Nurse practice acts Question 3 Which activity would not be expected by the nurse to meet the cultural needs of the client? Question 4 Most litigation in the hospital comes from the:
Interstate Nursing Practice and Regulation: Ethical Issues for the 21st Century. Online Journal of Issues in Nursing Vol. Who Owns Your Care? It is incumbent on us as nurses, both nationally and internationally, to dialogue about ethical issues that may come from entering into practice without traditional time and space boundaries.
The predominant model in the United States is that nurses are licensed in the state they practice. Nurses who hold dual or more licenses have successfully passed the licensure exam in one state and applied for reciprocity in one or more other states.
In contrast to the predominant model, Utah and Arkansas are the only states that have changed state laws to encompass an interstate compact. In addition, some countries like the United Kingdom www.
As travel and electronic communication erode geographical barriers between patient and provider, new models for care delivery are emerging.
As care models change, nurses must reflect on their practice and be vigilant about new and developing ethical issues. Nonmaleficence The first principle, nonmaleficence, or do no harm, is directly tied to the nurse's duty to protect the patient's safety.
Born out of the Hippocratic Oath, this principle dictates that we do not cause injury to our patients. How do interstate practice and nonmaleficence interrelate? With interstate practice, it may not seem self-evident how nurses can injure patients with whom they have no physical contact.
Consider the interstate nurse, however, who does not return a phone call to a patient who is considered a malingerer. In refusing to return the call, perhaps the patient suffers needless physical or emotional trauma. Therefore, a way that harm can occur to patients is through communication failures.
These failures can be intentional as just described or as a result of electronic or human error. Failing to convey accurate information, giving wrong messages, and breaking down of equipment, can cause harm to patients.
This harm could be life-threatening such as in cases of strokes and heart attacks. Some of these communication problems may certainly occur whether a patient is at a neighborhood clinic or miles away, but distance and high reliance on electronic medium make close examination of communication and ethical issues vital.
Examples of questions that need further investigation include: Should nurse call lines operate 24 hours a day instead of fewer hours?
What back-up mechanisms exist for equipment failure? What phone work can and cannot be delegated? What quality assurance mechanisms are in place? The principle of nonmaleficence is considered before new treatment approaches are tried on patients.
We ask ourselves, and then patients and families ask us, "Can this harm the patient? While legal and financial issues are routinely discussed in relation to interstate practice, ethical issues are not. Unless open discussion of ethical issues occurs, the harm to patients may not be clear until nurses are practicing.
Beneficence The second principle, beneficence, is at the heart of everyday nursing practice. Beauchamp and Childress state that "Each of The principle of beneficence may give rise to ethical issues when there is conflict between what is good between nurse and patient, between patient and organizations, between patients themselves, or between states engaged in interstate practice.
Differences that may have ethical implications include: While most agree in principle that a patient's good comes before the organization's or nurse's good, nurses often confuse what is good for the patient with what the nurse believes is good for the patient.
At debate is what constitutes good for a patient without infringing on the patient's autonomy or letting the patient come to serious harm. Is it ethical to overrule your patients' preferences?
Beauchamp and Childresspp. On the other hand, "Strong paternalism Relevant to this discussion is whether possible state differences about when a patient is impaired may bring up ethical issues for nurses who are in positions where they provide care to patients with impaired decision-making capabilities.
At a societal level, the move to interstate licensure itself is implicitly tied to the principle of beneficence. For example, the Pew Task Force http:Risky Conditions.
Alert, well-meaning, sensitive, mature, and adequately trained therapists functioning within their bounds of competence will encounter ethical dilemmas that can result in vulnerability to charges of misconduct. Keywords. Research ethics, moral dilemmas in research, nature of nursing, nursing research, nursing advocacy.
Introduction. Ethics is rooted in the ancient Greek philosophical inquiry of moral life.
RN to BSN. The RN to BSN option provides educational mobility for registered nurses who are seeking a bachelor of science in nursing. RNs have the opportunity to use their prior education and professional experiences to earn advanced placement status at East Carolina University.
Ethical values offer a framework for behavior assessment, and nursing values influence nurses’ goals, strategies, and actions.
A literature review was adopted in order to determine and define ethical values for nurses. This literature review was conducted based on the Centre for Reviews and. This exam is all about the Legal and Ethical considerations in nursing which also covers nursing jurisprudence and a few questions about leadership and management.
We'll keep you thinking and help you sharpen your critical thinking skills with this item practice quiz for the NCLEX. Using the latest clinical research and diagnoses, Principles and Practice of Psychiatric Nursing, 10th Edition provides a holistic, biopsychosocial approach to psychiatric nursing care.
It follows the popular Stuart stress-adaptation framework and includes comprehensive coverage to simplify important nursing and medical concepts, .