...Ethical and Legal Aspects of Nursing NUR 391 September 19, 2011 Ethical and Legal Aspects of Nursing Nursing is an ever-changing profession that responds to diverse and complex issues of health maintenance, protection of patient safety, human rights, and dignity. Professional nurses are in a unique position as patient advocates, regardless of practice setting. Nurse’s face inherent ethical decisions making, and they are frequently involved in the ethical decisions both personally and professionally when ethical reason both for and against the choice are both equally desirable (Pierce, 1997). The ANA Code of Ethics with Interpretive Statements offers a statement for every professional nurse’s ethical obligations and duties, ethical standard, and commitment to society (ANA, 2001). Nurse must continuously meet standards of care and the ANA Code of Ethics and uphold fundamental legalities. Taking a closer look into the nurses ethical responsibility and fundamental legalities associated with direct patient care and as it would apply in the case study case study of patient Marianne, a 79 year-old female, who is admitted to the emergency department with hemorrhagic stroke, a grave prognosis of recovery and no advance directive. This paper will discuss legal responsibilities of the registered nurse as witness in a malpractice case of a nurse colleague found negligent in following standards of nursing practice. “The nurse’s primary commitment is to the patient who is the...
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...highest ethical standards from any industry. Nurses are held accountable for the patient and their family’s welfare. The ANA provides the Nursing profession guidelines to treat every patient with dignity, respect, and compassion also free from any personal judgment of race, social or economic status, personal disparities, or disregard to health status. The American Nurses’ Association illustrates how to carry out your professional practice with their primary focus on the patient and their family. As nursing we must respect professional boundaries, to include the privacy and confidentiality of the patient and family. Nurses must maintain a respect for human dignity, and hold in the patient as the primary focus. (ANA, 2015). The nurse’s duties include the responsibility to follow guidelines and regulations, acting only on duties within the scope of the professional practice. Also, any nurse who maintains licensure in any state must also adhere to the regulations and their respective boards. The ANA creates community for an ethical culture so that nurses can deal with the daily ethical decision-making, so knowing how the organizational culture will affect those decisions is important. Nurses have certain standards to go by and if they are not making the right choices he or she are violating their professional ethical culture. It was very surprising to me that the ANA did not make any revisions for thirteen years and I believe it was even commented on in our Discussion panel. That...
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...2010 Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing ...
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...2010 Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing ...
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...boomer population means more work for health care workers, and nurses bear the brunt of this reality. There is some legislation in place to restrict mandatory overtime, but research suggests that overtime hours have not decreased since those policies were created. Furthermore, voluntary overtime is unregulated, with many nurses exceeding the recommended 40-hour workweek. Studies have shown that exceeding recommended hours results in workplace injuries to nurses, increased burnout and lower retention of nurses, and poorer outcomes for patients, including early readmission, medication errors, falls and nosocomial infections. More regulation may be necessary to reduce the hours worked by nurses. Advanced practice registered nurses are in a position to advocate for stricter policies in their facilities, and to implement strategies that would reduce overtime hours worked in their facilities, for example by increasing staffing. Nurse managers can ensure that their nurses doing overtime take the recommended breaks and do not exceed the recommended number of hours worked per week. Nursing Overtime and Adverse Effects Mandatory overtime is defined as employer-imposed work time in excess of one’s assigned schedule. Voluntary overtime is time worked at the employee’s discretion over and above that specified for a full-time employee. Both of these are utilized frequently by the health care sector, primarily in light of the nursing shortage. A study by Berney, Needleman and Kovner (2005)...
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...measures intended to help hospitals assess the extent to which nursing interventions have an impact on patient safety, quality, and the professional work environment (Erickson, J. 2011). Nurses directly impact these measures and when evidence-based practices are adopted, patient care improves as shown in historical outcomes data. In the scenario of Mr. J there were multiple failures to recognize and use nursing procedural sensitive measures to improve his safety, quality of care, and patient satisfaction. Although Mr. J had mild dementia, he was appropriately responsive, cooperative and was not a danger to himself or others. Evidence based practice does not support the use of restraints in Mr. J’s current condition. According to the ANA, restraints should be used only when there are no other viable options (American Nurses Association, 2012). Policies and procedures should advocate the use of diversion measures, bed alarms for fall prevention, as well...
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...new insights, personal strengths, and personal challenges that are envisioned for a nurse assimilating to this role will be provided. Introduction Leadership is an integral part of nursing. Grossman and Valiga suggest that leadership is not necessarily tied to a position of authority (Grossman & Valiga, 2005, p. 4). Also suggested by Grossman and Valiga, is that each professional nurse has the potential and the responsibility to provide leadership in each of our individual areas of practice, institutions, professional organizations, communities, and our profession as a whole (Grossman & Valiga, 2005, p. 4). Leadership is a course in undergraduate education and nurses in any role are leaders in many capacities. The purpose of this paper is to look at the nurse manager role: historical development, educational preparation, skill requirements, value requirements, role options, concerns, future projections, and my perspective. Historical Development of Nurse Manager Role The first nursing leader was Florence Nightingale and leadership was implicitly discussed in the scope and standards of nursing prior to 1996 revision when leadership appeared as an explicit standard. American Nurses Association (ANA) standard 15 states: “The registered nurse provides leadership in the professional practice setting and the profession” (American Nurses...
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...For example, motorcycle helmet laws – if we know that the use of a safety helmet can protect individuals from severe head and neck injuries in an accident, why do some states not have full helmet laws for all motorcycle riders? Week 2 Discussion Health policy is profoundly influenced by value-driven issues that cut across the entire U.S. policy landscape. Describe both positions (i.e., for and against) a current debate regarding a value-driven health policy issue. What interests in health policy do you bring to this class? McLaughlin’s Table 1-1 specifies the knowledge and skills called for in a policy analyst. Discuss for which of these areas do you currently feel prepared, and in which ones do you want to gain competence? Why? Week 3 Discussion Argue the following statement: Despite our relatively high level of healthcare expenditure, we may still be getting enough for our money. Discuss the social forces and other issues behind the move toward industrialization. Does industrialization threaten professional autonomy and control? If yes, why? If no, why? Please provide examples to support your position. Week...
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...future is going to be much different than our past. This presentation will review four major topics that are worth consideration, and hopefully provide food for thought about each nurse’s plans and goals for his or her own career in the future. We will discuss evidence-based practice, nursing theory, research, and nursing roles and opportunities. Each of these topics includes a myriad of ideas, publications, and opportunities for self assessment and growth. Evidence-based nursing, evidenced-based practice, and evidence-based medicine are all based on the idea that health care treatment has transitioned from “practice that was based on intuition, experience, clinical skills and guesswork” to practice based in science (Chitty, 2010, p. 258). This has allowed nurses to make decisions based on research, and to provide the most skilled, advanced, and expert care. Nurses should know where to find research to support evidence-based care decisions. According to Ciliska, Haynes, and Marks (2013), a nurse could review textbooks, online data bases, journal articles, and the internet. One should consider that both consolidated and distilled information resources are available, and remember that distilled information resources do not always provide the most accurate and up to date information. The consolidate resources can be plentiful and one may have some difficulty choosing which research documents to review when searching for a specific topic. Chitty (2010) suggested using the PICO...
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...For example, motorcycle helmet laws – if we know that the use of a safety helmet can protect individuals from severe head and neck injuries in an accident, why do some states not have full helmet laws for all motorcycle riders? Week 2 Discussion Health policy is profoundly influenced by value-driven issues that cut across the entire U.S. policy landscape. Describe both positions (i.e., for and against) a current debate regarding a value-driven health policy issue. What interests in health policy do you bring to this class? McLaughlin’s Table 1-1 specifies the knowledge and skills called for in a policy analyst. Discuss for which of these areas do you currently feel prepared, and in which ones do you want to gain competence? Why? Week 3 Discussion Argue the following statement: Despite our relatively high level of healthcare expenditure, we may still be getting enough for our money. Discuss the social forces and other issues behind the move toward industrialization. Does industrialization threaten professional autonomy and control? If yes, why? If no, why? Please provide examples to support your position. Week...
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...(Potts) Ana Belen Montes – The “Queen of Cuba” 11 February 2014 * Montes blindsided the intelligence community with blatant acts of treachery. Montes was the pinnacle Analyst for the Defense Intelligence Agency (DIA), yet, in her secret life, her true fervor showed as she worked for Fidel Castro and the Cuban Intelligence Services, Dirección de Inteligencia, (DI), translated in English as the Intelligence Directorate of Cuba. Montes listened to coded messages over shortwave radio, passed secret files to handlers in busy public locales, and snuck into the Communist country adorned with a fake passport. “Your honor, I engaged in the activity that brought me before you because I obeyed my conscience rather than the law. I believe our government's policy towards Cuba is cruel and unfair, profoundly unneighborly, and I felt morally obligated to help the island defend itself from our efforts to impose our values and our political system on it.” (Montes, 2012) Montes gave this statement to the presiding judge who presided over Magistrate Number: 01-0568M. (United States of America versus Ana Belen Montes, Defendant., 2002) Montes showed no remorse, no contrition, and no regret for her actions through her career as an agent for the DI. The purpose of this brief is to explain the life, career working for the United States (U.S.) Government and Cuban government, the downfall which resulted, and the sentencing of DIA Analyst General Schedule (GS)-14 Ana Belen Montes...
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...high patient acuity rates; and the use of sophisticated technology. To make safe, effective delegation decisions, RNs must understand the responsibility, authority, and accountability related to delegation. Delegation decisions must be based on the fundamental principle of public protection. This article describes effective delegation by presenting the factors affecting delegation, explaining when and what an RN can delegate, and describing the delegation process. Learning Objectives ⦁ ⦁ ⦁ Identify three factors that affect delegation. Discuss what registered nurses can and cannot delegate. Explain the steps of the delegation process. N ursing’s Social Policy Statement (American Nurses Association [ANA], 2010), the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001), and individual state nurse practice acts (NPAs) underscore the responsibility, authority, and accountability of registered nurses (RNs) for their nursing practice. The RN’s obligation to provide safe, quality care creates distinct challenges when delegating care to unlicensed assistive personnel (UAP). These challenges are amplified in today’s health care environment of shrinking resources; patients with complex, chronic conditions; hospitals, home care settings, and nursing homes with high patient acuity; and the use of sophisticated technology. An...
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...Running Head: CRITIGUE OF PROFESSIONAL VALUES Critique of Professional Values: The Case of BSN-RN Completion Education Winston-Salem State University School of Health Sciences Division of Nursing CRITIGUE OF PROFESSIONAL VALUES The researchers were trying to address the professional values of RN-BSN students in completion of their education. The authors clearly stated the problem throughout the research study. The problem is very important and impacts the nursing practice today. The article explains how the RN-BSN professional values are being perceived in nursing practice today. The continuation education on professional values must be continued after BSN completion. The importance is necessary for nurses to continue with instilling the professional values throughout their career. This article is easily researched on line and anyone can access it for reading purposes. The purpose of the research was to explain few questions about the differences in the perception of professional values correspond with nurses who are currently practicing. If the differences do exist, the question would be are the differences related to educational background or other factors professional values. The purpose of the study is explained clearly throughout the article and background information...
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...1.0 Executive Summary This report aims to analyze and evaluate the international joint ventures conducted by one of the world best low cost airlines, Air Asia, through their operation years. In particular, Air Asia Indonesia, Thailand, Expedia and Air Asia Japan are being chosen to probe into This research put priority on the factors that turn Air Asia Indonesia, Expedia and Air Asia Thailand into a success throughout their operational year. The Successful International Joint Ventures of Air Asia have gained themselves the benefits from acquainting the right market orientations, in which they have secured a great amount of customers respectively. This leads Air Asia Indonesia and Air Asia Expedia to gain a massive profit and become the dominant airline being in their respective nations. Besides, the commitment is also one of the main contributing factors to the success of Air Asia IJV as well as Economy conditions of host countries had been a major factor to success in IJV. In depth analysis of local GDP of Thailand had granted Thai Air Asia to achieve their business objectives. Throughout the research, it shows that Air Asia Expedia and Thai Air Asia and Indonesia Air Asia have spared no efforts in order to succeed in the aviation industry. Conversely, this research also identified a failed IJV in Air Asia operation with Japan. The main reason behind this failed IJV was usage difficulties found in online booking website of Air Asia. These factors have led to Air Asia Japan...
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...cosmetic procedures on children just in 2009 (Kitiparnchai & Then, 2011). These elective cosmetic procedures include: rhinoplasty, breast augmentation, otoplasty, liposuction, tummy tucks, and westernizing eye surgery (blepharoplasty) for Asian children (Kitiparnchai & Then, 2011; Ouellette, 2009). Blephroplasty widens the eyes of Asians, and is even performed on newborns (Ouellette, 2009). There is no specific law that blocks the use of plastic surgery on children (Ouellette, 2009). The American Academy of Facial Plastic and Reconstructive Surgery code of ethics states merely that surgical operation should not be performed if it is not calculated to improve or benefit the patient (Ouellette, 2009). The Australian Medical Association position statement on body image and health states that “ patients under 18 years of age should not have procedures to modify or enhance physical appearance, unless it is in their medical and or psychological interest” (Kitiparnchai & Then, 2011, p. 514).There is no explanation by either of these entities on how we should determine if it is in their medical and or psychological interest, or how to quantify calculating improving or benefiting the child. The law supports a parental right to make choices for their children, and presumes that their decision is in the best interest of the child (Ouellette, 2009). Ouellette explains that parents are not owners but trustees of their children. She goes on to explain that owners may destroy their property...
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