The national Council of State Boards of Nursing serves to protect the publics safety, health, and general wellbeing, when being cared for by nurses. It also serves as the body responsible upholding requirements for competency and licensing levels for nurses. A BORN holds its practitioners accountable for their conduct in the ethical and legal arenas. Another responsibility is to use and uphold evidence-based practice standards, while keeping abreast of the latest technological advances. It is then a necessary requirement to keep practitioners up to date on these advances, and educated to the level required, to perform the tasks asked of them.
This usually occurs at a state level, and everyone involved works to standardize nursing practice, so that on a national level, it is uniform. The national level is where the politics comes into play. Health policy development is directly related to nursing, as there are many health-related issues, which require policy action. Increasingly nurses have a voice in the collection and understanding of information and presenting it in such a way that the subjective and objective data can be identified, and processed so that policies an be adopted in the political arena.
Clear evidence can determine the success or failure of a policy. UPON: A UPON, such as the American Nurses Association, is there to promote and protect nurses rights in the workplace. It also advances the profession by holding nurses to high standards of nursing practice, while projecting a realistic and positive view of what nurses really do. Upon also lobby congress and other regulatory agencies on behalf of nurses as well as the public they serve. The nursing code of ethics was created by a UPON called the American Nurses Association. The code is the ethical standard for all nurses.
Only nurses can make changes to it, and that is through a formalized process. B. Discuss two examples of how provisions from a nursing code of ethics influence your practice. 1. Provision l: is foremost in my practice. As an emergency nurse and now outpatient clinic nurse in the county hospital, our patient population is considered the sickest of the sick. Many of them, most in fact, do not have insurance. Many are homeless, mentally ill, chronically physically ill, or some combination. I have found that serving them, without judgment, is the best way to make a human connection with them.
It makes all the difference in how the care is delivered as well as received. 2. Provision 2: is the next most important thing for me. My institution is a teaching one, and with that, comes many doctors, nurses, social workers, and other care team members for any given patient. Advocating for a patient, care coordinating, advocating and assisting them with their navigation through a complex, and sometimes confusing, system is no small task. It is, however, one of the most important things nurses can do for a patient in today’s fast- aced world of American healthcare. C.
Discuss four professional traits from the American Nurses Association (ANA) Code of Ethics you will bring to an interdisciplinary team of healthcare professionals. 1 . Compassion: This is a crucial, if not the most crucial, part of nursing. To show compassion to another human being, in their time of suffering is one of the greatest gifts we can give. Most of the patients I see are at their worst moments in life. Many have received devastating, life-altering injuries, and I am the first person at the bedside, often the one who has held a hand while the news is being levered.
I believe without compassion, it is impossible to give the best nursing care possible. 2. Integrity: When caring for a patient, I do my level best. I keep in mind, that no matter how this person looks, smells, acts, or speaks, that he or she deserves my best care possible. It helps to make personal correlations such as, I have a brother this age, or I have a child this age. Each person has a family out there or some person who loves them and wishes for them the best. As a nurse, give the care I would want my family member to receive. 3. Accountability: This goes hand in hand with integrity.
If always treat my patients like family, or an honored guest, I am able to keep myself accountable for my actions with regard to their care. I have been known to “turn myself in” so to speak, when I have made an error in decision- making, and the one or two times made a medication error. No person was ever harmed, fortiori out I hold myself to high standards, and self-reporting is part of good nursing practice. 4. Authority: When I am caring for patients, feel in quiet control. In a trauma code, at my institution, the nurse is responsible for the flow of the room. Having a healthy, confident attitude can immediately set the tone.
In many situations, the resident doctors look to the direction of the seasoned nurse to guide them. In this manner I use my authority as patient advocate and caregiver to directly affect the pace and emotion of the situation. D. Identify a nursing theory that has influenced your professional practice. Florence Nightingale Environmental Theory “The role of the nurse is to use the patient’s environment to help him or her recover and get back to the usual environment. ” 1 . Explain how this theory fits our professional practice. Florence Nightingale was truly a brilliant mind.
Her Environmental Theory plays a huge role in the way nursing is practiced at my institution. Since it is a university teaching system, as well as the only county hospital, the roles of our healthcare team directly reflect Florescence’s idea that the best way to assist a patient back to optimal health is to get them back to where they feel most comfortable – wherever that may be. We have doctors, nurses, social workers, mental health practitioners, nutritionists, case managers, care coordinators, music, physical, and occupational therapists, and many others, all who’s jobs revolve around getting the patient well.
In my city, we even have government- funded housing for specific populations such as those afflicted with HIVE/AIDS, alcoholism, and mental illness. E. Discuss how the contributions of one historical nursing figure have impacted your professional nursing practice, including modern-day application. Again, this would have to be Florence Nightingale. Several years ago, I was in school at another university and took a leadership class. We were given the assignment to pick any leader we chose to write about and then give an oral presentation.
I picked Florence Nightingale then, too. She has made such a huge impact on the way I care for my patients. I try to always use standard precautions when coming face to face with patients, in an attempt to stop the spread of illness. Address their pain and comfort needs as well as their nutritional needs while in my care. A patient who feels clean, comfortable and cared-for is much likelier to have a successful recovery. Romance was a pioneer for the rights of patients as well as nurses. Her legacy has left an indelible mark on nursing in the most positive way. F.
Discuss a scenario in which you, as a nurse, safeguarded two f the following principles for the patient: Beneficence Malefaction Respect for Autonomy Justice Beneficence and Maleficent A couple of years ago, nearing the end of a very busy DE shift, medics arrived with a ninety-two year old man who had been “found down” in his home. A neighbor had not seen him in awhile and called police for a welfare check. He had fallen, and lain in his own waste for several days. On arrival he was wearing feminine pink striped pajamas and a gold nameplate necklace with the name Lucille. He was in sustained v-tact and scared.
Even before report room the medics, I practiced beneficence, by immediately going to his side, quietly introducing myself, and asking his name. He stated a male name, but I asked him if he preferred Lucille. He nodded yes. I told him was here to help him and that I would not leave him. I quickly took report, asked my fellow nurses to watch my other patients, and set about helping this man, who was probably not going to make it much longer. Got him cleaned up and in new pajamas. I left his necklace on, even though he had cardiac wires everywhere. Placed warm blankets on him and got the meds going.
The doctor, who had en at bedside, was now off writing a summary note. All the while I was speaking softly and addressing Lucille by name. He was emaciated. Asked him if there was anyone I could call, but sadly he said there was no one. We talked about the possibility of his heart stopping and what interventions, if any, he wanted. The care team, practicing malefaction, respected his decision not to have advanced life saving measures done. He did not want his ribs cracked during resuscitation, nor did he want to be initiated. He knew he was at the end of his life. It was bittersweet seeing him roll out the door to the ICC.