The Nightingale Pledge: A Case Study

Improved Essays
The Hippocratic Oath was founded in the 5th century but was later modified to Florence Nightingale Pledge in 1893 to guide professionals in the nursing field. The Nightingale Pledge established the ethical principles and standards nurses should follow in their profession. As a result, nursing bodies have used the Hippocratic Oath and Nightingale Pledge to further develop guidelines and although the Nightingale Pledge remains at the core of the nursing practices and ethics.
Since decision making in the healthcare practice is characterized by uncertainty, nurses are expected to make decisions in the midst of such circumstances. Nurses are in constant contact with patients and as such observe all the first changes the patients go through. Therefore,

Related Documents

  • Improved Essays

    Introduction Most simply, clinical decision making may be defined as the process of choosing between alternatives or options (Thompson & Stapley, 2011) more accurately, clinical decision making is a highly complex process where data is gathered and evaluated, and then a decision, judgment, or intervention is formulated (Pirret, 2007), it comprises of cognitive, intuitive and experiential processes (Pugh, 2002). This essay will discuss commonly used decision making models and their stages as defined by Elstein et al (1978) and their application to clinical decision making processes. Furthermore, the importance of clinical decision making for healthcare practitioners and paramedics will be explored. Decision Making Models and Their Application…

    • 1864 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    American Sentinel University The Use of Clinical Reasoning in Advanced Physical Assessment The advancement of medicine, complexity of diseases, and the nurses’ ability in becoming increasingly autonomous, requires nurses to be prompt in solving problems. The expectations of the health care industry and society of shortened hospital stay, the need for nurses to do more in less time, and the overall intensity of the nursing care provided to patients continues to affect how nurses think and deliver patient care. The constantly changing world of health care mandates nurses to utilize clinical reasoning to guide their practice. The purpose of this paper is to discuss the relationship between clinical reasoning and clinical decision making, consider clinical reasoning in advance physical assessment and identify the nurses’ use of critical thinking, clinical reasoning, and clinical judgment.…

    • 893 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The importance of patient participation in healthcare decision making is extremely important it keeps patients involved with the care they are receiving, it empowers them, and improves services and health outcomes. Health care professionals such as doctor-patient relationship, recognition of patient’s knowledge, allocation of sufficient time for participation, and also factors related to patients such as having knowledge, physical and cognitive ability, and emotional connections, beliefs, values and their experiences in relation to health services. Shared decision making aims to support patients to articulate their understanding of their condition and what they want to achieve from treatment, inform patients about their condition and the pros…

    • 215 Words
    • 1 Pages
    Improved Essays
  • Decent Essays

    Because of this they do not move as fast. Today one of our patients was treated with out any regard to their feelings or their state of mind. As a nurse we must understand the feelings of all of our patients…

    • 264 Words
    • 2 Pages
    Decent Essays
  • Great Essays

    In the film, five nurses share their real life scenarios within their nursing career. The nurses describe some challenging situations, which demonstrates that struggles come along the way of patient care. However, the film highlights the nurses’ incredible reliability to constantly provide medical assistance, despite the difficulties. Throughout the film, these nurses indicate a few important interventions that help to improve patient care. Since the film focused on different settings, each nurse focuses on a unique way for assisting his or her…

    • 2026 Words
    • 9 Pages
    Great Essays
  • Decent Essays

    This essay aims to focus on the nurse’s role during decision-making process and demonstrate important of shared decision-making in the delivery of nursing care, enhance patient’s recovery and prevent deterioration. Further this essay will brief discuss the theoretical perspectives of decision-making and explain why it is significant in the assessment of the patient’s care and nursing practice. A given case scenario will introduce a patient admitted with acute headache and vomiting with intermittent confusion for the critical analysis of decision-making in nursing process of assessment, planning, implementation and evaluation of care. In addition, the systematic, comprehensive and holistic assessment will be undertaken using ABCDE (Airway, Breathing,…

    • 182 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    3801NRS Advanced Clinical Decision Making Student Name: Rebekah Stanley Student Number: S2929435 Essay/Report Title: Case Study Essay Assessment Item 1 WORD COUNT: TBA Clinical decision making and reasoning can be seen as one of the most important roles taken on board by the registered nurse within the healthcare setting (Pinnock & Welch, 2014).…

    • 1104 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    The aim of this essay is to discuss and assess a given case scenario where, the chosen patient admitted with acute headache and vomiting with intermittent confusion. This essay will define clinical judgement and decision-making; discuss importance of decision-making process in the assessment of patient’s care. It will also mention some of the theories about clinical decision-making in nursing practice and explain Tanner’s 2008 clinical judgement model that will apply in critically reviewing patient’s complex needs and assessing care plan and interventions. Further, this essay will demonstrate how effective sharing decision-making might enhance patient’s recovery, prevent deterioration. There also NHS mantra “no decision about me without me”…

    • 716 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Effective clinical reasoning skills are essential in nursing; an estimated half of all clinical adverse events are attributed to errors in clinical decision-making (Levett-Jones et al., 2013). Tanner (2006) defined clinical reasoning as the process via which nurses arrive at clinical decisions by weighing evidence, pattern recognition, using intuition, selecting from alternatives and patient safety. This clinical reasoning cycle (CRC) consists of 8 cyclical steps namely, consideration of the patient’s situation; collecting of cues and information; processing of information; identification of problems and issues; establishing objectives; taking action; evaluation of outcomes; and reflecting on processes and new learning (Levett-Jones, et al.,…

    • 1104 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    The measure of standards is governed by an element of people’s point of view. (Lippincott et al, 2013) A nurse may consider a certain kind of service delivery as a perfect delivery. In contrast the patient may find the delivery rather below par and unacceptable In medical practice, a team of nurses associated with patient attendance should work together in setting standards of service delivery. One mode of eliminating individualistic standards among nurses is by creating a conceptual framework which governs the standards of service delivery. Quality service delivery statements and protocols can assist in alignment of standards.…

    • 1814 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    In the late 1800s the nursing profession began with a legacy known as Florence Nightingale. Florence Nightingale started the basic fundamentals of patient care which is still taught in nursing schools around the world. Her greatest legacy to the nursing profession is the fact that she elevated nursing to a higher degree of professionalism and respectability than ever before.” Nurses have come a long way since then, and have to go by the standards of practice. Nursing Councils Code of Conduct, Scopes of Nursing Practice and Competence, Code of Ethics, and American Nurses Association are just some of the required standards that are put in place to help maintain guidance on expected professional nursing behavior.…

    • 877 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Introduction When making clinical decisions, nurses need to consider many different aspects including clinical knowledge, clinical standards, experience and patient-centered decision making. It requires nurses to have a high level of critical thinking. Professional boundaries which acts as limits to maintain therapeutic relationship between professionals and clients can be regarded as a basis of clinical decision making. In the given scenario, Sam Mills is an RN who works with five general practitioners and two other RNs. Sam’s neighbor, Lee, came for redressing chronic wound one day.…

    • 1502 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    The Professional Nurse: Past. Present, and Future While pondering what comprises a professional nurse, a few things come to mind. A professional nurse should have empathy, first and foremost. The professional nurse should also be knowledgeable since the profession has no room for error. She or he should be able to communicate with patients as well as other health care professionals.…

    • 994 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    According to the College of Registered Nurses of British Columbia (CRNBC, 2014) nurses make a clinical decision every 30 seconds, or approximately 1500 per shift. What is a clinical decision? The answer to that question varies among the experts and practitioners but the terms clinical judgment, reasoning, and decision making have been used interchangeably in attempt to better articulate the process of clinical decision making (CRNBC, 2014).…

    • 1389 Words
    • 6 Pages
    Improved Essays
  • Superior Essays

    Role Of Nursing Essay

    • 1309 Words
    • 6 Pages

    They are highly skilled and educated individuals, scientists and innovators, who work in many different divisions, all for the best interest of their patients. They require a deep commitment to their work and patients as well as a compassion and love for those who he or she is caring for, always remembering that the patient is the top priority and their well-being is the center of all things they do. Registered nurses fulfill a number of duties and responsibilities including preforming physical exams and histories of the patients, administering medications, preforming wound care, provide emotional care, maintaining a hygienic and safe environment, (SOURCE), but also included in these duties are some that the general public may not be aware of or consider. One of the jobs…

    • 1309 Words
    • 6 Pages
    Superior Essays