Patients who are violent towards hospital staff should be refused treatment Nurses should adopt the ethical principle of deontology and promote good, not harm. There is a binding duty for nurses based on morality. Moreover, there is a strong emphasis of the moral importance of cultivating virtuous character traits such as empathy and compassion in nurses. As virtue ethics are inculcated in medical and nursing students, they ought to have an ethic of care, without biasness, when carrying out treatment plan for all patients (Staunton & Chiarella, 2017). Hospital staff should embrace the ethical principle of beneficence - to actively do ‘good’ to all patients. The action should bring about the well-being of all patients. There is a professional …show more content…
There is a professional standards of practice to guide them in preventing harm. Hospital staff should sensibly ensure that no harm comes to a patient under their care. To withhold necessary treatments from violent patients simply imply that there is an intention to cause harm, perhaps, indirectly (Staunton & Chiarella, 2017). In law, there are three elements that constitute a negligent action - the duty of care is owed to the patient, the duty of care has been breached through inaction, and through this inaction, physical or financial harm has been caused. The negligence demonstrated in withholding treatment shows that the hospital staff’s inaction is below the expected standard. It may also cause the patient’s condition deteriorate (Hope, Savulescu, & Hendrick, …show more content…
Furthermore, the pervasive stigma against them leads to increased cost and poorer health outcomes. Instead of looking at a patient’s violent behavior on the superficial level, one should take into account the patient’s diagnosis and past experience. For instance, violent behavior is prevalent in patients with schizophrenia and it is also the most common reason for the admission to a psychiatric inpatient unit (Krakowski, Czobor, Citrome, Bark, & Cooper, 2006). Many are also under-diagnosed and under-treated, resulting in wide treatment gaps. Most of them require psychoanalytic treatment to cope with their violent behavior. There is a need to educate hospital staff in order to improve care outcomes of these patients (Minne,
Police and prosecutors tend to downplay the violent assaults on health care workers unless someone is severely injured, even though 30 states have felony laws against it (Jacobson, 2014, p. 4). According to a descriptive study conducted by Lisa Wolf there were many instances in, which the legal, judicial system was unwilling to pursue charges against patients, or family members who assaulted nurses. Thus the focus on legislation to make an assault on health care workers a felony crime may have limited efficacy unless efforts are made to address society’s complacency toward violence against nurses (Wolf et al., 2014, p. 3). In Pennsylvania two house bill’s were introduced one in 2011 House Bill 1992.
This is something that needs to be looked into more and more monitoring of how the nurses are able to treat their patients. There has been too many episodes where nurses just didn’t want to do their job like give meds when they were suppose to be administered or reporting when patients were in extreme
Pretrial discovered that 26 other patients had died at the defendant’s first hospital while the nurse’s care (Pozgar & Santucci, 2015, p. 120, para. 3). Although there were no eyewitnesses, she left a trail that lead back to her to prove that she murdered the 12 patients. In order to prevent such criminal acts from happening in the hospital setting, there are many actions that hospitals should take to reduce the risk of violence. When hiring hospital staff, there should be investigation of each applicant’s background.
On Thursday 10/22/15, at 1837 hours, FHEO Security Officers were dispatched to the Special Care Unit room # 38 for a disorderly patient (51D) who was verbally aggressive towards nursing staff. Security Officers Jason Peterman (404), William Miller (406), McCoy Collins (409), Carlos Ayuso (415) and I,, Steven Evans (407) responded and met with ED Nurse Shane Prather who stated that the patient, Williams, Warren B (MRN: 721948/FIN: 84737836), was physically aggressive towards him, banging on his bed, on the wall and wanting to leave. Security personnel approached and spoke to the patient and he became irate and threaten to hit Officer Jason (404. Mr. Williams began to insult us and using profane language towards the ED staff and stating that
Present conclusions supported by data, evidence, and information discussed throughout the paper. Do not add new information. Be sure to proofread your entire paper for errors. In summary, horizontal violence poses a significant challenge and threat to the nursing profession, warranting increased focus and attention.
Not only do you need to focus on the wellbeing of your patient, but the patient
Often doctors will try to act in beneficence but it is critical that they respect a patient’s autonomy. They have a duty to no do harm which can make it difficult if doctors and patients cannot come to an agreement on treatments. If a physician acts without consent then it can result in battery or negligence.
Ethical Perspective The book No Good Deed brings up many ethical issues that can be discussed. In the world of nursing there are specific issues that will be seen more than others. The ethical issue of nurses providing care that they feel is necessary for their patient yet others do not feel it is necessary is often an issue. Beneficence plays a large role because where is the fine line of doing good become doing harm?
A study conducted in Turkey in 2013 portrayed the reasons of violence against healthcare workers. Causative factors are intricately intertwined and complex in the way they contribute to emerging violence, but can be broadly attributed to the gap between healthcare providers and patients. Attention should be brought to healthcare providers that there is a lack of communication between them and the patients, and so they should provide accurate, clear, and concise information about the patient's condition, and the approximate waiting period. It is also necessary to corroborate the high stress level that patients are in, which may be overlooked by healthcare providers at times, hence provoking the patient and their family. We must also endorse the judicial system gaps and lack of security measures that are lacking in several hospitals all around the world.
The facilities enforcing protocols and policies to secure that employees are meeting government regulations. Doctors, nursing staff and support staff I must use their best ethical and moral judge in most case to ensure patients are being retreated. Thus, sometimes causing conflict with health care administration because health care workers sometimes unknowingly break policies or protocol by putting patients first. As well as hospitals and clinics have so many departments that there can be conflict of interest with patient care that can cause inconsistency with patient care (Santilli, J. el al., 2015, Para
When looking at the function of professional nursing, the attitude, experiences, as well as factors such as demographics, social class, education, and values, can determine how the nurse will view violence in the workplace. These factors that have contributed to the development of the professional nurse can also determine how the nurse views and even reacts to workplace violence and aggression towards them. The qualities of the professional nurse and their background can determine how the human behavior from the patient is viewed and can lead to de-escalation or escalation of violent situations. The behavior of the patient can include cooperation, calmness, anxiety, aggression, or anger. Behaviors of aggression, anger, frustration, and acts of intimidation when patients are experiencing an illness can exacerbate stressful situations which can turn violent.
Mike’s Voice in his Cancer Treatment Nurses will frequently be put into situations where they are left to determine if they should respect the client’s wishes when these wishes conflict with medically ordered care. “Ethical dilemmas occur when there are conflicting moral claims” (Burkhardt & Nathaniel, 2014, p. 527). Ethical dilemmas help shape nurses by requiring them to think critically about situations and determine the appropriate decision in order to create the best outcome for their patient.
The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to
Mr. Cole seems to favor autonomy, which is the right to make his own decision. I as his nurse must exercise my right of nonmalificence (duty to do no harm) especially if I feel that the patient is unstable. I feel that it is my duty to be honest with Mr. Cole (veracity) and let him aware of what can happen if he chooses to go home even though he is still coughing up blood. At the end of the day I am held accountable for the outcomes, whether they are good, bad or poor, so I must do my best to cover all bases not just for myself but more importantly for the patient. (Whitehead 2007)
Abstract A literature review was conducted to answer the following evidence-based research question "What are the effects of horizontal violence in the workplace on nurses and patient care?" The review includes a systematic review, two qualitative reviews, one quantitative review and a mixed method review that will aid in answering the research question while focusing on the effects of horizontal violence on nurses and what interventions could possibly be used to prevent this type of violence in the workplace. These studies were retrieved through various electronic databases in which will be discussed in the remainder of the literature review. The literature that was used were all published within the last five years with four of them being published in the United States and one from the United Kingdom.