Nurse Patient Strike Essay

Authors Note: This paper is being submitted on the 18th of March 2013 for the winter semester of Medical Law and Ethics section 05.

The four spheres of political action in nursing as mentioned by Mason, Leavitt, and Chaffee (2011) includes the workplace or workforce, the government, the organizations, and the community. The authors further stated that although the four spheres overlap at times, the action performed in any one of these spheres can cause a reaction in any of the others. Nurses are a part of the community in which they live and can influence health and social policy within their workplace, which can have a profound impact on the organization. Furthermore, the government can pass health care policies, which in turn causes the organization to change their policy. Thus, affecting healthcare providers in the workplace and the community at large. An example of

In many ways, the hospital system in America is set up mirroring our government. They are similar in the way that checks and balances have been set in place to ensure the best possible care is delivered to patients. With these checks and balances there are three main bodies; the governing board, medical staff, and executive management (Showalter, 2017). The duties and responsibilities of each body many times is to oversee and continually check the others. A prime example of this system can be seen through the case of Moore v. The Board of Trustees of Carson-Tahoe Hospital, which took place in Nevada and was heard before the Supreme Court of the state in 1972 (Moore v. Board of Trustees of Carson-Tahoe Hospital, 1972). Specifically, in this case, the duty of the governing board to “exercise reasonable care in selecting and retaining medical staff” is questioned in contrast with the right of the physician to have “due process… when disciplinary action is taken” (Showalter, 2017). In hopes of changing a decision by the governing board, and attempting to reverse the decision of a lower court, the appellant, Dr. Moore, brought the case against Carson-Tahoe Hospital (Moore v. Board of Trustees of Carson-Tahoe Hospital, 1972).

The American Medical Association (AMA) published a Code of Ethics for Physicians that includes a list of certain principles physicians should follow in order to be good physicians, practicing in an ethical fashion. This list, which was first adopted in June of 1957 and revised as recently as June of 2001, demonstrates some principles that are not universally accepted to be critical to the ethical practice of a physician. In particular, all physicians do not completely believe the claim that “A physician shall support access to medical care for all people” (Principles of Medical Ethics). Theorist, H. Tristam Engelhardt believes that the lack of access to care for some may be unfortunate, but it is not unfair and that this access does not need to be mandated, nor does believing it should be make you an ethical physician. In fact, Engelhardt supremely believes that by providing access of care to all, you will hurt certain patients that already have access to care, negating your function as a physician practicing beneficence. Engelhardt would retract this statement from the Principles of Ethics. However, this belief of and drive to implement access of care to all is critical to one’s job as a physician and it goes against core values of physicians to claim otherwise. Theorists such as Tom Beauchamp and Norman Daniels would agree that the universal access to health care is a critical component of the values physicians hold.

Can we really trust the NHS after the recent junior doctor strike? Dr Ethan Copeland explains.

In March of 2004, a doctor at the Wyoming Medical Center had been reported by one of the nurses for leaving an operating room during a surgery. Narotzky v. Natrona County Memorial Hosp. Bd. Of Trustees, 610 F.3d 561 (10th Cir. 2010). He had left Robert Griffin, a physician’s assistant, who had authorization to assist in surgeries but only under direct supervision of a physician. Id. After receiving the filed complaint, the Medical Center launched an investigation and eventually terminated a group of physicians. Id.

The national healthcare workers are striking because not only are they not being paid enough and not being provided with basic necessities like running water to perform their job efficiently, they’re also not being protected properly. One of the strike leaders, Dr. Evenst, says that it is not uncommon for a person to come in with a gun threatening to shoot if the professionals did not treat them. The healthcare system sent their requests for better conditions to parliament, the president, and every major branch they thought could help but to no avail. This result seems to be related to the tumultuous state of the government after the fraud riddled election in 2015, nevertheless the healthcare workers went on strike.

The philosophy relayed by the book’s author consistently leads back to the moral question that must be asked in the initial design of the healthcare system. That determination has to do as to whether the government has a duty to act when there are those within their own country do not have equitable access to hospitals and doctors for the treatment of their conditions.14

This response is on an article written by Matthew K. Wynia of American Medical Association. The title of the paper is “Ethics and Public Health Emergencies: Restrictions on Liberty”, 2007. This paper was published in The American Journal of Bioethics, Volume 7(2), pages 1-5 in 2007.

To begin, the union displayed several arguments to persuade the arbitrator that there was no “just cause” for the suspension of Nurse Kevin. The prime issues presented by the union were as follows; grievant suffers from back pain that can often cause him difficulty lifting a patient; the suspension given to the grievant was primarily due to the hatred Supervisor Olivia Guevara Quijano had towards Union’s; the progressive disciplinary action that was provided in the collective bargaining agreement was not correctly followed; hospital did not follow contract (“an employee will not be placed in a harmful work environment”); and the grievant did not want to put his health at risk along with the patients.

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

However, as time went on, several problems arose which had to do with the principle of justice in healthcare. In America, it is the accepted norm that it is unjust to treat one person better or worse than another person, in similar circumstances (Tong, 2007, p.29). In an attempt

The mission is successful negotiation of fair wages, safe working conditions and exemplary patient care. Can the nation’s labor unions help nursing healthcare professionals meet these mission goals? Battles are currently being fought to preserve and reform the Nation’s healthcare system. Along with proposed changes to the affordability and accessibility of medical care, healthcare providers will be faced with challenges of patient-to-provider ratios, rising costs, falling salaries/benefits and change in patient care roles. Will quality care be provided and will the

In the short story the doctor was trying to pry mathilda’s mouth open. May a doctor have more power on whether to lie to his patient’s or to tell them the truth. A physician should respect the patient’s wishes on whether to live or whether to die. “The Use of Force’’ by William Carlos Williams brings up the question if it is ever justifiable for a medical professional to use force.

Imagine you are injured or sick and have sought a doctor’s help. Although you trusted your doctor, something, something seemingly very in control of the doctor, went wrong. You are angry and confused, but also think of the commonality of medical malpractice. So, why do doctors, who are supposed to help, harm? Though many flaws influence it, malpractice can be, and often is unintentional. Most doctors aren’t trained to harm their patients. Inexperience and lack of medical discovery led to unintentional suffering of the patient. Personal flaws, like lack of willingness to abandon previous medical methods and shortcomings in communication also harm patients. Further reasons why doctors harm are socio-medical understandings that breed hate, prejudices stemming from a society’s belief about certain people, such as the medical practice under the Nazi regime. Additionally, displayed in the case of Ignác Semmelweis, judgement of one to oneself can be detrimental to any progress one’s ideas could make. We will examine these concepts through Jerome Groopman’s “Flesh-and-Blood Decision Making”, Sherwin Nuland’s The Doctors’ Plague and Barbara Bachrach’s “In the Name of Public Health”. Those who practice medicine are, unfortunately, unfree from the imperfections that plague all of humanity. Through these intimate and varied faults, doctors do harm.