Assignment on Nursing Specialty
Added on 2020-05-08
7 Pages1868 Words63 Views
Running head: NURSING SPECIALTYNursing specialtyName of the student:Name of the University:Author’s note
1NURSING SPECIALTYAnswer 1In aged care, one of that major safety or legal issues that is seen is mainly due toincidence of abuse in older clients. According to the Aged Care Act, it is the responsibility ofcarers to maintain the rights and responsibilities of aged care such as well treating the client andensuring the highest quality of care by meeting all health and safety standards of care. However,despite legislations and organizational protocol on aged care, prevalence of elder abuse andneglect has become common (Yon et al., 2017). As a nurse, I explored this issue in my clinicalsetting where many nurses did not had appropriate attitude towards caring for older adults andthey violated their core responsibility of providing safe, appropriate and responsive qualitynursing care according to the standard 6 of the registered nurse standards for practice (Registerednurse standards for practice., (2017). Nurses were found to be irresponsive to address elderabuse and report about such issues to relevant authorities. The review of studies has revealed that elder abuse has become prevalent due tounderstaffed nursing facility, lack of quality caregiver and other societal, cultural and familialinfluence (Burnes et al., 2015).. In addition, Dong, X. Q. (2015) showed that risk of abuseincluding physical, financial, emotional abuse and neglect is more in older women compared toolder men. Shared living, low income and presence of large family members also increase therisk of financial, emotional and physical abuse. Another issue facing residential aged care inAustralia is that professional carers find it difficult to recognize signs of abuse and adequatelyrespond to them. Many staffs do not go ahead with reporting about abuse because of the increasein risk to people due to cognitive impairment, physical frailty and fear of retaliation in elderclients. In this situation, it is necessary nurse understand their professional role in safety ofpatient and identify differential response to alleviate or prevent mistreatment of elder clients in
2NURSING SPECIALTYhealth care setting. According to the position statement of the Australian College of Nursing onthe role of registered nurse in residential aged care facilities, the registered nurse should bepresent on-site and available at all times to promote safety and well-being of residents. To reducethe incidence of adult abuse, it is necessary for nurses to develop different skills mix such ascommunicating with clients over difficult topics. The residential care homes or other health caresetting should also integrate adult protection principles in daily practice to ensure and developskills of nurses in recognizing and reporting about abuse in the right time. Answer 2In the process of treatment and delivery of care, nurses are often required to shareinformation with patients or other members to optimize the care process. However, there areethical considerations related to sharing of patient’s information. According to the ethical code ofconduct for health care professionals, all of them have the legal and ethical responsibility toprotect and respect the privacy and confidentiality of client (Haug, 2017). This is in relevancewith the ethical code of autonomy as it enables patient to decide how and with whom theirinformation needs to be shared. HIPAA also reminds regarding health information privacy andsuggest that health care professionals who have access to patient records have the obligation tokeep the information in confidence. This means clinicians as well as nurse need to advocate,uphold and defend patient’s right to privacy while sharing patient’s information with others(Prater, 2017). In addition, the right to privacy has links with patient autonomy as it states thatindividual patients should be allowed to take their own decision regarding how information isshared.
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