Dilemmas In Nursing

Improved Essays
Activity 1A

Identify 3 issues mentioned in the Code and discuss how you will adhere to them when you are a registered nurse.

Issue No. 1 Ensure you gain consent

“You must ensure that you gain consent before you begin any treatment or care” NMC Code (2008). For me, this is the most important in my work as a nurse because everything that we do in the hospital revolves around our patient care. A patient has the right to know and refuse any care that we are planning to provide to them. So it doesn’t matter what the procedure is, may it be vital signs taking to having major surgeries, it is very important that the patient knows, understands and has given their permission may it be verbal or written. Prior a patients surgery, I make sure that
…show more content…
I believe that we must treat our patients fairly and it is not okay to prefer one patient more than the other. Accepting gifts, favours or any kind of hospitality from our patients may show them that we prefer them more than the other patients. This might cause problems because the patient may think that just in case he needs something from the hospital, he might think that he can just go to us and ask a favour. This not only endangers our work as a nurse, but it shows preferential treatment and is unfair. Accepting gifts causes a conflict of interest where the patients may think that gifts is equal to better patient care. When money is being given to me by a patient, no matter how small the amount is, I always think, “Is this gift being given to me as a way of saying ‘thank you’ or is it being given to me so that I can give him more favours?” But either way, I always tell the patients that a simple ‘Thank you’ card for the whole ward is already a great way of showing to us that we are …show more content…
(NMC 2013) It is not easy to report certain incidents, especially if involves a colleague, but as a nurse, I must think about the health and wellbeing of my patients. The trust has a policy that will support instances where a nurse needs to report any unsafe practice. Keeping this policy in mind, I am confident that I will be supported by the Trust as long as I follow the proper channels of communication and I should always consider the individuals’ right of confidentiality in all matters. According to the hospital policy, I have to talk to my immediate supervisor first who may wish to involve professional help, through Occupational Health, the Education and Development team or Human Resources Department. With this kind of support available, I can raise my concerns knowing that I will receive fair feedback and

Related Documents

  • Decent Essays

    Nurses often face challenges known as ethical dilemmas, which may impact them and their patients. An ethical dilemma is a situation in which an individual is required to determine the best decision between two moral actions. The mandates of the influenza vaccination amongst health care worker have appeared to become an ethical issue over the years. Beneficence requires health care worker to act in patients’ best interest, as well as, avoiding harm towards the patient.…

    • 75 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    1. State Board of Nursing 2. The Nurse Practice Act 3. Institutional Policies and Procedures The laws A. Impaired Nurses-…

    • 703 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    In the United States today, exposure to fast food ads, environment, socioeconomic status, genetic predisposition, overeating and unhealthy snacking has increased obesity in U.S. residents. According to the Centers of Disease Control and Prevention (CDC), more than one-third of U.S. adults are obese. Research suggests that obesity and not exercising is the leading cause of heart disease, which is the number one cause of death in America (CDC, 2016). As the number of obese patients enter the hospital, so does the need for more health care workers and the appropriate equipment. Nurses have to provide basic care to every single patient, which ultimately leads to back injuries in the nursing field.…

    • 1061 Words
    • 5 Pages
    Superior Essays
  • Superior Essays

    Nurses should always be aware of the professional competence of colleagues and other employees. Since the main goal of nursing is to provide for the well-being of patients, that includes being alert to incompetence or impairment to other medical care providers. If it is found that a medical caregiver is unable to provide adequate care, then the appropriate council should be notified to decide what to do about the situation to prevent anymore inadequate care being given to patients. A nurse has a responsibility to one's self as well as the patients. Nurses should treat themselves with the same care that they would a patient.…

    • 2457 Words
    • 10 Pages
    Superior Essays
  • Improved Essays

    NMC Code Analysis

    • 1148 Words
    • 5 Pages

    The new NMC Code is a guide for nurses to reflect and reinforce their knowledge and skills they hold to ensure they practice effectively and safely to provide excellent care. The code is the core of the NMC standards and which nurses and midwives are required to follow. (Goldsmith, 2011) The NMC Code is separated into four main areas; Prioritise people; Practice effectively; Preserve safety; Promote professionalism and trust. Person centred care is based upon forming trusting relationships between nurses, patients and families.…

    • 1148 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    VI. Interprofessional Communication & Collaboration for Improving Patient Health Outcome Communicating effectively with all health care disciplines is imperative for a conducive, civil work environment and to the safety of patients. My experiences in working in interdisciplinary teams were very different between my endocrine practice and operating room practice. The endocrine team that I had worked for consisted of two endocrinologist, nurse practitioner, dietician, office manager and two administrative assistant and myself (RN). The operating room team that I currently work in, can range anywhere from one to two primary surgeons, anesthesiologist or nurse anesthetist, scrub nurse or tech, resident, physician assistant and myself (circulating…

    • 1198 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Nurse Practice Act As a registered nurse, the most important responsibility to have is to the patient. The nurse is a trusted advocate, not only providing care, but also education and support that benefits the patient’s overall well-being. There is an obligation that registered nurses must maintain a safe and competent practice for every aspect of nursing and this is how the Nurse Practice Act becomes incorporated into the care. Many possibilities can arise in nursing and situations are never the same, thus, continuously creating new standards produced by laws. These standards are constantly changing due to the growth and demand of society and accomplishes protection for clients and the guidance of nurses in their practice (Russell, 2012,…

    • 736 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The Code for Nurses with Interpretive Statements (ANA, 1985) states that nurses as client advocates act “to safeguard the client and the public when health care and safety are affected by incompetent, unethical, or illegal practice by any person.” Incompetent nursing practice is measured against nursing standards, unethical practice is evaluated by the Code for Nurses, and illegal practice is identified in terms of violations of the law. Reporting Responsibilities and Guidelines If a nurse is aware of inappropriate or questionable practice in the provision of health care, concern should be expressed to the person carrying out the questionable practice. If indicated, the practice should then be reported to the appropriate authority within the…

    • 206 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Informed Consent

    • 672 Words
    • 3 Pages

    A competent patient’s refusal to consent to a medical or surgical procedure must be adhered to whether the refusal is ground on lack of confidence in physician, fear of procedure, or doubt in value of procedure(Pozgar, 2013, pg. 414). A physician must disclose to the patient the potential of death, serious harm, and other complications associated with the proposed procedure. The scope of a physician's duty to disclose is measured by the communications that a reasonable medical practitioner in that branch of medicine would make under the same or similar circumstances a position must Brazil to the patient the information that a skilled practitioner in good standing with provide under similar circumstances (Pozgar, 2013, pg. 407)..…

    • 672 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    In Rebecca Skloot’s book, The Immortal Life of Henrietta Lacks, the author reveals a real-life story about the life of Henrietta Lacks. Henrietta Lacks was an African American woman who was diagnosed with a fast-growing cervical cancer at a very young age. The cells retrieved from her cervical tumor, later termed “HeLa”, became the first immortal cell that could survive in the lab and replicate continuously without dying. These cells later became key components to the development of many groundbreaking inventions such as the polio vaccine and in vitro fertilization. The purpose of this paper is to examine the social covenant of nursing in relation to the ethical dilemmas.…

    • 1167 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Conflict In Nursing

    • 721 Words
    • 3 Pages

    Conflict Among Nurses This writer has had her fair share of conflict situations with her colleagues in the workplace. Thus, results of some studies that viewed conflict as expected occurrences in health care settings did not come as a surprise. Brinkert (2010) described conflict in such phrases as “pervasive in nursing… a routine feature of nursing…” (p. 145).…

    • 721 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Utilizing The Joint Commission and other national institutions such as the American Nurses Association can help to identify the national standards of care and ethical practice and determine what went wrong in this specific case and determine how to resolve it (Potter, Perry, Stockert, & Hall,…

    • 970 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The nursing research article that I chose to critic for this assignment is entitled "The nurse work environment, job satisfaction and turnover rates in rural and urban nursing units" written by Marianne Baernholdt and Barbara A. Mark. The goal of this publication is to determine if there is a relationship between the nurse work environment and the level of satisfaction and the rate of nurses ' turnover. Urban hospitals have been the subject of research to examine this association but not rural hospitals, thus the subject of this research article. This article poses the problem of whether or not the environments in which nurses evolve and their job satisfaction level have an effect on turnover rates.…

    • 1156 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    A Nurse’s Role Providing patient safety is not the of a nurse. The nurse must also show commitment, from the code of ethics, to provide competent and ethical care. Registered nurses also have the professional obligation to raise concerns regarding any patient assignment that may put the patient, the nurse or both at risk. This professional obligation is anchored in the Nursing’s Social Policy Statement Code of Ethics for Nurses with Interpretive Statements Nursing Scope and Standards of Practice. Under the Provisions of the Code of Ethics provision 3 it states, “The nurse promotes, advocates for, and protects the rights, health, and safety of the patient”.…

    • 1151 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Nurses spend more time with the patient and family members than any other care provider in the hospital. In such situation, poor communication can lead to such events. The NSW code of conduct (Code of conduct 2015) #4.1 stated that we should promote a positive work environment with a collaborative work approach and productive working relationship. Also, NMBA Standard #1 (NMBA Standards 2016) states that we need to think critically and analyses nursing practice.…

    • 945 Words
    • 4 Pages
    Improved Essays

Related Topics