HEALTH POLICY DEVELOPMENT 6
HealthPolicy Development/ Professional Values
HealthPolicy Development/Professional Values
Thehealth care system has become so dynamic and is subjected to numeroustransformations given that patients now demand to be provided withquality, well-coordinated, efficient and safe care services.Similarly, these continuous evolutions have significantly affectedthe health care delivery systems, policies, and ethical values. Thus,the health care providers practicing as part of the health caresystem are required to provide quality and safe care to patientswhile exercising ethical conduct (Matthews,2012).Professional value is the performance principles that are accepted bycertain professions. These values are used to evaluate nursingperformance, health care practitioners` interaction with patients andother colleagues (Shahriariet al., 2013).
Personalvalues and legal/ethical issues to determine how to proceed with thecare of client
Inmost cases, nurses are held accountable for their clinical functions.Therefore, their key role is to initiate better care for patients whoseek appropriate and quality care (Matthews,2012).For this case, Sue needs to understand the ethics of care. Care isthe feeling of showing compassion to others which may also demand anaction. The act of applying principles of caring requires that nursesdevelop a deep connection with their patients. This implies thatnurses must be able to see at the individuality of a person and goextra miles to maintain the dignity of their clients. It can benoted that the nursing supervisor on duty violated this ethicalvalue. The patient with CVA required caring because of the complexityof the illness. What Sue should have done was to confront the nurseand uphold the rules of nursing which hold that nurses ought torespect the dignity, worth and rights of every patient irrespectiveof their nature of health condition (AZBN, 2016). Thus, they shouldput aside prejudice and biases when handling clients.
Policiesor guideline Sue could use during decision-making
Fromthe core values established in any organization, it is the primaryresponsibility of employees to maintain positive work relationshipsthat support efficiency and satisfies professional needs. Given thatSue has concerns about the professional behavior of the nursesupervisor, she notes that this behavior jeopardizes the safety andwell-being of the patient. As such, the best policy for Sue is firstto let her colleague know of her concern. This is done in a mannerthat facilitates respect and dignity where she exercises care whenraising the issue and attempts to resolve the matter in a better andconfidential way.
Utilizingdecision-making framework during communication with supervisor
Codesof ethical conduct and related policies hold that workers should notviolate laws that are meant to protect the wellbeing of patients. Forthis reason, necessary actions that conform to the relevant codeshould be taken. Where concerns about a co-worker`s professionalbehavior do not improve, the matter has to be brought to anappropriate authority. Sue`s attempt to settle the issue with thenurse supervisor did not materialize into a viable solution. As such,necessary communication protocols implemented within the organizationmust be followed and should report the case to the respectivesupervisor. The decision framework is intended to justify theactions taken by the nurses. When communicating to the supervisor,Sue should aim at explaining whether leaving the client alone at homewould endanger his life. The first step in the framework is toidentify if the action is in line with the nursing practice rules. Itis evident that leaving the patient alone is not in agreement withthe nursing policies since any health practitioner owes the patientsa duty of care (AZBN, 2016). During the communication, Sue canconvince the supervisor that her act is within the accepted standardof care as stipulated in the regulations and should also convince thesupervisor that she is ready to agree with any consequences ofwhatever action she is going to take. The supervisor may give Sue theauthority to do whatever she wants upon declaring that she is readyto take responsibility.
Whatrecourse should Sue utilize to ensure clients safety?
Patientsafety is a crucial factor for quality care. In some cases, variouschallenges and problems may exist to make health care providersdeliver poor services to patients. To guarantee a client increasedsafety, there must be an establishment of improved processes andefficient operational structures (Shahriariet al., 2013).Some of the recourses that Sue should utilize include raising concernthat will warrant formulation of specific rules to promote timemanagement so that nurses can reduce harmful delays when giving care,enhance equity so that nurses providing care do not form biasregardless of one’s gender, health complication, economic status,etc., and provide patient-centered services to ensure that careprovided respects and is receptive to the client’s values, needsand preference.
Howcan EBP be integrated into responding appropriately to this case?
Evidence-BasedPractice (EBP) in practice of nursing is an important tool fordelivering quality care services that maximize outcomes of a patient.Some studies have shown that when nurses use evidence-based approach,a patient`s outcome will improve (Stevens,2013).Integration of EBP models into the home care will undoubtedlyconstitute a significant change. This is because the change isapparent in a manner that nurses can now critically think aboutresearch outcomes, the manner in which nurses have shaped theframework for improvements and the way in which care providersemployed adjust to alter the health care systems (Stevens,2013).When responding to this case, enough evidence will be required tohelp in making appropriate decisions. The case involves issues to dowith policies and regulations in the nursing practice. Informationregarding the patient’s conditions will be required so that adecision can be made whether he can be left alone at home. Inemploying EBP, the PICO (Problem, Intervention, Comparison, andOutcome) model can be applied (Nursingworld, 2012). At first, theissue at hand will be evaluated and then the best interventionsproposed. The interventions can be compared with existing, and thebest can be selected. In doing all these, the interests of the clientmust be considered. All decisions made should address the needs ofthe patient. Information can be obtained from the patient, familymembers, professional experts and other nurses who have handled asimilar case. Sufficient data should be obtained before any decisionconcerning the issue.
Variousprofessional values play a significant role in influencing the mannerin which policies are developed and implemented. Creative policiesrequire complete awareness of the varying professional ethical valuesand an evaluation of the primary decision makers. Where EBPapproaches, suitable and comprehensive policies are to be integratedinto the practice, provision of care must be taken to influenceprofessional values that are being included in the stage during theimplementation process.
ArizonaState Board of Nursing. (2016, August 29). RULESOF THE STATE BOARD OF NURSING. RetrievedNovember 07, 2016, fromhttps://www.azbn.gov/media/2305/rules-updated08292016.pdf
Matthews,J. (2012). Role of professional organizations in advocating for thenursing profession. OnlineJ Issues Nurs,17(3).
Nursingworld(2012, May 12. CLOSING THE GAP: FROM EVIDENCE TO ACTION. RetrievedNovember 7, 2016, fromhttp://nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Improving-Your-Practice/Research-Toolkit/ICN-Evidence-Based-Practice-Resource/Closing-the-Gap-from-Evidence-to-Action.pdf
Shahriari,M., Mohammadi, E., Abbaszadeh, A., & Bahrami, M. (2013). Nursingethical values and definitions: A literature review. Iranianjournal of nursing and midwifery research,18(1),1.
Stevens,K. (2013). The impact of evidence-based practice in nursing and thenext big ideas. TheOnline Journal of Issues in Nursing,18(2).