...Singapore Nursing Board Standards for Nursing Practice defines that Nurses/midwives have the professional responsibility and accountability to uphold Standard of care and to contribute to their dissemination, interpretation and development despite medical advances, social and demographic changes and an increasingly complex healthcare delivery system that challenge the ability of nurses to provide safe quality of care. Should nurses fail to uphold certain standards and by doing so cause harm or injury to the client, they would be held liable in the tort of negligence. Description of a practical situation which raised ethical issues: Mr Lim 70 years old has been hospitalised for medical treatment with the diagnosis of chronic heart failure. He was ordered intravenous therapy by Dr Peter the medical resident. Nurse Su questions the order because it is for an infusion of Dextrose 50%. Dr Peter tells her that he checked it with Dr Lee, the medical officer. Nurse Su checks it with Nurse May before administration. Later, Mr Lim has a cardiac arrest and suffers extensive brain damage as a result of the infusion. The hospital inquiry is held and it determined that the correct infusion would be Dextrose 5%. Mr Lim’s family members are very upset and seek legal advice. All names mentioned in the above scenario are pseudonym. Identification of the ethical issues within the situation: Negligence Negligence is the breech of an obligation or duty to act with care, or failure...
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...Professional Nursing in Tennessee: Maintaining the Standards Johnny Wright Walden University Issues and Trends in Nursing (NURS - 3001 - 7) February 17, 2013 Professional Nursing in Tennessee: Maintaining the Standards The scope of practice describes the actions, procedures, and rules permitted by Tennessee law for the nursing profession. Professional standards are codes and rules that influence the nursing profession. The purpose of this paper is to examine in detail Tennessee’s professional nursing standards of practice, licensure requirements and the American Nurses Association code of conducts and nursing standards. Scope of Practice The Tennessee registered nurses scope of practice is a detailed process which comprised of patient assessment, identify issues and trends, outcomes identification, learning and practice environment, consultation and evaluation. The standard of practice of the professional nurse means the performance for compensation of any requiring extensive specialized judgment and skills based on knowledge of multiple groups of sciences, and the humanities, as the basis for application of the nursing process in wellness, prevention and illness care. The professional nurse is must exhibit responsible supervision of patients requiring skill and surveillance of symptoms, reactions and expected outcomes. The registered nurse must advocate health promotion, restoration and maintenance of health, administer medication...
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...A Nursing Professional Organization The National Association of Hispanic Nursing Name College Abstract This research paper is on The Nurse Association of Hispanic Nurses (NAHN). I will explain the primary mission of this organization and it’s contributing factor and benefits to nursing. The impact of the organization on the community, the political stand point and supportive issues it has on nursing, the resources it provides on the web and to health professionals and the public, the choices for scholarship and continuing education, if any local chapters are located in the community and participation is allowed, my consideration of joining this organization, and advantages and disadvantages of participating in this nursing organization. A Nursing Professional Organization The Nursing Association of Hispanic Nurses (NAHN) is a non-profit nursing organization that was founded in 1975 to address the needs of the Hispanic nurses. Its mission is “committed to advancing the health in Hispanic communities and to lead, promote and advocate the educational, professional, and leadership opportunities for Hispanic nurses”. (National Association of Hispanic Nursing, 2013) The NAHN focus is on improving the health and quality nursing services of the Hispanic community. This organization contributes to the practice of nursing and the community by providing an opportunity to the nurses to incorporate in the analysis and evaluation of the community needs. They design and promote...
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...with the many political issues that affect patient outcomes and nursing. It is important for nurse leaders to maintain a certain awareness of the changes and be active participates in advocating and decision-making of the political issues that arise for the health care field and nursing, especially in their particular field of practice. Although there may be times that a nurse leader may need to advocate for other fields of nursing, politics, and policy making. Health care is affected by decisions made by the federal and state government. The persons in those seats are mainly political personal and not health care people. Because these people are not medical or nursing people, the decisions made may impact negatively the field or profession that is why it is important for nurse leaders and nurses to be aware of the decisions made about the profession and health care. Becoming a member of a professional organization will help nurse leaders increase their knowledge about the issues affecting the nursing profession and health care in the federal and state level of legislation. Nurse leaders should consider participating in professional organizations and political issues to provide feedback and input that affect the delivery of health care and the nursing profession. Facility policy and services provided may be affected by the changes in managed care because of changes in regulation, laws, and national health care policies. Nursing professional organizations may keep nurses...
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...death issues in providing care to individuals, families and communities. To be relevant and ethical, these decisions need to be considered in the broader context of personal, societal, cultural and professional values and ethical principles (Fry & Johnstone, 2002). Tesfamicael GhebrehiwetThe nursing profession uses regulatory mechanisms, codes of ethics and other means to ensure ethical behavior. For example, The ICN Code of Ethics for Nurses asserts, “Inherent in nursing is respect for human rights, including the right to life, to dignity and to be treated with respect” (ICN, 2000, p. 2). To locate ethical issues within the context of nursing, it is vital to understand the International Council of Nurses (ICN) definition of nursing itself: “Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled, and dying people. Advocacy, promotion of a safe environment, research, participating in shaping health policy and in patient and health systems management, and education are also key nursing roles” (ICN, 2005). This definition incorporates the three components of bioethics as outlined by Fry and Johnstone (2002), including norms of nursing practice, expansion of knowledge, and advocacy or policy development. It follows that nurses must develop a thorough knowledge of ethical issues, policies...
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...Revision Professional Roles and Values Project John Western Governors University Professional Roles and Values In this essay I will explain the differences between a Professional Nursing Organization, PNO, and a Regulatory Agency, such as the Board of Nursing, B.O.N., give two examples of how provisions from a nursing code of ethics influence my practice, discuss four traits from the ANA’s code of ethics that will be brought to an interdisciplinary team of healthcare professionals. I will identify a nursing theory and explain how it has influenced my professional practice as well as discuss the contributions of one historical nursing figure has impacted my nursing practice, including modern-day application. I will tell you of a scenario in which I safeguarded two of the following principles for a patient. (Beneficence, Nonmaleficence, Respect for autonomy, and Justice). A. Functional differences between Regulatory Agencies and Professional Nursing Organizations: Functional differences between a professional nursing organization and regulatory agencies can be can be described as Professional organizations advocate for the nurses, whereas regulatory agencies, like the Board of Nursing, regulates nursing licensure and nursing practice. The BONs main duty is to ensure the safety of the public and the patients being served by nurses. Professional nursing organizations provide a group of nurses a way of communicating, sharing information, provide education, lobbying...
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...Application of Nursing Theory Nurses have to make numerous decisions on a day to day basis. Some are simple decisions and other issues are more complex and require guidance to make decisions. Nursing theory is one way for nurses to make decisions based on problems or situations they face. As Cody (2003) states, “one learns to practice nursing by studying nursing theories” (pg. 226). This statement can be applied to problem solving and decision making. By using theory, nurses can apply concepts to solve problems, since practice is derived from theory. It is also noted by Cody (2003), that “nursing practice will be transformed to the betterment of humankind when all nursing practice is fully autonomous and guided predominantly by nursing theory” (pg. 230). This includes all aspects of nursing including nursing leadership, nursing education, nursing informatics and health policy. The middle range nursing theory of nursing intellectual capital is one that was developed to understanding how nursing knowledge within healthcare organizations influences patient and organizational outcomes (Covell, 2008). It is comprised of two mutually supporting concepts of nursing human capital and nursing structural capital. Nursing human capital is influenced in the workplace by nurse staffing and employer support for continuing professional development and is directly related to patient and organizational outcomes. The nursing structural capital is directly related to patient outcomes (Covell...
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...Running Head: Professional Regulation and Criminal Liability Regulation of Nursing Practice and Legal Aspects Marie Alexandre University Of Phoenix HCS/430 - LEGAL ISSUES IN HEALTH CARE: REGULATION AND COMPLIANCE Instructor: LENORA SMITH July 4th 2011 Running Head: Professional Regulation and Criminal Liability Abstract The delivery of care within the health care system is a challenge because of the changes that are influencing health professional, patients and health care organization. Nursing practice is governed by many legal concepts. It is important for nurses to know the basic of legal concepts, because nurses will be held accountable for making decision that can be harmful to patient’s health. Nurses most have a clear understanding of the law and how it affects nursing practice. Many of legal issues today require Nurses to use critical thinking abilities to practice safe nursing care, Safe Nursing care means to understand the legal boundaries within with nurses must function. The paper will help described nursing, legal issues nursing are facing today. Professional Nursing should know the legal limit which affects nursing practice. An understanding of the law bond with sound judgment should ensure...
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...Professional Roles and Values A) Functional Differences: The functional differences between a regulatory agency, like the Texas Board of Nursing and a Professional Nursing Organization, like with Texas Nurses Association, are many. Even though both agencies support nursing, they do in different ways. The mission statement of the Texas Board of Nursing is as follows: “The mission of the Texas Board of Nursing is to protect and promote the welfare of the people of Texas by ensuring that each person holding a license as a nurse in the State of Texas is competent to practice safely” ("Mission and Values," n.d., para. 1). One of the primary roles of the BON is license issues. They issue and renew licenses for nurses in the State of Texas. They issue all licenses to graduates of approved nursing education programs. All nurses are required to renew their licenses on a biennial basis with evidence of required continuing education. In the State of Texas, RN’s must have twenty hours of CEU’s every two years for this renewal process. The BON enforces the NPA (Nurse Practice Act) and nursing education, conducting investigations of complaints against nurses and adjudicating complaints ("Licensure Renewal," n.d.). Texas Nurses Association (TNA) is a professional nursing organization with supports and advocates for nurses. The mission statement of the TNA is as follows: “Advancing the nursing profession through leadership, collaboration, advocacy and innovation” ("Mission," n.d., para...
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...A Day in the Life of an Elder in a Nursing Home Bailey A Walker Ivy Tech Community College Nursing homes and convalescent centers have often received a bad reputation throughout the years. Some of these negative stereotypes were perhaps well earned, even though they unfairly placed this negative light on well managed and caring nursing homes. This certainly is the case for Salem Crossing nursing home where I volunteered. During my time at Salem Crossing I was able to learn the types of people that resided there, the reasons they are there, as well as the daily routine that one goes through while living in a nursing home. There are many different groups of people who need the assistance of a nursing home. Elders that have to live their life in a nursing home are normally physically and mentally disabled people who need 24-hour care and cannot live on their own. They live in a home with around 100 other residents that have a variety of needs. Typically they eat all of their meals there while also participating in some forms of therapy and rehabilitation. Full time nurses are there to administer their medications daily. Most nursing homes are located in towns that have a hospital nearby in case of an emergency. According to Foundation Aiding the Elderly, “nearly 6 percent of older adults are living in a nursing home,” (History of Nursing Homes). There are different types of rooms and lengths of stays available for a nursing home and your medical needs. For instance, A Place...
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...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 Professional...
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...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 Professional...
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...RUP1 – Project in Professional Roles and Values Part A Explain the functional differences between a regulatory agency, such as a board of nursing (BON), and a professional nursing organization (PNO) as it pertains to your professional nursing practice. A regulatory agency – in this case, a board of nursing (BON) – is a governmental agency. A board of nursing exists on the state level. The primary purpose of a BON is to protect the public’s health and welfare by providing oversight over and ensuring the safe practice of nursing; it achieves this by issuing nursing licenses and monitoring licensees’ compliance to state laws. Additionally, these regulatory agencies outline the standards for safe nursing care within the borders of that state (National Council of State Boards of Nursing, 2014). Regulatory agencies such as boards of nursing report to one of the following: 1) the state’s governor, 2) both the governor and a state agency (i.e., such as the Department of Health, in Washington state), 3) a state agency, or 4) another state official or organization. Just who oversees a regulatory agency is defined in that agency’s bylaws. These bylaws also summarize the duties and powers of that particular agency. In the case of a BON, these consist of: 1) enforcing the state’s Nurse Practice Act and nursing licensure; 2) accrediting or approving nursing education programs in schools and universities; and 3) developing practice standard, policies, administrative rules and regulations...
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...Nursing Leadership and Education Saturday, December 23, 2006 ADN vs. BSN Education Nursing education is bound by its contract with society to prepare nurses with the knowledge; skills and values that enable them to provide quality care within the contemporary health care system. Implicit in this process is that a layperson will be transformed into a competent professional (Lindeman, 2000). When addressed to nurses, the question of educational preparation into professional nursing practice has long been a source of frustration. This is not limited to educators; it is pervasive among all settings and at all levels of nursing practice. Societal changes, increased technology, the shortage of registered nurses (RN’s), and most notably, the increasing shift of health care from acute to community-based settings, has led nursing leaders to raise questions about past and future trends in nursing education (Speziale & Jacobson, 2003). Although associate degree nursing (ADN) education remains a viable choice for those wanting to enter the nursing profession, the ability of these programs to appropriately prepare students for the level of practice diversity that is inherent in the current system must be assessed, and their role defined with regard to the future. In thinking about this question about entry into practice, I had to do some reflection. As I come from an AD program, I have to say that for the time (graduated 1986), and for the expectations of entry-level...
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...RUNNING HEAD: Nursing Profession Nursing Profession Nursing Profession A profession is defined as an occupation requiring special education (especially in the liberal arts or sciences). There are many characteristics that make up a profession, for example professionals are considered experts having a higher degree of knowledge and autonomous. Professionals are governed by a code of ethics such as value, quality of service, honor and integrity. A hallmark that is also acknowledged is accountability. There is typically a system in place to test out the competence of professionals. The nursing profession as a whole, through its professional and regulatory organizations, promotes advancement of nursing practice, identifies standard of practice and promotes professional development (Bassendowski & Petrucka 2009). Historically, nursing has been understood as a calling or a vocation, but modern, secular nursing has essentially understood itself as a profession and, more recently, as a practice (Liaschenko, & Peter, 2004). Although it is considered to be a profession by those in nursing, it has not been categorized as a true occupation in the sociology of professions’ literature, one of the key issues is related to the formal knowledge of nursing and the power associated with it (Yam, 2004). It has been argued that nursing does meet the professional criteria and it is a clear it does not now and never did have...
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