The ability of the nurse to effectively advocate for the patient lies within the nurses competency of the situation at hand and the level of care needed by this patient. We must make sure that what is asked for by this patient is safe, and that this care can continue as they transition to the next level of care. If at all possible, we must engage a competent individual who will see to it that this care is carried out for the patient safety regardless of where they are transitioned to. We must give these patients a chance to participate in their care by educating them of their disease process, and recovery potential. They must be willing participants toward their recovery and hence improving their quality of life. We are to do all in our power to protect their rights and make every effort to eliminate errors. We must make sure their medication orders are without errors, and also see to it that they have all the resources they will need by helping them find outside resources. Their awareness of their community resources will greatly benefit them and help toward the improvement of their well beings.

Two days ago, I was involved in the care of an oncology patient. She was no longer able to speak and was becoming vividly altered in mentation. She had been alert and oriented in the previous week, but at the shift report on this day, I was informed that she had climbed out of bed and fallen. When I got to her, I discovered that her condition was becoming more acute and she was hallucinating and declining fast. I made the Charge nurse aware of her increasing anxiety and inability to stay in bed, requesting for a sitter to keep her safe, I was told that we had no resources and that I should consider using a posey restraint or ativan to settle her. My lady is 91 years old with acute alteration in the mental status due to her disease process, the last thing I wanted to do was to increase her anxiety with the posey, I did not want to end her life either by giving her ativan. She was severly anorexic and receiving PPN due to her NPO status. I went and stayed in her room and attempted to run to my other patients from there. I was finally able to consult with the shift coordinator who subsequently provided me with a sitter for this patient. She lasted the night with a 1:1 sitter, without exotic drugs and received the care she needed.

 

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Patients who are ill depend on nurses to help them return to an optimum healthy state.Utilizing the nursing process allows nurses to take an active role in a patient’s care.According to Oliveira and Tariman (2017), nurses spend more contact hours with the patient than any other member of the healthcare team. Therefore, nurses have an important role as a patient advocate.It is the duty of a nurse to speak up on behalf of a patient to protect their basic rights and safeguard their safety (Oliveira and Tariman, 2017). Advocating for patients may be difficult for some nurses because the patient may want or decline treatment and it is the nurse’s responsibility to make sure their wishes are met. Patient advocacy also entails speaking to other members of the healthcare team to maintain the best interests of the patient. Standing up for patient’s rights, no matter how difficult it is, is a nurse’s responsibility (Grand Canyon University, 2018). Barriers that nurses may encounter are lack of support from administrators, acuity of patients, not using evidence-based practice, lack of assertiveness or confidence (Oliveira and Tariman, 2017). It is important for nurses to remember that one must practice according to the guidelines set by the nursing practice act of their state and advocate for their patient within their scope and standards of practice.

In my experience as a labor and delivery nurse I have had several opportunities to advocate for my patients. In one instance I had a laboring patient who was very adamant that she did not want an epidural. She wanted to experience a labor with minimal interventions. When her physician came to evaluate her, he was upset that she did not have an epidural. He started to try to intimidate and scare her into getting one.There was no medical necessity for it and she looked at me and started to cry. I verbalized to the physician that she did not want an epidural and I was going to be sure that whatever her wishes were, we were going to respect them, no matter how inconvenient he felt it was for him, as long as there was no medical contraindication. My patient delivered with no epidural and was so thankful and appreciative that I helped her not get bullied into an unnecessary procedure when there was no medical indication for it.

 

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  Plagiarism is when we are using another person’s thoughts, idea, work, and effort without acknowledging it. When we do not use the name of the author or use the resource and material but don’t cite the source or author. We are then using someone else work as our own and this is being dishonest and cheat. This discredits us not only personally but professionally also we lose trust.

  When we properly cite the name of the author, quotation and a source of the reference then it helps us to prove that our research is substantial and is based on some evidence. This gives credibility to our work and proves our viewpoint. In the nursing profession keeping the integrity, reliability, confidentiality, and trust is the key. In order to maintain the academic integrity, we should use the resource properly by providing the name of the author, publication, book or article and also mentioning it in our references. Also should not copy someone work. I will try to ensure that I use the resources properly and ask for help if I need to.

 

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Plagiarising as a nursing student, goes beyond the academics. It reaches to the core and very foundation of trust, and integrity upon which the profession of nursing was built, and affects the very care we give to our most trusting clients, our patients. It attempts to uproot and, make a mockery of it all by taking away the trust the public has in our profession. As students, if we do not carefully research the topics and issues before us, and discover the best way to address and get it under control through proper data collection, giving credit to where it is due, we will not be able to carry these out as nurses. This is exactly what we are going to do for every patients concern. We will have to research or investigate the problem, collect data, analyze it, plan, while advocating for the patient as we present our findings to the physicians. Our implementation of the prescribed care will focus on the patient’s safety, and we will patiently and together with the physician evaluate the outcome of the whole process. This will aid to enhance a much better outcome for these patients.Their trust in the profession of nursing will be strengthened. The issue here is about honesty and integrity in our work as nurses. We are expected to research enough materials and get an excellent  grasp of the researched topic while giving credit to the sources of our acquired wisdom. As we practice doing this at this level of our education, we will easily transfer it to our professions as nurses. As we ethically practice this, we will be able to stand with those great giants in healthcare, and deliver the best possible care with integrity to those that have come to us with trust in their time of illness or trauma. 

The public has great trust in our profession, and believes that we will be there to help them alleviate their greatest fears during a time of illness.The only way we can deliver this care is by diligently studying and gaining an up-to-date understanding through research and the application of this knowledge to our patients conditions. This will help to optimize these patients outcomes ( Brower & Nemec, 2017). Our critical thinking skills, our careful observations and the analysis of these informations takes us from being task oriented nurses to educated scientists who are able to enhance their patients lives by making discoveries with solid evidence from our varied data collections and analysis, and implementing those plans for a better outcome for our patients.This process further solves problems and impacts our clients or patients  by improving their outcomes ( Brower & Nemec, 2017).

In order to ensure academic integrity in my work, I will thoroughly research materials on a given subject and gain a good understanding of it (Eberle, 2013). I will carefully study and ask questions to gain the understanding needed to become a safe nurse.

I will be very careful to give credit to each source I use by citing it authors and the dates of its publications.

 

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Visit the AHIMA website (ahima.org) and research the qualifications for taking each certification examination (ahima.org/certification) and the continuing education requirements for maintaining each credential.  What similarities and differences do you see?

APA format and completely cover the topic

At least one page in length

 

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