...integral part to nursing practice. The American Code of Ethics for Nurses (ANA) with interpretive statements acts as a guide for professional conduct by outlining the ethical values of the profession. The Code provides the profession with a statement of responsibility to the public and serves as a basis for individual nursing decisions in clinical situations when ethical dilemmas arise. The code integrates universal, ethical principles which serve as the foundation for ethical actions. Nurses face ethical dilemmas on a daily basis. Our primary goal as nurses is the commitment to protect our patients. Provision 2 of the American Nursing Code of Ethics, describes the nurse’s primary commitment is to the patient. (ANA, 2010). Another important goal is to maintain safety, dignity and accountability. Respect the patient’s confidentiality and autonomy. The Nurse acts as the person who helps and advocates for the patient and their families about health care and end of life decisions. According to the American Nurse Association Code of Ethics, Provision 1:1 states that, “a fundamental principle that underlines all nursing practice is respect for the inherent worth, dignity, and human rights of every individual” (ANA, 2010). In the case study of Marianne a comatose patient, she has no advance directives, leaving her husband and children to make the decisions with different opinions. (Chitty & Black, 2011, pg.175). The ethics committee is already working on the case and are assisting...
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...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...
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...Personal and Professional Goals Angela Templeton HCS/301 October 26, 2014 Connie Houser Personal and Professional Goals Throughout life we have all set goals for ourselves. Whether it be something as small as learning out ABC’s or completing collage with a degree. In order to be successful in life one should always have goals and this is also important for growing in both our personal and professional goals. When setting goals it is important to set short term goals and long term goals. When starting with short term goals and accomplishing those, then one is on the way to reaching long term goals. My Personal goals are to successfully complete my first online class in HCS/301 Undergraduate Nursing Studies class and to complete my Bachelor’s degree in Nursing. My Professional goals are to obtain a Supervisory position in Community Health nursing and to obtain my certification in Case Management Nursing. I believe that with learning time management skills and perseverance that I will be able to reach my goals, both personal and professional. One of my Personal goals is to complete my first online nursing class successfully. By completing HCS/301, will help me complete my personal short term goal. I feel that...
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...Ethical and Legal Issues in Nursing NUR/391 Ethical and Legal Issues in Nursing As nurses, it is our duty to advocate for our patients. At times, we are faced with personal and professional challenges that impact how and when we chose to advocate. It is imperative we have a healthy awareness of these potential challenges. Improvements in health care technology have provided patients with an array of treatment options as well as assumed or possible increased chance of survival. As a result, nurses are met with a rise in ethical decision making. This paper will discuss the legal, ethical, social, and personal factors that can impact our decision making process, with the focus on two specific case studies. American Nurses Association Code of Nursing Ethics Role in Practice The American Nursing Association (ANA) has created a set of ethical standards for the profession of nursing to abide by, which is entitled the ANA Nursing Code of Ethics. The ANA Code of Ethics states that collaboration is central to the care nurses deliver and to their ethical commitment to the patient (Garity, 2005). In the end-of-life case study, the nurse (she) has an unwritten obligation to the patient; the family appears to be in conflict with how to proceed with the patient's medical treatment. The medical team has an obligation to give the family all of their options and possible outcomes. If the family remains in conflict, it would then be appropriate for her to refer the family to...
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...RESEARCH PROPOSAL Identification of Research Topic Over the past five years while working in a residential care home for people with dementia, the researcher has observed that incidents of violence and aggression both physical and verbal towards health care staff happened regularly. The incidents of aggression affected staff mentally and physically but the majority of incidents went unreported. The nursing staff, registered nurses and nursing assistants in this environment both acknowledged the seriousness of this on-going problem to them. However the reluctance to report the aggression is because they considered the aggression to be part of the job despite them acknowledging it as a problem. England is an ageing society and as the population ages, health care providers, government, communities and families are faced with the burden of caring for people with dementia (Cubit, 2010). According to Access Economics (2005), dementia is becoming increasingly predominant to the aging population worldwide. A survey of over 15000 care homes in England and Wales found that 78% of residents were cognitively impaired (Bowman et al, 2004). In addition the Alzheimer`s Society (2007) reported that there are around 750 000 people in United Kingdom with a dementing illness. A more recent survey by the Alzheimer`s Society (2009) reported that around one third of older people with dementia in UK live in residential home care settings, representing 200 000 individuals. According to Leonard...
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...of stress will be examined, and the link between effects and antecedents will be established. The antecedents of stress are essential to identifying the underlying problem, and prevention methods can be implored once those problems have been identified. In addition, cases will be presented reflecting the use of stress to educate the reader with knowledge and recognition of the concept. A model case, related case, contrary case, and borderline case are given in the text as examples to illustrate the concept of stress. A Conceptual Analysis of Stress Stress is a concept that derives from strain placed on a human being. Dictionary.com (2012) defines stress as “mental, emotional, or physical strain or tension”. Positive and negative aspects of stress exist depending on the particular incident or situation. Stress can be activated when a student is nervous about presenting a speech, or a supervisor is worried about his first day on the job. There is no real danger present, but the person experiences feelings of anxiety and hesitation. This type of stress is considered positive, because it is designed to encourage the individual to rise to the challenge. It can be motivational, and the individual will not experience any long-term negative effects. Stressful situations that...
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...Nurse Education in Practice (2008) 8, 103–111 Nurse Education in Practice www.elsevierhealth.com/journals/nepr Belongingness: A prerequisite for nursing students’ clinical learning Tracy Levett-Jones a a,* , Judith Lathlean b,1 School of Nursing and Midwifery, The University of Newcastle, Callaghan, NSW 2308, Australia School of Nursing and Midwifery, The University of Southampton, Nightingale Building (67), University Road, Highfield, Southampton SO17 1BJ, United Kingdom b Accepted 4 April 2007 KEYWORDS Belongingness; Nursing student; Learning; Clinical placement Introduction Summary The concept of belongingness has intuitive appeal. Human beings are social creatures; the need to belong and be accepted is fundamental, and social exclusion can be devastating. This paper reports on the selected findings from the qualitative phase of mixed-methods study that explored nursing students’ experience of belongingness while on clinical placements. The 18 interview participants in this study were from Australia and the United Kingdom. They provided a range of perspectives on belongingness and how it influenced their placement experience. Central to this discussion was their strong belief that belonging is a prerequisite for clinical learning. This theme dominated all of the interviews. Given that the primary purpose of clinical placements is for students to learn to nurse, there needs to be a clear understanding of the relationship between belongingness...
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...please e-mail pubpermissions@ons.org. FEATURE ARTICLE Building Comfort With Ambiguity in Nursing Practice Kalli Stilos, RN, MScN, CHCPN(C), Shari L. Moura, RN, MN, CONC(C), CHCPN(C), and Frances Flint, RN, MN Current nursing literature recognizes the need to honor the concept of ambiguity. Nurses experience uncertainty with handling or honoring complexity and ambiguity when confronted with times of struggle. Traditional models of care fall short as patients and families define their expectations of the healthcare system. Nurses bear witness to the discomfort caused by the unknown in their daily practice. They are challenged to address their feelings, unsure of what to anticipate, what to say, or how to respond to their patients. Uncertainty diminishes the opportunity for meaningful dialogue between nurses and other people. Nurses attempting to ease the discomfort of ambiguity by providing patients or families with reassurance, offering advice on how to fix problems, or avoiding talking about situations often express dissatisfaction. Nurses should be invited to explore ambiguity and seek understanding through dialogue and nursing knowledge. Encouraging nurses to define the meaningfulness in nursing practice that embraces human science theory will help relieve some of the ambiguity that exists in current practice. This article will explore the concept of ambiguity, highlight how nursing theory based on human science can support practice, and propose recommendations for practice...
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...Gibbs Reflective Assignment On Non-Verbal Communication With A Patient With Demenita Introduction This assignment is a reflective account of my first experience when assisting a patient to eat lunch. For the purpose of this assignment I will refer to this patient as Mrs C to maintain confidentiality and comply with the NMC code (2008). It will discuss the importance of non-verbal communication when providing effective nursing care to the elderly. Description Thoughts and Feelings Evaluation I felt this first experience was very rewarding and a big learning curve for me in caring for others. I was delighted that I had been able to support Mrs C to eat nearly all of her meal which she clearly enjoyed. The ‘protected mealtime’ policy ensured that I had time to dedicate to assist her and as she did not have the ability to feed herself, without my help she would have eaten very little or nothing at all. In order to communicate with Mrs C, I modified the usual rules of communication. I did not speak to Mrs C in an inappropriate way or use elder talk which may have damaged her self esteem and confidence (Argle 1994). I talked to her as I would address any adult but put more emphasis on non-verbal communication which according to Caris Verhallen (1999) is the main way in which humans communicate, in order for her to receive my message, extract the meaning and give me feedback. By holding Mrs C’ gaze I was maintaining communication and encouraging engagement and interaction...
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...of stress will be examined, and the link between effects and antecedents will be established. The antecedents of stress are essential to identifying the underlying problem, and prevention methods can be implored once those problems have been identified. In addition, cases will be presented reflecting the use of stress to educate the reader with knowledge and recognition of the concept. A model case, related case, contrary case, and borderline case are given in the text as examples to illustrate the concept of stress. A Conceptual Analysis of Stress Stress is a concept that derives from strain placed on a human being. Dictionary.com (2012) defines stress as “mental, emotional, or physical strain or tension”. Positive and negative aspects of stress exist depending on the particular incident or situation. Stress can be activated when a student is nervous about presenting a speech, or a supervisor is worried about his first day on the job. There is no real danger present, but the person experiences feelings of anxiety and hesitation. This type of stress is considered positive, because it is designed to encourage the individual to rise to the challenge. It can be motivational, and the individual will not experience any long-term negative effects. Stressful situations that negatively affect the health and...
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...Running Head: EXAMINING NURSING: A PERSONAL FRAMEWORK Examining Nursing: A Personal Framework Cortney Airhart The University of Texas at Arlington School of Nursing In Partial Fulfillment of the Requirements of N5327 Analysis of Theories in Nursing Ronda Mintz-Binder, DNP, RN March 27, 2012 Examining Nursing Practice: A Personal Framework After graduating nursing school in 2008, I started working as an Operating Room nurse (OR) at a level one trauma center, which specializes in neurosurgery. I now scrub and circulate neurology, urology, ENT (ear, nose and throat), and plastic surgeries. I am also a charge nurse and in charge of orienting new nurses and graduate nurses. The OR is fast paced and challenging. One never knows what is going to come through the doors, but you have to be ready at any given moment, to do anything from removing tonsils to clipping an aneurysm, in a matter of minutes. In the OR, often times the team gets caught up in tasks that need to be performed to get the case going, and sometimes forget that a human being is lying on the table with both physical and emotional needs. That is why, I teach my new graduates and everyone that I precept to act like it is a member of their family lying on the table. Often times just a friendly word or a smile before the patient is put under anesthesia can make a world of difference. If there is time, I also update the family to what is going on in the OR and try to answer any questions...
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...Caring in nursing Name Professor Institution Course Date Introduction Concept analysis can be referred to as the activity where different concepts, their characteristics as well as their relations with other concepts are brought out clearly and evidently (Fawcett& Desanto, 2012). The creation of a distinct conceptual clarity about the different concepts proves to be of great importance to all the forms as well as the kinds of research. The general outlined guidelines of research as well as the philosophical literature are often in the mentioning of research analysis or on the hand also mention the concept of the research. Different disciplines have formulated different methods or rather devised different methods of concept analysis. These different methods are meant for the development as well as the clarification of their own concepts in their different fields. The methods may at one time share a scholarly view of the problems of concept as well as the methodology, however, since they are discipline specific, they too may also be in need of various modifications before they could be of use and applicable to the different fields in which they are meant to be used. In nursing science, the art of concept analysis is at a greater height seen as an integral part of the development of a theory and a discipline of the science of nursing. This paper evaluate the nursing concept of care in nursing. Caring in nursing Caring in nursing is the active support as well...
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...professions (Gopee, 2011) as too have the requirements for mentors within the health profession. The current definition from the Nursing and Midwifery Council (NMC, 2008a) states that “A mentor is a registrant who has met the outcomes (of a mentor preparation course) and who facilitates learning, supervises and assesses students in a practice setting” (NMC, 2008a). The role of a clinical nurse mentor is described as someone who supervises, teaches and assesses student nurses in a practice setting (Jokelainen et al, 2011, Ousey, 2009), although the role is more complex in that a clinical nurse mentor needs to process the ability to select and support learning opportunities, they have a responsibility to manage diversity and equality, be accountable and ensure standards are maintained (NMC, 2008a). This is supported by Jokelainen et al (2011) who describes mentoring as being complex due to contextual, collegial, pedagogical and clinical teaching. Student nurses are supernumerary in the practice placement, meaning they are there as learners even though they must make an active contribution to the work of the practice area (RCN, 2007). Their active contribution is additionally supported by Morgan (2002) who emphasises that students may feel surplus to requirements through their supernumerary status. Standards relating to mentoring nursing students are set by the Nursing and Midwifery Council (2008a). They include; establishing effective working relationship through placement orientation...
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... NURSING STUDENTS IN FAR EASTERN UNIVERSITY IN THE YEAR 2008 In Partial Fulfillment Of The Requirement for Nursing Research By: Agre, John Marco C. Angcao, Marice C. Angeles, Jessica Christy P. Arambulo, Allan Carlo L. Bandillo, Jemilyn V. Bañaga, Charlene May Y. Bañaga, Valerie Jane Y. Barbon, Lorraine Angelica Barquin, Jasmine C. Bartolome, Dexter C. Bautista, Erica Frances A. Burdeos, Adison C. Submitted to: Ms. Melanie Tapnio, Nursing Research Adviser BSN 905 2007-2008 Chapter I The Problem and its Background Introduction Stress has been experienced by people almost everyday. Stress can be associated with major life events, daily hassles and change in life. It has physical and emotional effects on us and can create positive or negative feelings. Stress can make a person anxious and depressed. It is the enemy of clear thinking and if allowed to get out of control, it can compromise a person’s health as well. Sometimes stress can keep people awake at night and make them feel irritable and edgy. Yet, their reactions to stressful events differ widely. Some people faced with a stressful event develop psychological or physical problems, whereas other people faced with the same stressful event develop no problems and may even find the event challenging and interesting. Nursing school is very stressful. Students experience increased tension prior to their clinical...
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...registered in England and Wales, a rise of 3.1% compared with 2011. Almost half of these occurred in National Health Service Hospitals. (Office for National Statistics, 2012). These figures indicate a substantial amount of individuals dying in a hospital setting each year, therefore a large proportion of patients will be receiving some form of care prior to and at death (Blackwell 2010 p.1). Numerous research studies have been carried out by theorists identifying the impact of bereavement on different individuals. The earliest thorough study of grief and loss developed from Freud with his classic paper ‘Mourning and Melancholia’ (Freud 1917 cited in Payne et al 1999). Freud believed that for the bereaved to detach from the deceased one must work through their grief by reviewing memories and thoughts of the deceased (Ellman 2010). Other theorists have recently identified death and the importance of understanding it. 'Death is a natural progression from life. Most nurses will be exposed to the physical and emotional effects of this experience as they care for a dying patient. The nurse is taught how to provide support for the patient and family as they proceed through the stages of grief. Often, however the nurse may not realise his or her own need to grieve'. (Brosche 2003 p. 173). Although nurses try to remain professional whilst at work, once they are home and the uniform is removed , emotions that were kept at bay may begin to surface. The ...
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