Ebook Ethical competence in nursing practice: Part 2
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Ebook Ethical competence in nursing practice: Part 2
Emerging Ethical Issues in Nursing Practice6Exploring Ethical Issues Related to Person- and Family-Centered CareMary K. Wai ionLEARNING OBJECTIVES AND Ebook Ethical competence in nursing practice: Part 2D OUTCOMESUpon completion of this chapter, the reader will be able to:■Identify tltree ethical issues arising for clinical nurses in the pros ision of pcrson-and family-centered care (PFCC)■Describe tltree nursing competencies that support Pi cc in the acute care setting■Describe one approach IO eli Ebook Ethical competence in nursing practice: Part 2citing the preferences, values, and needs of patientsAs a registered nurse, you have seen the degree of patient and Family involvement in decision makEbook Ethical competence in nursing practice: Part 2
ing regarding nursing care varies depending on the patient's individual needs, preferences, and values. Nursing practice has always centered on the caEmerging Ethical Issues in Nursing Practice6Exploring Ethical Issues Related to Person- and Family-Centered CareMary K. Wai ionLEARNING OBJECTIVES AND Ebook Ethical competence in nursing practice: Part 2ccurately characterized as a full partnership where the expertise of the patient and family, if the patient wishes, is valued equally with that of the nurse. In such a partnership the patient and nurse jointly identify the problem, establish goals, create a plan of care, and evaluate the success of Ebook Ethical competence in nursing practice: Part 2the plan. The term patient centeredn ess, introduced in medical literature (Balint, 1969) to characterize the concept of understanding each patient asEbook Ethical competence in nursing practice: Part 2
a unique human being, is now recognized as an essential concept to achieve quality in health care (IOM, 2001). As you read this chapter, think about Emerging Ethical Issues in Nursing Practice6Exploring Ethical Issues Related to Person- and Family-Centered CareMary K. Wai ionLEARNING OBJECTIVES AND Ebook Ethical competence in nursing practice: Part 2Emerging Ethical Issues in Nursing PracticeCase ScenarioMr. Charles Jones is 35 years old and hospitalized for a severe genetic cardiopulmonary condition. He has survived long past the average life expectancy for an individual with his diagnosis. Hospitalizations are increasingly necessary as his di Ebook Ethical competence in nursing practice: Part 2sease has progressed and nighttime ventilator support became part of his home routine 5 years ago. His father is his primary caregiver. They share a hEbook Ethical competence in nursing practice: Part 2
ome and both describe the importance of their faith throughout the long journey with his progressive and life-limiting condition. Admitted lor worseniEmerging Ethical Issues in Nursing Practice6Exploring Ethical Issues Related to Person- and Family-Centered CareMary K. Wai ionLEARNING OBJECTIVES AND Ebook Ethical competence in nursing practice: Part 2tion routine. Physicians express annoyance when the very limited oral fluid allowance is not maintained. Some nurses "give in" to his requests to quench his everpresent thirst, leaving fluids at his bedside where he can access them as needed: other nurses describe an obli gation to follow physician Ebook Ethical competence in nursing practice: Part 2orders, posting signs alerting staff to not respond to the patient's request lor tx*verages. Respiratory therapists resist his requests to veer from tEbook Ethical competence in nursing practice: Part 2
heir standard hospital routine: he wants to follow his home schedule for nighttime ventilation. Since Mr. Jones's home routine for sleep is much laterEmerging Ethical Issues in Nursing Practice6Exploring Ethical Issues Related to Person- and Family-Centered CareMary K. Wai ionLEARNING OBJECTIVES AND Ebook Ethical competence in nursing practice: Part 2h a soar k before going on the ventilator and wants to start his morning routine much later than the hospital's 6 a.m. routine. I he nurse manager, rec ogni/ing the ethical aspects to this situation, consults rhe nurse ethicist for assistance in addressing I he (.are issues for the patient and the e Ebook Ethical competence in nursing practice: Part 2merging (onflic I among the nurses and between physicians and nurses.BACKGROUNDSocietal changes marked by the quality and patient safety movement, conEbook Ethical competence in nursing practice: Part 2
sumer demand, and regulatory and accrediting bodies arc forcing health care settings to shift the culture to one truly centered on the needs of patienEmerging Ethical Issues in Nursing Practice6Exploring Ethical Issues Related to Person- and Family-Centered CareMary K. Wai ionLEARNING OBJECTIVES AND Ebook Ethical competence in nursing practice: Part 2s, the ethical standard for professional practice, mandate attention to the primacy of the patient s interests, the right to self-determination, and the recognition of the unique needs of the individual (ANA, 2015a).Clinical nurses practicing in acute care settings arc likely to he challenged to pro Ebook Ethical competence in nursing practice: Part 2vide PFCC as patient values and preferences may be invisible or alternately not honored as they conflict with clinician or organizational values. 1 loEbook Ethical competence in nursing practice: Part 2
wcvcr, their proximity to the patient in a therapeutic relationship places them in a pivotal position to promote this cultural transformation albeit rEmerging Ethical Issues in Nursing Practice6Exploring Ethical Issues Related to Person- and Family-Centered CareMary K. Wai ionLEARNING OBJECTIVES AND Ebook Ethical competence in nursing practice: Part 2ons asCHAPTER 6 ■ Person-and Family-Centered Care 141well as honoring personal values, the values of their organization, and those of the patient and family. In this chapter, several ethical issues will be identified along with the requisite knowledge, skills, and attitude (KSA) that support the pro Ebook Ethical competence in nursing practice: Part 2vision of PFCC.Question to Consider Before Reading On1. How would you define PFCC in your current practice setting?WHAT IS PFCC?The Institute of MedicEbook Ethical competence in nursing practice: Part 2
ine, in its landmark report Crossing the Quality Chasm, identified one of six imperatives for quality as patient-centered care, defined as “providing Emerging Ethical Issues in Nursing Practice6Exploring Ethical Issues Related to Person- and Family-Centered CareMary K. Wai ionLEARNING OBJECTIVES AND Ebook Ethical competence in nursing practice: Part 2sions” (1OA1, 2001, p. 40). An extension of the 1051 definition of patient-centered care developed for the Quality and Safety Education for Nurses (QSEN) work highlights both nursings obligations to patients and the importance of partnership, “recognizing the patient or designee as the source of con Ebook Ethical competence in nursing practice: Part 2trol and full partner in providing compassionate and coordinated care based on respect for patient s preferences, values and needs” (Cronenwett Ct al.Ebook Ethical competence in nursing practice: Part 2
, 2007. p. 123).Partnership and engagement arc central to achieving an exceptional experience in the inpatient setting:■Every care interaction is anchEmerging Ethical Issues in Nursing Practice6Exploring Ethical Issues Related to Person- and Family-Centered CareMary K. Wai ionLEARNING OBJECTIVES AND Ebook Ethical competence in nursing practice: Part 2 spiritual, and learning).■Patients are part of the care team and participate at the level the patient chooses.■Care for each patient is based on a customized interdisciplinary shared care plan with patients educated, enabled, and confident to carry out their care plans. (Balik, Conway, Zippcrcr, & Ebook Ethical competence in nursing practice: Part 2Watson, 2011, P-14)Question to Consider Before Reading On1. I low are the these aspects of partnership and engagement integrated in your current practEbook Ethical competence in nursing practice: Part 2
ice?An analysis of the concept of patient ccntercdncss through the formal theories of ethics justifies the concept as the ethical approach to care (DuEmerging Ethical Issues in Nursing Practice6Exploring Ethical Issues Related to Person- and Family-Centered CareMary K. Wai ionLEARNING OBJECTIVES AND Ebook Ethical competence in nursing practice: Part 2 and family-centered care is more representative of the concept. Many experts have brought forth the idea that in order to ưeat the patient, one must sec the person (Barnstcincr, Disch, & Walton, 2014; Koloroutis & Trout, 2012; Schenck & Churchill, 2012). Moreover, individuals are engaging in health Ebook Ethical competence in nursing practice: Part 2 care beyond the hospital walls and family plays a significant role in health care experiences.ETHICAL ISSUES ARISING IN PFCCThe Code of Ethics for NuEbook Ethical competence in nursing practice: Part 2
rses embraces the ethical demands of respecting the wholeness of the person dwelling in a family and conununity (ANA, 2015a). However, models of ethicEmerging Ethical Issues in Nursing Practice6Exploring Ethical Issues Related to Person- and Family-Centered CareMary K. Wai ionLEARNING OBJECTIVES AND Ebook Ethical competence in nursing practice: Part 2 conflicts often to the exclusion of the importance of everyday skillful ethical comportment (Dreyfus. Dreyfus, & Benner, 2009).Emerging Ethical Issues in Nursing Practice6Exploring Ethical Issues Related to Person- and Family-Centered CareMary K. Wai ionLEARNING OBJECTIVES ANDGọi ngay
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