It is not very new for the business of the home visiting nurse in the history of health industry. According to the Visiting Nurse Services of New York, Lillian Wald, the founder, was the first public health nurse in the United States. Visiting Nurse Service of New York has been a vital part of New York’s public health infrastructure. In the textbook “Policy & Politics” Mason and Parry state, “Lillian Wald started public health nursing, school nurse, and the visiting Nursing Service of New York to ensure that poor immigrants living on Manhattan’s Lower East Side had access to care.” (p.621)During the job search after I got my RN license, I found that it is very difficult for nurses who only have associated degree to get the job in the hospital. Also I found that it isn’t the only opportunity for nurses to be worked in the hospital to carry out the role of nurse. There are a lot of job opportunities such as home care nurses, enrollment nurses for the insurance company and so on due to the quick growing of elder in the community. However, I would like to address the ethical issues related to work as a home health care nurse in this paper. Working as a home care nurse is not easy at home. The majority of consumers of home care visit are elder with chronic disease or disability. Also this population is growing quick due to baby boomer, which provides a lot of opportunities for novices to start their new career due to a lot of hospitals are closed. Also the requirement of entry
Each staff member should display a high echelon of outstanding care due to their impressionable experience levels and infinite amount of training. The majority of them will have advanced credentials in specialty areas. The nurses and other staff members emphasize family and patient education to increase the possibility of independence.
The topic of ethics is prevalent in health care and addresses a broad range of topics in nursing. In almost every interaction with a patient there could be a situation that may bring up the question of ethics. Fortunately, there is the realization that placing the nurse in the care of a patient, may put the medical personnel in an environment where the ethics are questioned. There are whole departments dedicated to advising nurses in these situations. There are also ethic committees to help guide you when you find yourself in a situation that may question your practice or circumstances.
In a profession where others' health and well-being are priority, there leaves room for neglect of those who are delegated to care for these people. As a professional nurse, there are many obstacles that arise and affect the care provided to a patient, as well as the livelihood of the nurse. The current deteriorating and unsafe staffing conditions in hospitals and other institutions prompts workplace advocacy as the universally appropriate concept for maintaining professional nursing practice. Common
Nurses are facing many legal or ethical dilemmas in their career. Nurses should combine knowledge of ethical and legal aspects of health care and professional values into nursing practice. It is very essential to know what kind of dilemmas nurses may face during their profession and how they have been dealt with in the past.
As the demand for home visits from nurses increases its necessities a need to prevent avoidable hospitalizations, it is critical to attract and prepare more nurses for roles in home care. The residency program would have input from the California Association for Health Services Home and the Infusion Nurse Society.
Burkhardt, M. & Nathaniel, A. (2008). Ethics & issues: In contemporary nursing, (3rd ed.) Clifton Park, NJ: Delmar
A nurse is given an opportunity to help patients, either if its by helping them through a very serious sickness or just helping a patient get to the bathroom on time, or a time when happiness is overfilling the room and a child is being born. Registered nurses provide a wide variety of patient care services (Mitchell, p.12). A Nurse must always know where to begin and where to stop, as any other career in the health field there is always something that cannot be done by everyone but only the certified person, a nurse must always remain inside her scope of practice to prevent any misunderstandings. A nurse must also follow a code of ethics , the code of ethics of the American Association of Medical Assistants states that a nurse should at all times render service with full respect and dignity of humanity, respect confidential information obtained by a patients file, uphold the honor and high principles the profession and accept its discipline, and last but not least always want to improve her services to better serve the health and well being of the community. (Mitchell, p.65).
The roles and responsibility of a nurse are that most nurses face moral problems similar to these faces by the physician as well as a moral problem uniquely related to their professional role thus nurse must sometimes choose between doing what they believe will promote patients well-being and the respecting the patient ’ self-determination. Lisa explained the role as a role, is a “norm-governed patterns of action that undertaken in accordance with the social expectations” (Lisa page 690). Thus, the ability to serve and work according to the
With the rising cost of healthcare-it is important to be able to have insurance to help with the expenses. Many Americans are without coverage and keep from getting the care they need due to lack of funds to do so. This has been a topic of discussion for years, but the Affordable Care Act is a recent type of insurance that can be obtained by any individual. This paper is to discuss the Affordable Care Act, who founded it and the purpose of. It will also include nine titles that give a full description and applications on the nurse’s practice.
In 1960, Virginia Avenel Henderson a nurse and a theorist in the same time, defined nursing, “the unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to a peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge. And to do this in such a way as to help him gain independence as rapidly as possible”. It is a noble function and to be fulfilled at the highest levels, it takes time, patience and the devotion. When the number of people given this care is much lower than that of people who must receive the care, then a crisis occurs. The phenomenon is acute not only in America but all around the world. Even if the nursing is considered a meaningful work, the country is facing a nursing shortage that grows more with each passing year. Nursing shortages in America affect all parts of the health care delivery system.
The purpose of this paper is to identify the ethical issues in the case study provided in the week one assignment. A discussion of how to use ethical principles to address the issues presented in the case study will be covered within the paper. A description of conflicts of this nursing student’s personal values and the ethical principles applied in this case study. The paper will
Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice
Health professionals have obligations in regards of protection, promotion and optimization of health abilities to prevent from illness. It helps to guide in focusing the normal principals of care and justice and also motivates certain civic action. Social responsibility is “strongly linked to the values of professions in general and nursing in particular” and that “the underlying constructs of social responsibility, communication and teamwork are woven into the fabric of nursing 's history and its code of ethics”(Kelley,2008). Communication, social responsibility and teamwork, are an integral part of the nursing profession. These three attributes of the profession comes through citizenship. This essay will
Like any scientific discipline, the nursing profession has evolved over time. Nurses, once regarded as housemaids and lower class citizens, now hold positions of authority and stature in our modern society. These changes in the profession are attributed to the many nurse theorists who devoted their lives to the improvement of patient care. Through their theoretical advancements, the public perception of nursing has gone from dismissive to reverential. Today, our culture considers the nursing profession to be one of the most rewarding and respected career paths an individual can pursue. Through a review of one such patient theorist, Dorothea Orem, one can witness this change in the perception of the nursing profession. As a first semester student in a professional nursing course of study, Orem has already influenced my personal nursing philosophy.
As far back as Florence Nightingale, professionalism and ethics have been the cornerstone of nursing practice. “Ethical values and practices are the foundation upon which moral actions in professional practice are based” ( LaSala & Bjarnason, 2010). Core professional nursing values (CPNV) are taught and instructed upon in nursing programs. This paper will explore and define the CPNV of altruism, autonomy, human dignity, integrity, and social justice. Although these values are all individual characteristics, I will show that they are all intertwined in the path of care that an ethical practicing nurse walks every day with her patients, without even thinking about it.