Nurse Communication Handoff Pros And Cons

Great Essays
Effective nurse communication handoff is crucial to maintain patient safety and improve health care outcomes. Handoffs can be in the form of written or verbal communication, with face-to-face communication being the preferred method. Previous history has found that a large majority of unintended patient injury was a direct cause of medical errors (Malekzadeh, Mazluom, Etezadi, & Tasseri, 2013). With this being said, bedside report between nurses and patients has been found to be the most effective way to decrease communication errors in order to promote patient engagement and increase patient safety (Birmingham, Buffum, Blegen, & Lyndon, 2015). In return, ethical principles such as autonomy, nonmaleficence and beneficence have been able to …show more content…
“Ethical decision making is a skill,” (Parker & McMillan, 2010); it is acting in a way that it morally safe and correct. It is something that as a nurse we must develop to act as a safe and effective practitioner. With this in mind, the ethical issues mentioned above, autonomy, nonmaleficence and beneficence, have various pros and cons that effect nursing communication handoff. Pros to these ethical issues include patient safety, advocacy, education, effective communication, individualization and the promotion of health. On the other hand, cons to the noted ethical issues are exhibited when dealing with psychiatric patients (ie: an unstable pt who is not in their right mind asking to die), legislation issues such as abortions, the nurse’s personal morals/values, et cetera (Porter-O’Grady & Malloch, 2016). Overall, there are many more positive outcomes associated with these ethical issues surrounding nursing handoff communication than there are negative. By discussing and learning the pros and cons related to the ethical issues surrounding nurse communication handoff, nurses are able to provide safe patient care, while also learning their own ethical beliefs and how they can impact health care as a …show more content…
Nonmaleficence means to do no harm, physically and emotionally (Youngberg, 2013). Beneficence on the other hand means to promote patient health through clear communication, patient reflection and addressing patient’s cultural needs (Ulrich, 2012). In other words, utilizing beneficence during nurse handoff communication to better patient care will in turn do no harm to that patient (ie: promote nonmaleficence). According to the American Nurses Association (2014), as nurses we must act on beneficence when providing patient care. Compared to autonomy being the patient’s primary right, these two ethical issues are the nurse’s primary responsibility in providing patient care (Arnold & Boggs, 2016). Health care providers can experience moral conflicts related to these ethical principles. For example, not all providers may agree with the treatment plan they must carry out with a patient but must fulfill it regardless because it is the right thing to do and will promote their patient’s health (Sorrell, 2017). An example of this would be withholding treatment (Arnold & Boggs, 2016); although a healthcare professional may not agree with this ethically, it is not their decision to make, as it is the patient’s. Another example of how promoting nonmaleficence and beneficence can better patient care is when utilizing a communication handoff tool at bedside. Youngberg (2013)

Related Documents

  • Great Essays

    Huntington Disease Introduction Case 2 presents a story of two brothers Brain and Jeff, whose father was diagnosed some time ago with Huntington’s disease (HD). Upon realization that the father may not live too long, Brain decided to reconcile with his father. Jeff however cannot forgive him the fact that he left the family and refuses to visit his father. The communication between two brothers ceases to the point that Jeff does not want to know anything about his father and his illness. After Brain learns that he tested positive for the HD, he initially wants to tell his brother about this fact, but ultimately, influenced by negative emotion of anger to Jeff, he changes his mind and decides not share this news with him.…

    • 1499 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Participants The participants were randomly selected and derived from licensing lists from four states. Total of 1000 nurses, 250 nurses selected from each of the four different states, and census regions in the United State of America (Maryland, Massachusetts, California and Ohio), basically to describe and assess the type, frequency, occurring rate of stress of ethical dilemmas encountered by nurses in their everyday practice, (Ulrich, 2010). The second article, a group was selected from teaching hospital in Tabriz in Iran, 345 were nurses, and in-patients were 500, selected to assess knowledge and performance about nursing ethic codes, professional ethical care from nurses' to patients' perspective.…

    • 353 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Ethics is a topic that every nurse comes in contact with on a daily basis. It determines how nurses carry out the duties of the job and how the public perceives the profession as a whole. The College of Nurses of Ontario (further referred to as CNO) has outlined the ethical standard of nursing and has created a document that all nurses can rely on to build the foundation of their ethics in the workplace. Ethics in nursing has developed and changed over the course of the existence of nursing. This evolution is important to note as it highlights how the ethics in nursing developed from physician oriented to patient oriented and how different views may be held by the patients for the role of a nurse in their healthcare.…

    • 1324 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Bedside Handoff Model

    • 1425 Words
    • 6 Pages

    B3b. Research in this area is limited but supports the move from current practices to a bedside handoff model. Most of the studies show current practices to be varied and non-standard. One study found a wide range of handoff styles within one medical center’s 23 wards. These styles varied from group handoffs,…

    • 1425 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Promoting and respecting informed decision-making is an essential value and responsibility outlined in The Canadian Nurses Association’s Code of Ethics for Registered Nurses. The CNA Code of Ethics defines promoting and respecting informed decision-making as, “nurses recognize, respect and promote a person ’s right to be informed and make decisions” (2008, p. 11). More specifically, Registered Nurses are ethically responsible for advocating on behalf of a client if they believe their health is in jeopardy due to circumstances outside of their control (CNA, 2008, p. 11). For example, in 1994 at the Winnipeg Health Sciences Centre, nurses voiced concerns repeatedly about the quality of client care experienced by children undergoing cardiac surgery…

    • 196 Words
    • 1 Pages
    Improved Essays
  • Decent Essays

    As mentioned by the American Nurses Association (ANA), the registered nurse must be prepared to be a part of an ethical dilemma and disaster (ANA, n.d.). With every ethical discussion, we ask the question, what is the right thing for the nurse to do? Every individual in the same situation would handle it differently. What is the healthcare provider's responsibility? Health care providers are obligated to practice and provide the best care to each patient; however, providers can only offer what they can.…

    • 208 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    In my view, nursing entails giving quality care to patients while concurrently adhering with codes of conducts that are affiliated with the profession. The core values of nursing define the driving force that dictates my values and behaviors. These core values include honesty, responsibility, equality of all patients, the pursuit of new knowledge, the desire to prevent and alleviate suffering and the belief in human dignity. Nurses discharge their responsibilities and make their ethical decisions based on the framework of the ANA 2014 code of ethics. The main principles surrounding the ANA code of ethics can be categorized into, • Confidentiality, this is the protection of clients’ privileged information • Fidelity, exercising the protection…

    • 1072 Words
    • 4 Pages
    Great Essays
  • Improved Essays

    American Nurses Association (ANA) Code of Ethics With reference to provision 1 of the American Nurse Association Code of Ethics, while practicing, a nurse has to be compassionate. Additionally, a nurse should show respect for inherent dignity, uniqueness and worth of every person without considering the nature of their health problems, personal attributes or their economic or social status. To narrow this down, a nurse is supposed to respect human dignity by recognition of the specific rights of a patient especially, the right to self-determination. Self-determination is also regarded to as autonomy.…

    • 680 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The only behavior and choices that one can control is one’s own (Haigh and Neville 3213). In health care, it is thought to be a fundamental ethical principle to respect a patient’s autonomy (Haigh and Neville 3213). When the principle of the right to autonomy conflicts with others, it should almost always come first and take precedence over other principles (Angell). One principle, or basis for a system of belief or behavior, that the right to autonomy could possibly come in conflict is the principle that all physicians and medical professionals should always care for the ill and keep them alive (Angell). Although nurses pledge to do no harm to their patients, it is ultimately the patient’s decision to decide what is best for them in the event that they may not have many other options (Angell).…

    • 1442 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Ethical Issues In Nursing

    • 1349 Words
    • 6 Pages

    Pamela Warrick once said, “The difference between moral dilemmas and ethical ones, philosophers say, is that in moral issues, the choice is between right and wrong. In ethics, the choice is between two rights.” In today’s world with much technological advancement in technology and medicine, nurses are faced with many key issues and problems in the course of their practice that have the prospective to significantly influence their career. A major issue that most nurses and other healthcare givers in general irrespective of department or unit encounter is ethical issues. These ethical issues, even though may sometimes attract vague scrutiny, nurses faced with problems such as ethics, no matter how little, often times feel uneasy, troubled, and…

    • 1349 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Many nurses are faced with ethical and legal dilemmas constantly in the health care setting. We as nurses need to understand the laws that pertain to our scope of practice and respect our patient’s decisions whether they interfere with our own personal views. Ethical dilemmas become more problematic when you take into consideration that each nurse has their own personal set of ethics depending on what they see as wrong and right. Nurses spend a lot of time with the patient and it allows them to have a deep connection which makes it hard to not get involved. We become our patients advocate so much that it can also be our greatest weakness because we do not know when to let go.…

    • 1056 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    It has been emphasised by ACSQHC that bedside handover is very important, because it is a time when vital information about a patient is handed over to an incoming nurse. Furthermore, the ACSQHC identified that if bedside handover is practised, it can minimise or prevent communication errors and will achieve patient satisfaction and safety ((Australian Commission on Safety & Quality in Healthcare, 2012). It can be achieved by using Identity, Situation, Background, Assessment and Recommendation or ISBAR framework to deliver a clear communication. As defined by the World Health Organisation or WHO, ISBAR is the tool for an effective communication among patients and healthcare provider (WHO, 2016). If the implementation of an ISBAR tool is not maximise during bedside handover, there will be consequences that can result to the dissatisfaction of the patient, such as a delay in the treatment and diagnosis of the…

    • 518 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Importance Of Communication In Nursing

    • 1200 Words
    • 5 Pages
    • 3 Works Cited

    T. Jasmine (2009) discuses two important aspects of therapeutic communication- listening and exploring. Listening as a therapeutic communication technique demonstrates that the nurse is genuinely interested in the patient. When listening to a patient the nurse and nursing student needs to be aware of how their body actions are being portrayed. Posture, facial expressions, and eye contact can be perceived in a positive or negative way to the patient (para. 12). One of the viewpoints on listening mentioned in the journal is a reference from Stickley and Freshwater (2006) discussing how listening is something that the nurse needs to realize within themselves in order to improve communication skills: “listening to oneself and being constantly aware of ones own thoughts and feelings, posture and actions is vital in improving ones skills of listening to others” (Jasmine, 2009, para.…

    • 1200 Words
    • 5 Pages
    • 3 Works Cited
    Superior Essays
  • Improved Essays

    Reflections (Experiences of developing the QIP): Consider the patent’s situation During my placement with SSU, some patients complain to me that they did not receive clear information about their treatment plan from the health professionals. They appeared frustrating and angry and tended to use the call bell more often. Reflection Reflecting back to the situation, patients felt angry and frustration because they did not receive clear information from the staffs. As a nurse, we have the responsibility to maintain effective communication with the patients to deliver the requirement in the National Competency Standard (Nursing and Midwifery Board of Australia, 2006).…

    • 1367 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    Nurses encounter a serious amount of ethical problems when providing patient care that can lead to ethics–related stress. Ethical-related stress is an occupational stress that is emotional, physical, and psychological consequences of moral distress (Ulrich, et al., 2007). It is a general assumption that nurse leaders should provide ethical training to other staff in need by demonstrating the ethical practice and providing ethical support as well. Even when frontline nurses assume the role of leaders to enhance ethical practices, their actions to build a moral community amongst nurses cannot be sustained if they are unsupported by their formal nurse managers (Storch, Makaroff, Pauly, & Newton, 2013).…

    • 1266 Words
    • 6 Pages
    Great Essays