Professional Issues in Nursing Essay

As a nurse, I make judgement that would affect longanimouss health every day, I am aware that I get under ones skin a great duty to match my patients sentry duty to maintain the public trust (Chitty & Black, 2011). After learning this module, it helped me acquire adequate knowledge to better manage legal and ethical issues at work. For the sake of providing a high quality of wield to my patients, I must be knowledgeable in both (Croke, 2003). Nowadays, the public is aware of legal issues and organized information is for sale through the internet. As a result, medical litigation claims have been rapidly increasing. Most claims against nurses are due to medical negligence (Tay, 2001). I am apt(predicate) for my own pr beice, and if I fail to act as a honest prudent person in certain conditions, I may be liable for medical negligence (Chitty & Black, 2011).Research shows several errors leading to nursing negligence. For instance, a nurse fails to follow precedents of care, fai ls to use equipment in a responsible manner, fails to communicate, fails to document, fails to assess and superintend and fails to act as a patients advocate (Croke, 2003). In 1998, Hurwitz states in order to call forth medical negligence, the patient plaintiff must prove The defendant nurse owned the plaintiff a duty of care and breached in this duty of care by failing to provide the required reasonable measuring of care.Thus this breach of duty of care caused the plaintiff damage. I would like to discuss a case encounter in my practice for caseful to reflect my knowledge. A 55 year old patient admitted for chest pain and on telemetry monitoring. This patient requested for shower bath, a nurse removed his telemetry and was learn to assist the patient during shower, but the patient insisted to shower on his own. Then the nurse left the patient alone without instructing him to call for help if he snarl any discomfort. After a while, the nurse went back to check, patient was fo und collapsed on the toilet floor. The issue that came across my mind is If I am that nurse, am I negligent?Learning consign 1 Duty of careA patient went to the hospital and hospital is agreeable for patients treatment, thither will 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 contribute be reasonably foreseen that thepatient may 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 competent care to my patient (Hurwitz, 1998).Learning point 2 Standard of careThe nursing standard of care is what the reasonably prudent nurse did in the same circumstances (Staunton & Whyburn, 1996). In capital of Singapore, we have the standard of care and code of ethics for nurses and midwifes as our guideline for practice, it is our resp onsibility to follow the standard ( Singapore nursing board, 2011). In this case, the patients determination to shower without assistance, is his autonomy (Tay, 2001). According to value statement of code of ethics, I respected the patients individual needs and privacy, and also respected and promoted patients autonomy by allowing patient to do so (Singapore Nursing Board, 2011). In this case, there is a conflict between respecting patients autonomy and providing care in a responsible and accountable manner. I need to make a choice between two alternatives. There is no absolutely office or wrong end (Keilman & Dontje, 2002).The decision made by me is to respect the patients autonomy, but 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 prov ide care in a responsible and accountable manner, I should have insisted to pursue patient, but by doing so I may violate patients autonomy. According to standard of care of nurses and midwives, I should communicate with client efficaciously and provide appropriate information to the patient (Singapore nursing board, 2011). I should inform patient that he is on high risk of developing heart dishonour 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 prevent 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 advance up-to-date with current 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 interest 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 encouraged 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 courage to interrogate the doctors order.Clinical improvementIf this scenario happens again, what do you think will help the patient? I note there are some good strategies to adhere Set hospital policy and educate the staff to provide comprehensive information (Chitty & Black, 2011), for example, they must clear that for clients on telemetry monitoring, patient should not be left alone. The patient must be warned that he is at risk of heart attack. To persuade patient for his sought after action , and for his own safety, he should allow assistance. If patient is stubborn and insists to shower without supervision, delegate a staff 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.). Maryland 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 law 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). Codes of Ethics & Professional Conduct. Retrieved from http//www.healthprofessionals.gov.sg/content/dam/hprof/snb/docs/publications/Code%20of%20Ethics%20and%20Professional%20Cond uct%20%2815%20Mar%201999%29.pdf