Professional Practice In Nursing Assignment
VerifiedAdded on 2022/08/13
|7
|1534
|18
AI Summary
Contribute Materials
Your contribution can guide someone’s learning journey. Share your
documents today.

Running head: NURSING
Professional Practice II
Name of the Student
Name of the University
Author Note
Professional Practice II
Name of the Student
Name of the University
Author Note
Secure Best Marks with AI Grader
Need help grading? Try our AI Grader for instant feedback on your assignments.

1NURSING
Answer 1
The term consent holds significance because it consider it to be the founding pillar of
health care delivery. Consent encompasses the principle that all individuals must be able to
provide their authorisation prior to being subjected to any form of clinical treatment (Katz,
Webb and Committee on Bioethics 2016). I hold the opinion that not just treatment, but
consent must be taken from patients before subjecting them to any diagnostic or laboratory
examinations as well, and it must be accomplished in the presence of a clinician who explains
the purpose and potential advantages and drawbacks of the procedure to the patient. Thus, I
consider consent to be a core component of international human rights and medical ethics.
Answer 2
Obtaining consent of patients suggests that the patients agree to undergo particular
procedure of treatment only after they have gained complete awareness of the correlated
risks, benefits and alternative treatments. While any treatment or examination is associated
with a degree of health risk, the decision lies on the patient to select if the potential danger or
health risk is acceptable. Typically, patients have to sign a document indicating that they
understand and agree to the process, prior to its implementation (Yu, Wijesekera and Costa
2017). However, in this scenario, Mr. Saara did not provide his consent and is cannot
communicate effectively. Hence, difficulty in explaining the procedure to him might result in
medical malpractice, and if the surgery is performed without informing him, he is eligible to
file a lawsuit. This calls for the need of obtaining patient consent for the LPN.
Answer 3
The standards 1 and 4 that focus on ‘Professional Responsibility and Accountability’
and ‘Ethical Practice’ are pertinent to the case study. The indicator which makes it necessary
for nurses to remain accountable and responsible for professional conduct and own actions,
Answer 1
The term consent holds significance because it consider it to be the founding pillar of
health care delivery. Consent encompasses the principle that all individuals must be able to
provide their authorisation prior to being subjected to any form of clinical treatment (Katz,
Webb and Committee on Bioethics 2016). I hold the opinion that not just treatment, but
consent must be taken from patients before subjecting them to any diagnostic or laboratory
examinations as well, and it must be accomplished in the presence of a clinician who explains
the purpose and potential advantages and drawbacks of the procedure to the patient. Thus, I
consider consent to be a core component of international human rights and medical ethics.
Answer 2
Obtaining consent of patients suggests that the patients agree to undergo particular
procedure of treatment only after they have gained complete awareness of the correlated
risks, benefits and alternative treatments. While any treatment or examination is associated
with a degree of health risk, the decision lies on the patient to select if the potential danger or
health risk is acceptable. Typically, patients have to sign a document indicating that they
understand and agree to the process, prior to its implementation (Yu, Wijesekera and Costa
2017). However, in this scenario, Mr. Saara did not provide his consent and is cannot
communicate effectively. Hence, difficulty in explaining the procedure to him might result in
medical malpractice, and if the surgery is performed without informing him, he is eligible to
file a lawsuit. This calls for the need of obtaining patient consent for the LPN.
Answer 3
The standards 1 and 4 that focus on ‘Professional Responsibility and Accountability’
and ‘Ethical Practice’ are pertinent to the case study. The indicator which makes it necessary
for nurses to remain accountable and responsible for professional conduct and own actions,

2NURSING
assess self-practice, while taking efforts to enhance practice and act towards promoting the
provision of appropriate, safe and ethical care is relevant to the case (BCCNP 2018). This can
be accredited to the fact that the OR has advised the LPN to obtain signs of the patient in the
consent form and also wants her to be a witness of this signature. This is not in accordance to
the standard indicators owing to the fact that accountability forms the core of nursing
profession since it safeguards patients, health care workers and employers from the impacts
of negligent, bad and unsafe practice. Moreover, the indicators of making client as primary
concern, demonstrating honesty, and promoting respectful communication also apply to this
case.
Answer 4
The standard 1 that is related to ‘Professional Responsibility and Accountability’ applies
to the issue of consent in this case (BCCNP 2018). This can be accredited to the fact that
nurses have moral, ethical and legal obligations related to collaboration and patient care and
must show adherence to these standards for a successful practice (Spatz, Krumholz and
Moulton 2016). Legal or professional violation often lead to licensure loss, thus being
significant.
a) The indicator 2 within clinical practice domain is particularly linked to consent.
According to this indicator, nurses must function in their own level of proficiency,
within their lawfully identified scope of practice and pertinent legislation (BCCNP
2018). The indicator highlights the ethical and legal obligation of nurses towards
consent for intended treatment, care and research. The nurses are expected to abide by
the Infants Act and the Health Care (Consent) and Care Facility (Admission) Act
(BCCNP 2020). These acts make necessitate showing respect towards rights of clients
for deciding about own health care management, and requires all nurses to be aware
assess self-practice, while taking efforts to enhance practice and act towards promoting the
provision of appropriate, safe and ethical care is relevant to the case (BCCNP 2018). This can
be accredited to the fact that the OR has advised the LPN to obtain signs of the patient in the
consent form and also wants her to be a witness of this signature. This is not in accordance to
the standard indicators owing to the fact that accountability forms the core of nursing
profession since it safeguards patients, health care workers and employers from the impacts
of negligent, bad and unsafe practice. Moreover, the indicators of making client as primary
concern, demonstrating honesty, and promoting respectful communication also apply to this
case.
Answer 4
The standard 1 that is related to ‘Professional Responsibility and Accountability’ applies
to the issue of consent in this case (BCCNP 2018). This can be accredited to the fact that
nurses have moral, ethical and legal obligations related to collaboration and patient care and
must show adherence to these standards for a successful practice (Spatz, Krumholz and
Moulton 2016). Legal or professional violation often lead to licensure loss, thus being
significant.
a) The indicator 2 within clinical practice domain is particularly linked to consent.
According to this indicator, nurses must function in their own level of proficiency,
within their lawfully identified scope of practice and pertinent legislation (BCCNP
2018). The indicator highlights the ethical and legal obligation of nurses towards
consent for intended treatment, care and research. The nurses are expected to abide by
the Infants Act and the Health Care (Consent) and Care Facility (Admission) Act
(BCCNP 2020). These acts make necessitate showing respect towards rights of clients
for deciding about own health care management, and requires all nurses to be aware

3NURSING
of the legislation that is applicable to nursing practice. Not only do nurses have to
determine capacity of patients to give consent, but must not take accountability for
gathering consent for treatment delivered by other professionals during anesthesia or
surgery (BCCNP 2020). Moreover, fraud, coercion or misrepresentation must not be
used during the consent procedure, against the advice of the OR.
Answer 5
The first ethical obligation for informed consent is patient autonomy. This refers to
the right of patient for deciding about the care they will be given, without being influenced by
the healthcare provider. Though health providers can educate and inform patients about the
intended treatment plan, they cannot make decisions on behalf of patient and forcefully
subject them to the treatment, without obtaining consent (Botha 2019). Healthcare providers
have the moral imperative of delivering care in a manner that benefits their patients. In
addition, care must be delivered in a manner that does not harm patients (non-maleficence).
However, a concern for the wellbeing of Mr. Saara is coming into conflict with
demonstrating respect towards his autonomy (McCullough 2020).
Answer 6
Gina can seek appointment with the family members of Mr. Saara, following which
she can explain the purpose, health benefits and risks to them. After explaining about the care
plan, Gina can seek assistance from the family members in order to communicate with the
patient in their native language (Taylor 2019). A professional interpreter will also be hired
who will be able to help the patient understand about the treatment, owing to the fact that the
interpreter will influence Gina as she delivers person-centred care (Lee et al. 2017).
Answer 7
of the legislation that is applicable to nursing practice. Not only do nurses have to
determine capacity of patients to give consent, but must not take accountability for
gathering consent for treatment delivered by other professionals during anesthesia or
surgery (BCCNP 2020). Moreover, fraud, coercion or misrepresentation must not be
used during the consent procedure, against the advice of the OR.
Answer 5
The first ethical obligation for informed consent is patient autonomy. This refers to
the right of patient for deciding about the care they will be given, without being influenced by
the healthcare provider. Though health providers can educate and inform patients about the
intended treatment plan, they cannot make decisions on behalf of patient and forcefully
subject them to the treatment, without obtaining consent (Botha 2019). Healthcare providers
have the moral imperative of delivering care in a manner that benefits their patients. In
addition, care must be delivered in a manner that does not harm patients (non-maleficence).
However, a concern for the wellbeing of Mr. Saara is coming into conflict with
demonstrating respect towards his autonomy (McCullough 2020).
Answer 6
Gina can seek appointment with the family members of Mr. Saara, following which
she can explain the purpose, health benefits and risks to them. After explaining about the care
plan, Gina can seek assistance from the family members in order to communicate with the
patient in their native language (Taylor 2019). A professional interpreter will also be hired
who will be able to help the patient understand about the treatment, owing to the fact that the
interpreter will influence Gina as she delivers person-centred care (Lee et al. 2017).
Answer 7
Secure Best Marks with AI Grader
Need help grading? Try our AI Grader for instant feedback on your assignments.

4NURSING
a) If I were Gina, I would have reflected on the impact of communication challenges in
this case. The ability of the patient to ineffectively communicate might have been
affected by his health condition and linguistic background. Moreover, it would also be
significant to reflect if at all the surgeon had explained the surgical procedure to the
patient, since conducting a surgery without information would lead to medical
malpractice.
b) I feel that the OR was wrong in forcing Gina to collect the signature from Mr. Saara,
despite his difficulty in affirming whether he had been informed by the surgeon about
the procedure. However, I feel Gina adopted a correct approach in not preparing the
patient for surgery, since Gina was able to identify the importance of informed
consent and that a failure in obtaining so would lead to medical misconduct.
c) I would call for the surgeon and seek his clarification whether Mr. Saara had been
accurately informed about the surgery, and if at all he demonstrated his agreement
with the intended treatment. I would also engage in non-verbal communication to help
him understand about the treatment.
a) If I were Gina, I would have reflected on the impact of communication challenges in
this case. The ability of the patient to ineffectively communicate might have been
affected by his health condition and linguistic background. Moreover, it would also be
significant to reflect if at all the surgeon had explained the surgical procedure to the
patient, since conducting a surgery without information would lead to medical
malpractice.
b) I feel that the OR was wrong in forcing Gina to collect the signature from Mr. Saara,
despite his difficulty in affirming whether he had been informed by the surgeon about
the procedure. However, I feel Gina adopted a correct approach in not preparing the
patient for surgery, since Gina was able to identify the importance of informed
consent and that a failure in obtaining so would lead to medical misconduct.
c) I would call for the surgeon and seek his clarification whether Mr. Saara had been
accurately informed about the surgery, and if at all he demonstrated his agreement
with the intended treatment. I would also engage in non-verbal communication to help
him understand about the treatment.

5NURSING
References
Botha, J., 2019, January. Patient autonomy/Informed consent. In The Specialist Forum (Vol.
19, No. 1, pp. 10-12). New Media Publishing.
British Columbia College of Nursing Professionals., 2018. Professional Standards for
Registered Nurses and Nurse Practitioners. [online] Available at:
https://www.bccnp.ca/Standards/RN_NP/StandardResources/RN_NP_ProfessionalStandards.
pdf [Accessed 03 Mar. 2020]
British Columbia College of Nursing Professionals., 2020. Consent. [online] Available at:
https://www.bccnp.ca/Standards/RN_NP/PracticeStandards/Pages/consent.aspx [Accessed 03
Mar. 2020]
Katz, A.L., Webb, S.A. and Committee on Bioethics, 2016. Informed consent in decision-
making in pediatric practice. Pediatrics, 138(2), p.e20161485.
Lee, J.S., Pérez-Stable, E.J., Gregorich, S.E., Crawford, M.H., Green, A., Livaudais-Toman,
J. and Karliner, L.S., 2017. Increased access to professional interpreters in the hospital
improves informed consent for patients with limited English proficiency. Journal of general
internal medicine, 32(8), pp.863-870.
McCullough, L.B., 2020. Beneficence and Wellbeing: A Critical Appraisal. The American
Journal of Bioethics, 20(3), pp.65-68.
Spatz, E.S., Krumholz, H.M. and Moulton, B.W., 2016. The new era of informed consent:
getting to a reasonable-patient standard through shared decision making. Jama, 315(19),
pp.2063-2064.
References
Botha, J., 2019, January. Patient autonomy/Informed consent. In The Specialist Forum (Vol.
19, No. 1, pp. 10-12). New Media Publishing.
British Columbia College of Nursing Professionals., 2018. Professional Standards for
Registered Nurses and Nurse Practitioners. [online] Available at:
https://www.bccnp.ca/Standards/RN_NP/StandardResources/RN_NP_ProfessionalStandards.
pdf [Accessed 03 Mar. 2020]
British Columbia College of Nursing Professionals., 2020. Consent. [online] Available at:
https://www.bccnp.ca/Standards/RN_NP/PracticeStandards/Pages/consent.aspx [Accessed 03
Mar. 2020]
Katz, A.L., Webb, S.A. and Committee on Bioethics, 2016. Informed consent in decision-
making in pediatric practice. Pediatrics, 138(2), p.e20161485.
Lee, J.S., Pérez-Stable, E.J., Gregorich, S.E., Crawford, M.H., Green, A., Livaudais-Toman,
J. and Karliner, L.S., 2017. Increased access to professional interpreters in the hospital
improves informed consent for patients with limited English proficiency. Journal of general
internal medicine, 32(8), pp.863-870.
McCullough, L.B., 2020. Beneficence and Wellbeing: A Critical Appraisal. The American
Journal of Bioethics, 20(3), pp.65-68.
Spatz, E.S., Krumholz, H.M. and Moulton, B.W., 2016. The new era of informed consent:
getting to a reasonable-patient standard through shared decision making. Jama, 315(19),
pp.2063-2064.

6NURSING
Taylor, J.S., 2019, September. Social autonomy and family-based informed consent. In The
Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of
Medicine (Vol. 44, No. 5, pp. 621-639). US: Oxford University Press.
Yu, B., Wijesekera, D. and Costa, P., 2017. Informed Consent in Healthcare.
Taylor, J.S., 2019, September. Social autonomy and family-based informed consent. In The
Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of
Medicine (Vol. 44, No. 5, pp. 621-639). US: Oxford University Press.
Yu, B., Wijesekera, D. and Costa, P., 2017. Informed Consent in Healthcare.
1 out of 7
Related Documents
![[object Object]](/_next/image/?url=%2F_next%2Fstatic%2Fmedia%2Flogo.6d15ce61.png&w=640&q=75)
Your All-in-One AI-Powered Toolkit for Academic Success.
+13062052269
info@desklib.com
Available 24*7 on WhatsApp / Email
Unlock your academic potential
© 2024 | Zucol Services PVT LTD | All rights reserved.