Md3011 Introduction To Clinical Healthcare: Assessment Answers

Alternate Actions

In the given case study Savannah could also choose any other option instead of going for work in mental instability. She could choose any of below-mentioned alternatives:

Applying for a leave:

She could ask for a leave for that day after telling the appropriate reason related to her mental health. It is possible that her supervisor might have said some unpleasant words because of consumption of alcohol and being unethical but still, it could be a better option instead of going to the hospital in the alcoholic mental state.

Positives

She could save herself from breaching the ethics and creating legal violation at the workplace.

The chances of losing the job could also be eliminated.

She might have praised by the supervisor for her truthfulness.

The patients did not have to suffer from any type of unethical conducts by Savannah.

Negatives

This could result in declining the image of Savannah in the eyes of her supervisor.

The supervisor and authority could also take a strict decision after knowing about the consumption of alcohol. Because medical sector employees especially nurses are not supposed to consume alcohol as it can be the reason for severe health issues (Hamid, Kanwal, Bajwa, Khalid, & Mubarak, 2016).

Shift the job responsibility to another nurse

Savannah could exchange her job responsibilities with another nurse who would be on leave for that day. In return, she could make a promise to another nurse to perform her duties on some other day at the time of urgency.

Positives

This could save her from the violation of ethical rules.

Her job responsibilities would be performed without any delay.

Patients did not have to suffer from any kind of delay in treatment and unethical issues.

Negatives

Savannah’s image could have down in terms of an employee following ethics and code of conduct (Jameton, 2017).

Personal Perception

If I would have been in place of Savannah, I would not consume alcohol as my profession does not allows me to do the same. According to the New Jersey Board of Nursing (State Board), the nurses are required to act in a professional manner at workplace and are prohibited to do any act which can lead to violation of ethics and code of conduct at workplace (Jersey, 2018)

But if in case, I would consume any eatables or drinks containing alcohol, I would surely take care of my duties and responsibilities at my workplace and I would try to consume such drinks which could not impact my mental and physical state at my workplace (Ulrich, et al., 2010). Because the ethics of accountability, responsibility and conscience also does not allow a nurse to do create any unethical environment due to the abnormal mental and physical condition Also, I took care of the time segment of consuming drinks. If I had to go for working in the early morning then I would not sleep late at night in alcoholic condition (Ranheim, 2009).

If there would be such conditions that would force me to awake till late night and also I had to go hospital then I would adopt the second option of shifting my job responsibilities to any of my co-worker that could handle my duties and responsibilities in a good manner. Also, I would inform my supervisor about my mental and physical health and said her/him to cooperate with me in shifting the responsibilities. I would have to make sure her/him that I will not repeat this unethical practice in future. The theory of giving respect to the profession allows a nurse to accept the mistake in front of supervisor and not to repeat the same in future. Following this theory, I also would apologize her/him for the inconvenience that they had to face just because of my unethical behavior. Although I may not have in the state of thinking well but I would have followed the situation after considering ethics, dignity, job values and practices related to the profession of nursing (TJ, 2017).

Suggested actions against Savannah

According to the ANA, management has the power to take strict action against nurses in case to violation of ethics (Ulrich, et al., 2010). On the basis of this, the supervisor should take strict action against Savannah for not following the code of conduct and ethics of the nursing profession. She also did a severe mistake by not informing anyone about her mental instability which resulted in the ethical and legal violation of rules of the state board of nursing. For taking action against Savannah, the supervisor can either directly report to the state board of nursing or to report the management first. The supervisor can also suspend her on the temporary basis until the issue is resolved. This is also included in the Nursing Practice Act of America that a nurse is not permitted to perform his/her duty in case of any ethical and legal issue related to him/her until it is not get resolved (NCSBN, 2018). By following this rule, the supervisor can take a strict action for the misconduct performed by Savannah.

Report against Savannah

According to the New Jersey Board of Nursing, the medical officers, supervisors, and psychologists should report nurse who attends to their patients within the condition of mental instability. This includes the situation when the supervisors think that the nurse is not capable of providing professional services (Kangasniemi, Pakkanen, & Korhonen, 2015). Following above provision, the supervisor should report about Savannah’s behavior to the State Board of Nursing. Being in the profession of nursing, Savannah should have followed the ethics of responsibility and individual and professional competency. She did also know that her physical condition could harm the patients and still came to the hospital in hangover condition. If the supervisor does not report to the board then it can have a negative impact on other employees and they can also repeat the same behavior. Thus it is to be recommended that the supervisor should report against the unethical behavior of Savannah to the higher authorities.

References

Barlow, N. A. (2014). University of Huddersfield. Retrieved June 23, 2018, from https://eprints.hud.ac.uk/id/eprint/23633/1/nbarlowfinalthesis.pdf

CNA. (2010). Ethics, Relationshps and Quality Practice Environments. Retrieved June 23, 2018, from CNA: https://www.cna-aiic.ca/~/media/cna/page-content/pdf-en/ethics_in_practice_jan_2010_e.pdf

Constantino, R. E. (2014). ELSI: Ethical, Legal, and Sociocultural Issues in Nursing Viewed through a Complex Synergistic System Lens. The Journal of Nursing Care, 3(1), 1-6.

Fairchild, R. M. (2010). Practical ethical theory for nurses responding to complexity in care. Sage Journals, 17(3), 353-362.

Hamid, S., Kanwal, R., Bajwa, M. H., Khalid, S., & Mubarak, H. (2016). Ethical Issues Faced by Nurses during Nursing Practice in Pakistan. Diversity and Equality in Health and Care, 13(4), 302-308.

Jameton, A. (2017). What Moral Distress in Nursing History Could Suggest about the Future of Health Care. AMA Journal of Ethics, 19(6), 617-628.

Jersey, T. S. (2018). New Jersey Division of Consumer Affairs. Retrieved June 25, 2018, from https://www.njconsumeraffairs.gov/nur/pages/default.aspx

Kangasniemi, M., Pakkanen, P., & Korhonen, A. (2015). Professional ethics in nursing: An integrative review. Journal of Advanced Nursing, 71(8), 1-14.

NCSBN. (2018). Nurse Practice Act, Rules & Regulations. Retrieved June 25, 2018, from https://www.ncsbn.org/nurse-practice-act.htm

Ranheim, A. (2009). Caring and its ethical aspects—an empirical philosophical dialogue on caring. International Journal of Qualitative Studies on Health and Well-being, 4(2), 78-85.

TJ, B. (2017). The Ethical Dimensions of Incivility in Nursing Education. Nursing & Healthcare International Journal, 1(3), 1-10.

Ulrich, C. M., Taylor, C., Soeken, K., O'Donnell, P., Farrar, A., Danis, M., & Grady, C. (2010). Everyday Ethics: Ethical Issues and Stress in Nursing Practice. Journal of Advanced Nursing, 66(11), 2510-2519.