Autonomy In Healthcare

I agree Elizabeth, it is imperative for nurse practitioners to obtain autonomy in their practice. However, the use of collaboration with other health care providers, including physicians, is not always a negative aspect. It is a known fact that, nurse practitioners do require supervision from physicians according to state mandates and governing requirements. They require a collaborative effort so they may achieve full practice authority and receive reimbursement (Schadewaldt, McInnes, Hiller and Gardner, 2013). With this in mind, the positive features of the supervision will be addressed. According to Schadewaldt et al. (2013), “it has been identified that a good collaborative relationship can improve patient outcomes such as reduced waiting

The case scenario presents Mark who has been involved in a car accident. Mark has suffered significant internal bleeding and needs a blood transfusion immediately for his survival. This has been clearly stated by his attending doctor. Mark is still conscious and oriented. Mark is a Jehovah’s Witness and receiving blood is against his religion. Mark signs a Refusal of Treatment document stating his wish not to receive a blood transfusion under any circumstances. His girlfriend, Pam, wants him to receive blood and is asking the nurse to administer blood despite Mark’s refusal. This situation presents an ethical dilemma to the health professionals involved in Mark’s care. The ethical dilemma is whether to uphold his decision not to receive the blood and therefore risk his life or give him the blood to save his life despite knowing his religious status and beliefs. There are several ethical principles involved in this scenario. The ethical principles of respect for Autonomy, Beneficence, Non-maleficence, Veracity and Fidelity will be discussed in the latter part of this essay. There are also legal concepts to be considered in this scenario which are legal principles of ‘Consent’ and ‘Right to refuse treatment’ which can also be addressed as the contemporary issues that is being faced by the health practitioners these days.

Patients do not understand the repercussions we will eventually see if the industry continues to utilize the HCAHPS survey. It effects how hospitals are reimbursed for a lot of standards they are required to meet. Also, so many employers today take this survey into consideration when it comes to paying their employees. Providers will continue to concentrate on the results they receive, and the downward spiral will continue. They will make decisions on patient care in relation to this in order just to please them or their family members. Does giving the patient what they think is best really the best practice for

I agree with you the nurse that is seeking to implement a change must be able to reach across to all stakeholders. These stakeholders come from different walks of life and the challenge here will be knowing their educational background in order to deliver a message that is not intricate to grasp. You have to also remember that people remember only 10 percent what they read, but they remember 40 percent what they hear and see. Thank you for you thoughts.

In the “Case Study: Healing and Autonomy”, there is Mike and Joanne, who are the parents of twin boys, James and Samuel. James contracted strep throat and ended up with one of the complications from this illness: acute glomerulonephritis. The acute glomerulonephritis subsequently caused acute kidney failure leading to further complications with James’ health. In addition to the stress of the illness, the parents are struggling on how to base their medical decisions based on their Christian faith. Using the Christian narrative and Christian vision there are several issues that will be explored throughout this paper. The issues include how Christians perceive illness and health, organ donation, and ethical and moral issues involving faith-based actions.

A classic definition of change is that of (Lippitt, 1973), who described change as any planned or unplanned alteration in status quo of an organism, situation, or process. Planned change is described as the deliberate, calculated and collaborative application of knowledge and skills by a leader to bring about improvements (Marquis & Huston, 2015). The NMC Code (NMC, 2015) states that nurses and midwives ‘deliver care based on the best available evidence or best practice ' this indicates the continual need to enhance practice through change. As well as the code of conduct

In the past, there have been providers who were threatened by the role of the advance practice nurse either due to lack of trust in their skills or the fact it may take away from their roles and/or reimbursements. One example of this would be the history of the nurse anesthetist. The nurse anesthetists’ profession started just by an anesthesiologist having a layperson assist with the administration of chloroform. Through the years there was ongoing debate on the legality of a nurse being able to administer medication without a medical license. Providers filed lawsuits trying to deter the use of nurse anesthetist, but the courts ruled in favor of the nurses’ role. War, reimbursements, and education levels/degrees, also played a role in the alternating

I agree with you, nurses should be more involve in changes that affect them like the universal precaution, bar coded medication administration and electronic medical record. In order for a change to be successful, the driving force should be greater than the restraining force. The ability to get nurses involve in changes that affect them encourage more acceptance and willingness to accept the change. It the nurse understands the reason for the change and how it benefits them and their patient before the change is executed, the resistance will be lower and the driving force will be greater.

Between a patient’s rights to privacy and autonomy, the safeguards listed in the Bill of Rights, and the duties of a healthcare professional to protect his or her patient’s safety, what takes precedence? Such is the ethical dilemma faced by the nursing staff of Mr. Green, a patient with end-stage aggressive prostate cancer who is planning to choose suicide over suffering. Discussion, the Ethical Dilemma

I chose to look at the above scenario using the Autonomy ethical principle. Autonomy principle says, “you should have the ability to act independently and make decisions for yourself” (Warnock, 2017). Using this approach If a patient has an advanced directive you would follow it because it is the patient’s chose written down in advanced. However, using this principle may violate some social laws or morals. Because, brain dead is the same thing as being dead, the person should be removed from life support (Baillie, McGeehan, Garrett, & Garrett. 2012, p. 260).

Finally, at the heart at which governs how doctors act and behave are the four principles of medical ethics (autonomy, beneficence, non maleficence, justice) and professionalism. From a BH tutorial on ethics and professionalism, there was a case in which an elderly man’s vision was slightly below the values required to drive. If one was to come to a straightforward conclusion, it will be that as a doctor you will not sign his medical report form stating his medical fitness to drive. Despite showing justice and non maleficence to the patient, there is a conflict between autonomy and beneficence. However if the doctor was to sign it, it would put people on the road at risk. It would also be unfair on the people who was in this similar situation

Basic rights are connected to each other. One person right to pursuit happiness is through completing tasks effectively. The ethical guideline should be connected to the fundamental right in order to avoid any conflict in the healthcare organization workplace. In fact, connecting the ethical guideline the fundamental rights of people will encourage them to effectively work, and it gives them the sense of desire to accomplish their goals based on the shared ethical code.

Clinical paths are good in many ways, but if not followed or changed appropriately, they can be used as ammunition for a plaintiff during trial. If a nurse, for some reason, deviates from the clinical path without good cause, this can be used against the nurse in trial. On the other hand, if the clinical path was followed when there should have been a change made to the clinical path to increase patient safety, outcomes, etc., a nurse can be found negligent. All changes to the clinical path need to be clearly documented with adequate justification for the change. Another downfall with clinical paths is that they may give patients certain expectations of outcomes and care, and if they are not progressing according to the clinical path, there could be an increased risk of liability. For this reason, patients need to be made aware that the clinical path is a guideline, and sometimes deviations are necessary to improve patient outcomes. Clinical paths have proven to be a great way to enhance communication and patient outcomes, and if for some reason a nurse gets brought to trial, the clinical path will be a clear and concise way to analyze the standard of care

In order to grow there need to be some form of transformation or change. Although change is important aspect of growth, it should not affect the core foundation of an organization or institution. This principle holds true in every health care system. Yes, health care is ever evolving however these change processes should not affect the standard of practice negatively. I like how you addressed the ethical considerations during the changing process. The advent of informed content has given patients the autonomy to make decisions about their own care. This is a big milestone in science research and medicine. How would you handle a changing idea that jeopardized the quality of care of your patient?

Nursing is a profession in which we constantly and aggressively challenge the existing status of health care (policies and legal principles) while taking into consideration the world in which these health care systems operate. All of the people involved in the health care system whether nurses, doctors or therapists have good reasons and intentions to want make this change. Though some professionals believe in change, it is still super easy for a health care team to be satisfied with and comfortable with the current practices specific to that system.