Examples Of Possible Barriers In Nursing

Decent Essays
Possible Barriers There are many barriers that can present themselves while implementing this practice change. Nursing staff may not value the research results and resist the change. The Braden Scale assessment may not be performed due to lack of time or appropriate education of the nursing staff. Patients may find the questions or skin assessment to invasive and refuse to participate in the assessment
Ethical Implications One ethical implication may arise if a patient or caregiver refuse the Braden Scale assessment or education from nursing staff. Patients may also refuse the recommended treatments to prevent pressure ulcers. A patients’ rights must be respected and they should not be forced to do anything against their will.

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
  • Superior Essays

    The nurses involved realized that anyone pressing the PCA button other than the patient was not legal; however, this was not sufficiently expressed to the patient’s family members. Upon suspicion that the patient herself may not be able to press the PCA button due to her upper extremity weakness, the nurses had an ethical obligation to present this problem to the patient’s doctor. “When nurses become aware of inappropriate or questionable practice, the concern must be expressed to the person involved, focusing on the patient’s best interest as well as on the integrity of nursing practice,” (American Nurses Association, 2015). The economic factor could include the nurse-patient ratio, which does affect how much time the nurse has to spend at the patient’s bedside educating the patient and family on the PCA and how much time the nurse has to spend at the patient’s bedside assessing the patient’s pain. Had the nurses involved been able to be at the patient’s bedside more, a nurse may have been able to observe the daughter pressing the PCA button for the…

    • 785 Words
    • 4 Pages
    Superior Essays
  • Decent Essays

    Healthcare professionals have certain ethical and legal standards that they must uphold while practicing their profession to ensure their patients are adequately and safely cared for. They also need to understand that every patient has a right to their own healthcare decision and this can be through written consent, voicing their opinion or through an advance care directive. This essay will concentrate on how a valid and legal ACD must be completed, the importance of valid consent, ethical issues relating to the patient having their on opinion, how to advocate for a patient and lastly, comparing the legal and ethical standards nurses and paramedics abide by everyday to ensure morally safe practice. An advance care directive (ACD) is a legal…

    • 228 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Statutory Framework

    • 915 Words
    • 4 Pages

    Also, another point in this section of the code is ‘act in the best interests of people at all time’ this section of the code may arise as being difficult for some nurses and midwives in situations where a patient has the mental capacity of making their own decisions and is refusing treatment for personal reasons but as a professional following the code it needs to be followed, which means they have to set all personal opinions to the side and respect the patient’s wishes. (reference the…

    • 915 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The patients not treated fairly the doctor needed to be reprimanded about the unfair treatment of the patient. R. L. had every right to make his decisions in his care plan. A resulting factor the doctor did not listen to what was in the best interest of his patient nor at any point involved the next of kin in addressing the care of the patient. ACHE state, encourage and participate in the public dialogue on health care policy issues, and advocate solution that will improve health status and promote quality healthcare (2017). One of the reasons all hospitals and health care settings are now required to inform patients of their right to have an ethical decision having a health care executive such as a POA or someone to dictate their wish when they were in excellent health and a sound mind.…

    • 1235 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Another evidence-based practice currently use at my agency is prevention of pressure ulcers is implemented when a Braden scale score is less than 18 (Best Practice, 2010). When patients are known to be high risk for pressure ulcers prevention program is implemented. This includes keeping the…

    • 327 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Therefore, when nurses refuse to participate or provide treatment to patients due to conscientious objection, this places an unfair burden on their colleagues to pick up the extra workload. A discussion into patient care responsibilities need to be undertaken in order to adequately redistribute the workload when these issues arise (Lachman, 2014). Levi (2015) states that nurses need to be upfront with their patients and colleagues about their own biases when they take responsibility for the well-being of their patient. At the same time a nurse must ensure the choices of the patient are supported, even when they would not make the same choice for themselves (Levi, 2015). The NMBA (2016) standard 6.1 states that a nurse “provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people” (p. 4).…

    • 1084 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    You think to yourself what happened before there was a hospital to ever run to or doctors or nurses to take care of the sick? I personally would believe everyone just took a slow painful death. The first hospital in the nation founded in Philadelphia in 1751, although most did not recognize this as a hospital as we know today. Eventually after one century passed by the public addressed the hospitals as a safe environment soon after the Civil War reached a high level of appreciation for all nurses and the high increase of development they were achieving worldwide.…

    • 842 Words
    • 4 Pages
    Improved 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
  • Superior Essays

    One being the nurse’s lack of acting upon prevention strategies for patients and lack of making these interventions a priority. However there are several factors to help prevent these hospital-acquired ulcers, such as using prophylactic dressing, continuously assessing the patient, and helping the patient with range of motion. Hospital-acquired pressure ulcers can lead to other complications for the patient. The patient should not…

    • 1284 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    The nursing code of ethics have been established by nurses to provide guidance for ethical relationships, responsibilities, behaviours and decision-making (Canadian Nurses Association, 2008). Within the code, there are seven primary values that outline the responsibilities central to nursing practice (Canadian Nurses Association, 2008). In regards to the described case, four values have been compromised: promoting health and well-being, promoting and respecting informed decision-making, preserving dignity, and promoting justice. Promoting health and well-being. This Canadian Nurses Association (CNA) value refers to advocating for your patient to ensure that their health is the priority concern (Canadian Nurses Association, 2008).…

    • 524 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Perceived barriers are described as the most “significant in determining behavior change” in the healthcare related behaviors of an individual (Janz & Becker, 1984). The aim of this concept analysis paper will be to study perceived barriers in healthcare, specifically within individuals who lack a healthy diet and physical exercise. This paper aspires to enlighten how these perceived barriers affect the individual’s health and probable outcomes. A model case is examined to illustrate the use of perceived barriers within these individuals. Lastly, antecedents and consequences of perceived barriers within these individuals are explored.…

    • 93 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    The four articles selected were published from 2009 to 2016 within search terms such as “pressure ulcers”, “prevention”, “nursing care”, “prevalence”, “patients”, “nursing practice”. The articles for the literature review had two quantitative, one qualitative and one mixed…

    • 2175 Words
    • 9 Pages
    Superior Essays
  • Improved Essays

    ethical standard the possibility of ethical dilemmas may occur; for istance contradiction between patients/families and human services experts about treatment and choice, Access to required social insurance assets for the matured, constantly sick and rationally sick and over the top medicinal blunders. Disagreement between patients/families and health care professionals about treatment and decision, access to needed health care resources for the aged, chronically ill and mentally ill and excessive medical errors; . Solutions In the event there is a contradiction between patients/families and health care experts about a treatment always convene a family meeting to address all concern, uncertainties and recommendations. An efficient way to access to needed health care resources for the aged, chronically ill and mentally ill patients are to reach out to professional associations, community partner by creating a monthly network meeting.…

    • 1366 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    “Professional practice” is one of the domains that consist of the National Board National competency standards for the registered nurse that gives an account of the professional, legal and ethical accountabilities which would require evidence of a sufficing evidence base practice, responsibility and liability for practice, working in compliance with legislation affecting nursing practice for patient care, and securing patient’s rights. (Nursing and Midwifery Board of Australia, 2010) In this particular scenario, the nursing staff who failed to obtain patient consent before proceed the nursing procedure would not satisfy the section 1 and 2 of professional practice on the National competency standards for the registered nurse, which are explaining the legal implication for nursing practice, relevant legislation controlling nursing practice, appropriate response towards unprofessional and compromising practice and how can the nurses practicing in the boundary of code of ethics and conducts. In addition to the violation of professional practice, it is also disregarding one of the values on code of ethics for nurses in Australia which related to providing quality nursing care to the individual. According to “value statement 1” on code of practice, the witness nurse needs to report to the nursing staff’s unethical and insufficient practice to the nursing authority.…

    • 1460 Words
    • 6 Pages
    Improved Essays