...whether life support should end or if all resuscitative measures should be attempted. The following paper will discuss how the American Nurse’s Association Code of Nursing Ethics would influence a final decision, how personal and societal values can influence ethical decision making, the fundamental legal aspects of each case study, and the legal responsibilities of nurses in the work setting. Regardless of any situation that may arise, every nurse has a set standard in place that must be followed. These are nonnegotiable, ethical standards, obligations and duties that every individual swears to when entering the nursing profession. These standards are all found within the American Nurses Association’s code of Nursing Ethics and Conduct. Whether dealing with patients and families during end of life decision making or dealing with nursing negligence within the court of law, the first provision in the code of ethics is the most imperative to remember. Nurses are always obligated to their patient’s best interest, therefore making them an unrelenting patient advocate. Many provisions are pointed out within the Nursing Code of Ethics. In the situation of dealing with Marianne’s family and medical treatments, there are many important things to consider. “The nurse respects the worth, dignity, and rights of all human beings irrespective of the nature of the health problem. The worth of the person is not affected by disease, disability, functional status, or proximity to death...
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...for everyone, but the PSDA and the New Jersey HealthCare Statutes mandate that we give each patient, upon admission, the opportunity to explore their options with their medical care or withholding of medical treatment. Although we have not witnessed this in our background experiences, a nurse orother health care professional may decline to participate in the withholding or withdrawing of medical treatment if it contradicts the nurse's personal and/or professional convictions. 4 Just as the concept of the Advance Directive is not for every patient, it is also not for every critical care nurse. There will be no legal ramifications if a nurse finds it impossibleto care for a patient who has an Advance Directive. This is a very personal, moral, and ethical decision for the critical care nurse. The responsibility isthe timely and appropriate transfer of care to another nurse who can treat and respect the personal directives of this patient. CONCLUSION The critical care nurse is bound by duty to protect the patient's rights, including the patient's decision concerning treatment or withdrawal of medical care. The Advance Directive is a legally binding document writtenby a competent adult and should be carried out as such in the health care facility. Although the directive may not be consistent with the nurse's beliefs, it is the patient's legal right to make an informed decision about his or her medical care, and the hospital facility is legally bound to carry out the wishes...
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...Euthanasia and Death with Dignity Euthanasia is an ethical decision making dilemma that borders on the philosophical and shakes the foundations of nursing beliefs in patient autonomy, beneficence, non-maleficence. It is an ugly concept for which many cringe and shy away from. It must be differentiated between the concepts of willfully causing death versus restraint from aggressive medical treatment when such procedures would cause no change in the outcome of the illness. This is sometimes referred to as death with dignity or palliative care, which is the “relief from pain and other distressing symptoms…” and “intends neither to hasten nor postpone death” (World Health Organization, 2011). This is the premise we intend to deconstruct. Euthantos, Greek for “good death”, translated as euthanasia in modern terms (Zerwekh, 2005), is commonly mistaken as the willful cause of death in persons unable to make decisions such as those with mental illness or defect. In actuality, there are different types of euthanasia; passive euthanasia, the hastening death by an act, or lack thereof, and voluntary/active euthanasia, known as physician assisted suicide. The nursing code of ethics forces us to take no part in actively ending a life, but where is the line drawn in accepting a patients wish to refrain from live saving measurements? Patients who wish to die with dignity should be afforded the right to determine their course of treatment and practitioners, at the very least, should respect...
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...Personal Ethics: My nursing ethic Swaranjeet Kaur Sidhu Grand Canyon University: NRS-437V 03/22/2014 My Nursing Ethic People have their own views on certain issues. In the healthcare field many nurses will encounter ethical issues which may place themselves in a dilemma. “Ethics is that branch of philosophy dealing with values relating to human conduct, with respect to the rightness and wrongness of certain actions and to the goodness and badness of the motives and ends of such actions.” (Ethics, 2014). A nurse or healthcare worker might have personal values that get in the way for a patient to receive the adequate care they require. Sometimes having personal values become an important factor in the nursing practice. A nurse’s personal, cultural, and spiritual values contribute to practice in nursing. In nursing school students learns about different types of ethical principles that is applied to their nursing practice. The students are taught a specialized body of knowledge, standards of their practice, and how to deal with different individuals according to their selected professional. “The nurse, in a 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” (ANA, 2008). In the nursing field the nurse is expected to deliver good care, respect the patients and their decisions...
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...Running head: PERSONAL LEADERSHIP Personal Leadership Development Plan Angelica Doloroso University of Phoenix Nursing 587/Leadership and Management in Nursing and Healthcare Marcia Lyles, MSN, EDD, PhD. January 5, 2006 Personal Leadership Development Plan It has been my experience that health care professionals as well as consumers are becoming more verbal about the inadequacies of the health care system. It is clear that improvement is necessary. There are many roads to improvement of the system, one of which is the proper use of the Advance Nurse Practitioner. With this role properly developed, the Advanced Nurse Practitioner can effect many changes both in and out of the hospital setting. It is for this reason that I chose to advance my practice as a nurse. As an advanced practice clinician, I will be able to make a difference in the community by contributing to the enlargement of the primary care workforce to meet the population’s primary care needs. Within the next five years, I view myself in an advanced practice role, that of a Nurse Practitioner serving the adult population in an outpatient clinical setting. As an advanced practice clinician and leader, my efforts will be directed at ensuring that effective health care is provided to the patients that will result in improved quality and health outcomes. At the local level, I will have a strong influence on my team in my area of clinical practice. This involves identifying the steps required to develop...
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...Name: BJ Program: Master of Science in Nursing Informatics | Personal Statement of Purpose for Graduate School. | I want to pursue a Master’s degree in Adult Nurse Practitioner. That is why I went to nursing school and achieved my BSN, because it has been my dream of using the computer to enhance health care. I feel strongly that I am now ready to pursue graduate study and work towards the Adult Nurse Practitioner Master's Degree Program. I am motivated to continue to achieve in this area because of the profound sense of spiritual fulfillment that I receive as a result of laboring to make health care services better for us all, especially in the area of nursing. For a woman that is completely immersed on the cutting-edge of informatics technology, the xxx College Adult Nurse Practitioner Master's Degree Program is ideal for my long-term career interests, with its state-of-the-art facilities and well deserved reputation for creative excellence in this field. I look forward to developing advanced skills in physical assessment and diagnostic reasoning, clinical decision-making, and assessment; it is my sincere and humble hope to someday provide valuable leadership for management in the area of informatics. I especially look forward to practicing in a broad array of challenging settings such as home care, hospitals, nursing homes, and schools. It is my intention to complete a Master’s degree in an approved Nurse Informatics Program and from my research into the programs; xxx...
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...Personal Statement My name is Adwoa Blankson, I am currently in my second career as a critical care nurse at Memorial Sloan Kettering Cancer Center. Prior to becoming a nurse, I worked as a case manager and a child and family advocate in social services in Pennsylvania and Connecticut, for more than ten years. I worked with children, youth and adults with social, emotional and behavioral problems. My first bachelor’s degree was a BSc in Psychology and Sociology. Throughout my professional experiences, I have demonstrated intellectual and personal attributes that have made me successful in my career. I have excellent interpersonal and communication skills, which enables me to provide individualized and holistic care to patients and their families. After twelve years in social work, I pursued and successfully completed an accelerated 15-month bachelor’s degree in Nursing at New York University in May 2011. I made this decision because I wanted to continue caring for people in the medical field. An experience with a family member who had cancer, brought me frequently to the hospital and clinical setting, and this solidified my decision to become a nurse. In the past couple of years as a bedside nurse, I have developed strong interpersonal and psychosocial skills especially in taking care of cancer patients and their families. In this patient population, active listening is crucial and I can strongly boast of being an active listener to my patients. This is evident because...
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...activity of an organ or part; to perform such activity.” What happens when someone loses functionality? This paper will address that question. The statement “often a loss of function will begin a so-called downward spiral in the life of an elderly person, affecting his or her independence and quality of life” will also be addressed. (Course materials, syllabus, U o P.) Significance of Loss of Function Young adults do not think twice about walking to the mailbox, reading the newspaper, or fixing a cold drink or hot meal. Many older adults may also take these for granted. However, for some adults aged 65 or older, even standing can be difficult. Some of the difficulty older adults have in performing daily activities can be attributed to “normal” losses of muscle strength and changes people go through as a part of aging. According to Greiner, et al, “loss of activities in daily living refers to the inability to perform a function within the range considered to be normal for independent living.” This can include bathing, dressing, walking, standing, cooking, and many other activities that occur frequently. When it becomes difficult or impossible to perform some of these functions, the person loses some portion of independence. It becomes necessary to rely on others for those tasks that are difficult or impossible. For some older adults, losing any aspect of independence may affect their “quality” of life....
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...activity of an organ or part; to perform such activity.” What happens when someone loses functionality? This paper will address that question. The statement “often a loss of function will begin a so-called downward spiral in the life of an elderly person, affecting his or her independence and quality of life” will also be addressed. (Course materials, syllabus, U o P.) Significance of Loss of Function Young adults do not think twice about walking to the mailbox, reading the newspaper, or fixing a cold drink or hot meal. Many older adults may also take these for granted. However, for some adults aged 65 or older, even standing can be difficult. Some of the difficulty older adults have in performing daily activities can be attributed to “normal” losses of muscle strength and changes people go through as a part of aging. According to Greiner, et al, “loss of activities in daily living refers to the inability to perform a function within the range considered to be normal for independent living.” This can include bathing, dressing, walking, standing, cooking, and many other activities that occur frequently. When it becomes difficult or impossible to perform some of these functions, the person loses some portion of independence. It becomes necessary to rely on others for those tasks that are difficult or impossible. For some older adults, losing any aspect of independence may affect their “quality” of life....
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...Graduate Study Challenges and Strategies for Personal success The decision to start school again can be challenging for anyone, and the adult graduate student faces their unique set of challenges. The adult student is, usually, facing an act of balancing academic life and personal life responsibilities. In addition to that, the online learner has different challenges compared to the traditional student. I’m now starting to learn about these challenges such as time management, self-motivation and what it truly means to be an online student. I’m starting to develop my strategies for success through better communication, time management and realistic goals. Personal and Professional Goals The concept of a goal for me is a unique ambition that I’m striving to achieve. Goals can start to build from personal values. As a child, I grew up with parents with no strong formal education. My mother pushed her children and herself out of project housing to reach her goals. She instilled education in me to be a tool that no one could take away from me, and a means to move forward in life. She showed me with strong work ethic success is possible. My personal goal is to achieve my master’s degree to set a strong example for my children the same as my mother did for me. My professional goals for perusing master’s degrees are to become more established in my career. In nursing, there is a glass ceiling without furthering my education I feel I have met that ceiling. Education can only add to my...
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...PN MENTAL HEALTH NURSING EDITION . CO NT ASTERY SERI ES TM N E R EV MOD IE W LE U PN Mental Health Nursing Review Module Edition 9.0 CONtriButOrs Sheryl Sommer, PhD, RN, CNE VP Nursing Education & Strategy Janean Johnson, MSN, RN Nursing Education Strategist Sherry L. Roper, PhD, RN Nursing Education Strategist Karin Roberts, PhD, MSN, RN, CNE Nursing Education Coordinator Mendy G. McMichael, DNP, RN Nursing Education Specialist and Content Project Coordinator Marsha S. Barlow, MSN, RN Nursing Education Specialist Norma Jean Henry, MSN/Ed, RN Nursing Education Specialist eDitOrial aND PuBlisHiNg Derek Prater Spring Lenox Michelle Renner Mandy Tallmadge Kelly Von Lunen CONsultaNts Deb Johnson-Schuh, RN, MSN, CNE Loraine White, RN, BSN, MA PN MeNtal HealtH NursiNg i PN MeNtal HealtH NursiNg review Module editioN 9.0 intellectual Property Notice ATI Nursing is a division of Assessment Technologies Institute®, LLC Copyright © 2014 Assessment Technologies Institute, LLC. All rights reserved. The reproduction of this work in any electronic, mechanical or other means, now known or hereafter invented, is forbidden without the written permission of Assessment Technologies Institute, LLC. All of the content in this publication, including, for example, the cover, all of the page headers, images, illustrations, graphics, and text, are subject to trademark, service mark, trade dress, copyright, and/or other intellectual property rights or licenses...
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...to regulate the practice of registered nurses. The BRN is responsible for implementation and enforcement of the Nursing Practice Act: the laws related to nursing education, licensure (NCLEX), practice, and discipline. BRN is responsible for issuing and renewing the licenses of nurse practitioners, register nurses, and licensed vocational nurses, along with setting standards for nursing programs and approving nursing program. (Board of Registered Nursing - What is the Board of Registered Nursing?, 2015) BRN related to our nursing practice for example “No person shall engage in the practice of nursing, as defined in Section 2725, without holding a license which is in an active status issued under this chapter except as otherwise provided in this act.” (Board of Registered Nursing - Business and Professions Code, 2015) On the other hand, a professional nursing organization like American Nurses Association (ANA) is the only nationwide nursing organization which represents the entire registered nurse population. ANA advances the nursing profession by fostering high standards of nursing practices, promoting the economic and general welfare of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on health care issues affecting nurses and the general public. (ANA Statement of Purpose, 2015) ”Optimal staffing is essential in order to provide optimal patient care.” (Nurse Staffing, 2015) ANA set standards for...
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...A Veteran Serving Veterans: Personal Statement for Gonzaga University Graduate Admissions Jennifer Parache The servant-leader is servant first… Becoming a servant-leader begins with the natural feeling that one wants to serve, to serve first. Then conscious choice brings one to aspire to lead. That person is sharply different from one who is leader first… The difference manifests itself in the care taken by the servant first to make sure that other people’s highest priority needs are being served. The best test, and the most difficult to administer, is this: Do those served grow as persons? Do they, while being served, become healthier, wiser, freer, more autonomous, more likely themselves to become servants? –Robert Greenleaf Practicing nursing at a Veterans Affairs hospital affords me an immersion in adult and geriatric nursing care. I am a veteran, committed to continuing to serve my former brothers and sisters in arms. Obtaining a Masters of Science in Nursing in the Adult/Geriatric Nurse Practitioner track will allow me to meet a dire need within the Veterans Affairs health system, while pursuing my dream of serving veterans in a primary care provider capacity. The Veterans Affairs health system serves adults, specifically geriatrics (as of 2011, less than one in twenty veterans were under the age of 30). The effects of poorly managed chronic illnesses in aging veterans are keenly visible within my practice in the intensive care unit, and on the hospital wards. I want...
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...Introduction As professional nurses we often find ourselves faced with questions of ethics and legality when it comes to the care of patients. It is here that we find ourselves in the conundrum that is called nursing judgment. ”The basic level of problems concerns the dilemmas which arise for individual professional when they sense that there is a conflict between their private moral convictions and what they believe is required of them…” (Thompson, 1976). Nursing judgment is hard when so many factors are present, from the patient’s viewpoint, to the family/caregiver to the physicians ultimately in charge of the care. Many complicated scenarios can occur for the RN at any time and they must base their decisions on the ethical and legal guidelines that govern the nursing profession. Body In the world of nursing we are faced with ethical decisions on a regular basis but it is how we handle these situations that makes the difference. As a nurse we are bound by the guidelines of the code of ethics. The ANA (2014) states the “Code of Ethics for Nurses is a succinct statement of the ethical obligations and duties of every individual who enters the nursing profession. “It is the profession’s nonnegotiable ethical standard” and “an expression of nursing’s own understanding of its commitment to society”. In the case of the patient admitted with a hemorrhagic stroke whose family disagreed on the plan of care, the code of ethics outlines that the patient is our primary concern. When...
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...NCLEX-RN® DETAILED TEST PLAN 2010 NCLEX-RN Detailed Test Plan ® Effective | April 2010 Item Writer/Item Reviewer/Nurse Educator Version Mission Statement The National Council of State Boards of Nursing, composed of member boards, provides leadership to advance regulatory excellence for public protection. Purpose and Functions The purpose of the National Council of State Boards of Nursing (NCSBN ) is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing. ® The major functions of NCSBN include developing the NCLEX-RN and NCLEX-PN examinations, performing policy analysis and promoting uniformity in relationship to the regulation of nursing practice, disseminating data related to NCSBN’s purpose and serving as a forum for information exchange for NCSBN members. ® ® Copyright© 2010 National Council of State Boards of Nursing, Inc. (NCSBN) All rights reserved. NCSBN , NCLEX , NCLEX-RN and NCLEX-PN are registered trademarks of NCSBN and this document may not be used, reproduced or disseminated to any third party without written permission from NCSBN. ® ® ® ® Permission is granted to boards of nursing to use or reproduce all or parts of this document for licensure related purposes only. Nonprofit education programs have permission to use or reproduce all or parts of this document...
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