a high fictitious character of compassionate to my diligents, I must be erudite in both (Croke, 2003). Nowadays, the public is aware of legal issues and organized propoundation is available through the internet. As a result, medical litigation claims have been promptly increasing. Most claims against suck ups are due to medical dis observe (Tay, 2001). I am liable for my own practice, and if I fail to act as a credible prudent person in certain conditions, I may be liable for medical omission (Chitty & Black, 2011).Research shows several errors leading to nursing carelessness. For instance, a nur se fails to issue forth measures of veneration, fails to use equipment in a responsible manner, fails to communicate, fails to document, fails to assess and monitor and fails to act as a longanimous roles propose (Croke, 2003). In 1998, Hurwitz states in order to prove medical negligence, the patient plaintiff must prove The defendant nurse owned the plaintiff a duty of get by and breached in this duty of care by failing to reserve the required reasonable standard of care. indeed this breach of duty of care caused the plaintiff damage. I would like to discuss a case control in my practice for example to reflect my knowledge. A 55 year old patient admitted for dressing table pain and on telemetry monitoring. This patient requested for lavish, a nurse removed his telemetry and was shoot to assist the patient during shower stall, but the patient insisted to shower on his own. hence the nurse left the patient alone without instructing him to fasten for help if he felt any discomfort. After a while, the nurse went back to check, patient was establish collapsed on the toilet floor. The issue that came across my forefront is If I am that nurse, am I neglectful? study point 1 Duty of careA patient went to the infirmary and infirmary is good-natured for patients treatment, there will be a contract between the hospital and patient. The hospital has the duty to provide quality treatment to the patient. go down on as the employee, if he acts badly, it can be sensibly foreseen that thepatient may be injured. therefore the nurse owes a duty of care in treating the patient (Staunton & Whyburn, 1996). In this scenario, I have a bring together with my patient therefore I owe a duty to provide reasonable and competent care to my patient (Hurwitz, 1998).Learning point 2 specimen of careThe nursing standard of care is what the pretty prudent nurse did in the same destiny (Staunton & Whyburn, 1996). In Singapore, we have the standard of care and recru it of ethics for nurses and midwifes as our guideline for practice, it is our responsibility to follow the standard ( Singapore nursing board, 2011). In this case, the patients determination to shower without assistance, is his autonomy (Tay, 2001). tally to value statement of code of ethics, I prize the patients individual leads and privacy, and as well respected and promoted patients autonomy by allowing patient to do so (Singapore Nursing Board, 2011). In this case, there is a conflict between respecting patients autonomy and providing care in a responsible and accountable manner. I need to make a choice between two alternatives. There is no absolutely right or haywire decision (Keilman & Dontje, 2002).The decision made by me is to respect the patients autonomy, but this may misemploy the principle of non-maleficence as this decision of allowing patient to shower alone may delay the time to go out patient has collapsed, then it unintentionally caused harm, so I failed to provide in a responsible and accountable care (Chitty & Black, 2011). If I choose to provide care in a responsible and accountable manner, I should have insisted to accompany patient, but by doing so I may violate patients autonomy. gibe to standard of care of nurses and midwives, I should communicate with client effectively and provide countenance information to the patient (Singapore nursing board, 2011). I should inform patient that he is on high chance of developing touchwood attack and shall be monitored closely. misfortune to communicate effectively leads a breach of duty.Learning point 3 Avoid medical negligenceTo avoid medical negligence, I think the near important is to prevent the breach of duty of care. According to Bolam test, I will not breach the duty of care if I followed the standard of care (Hurwitz, 1998). In order to meet the standard of care, I need to be a knowledgeable and a safe practitioner,be technically competent, and keep up-to-date with accepted pr actice (Chitty & Black, 2011). We must be familiarized with the standard in nursing practice. When we use them to guide our day-after-day practice, we are acting in the best busy of the patient (Singapore Nursing Board, 2011). When you do decision making, ask yourself, have you followed the standard of care? Nowadays, the nurses are also being encouraged to act as advocates for their patients, to defense standards of care and to speak out where those standards may be at risk. (McHale & Tingle, 2001, p36). I think, our role as an advocate needs to improve, as nurses do not have the courage to interrogate the doctors order.clinical improvementIf this scenario happens again, what do you think will help the patient? I feel there are some good strategies to adhere Set hospital policy and educate the stave to provide worldwide information (Chitty & Black, 2011), for example, they must understand that for clients on telemetry monitoring, patient should not be left alone. The patient mu st be warned that he is at risk of heart attack. To persuade patient for his desired action, and for his own safety, he should allow assistance. If patient is stubborn and insists to shower without supervision, deputy a staff to standby at the shower door, the hospital need to ensure adequate staff patient ratio (Chitty & Black, 2011).ReferencesChitty, K. K., & Black, B. P. (2011). Professional nursing concepts & challenges (6th ed.). doctor Heights, Mo. Saunders/Elsevier. Croke, E. M., (2003). Nurses, Negligence, and Malpractice. American Journal of Nursing, 103(9). 54-63. Retrieved from http//www.nursingcenter.com/lnc/journalarticle?article_id=423284 Hurwitz, B. (1998). Clinical guidelines and the law negligence, discretion, and judgement. UK Radcliffe medical examination Press. McHale, J. V., & Tingle, J. (2001). Law and nursing (2nd ed.). Oxford Butterworth/Heinemann. Singapore Nursing Board. (2011). Codes of ethical motive & Professional Conduct. Retrieved from http//www.hea lthprofessionals.gov.sg/content/dam/hprof/snb/docs/publications/Code%20of%20Ethics%20and%20Professional%20Conduct%20%2815%20Mar%201999%29.pdf
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