...PROBLEMS ENCOUNTERED BY NURSING STUDENTS IN TURKEY Fethiye Erdil and Fatos Korkmaz Nursing students increasingly encounter ethical problems during their clinical practice which sometimes infringe the rights of patients. However, so far there is no study in Turkey on the extent of problems from the perspective of nursing students, as well as how nurses are involved in ethical decision making process. This study is conducted at Hacettepe University Health Science Faculty Nursing Department with the aim of identifying the ethical problems confronted by nursing students. Eighty-four third class and 69 senior nursing students were volunteers to participate in this study. Their age ranged from 19 to 23 years. All participants have taken the course entitled ‘Nursing History and Deontology’ which include 14 hours ethical content. Students were asked to describe moral problems that they observed or encountered during their clinical practice. Ethical problems at clinical practice were reported as physical maltreatment of patients (28%), inappropriate approaches toward patients which cause psychological distress (24%), violation of privacy (21%), providing inadequate information (16%) and discrimination based on the social and economical status (16%). The reasons of these ethical problems were stated by students as the unprofessional conduct of physicians (34%) and nurses (44%), and ineffective hospital management (9%). The most striking finding of this study was that 75% of nurses were...
Words: 2617 - Pages: 11
...Custom nursing writing service, sample nursing research paper, college nursing assignement , sample nursing essay How is Nursing Different from Medicine? Medicine is an area of human knowledge and expertise aimed at restoring health. Broadly speaking, it is the science which relates to the prevention, detection, cure or alleviation of diseases. It is a highly important profession in any country as its performance directly affects the health of the general public who acts as a backbone for any economy. Medicine has two aspects: both as an area of knowledge (a science), and as an application of that knowledge (medical professions). This article tends to focus on the latter aspect of medicine along with one of the most crucial individual practice in medicine named as nursing. By definition, nursing implies a profession that renders services necessary for the maintenance and improvement of health by giving attention to the requirements of sick people. It specifically includes the promotion of health, prevention of illness, provision of physical and mental care, promoting comfort and serving patients in every possible way to make their life better. What nursing actually is has been a question that has received many different answers with the passage of time. There have been significant changes in the field of nursing, in how nursing is practiced and new developments and innovations that have been witnessed over the past century. The early 1990’s was a very...
Words: 2110 - Pages: 9
...Ethical and Legal Issues in Nursing Team C NUR/391 Ethical and Legal Issues in Nursing Nurses face various ethical and legal issues in the medical setting. As professionals, nurses must be aware of these legal and ethical issues when they occur. Nurses have a legal and ethical obligation to respond to these issues. Being a professional nurse requires a nurse to assess the pros and cons of different situations, but also to withhold their personal beliefs and listen and respect the beliefs and traditions of others. Legally Nursing implications require nurses to maintain licensure, obey state and federal laws and to remain within their scope of practice. Within these legal and ethical issues the American Association Code of Nursing ethics, personal and societal values, legal aspects and legal responsibilities all affect decisions. Two different cases will be discussed and explored; an advance directive case involving a woman by the name of Marianne, and a malpractice case involving a nurse and the involved healthcare organization. The American Nurses Association Code of Nursing Ethics can influence the final decision made in the case study involving Marianne’s family by designating a surrogate. According to "American Nurses Association" (2011), “The nurse supports patients self-determination by participating in discussions with surrogates, providing guidance, referral to other resources as necessary, and identifying and addressing problems in the decision-making...
Words: 1826 - Pages: 8
... 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...
Words: 3104 - Pages: 13
...Emergency Medicine Department (EMD). Using the Gibbs Reflection Cycle (Jasper, 2003) to guide me in this essay, I will be discussing about how my nursing managers practice transformational leadership in this reflection essay to motivate me to improve me as a better critical thinking registered nurse in EMD. Description This unfortunate incident happened in my work area, where patient with critical conditions receive treatment, Patient Acuity Category (PAC) 1. It was a busy shift and there were dozens of critical cases coming in...
Words: 1640 - Pages: 7
...in Nursing Nikole J. Martel, RN Grand Canyon University: Nursing History, Theories, and Conceptual Model NRS-430V 3 May 2015 Introduction Nursing education has been at the center of debate for many years. Differences between Associate degree nurses and Baccalaureate degree nurses are at the center of the educational debate. While studies have shown that an increase in Baccalaureate educated nurses decreases patient deaths, rates of readmission, and improves overall patient outcomes, many nurses still opt for the Associates degree path first. This paper will examine the differences between nurses prepared at the Associate degree level vs. nurses prepared at the Baccalaureate degree level. Associate Degree Nurse The Associate degree nurse (ADN) is a nurse who has gone to school for two years. Many types of schools offer these programs, including community colleges and trade schools. After completion of the program, graduates are prepared to take the National Council Licensure Examination or NCLEX which if passed, allows the student to practice as a Registered Nurse. These programs increase the amount of nurses coming into the field of nursing. Many nurses chose this route due to being able to graduate in less time and incur less costs to receive their education. In 1958 Dr. Mildred Montag, a leader in nursing education sought to reduce the shortage of nurses by creating a two year program at the community college level. By moving nursing education...
Words: 974 - Pages: 4
...complex issues hospitals are now in need of highly skilled, trained professionals to provide this level of care. The quality of patient care and outcome of the patient depends a lot on the level of education of the nurse. Case studies have proven that where positive patient outcomes have been linked to nurses that have a higher level of education Baccalaureate prepared. With that being said one of the main differences between the ADN vs. the BSN is the level of education. There are three educational pathways to become a Registered Nurse 1. Three-year diploma program. 2. Two year Associate Degree program offered at a community college 3. Is a four year program Baccalaureate Degree program. (AACN, 2014, #3) An Associates degree in nursing is earned over a course of two years and the curriculum is more technical and bedside focused (Creasia &Friberg, 2011). The Bachelor of Science in nursing includes the same course work as the ADN. The BSN is more in depth in the treatment of the physical and social sciences, nursing research, public and community health, nursing management and humanities (AACN, 2014, para#4) According to the AACN “ The additional course work enhances the students professional development, prepares the new nurse for a broader scope of practice, “ and allows the baccalaureate graduate to” better understand the many social, cultural, economic and political issues that impact patients and influence healthcare”. Associate Degree and Bachelor Degree prepared...
Words: 1373 - Pages: 6
...than four hours (Department of Health 2004). And again in 2011 when the department of health introduced the clinical care indicators that relaxed the target to 95% seen, treated and discharged or admitted in 4 hours (Department of Health 2011). Triage nurses within the accident and emergency department are one of the first people to assess the patients who present with an injury or illness. The patient’s condition is assessed and their need for how quickly they require treatment is prioritised. Triage nurses are usually experienced A&E nurses who have many years A&E experience (Dolan et al 2007). Patients are then placed in queues to await assessment by a Doctor or Emergency Nurse Practitioner. Once seen they are then put in another queue to await x-ray if necessary before waiting again to see the doctor/ENP that will interpret their x-ray and decided on the best course of treatment (Ward 1999). Many patients have long waits within the department for x-rays and assessments, and this can increase violence and aggression towards staff. (Davis 1994a, Parris et al 1996). In 1996 the Audit Commission suggested that NHS trust allow triage nurses to request certain x-rays at triage (limb x-rays). Research Question:- In view of the above issue of patients waiting to see a...
Words: 3738 - Pages: 15
...The modern day emergency room is a department that is constantly busy. In the hustle of caring for patients, there are some details of the patient’s care that can be overlooked in a standard phone report to the accepting nurse. With this in mind, a change is needed so that there is an optimum patient outcome for each and every one of the people that walk through the doors of the emergency room and get admitted. A1. The current practice in the emergency department that I work in when admitting a patient to the medical floor goes something like this. 1. Emergency department doctor enters orders for a consulting doctor to come and look at the patient to determine if an admission is warranted. 2. The consulted admission doctor assesses the patient and determines admission diagnosis. 3. Orders are written for admission. 4. Admission orders and chart is assessed to determine if the patient meets inpatient or observation criteria by case management registered nurses. 5. Once inpatient vs. observation status is determined, case management puts up an indicator on patient chart that bed can be ordered. 6. Primary RN requests bed from bed board using computerized bed request form. 7. Bed board assigns room to patient and places an indicator on patient chart with room number. 8. Primary nurse calls floor that patient is assigned to and asks to speak to nurse assigned to patient. 9. Phone report is given to accepting nurse. 10. Patient...
Words: 2701 - Pages: 11
...University Introduction Nursing profession has many levels of education from more than forty years like, the diploma nurses, technical nurses, professional nurses, master level degree nurses and doctorate degree nurses. In 1965 the committee on nursing education of the American Nurses Association (ANA) published a position paper which addressed the different levels of education for registered professional nurses. Different Approaches to Nursing Education There are three different approaches to nursing education: I. 3-year diploma program, administered at hospitals. II. 3-year associate degree usually offered at community colleges. III. 4-year baccalaureate degree offered at senior colleges and universities. Baccalaureate nursing programs encompass the entire curriculum in associate degree and diploma programs, and also vide in-depth treatment of the physical and social sciences, nursing management, nursing research, public and community health, and the humanities. The Baccalaureate nursing programs enhances the student’s professional development, develops the new nurse for a more liberal scope of practice, and provides the nurse with a better understanding of the cultural, political, economic, and social issues that affect patients and determine health care delivery. Throughout the last decennium, policymakers and practice leaders have recognized that education makes a difference. The Affect of Education on Nursing Pattern According to American...
Words: 1239 - Pages: 5
...Nursing ethics and law Name Institution’s name The case scenario involving Jazi, a patient admitted in ICU, depicts a number of both legal and ethical issues. The fact that Jazi was not involved in the decision making process regarding his treatment option has resulted to professional and moral questions on whether it was right or wrong. Inherently, this paper identifies the ethical and legal issues that results from the actions of the nurses, and the doctor with regard to Jazi condition. Legal issues Legal Issues | Facts supporting / refuting | Further information which needs consideration | * NFR directive | * Nurses should have worked on the verbal order | * Why did the nurses not follow up with the doctor on the NFR directive? | * Decision making process involvement | * The nurses did not involve the patient in decision making process (Matt, 2012). | * Why did the nurses continued with their duty despite their knowledge of the mistake? | * Negligence | * The nurses owed the Jazi duty of care, | * Why did the nurses not follow up with the doctor on the NFR directive and provide the required care? | Ethical issues Principle | Explanation | Independence | The scenario reveals Jazi's autonomy breached since he was not involved in the decision making process regarding his treatment options (Ghaye, Gillespie & Lillyman, 2000). | Moral duty | The nurses have the moral duty to ensure the well being of the patient, and so they...
Words: 2246 - Pages: 9
...Drug Errors Introduction Administration of medicines is a key element of nursing care. Every day some 7000 doses of medication are administered in a typical NHS hospital (Audit commission 2002). Drug administration forms a major part of the clinical nurses role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (O'Shea 1999). The patient is expected to receive the correct medication at each drug round but several studies have shown that this is not always the case (Raju et al 1988, Ferner 1995). Medication errors do occur and are a persistent problem associated with nursing practice (O'Shea 1999). The aim of this paper is to answer the question: Why are nurses still continuing to make drug errors? In order to answer this question this paper shall examine the guidelines that nurses must adhere to when administering drugs, shall provide a definition of a drug errors, look at reasons why drug errors occur and approaches that are aimed at reducing drug errors on the ward. There are a number of pieces of legislation that relate to prescribing, supply, storage and administration...
Words: 2890 - Pages: 12
...Differences between Nurses Educated at Associate Level vs. Baccalaureate Level Nursing Christy Lilly Grand Canyon University: NRS-430V-O501 March 27, 2015 Differences between Nurses Prepared at Associate Level vs. Baccalaureate Level Education can be a factor in determining a person’s success and well-being. Does the difference in RN education play a role in well-being of those they care for? I will explain some educational differences between an Associate Degree Nurse (ADN) and a Baccalaureate of Science Nurse (BSN). Also, I will share a clinical case scenario to demonstrate the differences in approach, experience and skills effect clinical decisions made by a BSN and an ADN nurse. Associate Degree Nursing Education The ADN requires two or three years of college, whether at a community college or junior college. The graduate earns an Associates of Science in Nursing and is qualified to take the National Council Licensure Examination (NCLEX) to become a licensed registered nurse (RN). The idea of the ADN was founded by Mildred Montag in 1952 due to the nursing shortage post World War II. Montag proposed a two-year program in junior or community colleges. Her intent was the ADN would be more educated than the untrained nurse, otherwise known as a practical nurse. The ADN would qualify to test for RN licensure and enter practice working under the supervision of a BSN nurse. Montag’s proposed framework and model was not executed completely. Instead...
Words: 1591 - Pages: 7
...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 faced with conflict...
Words: 1248 - Pages: 5
...Competencies Case Study Tiffany Jill September, 28 2013 NUR 310 Nursing Leadership and Management IOM Competencies Case Study Nurses who work night shift at hospitals are often faced with the dilemma of whether or not to call a physician for advice during the night. Fear of having to deal with an unpleasant doctor can be intimidating, as the physician is frequently asleep when being called. Failure to communicate has been linked to poor quality and patient errors, therefore nurses and doctors must communicate and work collaboratively in order to provide high quality and safe care to their patients. The Institute of Medicine (IOM) recommends educating health professionals in five different areas: providing patient centered care, working in interdisciplinary teams, employing evidence based practice, applying quality improvement, and utilizing informatics (Yoder-Wise, 2011). Learning and applying these competencies will help nurses and physicians to deliver the best healthcare possible and lead to positive patient outcomes. The following will describe how IOM competencies can be used in healthcare. A decline in patient status can require needing further recommendations by the physician. Nurses should assess patient situations early, as this could help to avoid waking a doctor. It is best to try and prevent calling doctors unless it is an emergency and cannot wait until morning. Other avenues should be pursued prior to reaching out for guidance to the doctor. Asking...
Words: 1339 - Pages: 6
