...Nurse Management and Leadership Case Study Nurse Management and Leadership Case Study Introduction Good leadership is necessary in every business organization. When it comes to nursing, every health center must have a good leadership that supports the nurses so that they can maximize their performance. However, for leadership to be of good quality there needs to be a good working environment in all aspects (Pinelli et al., 2004). The following is a case study illustrating an ideal working environment that supports good nurse leadership in health institutions. Type of Organization The organization that I would like to work in is a medium sized health care center. The facility is equipped with all the necessary gear needed to deliver quality healthcare services. There are over fifty doctors and seventy qualified nurses in the organization. The healthcare center serves over five hundred outpatient patients daily. It has enough facilities to cater for approximately 250 in-patients at any particular point. This health facility has taken into consideration the guidelines that make it professionally fit for an advanced nursing role. The development and implementation of good governance in this facility has been taken seriously in order to promote the nursing role. The following are some of the principles that have been implemented in order to promote good governance in this health facility. The organization looks at all the aspects of service delivery to promote good decision...
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...incapacitated patient with no advanced directive or how to proceed when called upon to testify against a current employer. The American Nurses Association Code of Nursing Ethics is one of the main tools available for the nurse to utilize when it comes to making these tough decisions. The nurse may apply personal values as well as societal values to these cases in order to come to a sound, ethical decision. The legal aspects of each of these cases can have a profound effect on the continuing career of the nurse, a thorough evaluation is necessary to protect all involved. Finally, the nurse also carries a legal responsibility to her profession, workplace, patients, and self. Ethical and legal decision-making are complex but after a thorough assessment, the nurse can continue to make an ethically and legally sound judgment on how to proceed. Influence of the ANA Code of Nursing Ethics The ANA Code of Nursing Ethics is the first reference when deciding how to proceed with an incapacitated patient who has no advanced directive or how a nurse should react when called upon to testify against an employer in a negligence or malpractice case. This code, designed to assist the nurse in maintaining his or her ethical integrity as well as protect the nurse and patient during ethical dilemmas, is the foundation for ethical decision making (Blais & Hayes). According to American Nursing Association (2001), the nurse should place the patient first in both of these cases. The nurse’s top priority...
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...CASE STUDY Included in section 1300.360 RN Scope of Practice, Title 68 Professions and Occupations of the Nurse Practice Act it clearly states that nurses will advocate for patients. What this means to me is that if a patient is not of sound mental or physical state, that the nurse will act as the patients advocate in any situation that could or would affect the patient’s medical status. In this case in particular, the patient has an “advanced directive” in place that states his medical wishes. The patient also has a diagnosis of a mild mental retardation condition. The case study does not elaborate on the extent to the mental retardation; however he does have the legal advanced directive. Title 68: Professions and Occupations, Section 1300.350: Standards or Professional Conduct for Registered Professional Nurses in Illinois states several items. In reference to this case study, the most important would be to “report unsafe, unethical or illegal health care practice or conditions to appropriate authorities”. In my opinion, Dr. G is overriding the wishes the patient has listed in his “advanced directive”. What good is a document of this nature if a physician can make the choice to override it at anytime? The patient also has a “durable power of attorney”, which is Mr. B. This was also overridden by Dr. G. Both of these instances are unethical and could be challenged in a court of law. This would be a hard situation to be faced with. If I were placed in this situation...
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...Education Preparation Eunsook Kim Grand Canyon University: NRS 430V June 14. 2015 Education Preparation Nursing still lies in the middle of evolution. When we look back from the foundation of nursing, this powerful waves move continuously from a small nursing skills class several decades ago up to the philosophy’s degree in nursing practice today. Since nursing is the holistic care of a human being, as caregivers, we must continue to invest time and effort into providing more advanced nursing to our holistic beings for their better health. According to the Institute of Medicine (IOM), nurses must be 80 % baccalaureate prepared RN workforce by 2020 (AACN Face Sheet, 2015). Therefore, nurses must endeavor to achieve the Bachelor of Science in nursing (BSN) for more competencies in their lifetime working field. Needless to say, patients will receive highly qualified care based upon enhanced education. Thus, BSN education preparation should be differentiate in order to meet these expectations. Different Competencies between the Associate-Degree Versus the Baccalaureate Degree Level The enlightened preceding nurses through many experimental years have developed many characteristics for a professional nursing. Currently educated nurses utilize their competencies that acquired from school in many different clinical setting environments. Compare to Associated degree level (ADN) focused on learning basic clinical skills within two...
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...GENETIC COUNSELING IN NURSING AND ETHICS Hyang Ko Azusa Pacific University Abstract The current development of genetic information and technique leaves us assignments. It is included ethical issues, roles of nurses, and the responsibilities in healthcare professionals. In order to understand nurses’ role and responsibilities and to provide genetic counseling, two research article with text books were reviewed. There were conflicts within ethical principles and nurses’ obligation. Each principle is important but one principle is superior to others when healthcare professionals make a decision in a certain context. It is necessary that genetic counseling is provided to patients and their family when healthcare professionals deal with genetic information. The two research articles empathized that experienced nurses are excellent candidates in genetic counseling within healthcare professionals by being educated, trained about genetic information. Genetic Counseling in Nursing and Ethics Definitions of Genetics and Genetic Counseling Officially, the terms of Genetics and genetic counseling is defined by Wekipidia as below: Genetics, a discipline of biology, is the science of genes, heredity, and variation in living organisms (http://en.wikipedia.org/wiki/Genetics). Genetic counseling is the process by which patients or relatives, at risk of an inherited disorder, are advised of the consequences and nature of the disorder, the probability of developing or transmitting...
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...on resources that Team C will use for the quantitative nursing critique that is due in week three. It should also be noted that some of sources from this annotated bibliography will also be applicable for the qualitative nursing critique that is due in week five. Coughlan, M., Cronin, P., Ryan, F. (2007), Step-by-step guide to critiquing research. Part 1: Quantitative research. British Journal of Nursing, 16(11), 658-663. This article provides a step-by-step approach to understanding research terminology and provides the nurses with a basis for understanding quantitative research. The article points out that being able to read nursing research is the first step in incorporating evidence based best practices into nursing care. As referred to in the article, each stage of the process must be thoroughly examined and this article walks the inexperienced nurse through the process. Duffy, J. R. (2005). Critically appraising quantitative research. Nursing & Health Sciences, 7(4), 281-283. doi:10.1111/j.1442-2018.2005.00248.x Critical appraisal of quantitative research is important to evidence-based practice. It allows a clinician to determine whether a study is scientifically rigorous. This article describes critical appraisal as a careful process of judging the worth of a quantitative study that guide clinical decisions, as well as a structured approach for understanding the strengths and weaknesses of a study. The author describes the process of implementing research...
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...Nursing Roles and Values Task One Western Governors University State Regulations and Nursing Standards The State of Tennessee Board of Nursing’s Rules and Regulations of Registered Nurses, Rule # 1000-01-.13-1r states that unprofessional conduct is defined in part by "failing to take appropriate action in safeguarding the patient from incompetent health care practices" (State of Tennessee, 2011). There are a number of arguments in this case study that incompetent health care practices are being performed, from the decision to place a patient on a ventilator for an oxygen saturation of 88%, circumventing the patient’s written and verbal advanced directives, utilizing an unauthorized family member to get consent for a medical procedure, and discussing confidential medical information in a public location and with and unauthorized family member. The nurse clearly violated this rule because the nurse did not take any action at any point to stop the physician from taking these incompetent actions. Implications Rule # 1000-01-.13-1r applies because, as mentioned above, the nurse failed to take any action to prevent the physician from performing a number of incompetent acts related to the healthcare of the patient. First and foremost, the patient likely does not even need to be placed on the ventilator. The physician’s decision to place the patient on the ventilator is based on an oxygen saturation of 88%. Although the patient’s oxygen saturation does need...
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...Educational Preparation Analysis of nursing competencies in regard to education preparation argues that baccalaureate-degree level nurses are better prepared to provide safe, competent care than associate-degree level, and diploma-degree level nurses. Nursing is an ever evolving practice. Throughout the history of nursing, practices have changed, medicine has advanced, and the need for higher education among clinicians has increased. There has been ongoing research related to nursing practice, comparing the care provided by both baccalaureate-degree level nurses and associate-degree and diploma-degree level nurses to analyze the safety, and level of care that is being provided. Research has provided evidence that nurses with baccalaureate degree have fewer errors with medication administration, have a lower rate of mortality, and have also proved a better overall outcome (Rosseter, 2012). Baccalaureate-degree nurses have an advantage over associate-degree and diploma-degree nurses related to their advanced educational preparation. Nurses who have graduated with an associate’s degree or with a bachelor’s degree have both studied: the fundamentals of nursing; pathophysiology; pharmacology; the history of nursing; nursing across the lifespan, and physical and mental health. Both courses of study have also included: math, psychology, sociology, and multiple science courses. The difference between the four year Bachelors of Science in nursing BSN, and the two year associate-degree...
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...prepared have a strong impact on the nurse`s ability to practice in a health care setting. In the nursing profession, nurses are prepared at different levels. A baccalaureate nurse is a nurse who has completed a four years formal training in a university or senior college and has completed a 120 hours college and has acquired broader understanding in physical and social sciences, nursing research, public and community health, political, economic and social issues. While an associate degree nurse is a nurse who has completed a two years program in a community college and has completed a 60 hours college credit and only acquired understanding of fundamentals of nursing and sometimes lacks some basic knowledge to handle critical issues as they arise in patient care. Although both Educational levels took the same licensure exam after completing their program and have registered nurse license to practice as a registered nurse, there are still some enormous difference between the quality of their work in terms of positive patient outcome, lower mortality rates, quality patient care, clinical competency, administrative/leadership role, critical thinking and decision making. These roles are also incorporated in the GCU college of nursing philosophy where it states” the baccalaureate nursing practice incorporates the role of assessing , critical thinking and communicating , providing care , and teaching and leading,” Studies have linked a positive patient outcome to the educational...
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...definition of nursing practice is based by each states rules and regulations to govern the practice of nursing within that state. All nurses practice acts include two essential purposes. First each act includes statements that refer to protecting the health and safety of the citizens in the jurisdiction. The second purpose is to protect the title of the RN. The legal title RN is reserved for those meeting the requirements to practice nursing. (Contemporary Nursing, 2014) The scope of practice for RN’s is to provide individuals and groups nursing care, requiring specialized knowledge, judgment and skill derived from the principles of biological, physical, behavioral, social and nursing science. Such nursing care includes: 1. Indentifying patterns of human response to actual or potential health problems amendable to a nursing regimen. 2. Executing a nursing regimen through the selection, performance, management and evaluation of nursing actions.’ 3. Assessing health status for the purpose of providing nursing care. 4. Providing health counseling and health teaching. 5. Teaching administering, supervising, delegating and evaluating nursing practice. (Law regulating the practice of nursing, dialysis care and community health workers., 2013) (Ohio Board of Nursing) An advanced practice RN is a registered nurse who has completed and advanced graduate-level education program and has passed a national certification examination in order to practice in one of four...
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...hospital based program. Associate degree programs are similar to baccalaureate degree programs except not as in-depth because of this they are more fast-paced. The Bachelor of Science degree in nursing is a four year academic degree that depending on which school and program can be very pricey. All three of these pathways will qualify the nurse to sit for the National Council Licensure Examination (NCLEX). The NCLEX only tests for the minimum competency in order to work as a safe nurse. According to the American Association of Colleges of Nursing (AACN) “The NCLEX-RN is only one indicator of competency, and it does not measure performance over time or test for all of the knowledge and skills developed through a BSN program” (Rosseter, 2012). In this paper only the competency of the ADN and BSN nurses will be discussed. A large percentage of nurses take the associate degree pathway, it is an attractive option because of the shortened amount of time it takes to graduate and begin work as a registered nurse, plus it takes half the amount of money. The associate degree programs were developed in order to train students to provide the most basic level of care. The course work in the baccalaureate programs on the other hand prepare new nurses for a broader scope of practice at a higher more advanced professional level. For decades there has been a debate about the minimum requirements for nurses. Should registered nurses have an ADN or BSN, which is better? Even after all these years there...
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...Running head: THE CONTRIBUTION OF HIGHER EDUCATION IN NURSING 1 The Contribution of Higher Education In Nursing Grand Canyon University: NRS- 430 V Professional Dynamics THE CONTRIBUTION OF HIGHER EDUCATION IN NURSING 2 Nursing in today’s day and age is a profession that is both rewarding and demanding. With increased pressure on hospitals to provide clinically sound medical care while functioning as a business, nurses are at the forefront of providing patient safety in a business environment. America depends on both two and four year institutions of higher education to prepare nurses, who will be working side by side in the healthcare environment. As a result of nursing job growth and projected retirement rates, it is estimated that America will need one million additional Registered Nurses by 2018 (Fulcher, Mullin, 2011). With strong evidence that a Baccalaureate degree in nursing improves patient outcomes, the IOM recommends 80% of nurses have a BSN by the year 2020. Evidence clearly suggests a relationship between a baccalaureate education and improved patient outcomes (Sarver, Cichra & Cline, 2015). One difference that may contribute to competency differences between ADN and BSN programs is number of credit hours obtained while in school. BSN programs require 120 credit hours whereas ADN programs require 71.5 (Fulcher, Mullin, 2011). Thus, the amount of hours spent learning is greatly reduced in an ADN program. One can infer that more school...
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... In the case study, the nurse is facing ethical as well as professional dilemma regarding the patient’s rights. The nurse’s role in this case study is to, work according to the Maryland state regulations and nursing standards; But as per Maryland nursing standards, she is not working as an advocate for her patient, Mr. E at this situation (Code of Ethics - the Division of State Documents, 10.27.19.02). The patient already signed advanced directive against life saving measures almost seven years ago, at the time of admission to a nursing home, with the help of patient advocate; but Dr G. is planning patient care in opposition to Mr.E’s active advance directive and his expressed objections to the medical care. There are numerous issues to consider in this case study. The nurse has to review her professional role according to code of ethics and nursing standards in relation to advance directives and medical power of attorney. The nurse also has to consider the patient’s right to privacy and confidentiality according to HIPPA Policy. The issues in contemporary healthcare facilities are sometimes the statues can be vague, and issues can be in conflict with own personal beliefs in most areas. A) State Regulations and Nursing Standards of practice There are specific Maryland state regulations and nursing standards regarding patient rights in this case study. However, the most relevant regulation is that, the nurse...
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...The beauty of nursing is that there are no limits to where you can go and no limits as to what you can do. The possibilities are endless. Post Graduation and Future Plans Immediately after graduating from nursing school, soon after passing the NCLEX exam and taking a mini vacation, I would like to begin my career as an active duty army nurse. I am currently in the Army Reserve; however, I am not in the ROTC program. Because I am not in the ROTC program, which may inevitably make becoming a nurse in the army more of a difficult task. If by some unfortunate chance I cannot become a nurse in the army, I would like to begin my career in critical care or the emergency department. However, my preference would be the emergency department. I think...
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...will be happy practicing and also enjoy doing every single task involve in the profession. This actually paved way for me because it made see realize the areas am going to be good at and well know the potentials I possess as an individual. This insight helped me to purse nursing career because I have seen myself possess most of the qualities of a nurse as per the definition of nursing. The definition of nursing by ANA is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and population. Differences in Competencies between AND and BSN Nurses The difference in competencies is that BSN prepared nurses possess high level of education in nursing which allows the opportunity to assume a position that involve the use of certain skills. These skills includes decision making skills, critical thinking, planning, implementation, intervention and evaluation in nursing.(Rosster, 2006 P.4). A BSN nurse having spent more years in nursing program has increased knowledge in all areas of studies including research in nursing, leadership and management. This acquired knowledge helps them...
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