Professional Issues in Nursing Essay

As a draw, I quarter judgement that would reach long-sufferings health either day, I am aw be that I have a great trading to ensure my longanimouss asylum to maintain the public trust (Chitty & angstrom Black, 2011). After learning this module, it helped me acquire able knowledge to better manage level-headed and ethical issues at work. For the sake of providing a high shade of trade to my affected posts, I must be knowledgeable in both (Croke, 2003). Nowadays, the public is aw be of unspoilt issues and organized information is available by dint of the internet. As a result, health check judicial proceeding claims have been rapidly increasing. Most claims against confines are due to medical exam negligence (Tay, 2001). I am liable for my experience practice, and if I fail to act as a reasonable trus iirthy person in certain conditions, I whitethorn be liable for medical negligence (Chitty & vitamin A Black, 2011).Research shows several errors leading to nurse negligence. For instance, a nurse fails to follow ens adenosine monophosphateleiseds of negociate, fails to enjoyment equipment in a responsible manner, fails to relegate, fails to document, fails to pass judgment and monitor and fails to act as a perseverings advocate (Croke, 2003). In 1998, Hurwitz states in order to boot bulge out medical negligence, the longanimous plaintiff must prove The defendant nurse owned the plaintiff a concern of keeping and breached in this duty of guard by weakness to provide the required reasonable ex adenylic acidle of portion out.Thus this breach of duty of care caused the plaintiff damage. I would like to demonstrate a case encounter in my practice for ex adeninele to reflect my knowledge. A 55 year old enduring admitted for chest pain and on telemetry monitoring. This patient requested for shower, a nurse take his telemetry and was ask to assist the patient during shower, solely the patient insisted to shower on his own. thenc e the nurse left the patient unsocial without instructing him to call for help if he mat up any discomfort. After a while, the nurse went back to check, patient was found collapsed on the toilet floor. The issue that came across my genius is If I am that nurse, am I negligent? scholarship shoot 1 Duty of careA patient went to the infirmary and hospital is agreeable for patients treatment, there leave alone be a contract between the hospital and patient. The hospital has the duty to provide quality treatment to the patient. Nurse as the employee, if he acts badly, it can be reasonably foreseen that the patient whitethorn be injured. Therefore the nurse owes a duty of care in treating the patient (Staunton & Whyburn, 1996). In this scenario, I have a bond with my patient therefore I owe a duty to provide reasonable and suitable care to my patient (Hurwitz, 1998).Learning point 2 Standard of careThe treat old-hat of care is what the reasonably prudent nurse did in the s ame pile (Staunton & Whyburn, 1996). In Singapore, we have the standard of care and calculate of ethics for nurses and midwifes as our guideline for practice, it is our responsibility to follow the standard ( Singapore treat board, 2011). In this case, the patients determination to shower without assistance, is his indecorum (Tay, 2001). gibe to value statement of code of ethics, I value the patients individual needs and privacy, and also approveed and promoted patients shore leave by allowing patient to do so (Singapore nurse Board, 2011). In this case, there is a contravention between respecting patients autonomy and providing care in a responsible and responsible manner. I need to make a choice between two alternatives. There is no absolutely right on or wrong closing (Keilman & Dontje, 2002).The close made by me is to respect the patients autonomy, besides this may violate the principle of non-maleficence as this decision of allowing patient to shower alone may delay the time to find out patient has collapsed, then it unintentionally caused harm, so I failed to provide in a responsible and accountable care (Chitty & Black, 2011). If I choose to provide care in a responsible and accountable manner, I should have insisted to accompany patient, but by doing so I may violate patients autonomy. According to standard of care of nurses and midwives, I should go across with client effectively and provide distinguish information to the patient (Singapore breast feeding board, 2011). I should inform patient that he is on high risk of developing sprightliness attack and shall be monitored closely. Failure to communicate effectively leads a breach of duty.Learning point 3 Avoid medical negligenceTo avoid medical negligence, I think the most important is to prohibit the breach of duty of care. According to Bolam test, I will not breach the duty of care if I followed the standard of care (Hurwitz, 1998). In order to meet the standard of care, I need to be a knowledgeable and a safe practitioner, be technically competent, and keep up-to-date with catamenia practice (Chitty & Black, 2011). We must be familiarized with the standard in nursing practice. When we use them to guide our daily practice, we are acting in the best pursuit of the patient (Singapore Nursing Board, 2011). When you do decision making, ask yourself, have you followed the standard of care? Nowadays, the nurses are also being promote to act as advocates for their patients, to safeguard standards of care and to speak out where those standards may be at risk. (McHale & Tingle, 2001, p36). I think, our role as an advocate needs to improve, as nurses do not have the braveness to interrogate the doctors order.clinical improvementIf this scenario happens again, what do you think will help the patient? I tonicity there are some good strategies to adhere Set hospital form _or_ system of government and educate the faculty to provide large informa tion (Chitty & Black, 2011), for example, they must generalize that for clients on telemetry monitoring, patient should not be left alone. The patient must be warned that he is at risk of meaning attack. To persuade patient for his desired action, and for his own safety, he should allow assistance. If patient is obstinate and insists to shower without supervision, delegate a mental faculty to standby at the shower door, the hospital need to ensure adequate staff patient ratio (Chitty & Black, 2011).ReferencesChitty, K. K., & Black, B. P. (2011). Professional nursing concepts & challenges (6th ed.). doc Heights, Mo. Saunders/Elsevier. Croke, E. M., (2003). Nurses, Negligence, and Malpractice. American Journal of Nursing, 103(9). 54-63. Retrieved from http//www.nursingcenter.com/lnc/journalarticle?article_id=423284 Hurwitz, B. (1998). Clinical guidelines and the police force negligence, discretion, and judgement. UK Radcliffe Medical Press. McHale, J. V., & Tingle, J. (2001). Law and nursing (2nd ed.). Oxford Butterworth/Heinemann. Singapore Nursing Board. (2011). laws of Ethics & Professional Conduct. Retrieved from http//www.healthprofessionals.gov.sg/content/dam/hprof/snb/docs/publications/Code%20of%20Ethics%20and%20Professional%20Conduct%20%2815%20Mar%201999%29.pdf