Outline key ethical and/or legal issues (for example, an ethical violation, ethical dilemma, or ethical distress) that are present in the case study discussed in class in Module 4.
Understanding ethics, as well as legal aspects in the health care, turns out to be one of the important aspects for both the registered nurse and the midwives. It is considered as one of the effective components of the qualified programs. Ethics, law, as well as health care, helps the registered nurses in acquiring knowledge on applied ethics and legal concepts which helps in illustrating the applications in the real world. With the help of this, the readers also get enabled in not only understanding the practical concept but also can be able to address both of the legal and the ethical issues which might arise in the professional practices. Some research studies show that there exist certain reasons for the nurses leaving their job (ANMAC, 2019).
One of the primary reasons behind this was that they felt challenging in delivering the quality care which they thought to be provided to the patients which will satisfy the expectations of both of the patients and the nurses. As per the Australian law on Nursing and Midwifery Board, a multidisciplinary team approach is considered to be effective enough towards delivering the care among the patients and along with that fostering the autonomy among the nurses as well as the control over the practice so that safe patient care can be expected. According to the Code of Professional Conduct for Nurses, at least a minimum range of the national standards of the conduct needed to be upheld by the member of the nursing profession (Valladares, 2016). The primary focus of this particular code is to make the nurses understand that they are responsible enough in ensuring standard practices for the patients with a focus to enhance the people's safety along with their family partners.
Step 2: Evaluate the issues
One of the important ethical issues that had been identified in Step 1 was the lack of positive communication skills among the nurses with the patients due to varied educational, social as well as cultural background. Hence, positive communication skills among the nurses are required which will guide them in exploring several communication scenarios based on which they will be navigated each of their interactions in their daily lives. It makes the involvement of professional accountability so that the professional standards of practice can be ensured easily (Newton, 2016). Hence, it can be said that both the patients as well as the nurses should engage themselves in conversations and also dealing should occur softly where the negative languages and the conflicts should be avoided. In the context of the case study, the patient should be dealt empathetically and in every conversation, respect needed to be highlighted between the nurses and the patients (Valladares, 2016).
It needed to be demonstrated by the nurses that they care for the patients and also interested in them. The nurses to practice nursing safely, the registered nurses are responsible enough in communicating their services transparently with the patients so that the coherent medical records can get developed easily so that the coherent medical records can also get improved easily. NMBA in consultation with the AHPRA along with other professional boards should develop proficiencies in the English language through which the language skills among the nurses can get accessed easily within the professional environment (ANMAC, 2019).
Hence, this particular issue can get handled easily through positive body language among the nurses which are far better than the words. In this context, eye contact is said to be important through which openness as well as honesty can be easily conveyed. In this context, the resolution strategies for disturbed patients is in trying to maintain a certain distance physically but not mentally and speaking softly is also one of the important concern for the nurses. In this section, the legal action or interference which is necessary is the involvement of ANMAC which guides and protects health as well as safety of the Australian community. It lies under the Australian National Registration and Accreditation Scheme. Hence four important ethical principles are important besides the nursing ethics like autonomy, beneficence, justice along with non-maleficence. The patient should be developing the capacity so that their consent can be easily understandable and communicated well (Lenthall, 2018).
Step 3: Action – what to do in practice
Patient teach-back is known as one of the effective techniques and is also referred to as patient educational strategy. At the time of the patient teach-back, the nurses should keep asking the patients for repeating concepts along with the set of instructions and also with other health information to check how they are illustrating. Patient teach-back is defined as one of the effective tools through which the understanding among the patient can be easily gauged which helps the nurses in determining that how they can help these patients in getting a better life in the future by listening to them (McDonald, 2019). This can be stated as one of the effective scopes of practice for the nursing students for open conversations with the patients.
Source: (ANMAC, 2019)
Health IT undertakes an active role to support the communication between the nurses and the patients and through these more positive experiences will be getting developed. Here the communication tool is one that assists the providers in assigning many patient education videos which is based on the healthcare needs of the patients (Lenthall, 2018).
This is one way to help the nurses in getting ideas regarding the requirements of the patients and likewise, they could formulate the treatment setup which will improve the satisfaction level of both patients and the nurses. A quality care encounter needs to be created to support both the patient health as well as the emotional needs through balanced compassion, clinical expertise, etc. In addition to this, follow up treatments for the patient which involves screening along with regular medications turns out to be one of the most important factors. Continuously, both the demographic along with healthcare information collected to provide immediate as well as longitudinal care to the patients (Cashin, 2017). This helps in maintaining the doctor-patient relationship implicitly as per the clinical duty of care.
ANMAC. (2019, August 20). Accreditation function. Retrieved from https://www.anmac.org.au/about-anmac/about
Broca P. V. (2016). Action plan for the communication process in a nursing team. Health Sciences, 23-31. doi: 10.4025/actascihealthsci.v38i1.29758
Cashin, A. (2017). Standards for practice for registered nurses in Australia. Collegian, 24(3), 255-266.
Lenthall, S. (2018). Reducing occupational stress among registered nurses in very remote Australia. A participatory action research approach, 25(2), 181-191.
McDonald, F. (2019). Ethics, Law and Health Care : A guide for nurses and midwives. London: MacMillan Education UK.
Newton, L. (2016). Experiences of registered nurses who supervise international nursing students in the clinical and classroom setting: an integrative literature review. Journal of clinical nursing, 25(12), 1486-1500.
Office of The Australian Information Commissioner. (2017, November 10). Communications with patients. Retrieved from https://www.oaic.gov.au/privacy/privacy-for-health-service-providers/communications-with-patients/
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