CASE STUDY 32 CASE STUDY 3 Question:A friend is unable to attend a class and asks that you forge their signatures on the class attendance list Immediate Action I would tell my friend that I won’t be able toforgethesignatureon the class attendance list Subsequent Action I would then try to explain why I would notreproducetheirsignatureon the attendance sheet. In my briefexplanation,I would emphasize that though we arefriends,it is against my principles and standards or ethics in my educational profession. Iwould likealsoapologizefor not forging the signaturefor the guiltI wouldfeelbecause as a friend maybe he thought I would do it as a favor of our friendship. Applicable Section: Code of Ethics for Nurses in Australia Introduction The Code of Ethics for Nurses in Australiawas developedfor the nurses in Australia. It is arelevantandcriticalreference to all nurses at all levels and areas of theprofessionincluding those in the clinical area, management area, and education and research areas. This Code outlines the nursing profession’s commitment to respect, promote, protect and uphold the fundamental rights of people who are both the recipients and providers of nursing andhealth care. It has eight code of ethics called values for nurses. This book has got various sections and understanding the guiding framework which organizes the eight value statements into four categories: which are:
CASE STUDY 33 •Self: this will discuss the ethics referring to the nurse, registered or enrolled, whois employedin that capacity. It alsoappliesto students of nursing. •Person (health consumer): this will refer to the person requiring or receiving health care, treatment, advice, information or other related services. It includes the full range of alternative terms such as client, resident,andpatient. This term mayincludethe family, friends, relatives and other members of a person’s nominated social network, and people whoare associatedwith the person who is the recipient of care (Masters, 2015). •Colleagues: this section will include other students, staff, nurses, otherhealthcare workers, and others lawfully involved in theresponsibilityof the person. Community: Nurses, individually and collectively, participate in creating and maintaining ethical, equitable, culturally and socially responsive, clinically appropriate and economically sustainable nursing and health care services for all people living in Australia. My sections are going tobe discussedaboutthese four categories: The applicable code ofethicsthat I am going toaddressis the value statement five Value Statement Five I am going to use the Value statement five which states that; Nurses value informed decision making. A nurse whether in practice or enrolled should value and is concerned with other people’s interests in making free, informed and ethical decisions.Thisincludes people having the opportunity to verify the meaning and implication of information that is being given to them when making decisions about their nursing and health including other relevant areas. Nurses also recognize that making decisions is sometimes constrained by circumstances beyond individual control and that there may be circumstances where the decision making cannot always be fully realized therefore the decision made is biased or subjective example in the scenario
CASE STUDY 34 given above there is presentation of a dilemma where decision making is affected by personal friendship, we will look at how this scenario applies relating it to the four-guiding framework: Self Nurses should ensure that they makegooddecision based on accurate information with relation to their practice within the constraints of their professional andbyethics l and legal requirements which they are entitled to do without undue pressure or coercion of any kind. They are responsible for ensuring their decision-makingis basedon contemporary, relevant and well- founded knowledge and information (LeMone et al., 2015). Understanding the need forgood decision making it should, therefore, be that the decision made in the above scenario though there is pressure the decision should be made with the standards in mind so that the actions are not against thestandardsin the respective profession. Person Nurses should value the legal and moral right of people, including children, to participate whenever possible in decision-making that is concerned with their nursing and health care and otherimportantissues in the society which includes decision making.Nurses should help in the decision-making process in situations where their help is needed or where the client or person is not able to make decision, in this scenario if you forge your friend’s signature you would have contributed negatively in helping them make decisions since you’ll be supporting their unlawful act by encouraging them to continue lacking class since a behavior that turns out to be frequent will always start by small and minute acts whether intentional or unintentional. Colleagues Nurses respect the rights of colleagues and members of other disciplines to participate in informed decision-making without forcing them in any way.You are always advised as a nurse
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CASE STUDY 35 to report or dealwhere necessary with any misconduct in this scenario when your friend tells you to forge a signature for them it is advisable that you advise them in why you are not going to forge the signature for themnot just turning them down because if you don’t explain to them you wouldn’t have helped them in any way ratheryou would have created an enemy for yourselves, and they will be left to continue with their behavior and influence other people to join them in forging signatures (Forbes & Watt, 2015). Community Nurses should also contribute to the activities done by thecommunityin nursing and health careand decision-making through a range of activities in areas such as advocacy and membership of health-related committees (Johnstone, 2015). Nurses also help in keeping the communityaccuratelyinformed on nursing and health-related issues in thecommunity. To ensure this, the nurse shouldensurethat within the community whether friends or not, decisions made are the correct one and the nurse as part of thecommunitymust start by Code of Professional. By discouraging the cheatingby your friend,you would have stopped that behavior from spreading within the class and the whole community (Daly, Speedy & Jackson, 2017). Applicable Section: Code of Professional Conduct for Nurses in Australia Professional conduct refers to the way a person behaves when practicing or in a professional capacity (Hunt, Frost, Newton, Salamonson & Davidson, 2017). This book or article highlights these professional conducts. Itis acceptedthat when performing their duties or responsibilities and conducting their affairs professionals should upholdexemplarystandards of conduct which are ten in number also known as conduct statement (Nursing & Council, 2008). I will discuss the following four applicable ones in this case study where a friend wants me to sign their class attendance sheet for them:
CASE STUDY 36 Conduct statement 2:Nurses practicebythe standards of the profession and broader health system Nursesareresponsibleforensuringthestandardoftheirpracticeconformsto professional standards developed and agreedby profession, with the object of enhancing the safety of people and their wellbeing and the standards discourage cheating any form since it is unlawful. Conduct statement 3: Nurses practice and conduct themselvesbylaws relevant to the profession and practice of nursing. Nurses are familiar with relevant laws and ensure they do not engage in clinical or other practices prohibited by such laws or delegate to other activities prohibitedby those laws an example would be forging a class attendance list that would further extend to other issues. Conductstatemen7:Nursessupportedthe health,wellbeingand informed thedecision- makingof people requiring or receiving care.They inform the person requiring nursing care and, wherethatpersonwishes,theirnominatedfamilymembers,partners,friendsorhealth interpreter, of the nature and purpose of recommended nursing care, and assist the person to make informed decisions about that care the same way a nurse should ensure that they explain to others the need to participate in good decision making (Kangasniemi, Pakkanen & Korhonen, 2015) Conduct statement 10:Nurses practice nursing reflectively and ethically Nurses practicenursingreflectively andethically,bythe Code of Ethics for Nurses in Australia,to learnfrom experienceand contributetopersonal andprofessionalpractice. Furthermore, they should evaluate their conduct and competency according to the standards of
CASE STUDY 37 the nursing profession (Schmidt, MacWilliams & Neal-Boylan, 2017). Nurses contribute to the professional development of students and colleagues. Possible legal and future implications of the future Frequent engagements in forging activities and attendance inclassby the friend Once you forge the class attendance sheet for the friend or not, they might still ask another person to do it and this will be frequent to the extent it becomes a normal behavior in their life. A behavior starts from a single action either intended or unintended (White, Phakoe & Rispel, 2015). Poor Class Grades The implications of not attending class for the student is eventually poor grades since it is from attending class that they are able to get the lessons from the class.A meta-analysis of the relationship between class attendance in college and college grades reveals that attendance has strong relationships with both class grades (Credé, 2010) and analyses also indicate that regular class attendance may be more important in grade determination for the younger college student than rare attendances. Foundation for corruption The foundation of corruption starts with innate behavior at a young age which may include favoritism or theft. This act of requesting forgery is already an unlawful act and if this continues it will be incorporated into all government sectors. A nurse should Able to discuss the implications of acts and legislation governing the practice of other health professionals with whom enrolled nurses work (Ingham-Broomfield, 2015). Production of unfit profession
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CASE STUDY 38 When on misses a class whether intentionally or unintentionally.When you miss class, you are missing out on the opportunity to gain additional knowledge hence when you go to the market in looking for jobs you will underperform in your work High dropout rate The implication of not attending class may lead to complete dropout from school.The studentneedsto attend school daily to succeed especially in Math’s,andattendance strongly affects standardized test scores and graduation and dropouts rate (Balfanz, 2012). Schoolsandcommunitiescanusechronicearlyabsencetoidentifyandaddress challengesaffectingthe social, educational and physical well-being of children Unsuccessful persons Several scholars argue that the success of individuals is determined by what they have learned that can only be obtained by attending class. According to the Australian on March25, 2018,attendance iskeypredictoroffuture success (Hunt et al., 2015). Conclusion In thiscase,study where Iam presentedwith a dilemma of whether to sign or not for my friend who expects favors from mebythe professional code ofethics,it is illegal since a nurse should act lawfully and help others in making aninformeddecision for themselves and others in need of their help. If not, this behavior will lead to several impacts in the future as observed in the media and even in the several research sources.
CASE STUDY 39 References Credé, M., Roch, S. G., & Kieszczynka, U. M. (2010). Class attendance in college: A meta- analyticreviewoftherelationshipofclassattendancewithgradesandstudent characteristics.Review of Educational Research,80(2), 272-295. Balfanz, R., & Byrnes, V. (2012). The importance of being in school: A report on absenteeism in the nation's public schools.The Education Digest,78(2), 4. Masters,K.(2015).Roledevelopmentinprofessionalnursingpractice.Jones&Bartlett Publishers. White, J., Phakoe, M., & Rispel, L. C. (2015). ‘Practice what you preach’: Nurses’ perspectives on the Code of Ethics and Service Pledge in five South African hospitals.Global health action,8(1), 26341. Johnstone, M. J. (2015).Bioethics: a nursing perspective. Elsevier Health Sciences. LeMone,P.,Burke,K.,Dwyer,T.,Levett-Jones,T.,Moxham,L.,&Reid-Searl,K. (2015).Medical-surgical nursing. Pearson Higher Education AU. Hunt, L., Frost, S. A., Newton, P. J., Salamonson, Y., & Davidson, P. M. (2017). A survey of criticalcarenurses’knowledgeofintra-abdominalhypertensionandabdominal compartment syndrome.Australian Critical Care,30(1), 21-27. Daly, J., Speedy, S., & Jackson, D. (2017).Contexts of nursing: An introduction. Elsevier Health Sciences. Schmidt, B. J., MacWilliams, B. R., & Neal-Boylan, L. (2017). Becoming Inclusive: A Code of Conduct for Inclusion and Diversity.Journal of Professional Nursing,33(2), 102-107. Kangasniemi, M., Pakkanen, P., & Korhonen, A. (2015). Professional ethics in nursing: an integrative review.Journal of advanced nursing,71(8), 1744-1757.
CASE STUDY 3 10 Ingham-Broomfield, R. (2015). A nurses' guide to qualitative research.Australian Journal of Advanced Nursing, The,32(3), 34. Nursing, A., & Council, M. (2008).Code of professional conduct for nurses in Australia. Australian Nursing and Midwifery Council. Forbes, H., & Watt, E. (2015).Jarvis's Physical Examination and Health Assessment. Elsevier Health Sciences. Ingham-Broomfield, R. (2015). A nurses' guide to qualitative research.Australian Journal of Advanced Nursing, The,32(3), 34. Kangasniemi, M., Pakkanen, P., & Korhonen, A. (2015). Professional ethics in nursing: an integrative review.Journal of advanced nursing,71(8), 1744-1757. Hunt, L., Ramjan, L., McDonald, G., Koch, J., Baird, D., & Salamonson, Y. (2015). Nursing students' perspectives of the health and healthcare issues of Australian Indigenous people.Nurse education today,35(3), 461-467.