Western Governors University
Nursing Roles and Value
NVT2
Competency 724.7.1 Ethical Leadership Competency 724.7.2 Continuing Competency in Nursing
Marisha Grimley Course Mentor
March 04, 2012
Nursing Roles and Value The purpose of this paper is to evaluate a case study addressing ethical leadership, analyzing application of standardized code of ethics on nursing practice, and discussing issues in safety for quality patient care. This paper will support the importance of confidentiality when discussing protected patient information. In addition, the need for continuing education and training for nursing through identification of Federal and State regulations as applied to nursing practice will be addressed. The discussion will touch on how these regulations are applied in specific care settings and the professional role of nursing in the ever changing health care delivery system.
State regulation or standard of nurse practice The contemporary definition of nursing according to the Scope and Standards of Practice (2010) is: “Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.” (p. 66). According to the Standards of professional Nursing Practice, this scenario violates nursing Standard 7 – Ethics which states: “The registered Nurse: Delivers care in a manner that preserves and protects healthcare consumers’ autonomy, dignity, rights, values, and beliefs.” (The Standard of professional Performance, 2010, p. 47). The nurse does not follow the standards of practices leading to the several implications. When asked by Dr K. to look in the chart to determine if anyone was responsible for Mr. E’s medical decision making, the nurse failed to inform Dr K that the patient had an Advance Directive (AD) that
References: Board of Registered Nurse. The Registered Nurse as Patient Advocate [Regulations]. Sacramento, CA: (Reprint from the BRN Report - Winter 1987). Retrieved from: http://www.rn.ca.gov/pdfs/regulations/npr-i-11.pdf America Nursing Association (2010). In Scope and Standards of Practice (2nd edition). Silver Spring, Maryland: Nursesbooks.org. America Nursing Association (2001). Code of ethics for nurses with interpretive statements (2001 edition). Silver Spring, Maryland: nursingbooks.org. Advance Directive Form. (PS-X-MHS-842 Rev. 2-04). Retrieved from: http://ag.ca.gov/consumers/pdf/AHCDS1.pdf Roux, G. & Halstead, J. A. (2009). Issues and Trends in Nursing. Sudbury, Massachusetts: Jones and Bartlett Publishers. U.S Department of Health and Human Services. (October 2007). Advance Directives and Advance Care Planning for People with Intellectual and Physical Disabilities. Retrieved from: http://aspe.hhs.gov/daltcp/reports/2007/adacp.htm#who (Roux & Halstead, 2009)