Ethical Dilemmas In Nursing Practice

Decent Essays
• Choose one (1) nursing practice discussed in the article that is considered a “sacred cow” and is not supported by the evidence.
By diverting feces into a collection bag, rectal tubes can help prevent perianal tissue damage in critically ill patients with fecal incontinence.
True: 75% False: 25%.(Miller, Julie 2015)
As found by the answering of this question almost all nurses feel that this is the correct method when it comes to the collection of fecal material from critically ill patients. That is mostly due to the education they received and when as well as being taught by head nurses and supervisors and medical providers. But according to the research that was done in this matter by Makic MB, VonRueden KT, Rauen CA, Chadwick J. the answer given was wrong that is not the best way of care for any critically ill patient.
…show more content…
Have someone who is a specialist in this field come in to not only retrain the staff but also be able to answer any questions they might have. (Any time you are dealing with changing the way things have been for a long time, there will be subversives that will try and undermined any new idea just to keep the old ways the way they were.)
3. Be sure to not only hand out a memo that states what the new changes are but also have the RNs pass it on to their staff and email everyone that may be concerned with this matter.
4. Run practice scenario’s/practical’s to help everyone get into the way of thinking that the old way is out and the new way of doing things is here to stay.
5. Provide literature for all staff to read up on the new protocols and the difference between the two and why one is more affective then the others.

References: 20 questions: Evidence-based practice or sacred cow?
Miller, Julie BSN, RN, CCRN; Hayes, Denise Drummond MSN, RN, CRNP; Carey, Katherine W.
Makic MB, VonRueden KT, Rauen CA, Chadwick J. Evidence-based practice habits: putting more sacred cows out to pasture. Crit Care Nurse.

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