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Question :

Discuss about the Legal and Professional Issue ?
 
 

Answer :

Introduction

In this case, an attempt is made to analyze the legal and professional issues related to various case studies. The cases are solved after referring to the appropriate legal resources. The conclusion in every case study is reached after reflecting and critically analyzing the legal issue that have been identified. 

Issue

In this case, it can be seen that the Mr. B is terminally ill and is on heavy medication. Mr. B has developed a pressure area so doctors changed his position in every two hours. He found the process very painful and requested the doctor to discontinue the operation.  However, the specialist in charge of Mr. B rejected his request and continued the process of repositioning every two hours. The issue in this case is to ascertain whether the request of the patient or the advice of the specialist should be followed.

Laws and Information’s

The Code of Ethics and Professional conduct in Value Statement 1 provides that “Respect clients individual needs”. It states that nurse should provide care that is in accordance with the values and needs of the client. The value statement 2 of the code of ethics and professional conduct provides for “Respect and promote clients autonomy”. This means that the client should have the right to determine the treatment and nurses should provide necessary information that is necessary to make informed decision. The value statement 7 provides that “Advocate the best interest of the client”. This means that the nurse shall promote the interest of the client (Arnold & Boggs, 2015).

Application

The above-mentioned value statement requires the nurses should assist client in decision-making. As per the Value Statement 1, the Mr. B should be allowed to express the individual needs and values. These needs should be taken into account while planning for optimal care for Mr. B.  The value statement 2 requires that nurses should inform Mr. B about various nursing caring options that are available. Mr. B should be provided necessary information so that he can make informed decision. It should be noted that the value statement 2 clearly provides that if a client makes an informed decision regarding accepting or refusing treatment then it should be accepted. However, it is further provided that if they are unable to comply with the request of the client for providing alternative treatments. Then appropriate care should be given to Mr. B until alternative arrangements are made (Griffith & Tengnah, 2014).

Based on the above discussion it can be concluded the decision of Mr. B should be respected and an alternative treatment should be thought. However, until the alternative treatment is provided appropriate care should be taken.

In this case, patient C was an accountant and sole bed eared of the family. She had a cardiac rhythm problem and was admitted to the hospital. There was wrong administration of medicine and as a result, she suffered cardiac arrest. The issue in this case is to ascertain the liability of the negligence.

The Value Statement 5 states that “provide care in a responsible and accountable manner”. This means it is the responsibility of the nurse to ensure that the client receives effective, safe sand ethical health care (Johnstone, 2015).

The value statement 5 makes it mandatory for a nurse to safeguard the interest of the client from incompetent. Illegal and unethical practices. It is the responsibility of the nurse to ensure that the health and safety of the client is not compromised due to the omission or commission in the nursing activity. In this case, Patient C suffered cardiac arrest due to omission and commission of nursing activity of ED and RNZ. As a result, the value statement provides that appropriate authority should be informed about the event that endangers the health and safety of the client (Ellis, 2016).

Based on the above discussion it can be concluded that due to omission or commission of nursing activity the Patient C has suffered cardiac arrest.  Therefore, appropriate authorities should be informed so that they can take appropriate action against ED and RNZ.

In this case, controlled medication is going missing is compromising the care of the patient.  There is evidence that the nurse M is involved with this event. However, she has denied the allegations. In this case, the issue is to ascertain whether the matter should be taken up to the senior management.

The Value Statement 9 provides that “Maintain a practice environment that is conducive to the provision of ethical behavior”.  The nurses is required to collaborate with the health care colleagues in order to maintain an ethical culture in the working environment. This is attained through mutual trust and respect on the expertise of the other (Burkhardt & Nathaniel, 2013).  The value statement 10 provides that “Promote the profession’s ethical standards and maintain public trust in the nursing profession”. This statement requires that nurses should maintain high standard of ethical behavior in the profession. It is necessary to maintain the necessary trust and belief in the profession. The value statement 5 provides for “Provide care in a responsible and accountable manner”. It is the responsibility of the nurse to ensure that the client receives an effective, safe and ethical health care (Carney, 2016).

The nurses should have respect for each other’s values and they should collaborate with others to provide the ethical health care. They should have the appropriate knowledge to resolve the issues related to ethical behavior. In this case, a controlled medication is going missing as a result the patients care is compromised. The responsibility of the nurse includes safeguarding the interest of the client against incompetent, unethical and illegal practices. In this case, the action of nurse M is against the ethical standards and it makes the practice environment unethical. Therefore, appropriate authorities should be informed about the event missing medicine and that nurse m is suspected of professional misconduct (Ramanathan & Fisher, 2016).

 


The act of omission or commission that is against the acceptable standards for ethical practice for nursing and professional behavior is defined as Professional misconduct (Hood, 2013). The nurses should be held responsible for the actions:

  • That harms the client,
  • The professional relationship with the client is abused and
  • That brings bad reputation to the profession,

In this case, the nurses may face disciplinary actions initiated by the Singapore Nursing Board.

Based on the above discussion it can be concluded that the Nurse M has violated Value statement 5, 9 and 10. Therefore, appropriate authorities should be informed so that disciplinary actions can be taken against nurse M.

In this case, Mr. D had a chest pain and his son admitted him. He was agitated when doctor started the treatment and wanted to go home. The issue here is to ascertain the necessary steps that should be taken to ensure that the treatment is taken by the patient.

The Value statement 1 requires “Respect clients’ individual values and needs”.  This statement provides that the client should be actively involved in providing the health care services. The value statement 2 states that “Respect and promote clients’ autonomy”.  This means that the client has the right to determine the care needed based on the information’s provided (Howatson-Jones et al., 2015).

Application

The application of the value statement states nurse should inform the client about the nursing care options that are available. They should provide all the necessary information so that the client can make appropriate decision (Krishna & Menon, 2014). The informed decision of the client should be respected and when the client is unable to make an informed decision, they should collaborate with other members in the medical team to provide a medical treatment. In this case, Mr. D is not willing to take treatment though he has been diagnosed of having infract (Päätalo & Kyngäs, 2016). The informed decision of the client should be respected but in this case, the Mr. D has become agitated and is not taking making an informed decision. It is the responsibility of the nurses to provide the best treatment to the client. They should try to persuade the client about the treatment in the meanwhile alternative treatment should be provided so that the situation is not aggravated (Edmonson et al., 2017).

Conclusion

Based on the above discussion it can be concluded that Mr. D is not making informed decisions so the nurses should try to persuade him to take the treatment.

The discussion above shoes that the nursing and medical profession is strictly guided by ethical and professional behavior. The result on various cases have been reached by applying the provision of the value statements. 

 

Reference

Arnold, E. C., & Boggs, K. U. (2015). Interpersonal relationships: Professional communication skills for nurses. Elsevier Health Sciences.

Burkhardt, M. A., & Nathaniel, A. (2013). Ethics and issues in contemporary nursing. Cengage Learning.

Carney, M. (2016). Regulation of advanced nurse practice: its existence and regulatory dimensions from an international perspective. Journal of nursing management, 24(1), 105-114.

Edmonson, C., McCarthy, C., Trent-Adams, S., McCain, C., & Marshall, J. (2017). Emerging Global Health Issues: A Nurse's Role. Online Journal of Issues in Nursing, 22(1).

Ellis, P. (2016). Evidence-based practice in nursing. Learning Matters.

Griffith, R., & Tengnah, C. (2014). Law and professional issues in nursing. Learning Matters.

Hood, L. (2013). Leddy & Pepper's conceptual bases of professional nursing. Lippincott Williams & Wilkins.

Howatson-Jones, L., Standing, M., & Roberts, S. (2015). Patient assessment and care planning in nursing. Learning Matters.

Johnstone, M. J. (2015). Bioethics: a nursing perspective. Elsevier Health Sciences.

Krishna, L. K. R., & Menon, S. (2014). Understanding the Practice of Collusion on End of Life Care in Singapore. JMED Research.

Päätalo, K., & Kyngäs, H. (2016). Well-being at work: graduating nursing students’ perspective in Finland. Contemporary nurse, 1-14.

Ramanathan, R., & Fisher, P. (2016). Singaporean Caregivers’ Experiences of Placing a Relative into Long Term Care. Clinical Gerontologist, 39(3), 167-189.

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