Solution
Anju Lata answered on
Aug 14 2020
Running Head: Jade’s Dilemma
Jade’s Dilemma 9
Assessment
Jade’s Dilemma
HSNS366 REPORT
Submitted for:…………………
Submitted by:………………………
University:………………………………
Date of Submission:………………………..
ABSTRACT
The report presents a critical and reflective analysis of Jade who is a newly graduated Registered Nurse. She encounters an 11 year old patient , named Bethany, at the hospital, who has come with her mother for the treatment of Acute Lymphocytic Leukemia (ALL) and chest infection. The mother of the patient is religious and does not allow for the administration of any kind of drugs into the body of the patient. The report presents a reflection of necessary policies and regulations in Nursing and midwifery Council of Australia, related to Jade’s scenario and recommends what she should have done to meet the conduct according to National standards.
Keywords: Acute Lymphocytic Leukemia; Chest Infection; Policies; National Standards.
TABLE OF CONTENT
Introduction....................................................................................................…...4
Critical Analysis…………………………………………………………….…….5
Analysis and appraisal of clinical decision making ………………………………7
Application of Integrated theoretical concepts……………………………………8
Analysis of teamwork & interdisciplinary practice issues ……………………….8
Analysis of effectiveness of inter-professional team & their collaboration skills….9
Key roles and responsibilities of a newly graduate RN …………………………...9
Recommendations……………………………………………………………..…10
Conclusion………………………………………………………………………...11
References…………………………………………………………………….…..12
INTRODUCTION
Background
Jade is a newly graduated Registered Nurse, who during her shift of second week of the graduate program, meets an 11 year old girl child Bethany admitted in the hospital for treatment and her mother. Bethany is suffering from Acute Lymphocytic Leukemia and chest infection. The Nursing staff and the doctors want to provide treatment to Bethany but her mother does not allow administration of any drugs due to her religious beliefs. The hospital finally decides to secretly provide Bethany with the treatment without the willingness of the mother. Jade, being a new Registered Nurse does not understand the planning of the Medical team and refuses to support them. She refuses to give Bethany any medicine secretly and tries to convince her mother about the treatment. Jade tells the mother about the secret plan of the Hospital management to take legal custody of Bethany and provide her treatment for her illness. Listening to all this, Bethany’s mother leaves the hospital taking away Bethany with her.
Purpose
The purpose of this report is to present the multidimensional role of registered nurse in delivering consistent and required care to the patients. It also analyzes the skills and duties of a newly graduated registered nurse while working in a collaborative manner with the other healthcare team members.
Scope
The report evaluates many issues related to Jade’s performance while working in her shift, as a newly graduated RN. The report illustrates medico-legal and ethical issues; and effective clinical decision making, professional standards of nursing; issues related to interdisciplinary practice, leadership roles and teamwork from the point of view of a new Registered Nurse.
CRITICAL ANALYSIS
Dynamic nature of Healthcare often develops mistrust and tension between the patients, nurses and the doctors (Vernon, 2013). Ethical standards are applied in decision making improves the level of trust in healthcare facilities. Low level of trust between the new Registered nurse and medical staff adversely affects the communication and interaction level. Priority of patient-centered treatment reduced the role of doctors to an extent of fact providers, giving the patients an increased role in decision making (Anderson, 2017). However, the patients are not always successful in making co
ect decisions about their treatment due to inadequate information available at their end. In such situations, the leaders like doctors have to follow ethical decision-making approach to choose the best treatment in the best interest of the patient.
The ethical decision-making practice involves five basic principles: Beneficence, Non- maleficence (not to harm any patient or community), Respect for the autonomy of the patient, Justice and Utility (Rush et al, 2013). The patients must have trust in physicians and their decisions.
There are many ethical and medico legal issues as evident in this case study:
1. Inadequate and incomplete information given to Jade: The additional information that was given ve
ally by the Night shift nurse to the Shift Coordinator, Lisa, was not conveyed to Jade. She must be given all the information about the religious beliefs of Bethany’s mother and proposed planning of medical team to treat the patient, as it was a special case to be handled for her.
2. Refusal of Jade to follow the Doctor’s Plan: When Jade consulted the doctor about Bethany’s situation, the doctor explained her all the facts related to Bethany’s health condition. Jade was supposed to understand the perspective of the medical team, however, she refused to follow the instructions of doctor...