Nursing Education Case Study

Amanda Strother
NURB 2160

1. Should the researchers have intervened?
I believe the researcher's intervened as much as they could or should have while still doing the job they were there to for. They were there to collect data in the natural state of the nursing home. If they had intervened more than they had, they would run the risk of missing valuable information.

2. Who was responsible for the condition of the patient? Why?
There were multiple people responsible for the condition of this patient. Although the nurses are ultimately responsible for the care of the patients they are assigned, the other staff at the nursing home must also be held responsible. The fact that the nursing home was severely understaffed falls on the shoulders
Daly, several of the provisions of the ANA Code of Ethics were violated. Provision 3: The nurse promotes, advocates for, and protects the rights, health and safety of the patient. The nurses did not promote or protect the rights, health or safety of Mr. Daly. He often had feces in the ulcer because of improper repositioning and he was not given pain medicine in a timely manner even though he cried out to the nurses because he was hurting so bad. Provision 4: The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care. This provision was violated when the patient was to be given pain medication 30 minutes before his bandages were changed and the nurses often didn't adhere to the orders. Provision 5: The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth. In the article, it was stated that "many of the nursing home staff worked double shifts, even though they preferred not to." In 5.2 of the provision it talks about balance and if the nurse is being over worked they can't maintain their own health and provide the best care for the patient. Provision 6: The nurse, through individual and collective effort, establishes, maintains, and improves the
Mr. Daly's autonomy was violated when "his request for medication were often ignored" even though the physician ordered oral morphine to be given every hour as needed for pain. The nurse should respect his request for medication. Beneficence is taking actions to benefit and promote the welfare of other people. This ethical principle was violated because the nurses wouldn’t help with repositioning Mr. Daly or patiently help feed him when he couldn’t do it for himself. Nonmaleficence means to cause no harm. The nurses didn't wait to proper amount of time after giving medication before changing his dressing which caused unnecessary pain to Mr. Daly. Even though he cried because he was in so much pain, they continued without giving the medication time to take effect. Justice means fairness and treating people equally. I don't feel like the nursing staff treated Mr. Daly fairly because they didn't provide him with the care he needed or