You are a member of an interdisciplinary team participating in patient rounds at the start of your shift. You notice the physician charting that the patient is alert and oriented x3, but the patient was clearly confused, which the physician acknowledged during rounds.
Discussion Question
How would you approach this scenario? Apply one of the ethical principles discussed in Dynamics of Nursing: Art and Science of Professional Practice to this scenario. Discuss how organizational culture can help manage errors.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 5.2, 6.2, 6.4, 9.1, 9.2, 9.3.
You are a member of an interdisciplinary team participating in patient rounds at the start of your shift
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An Original Human-Crafted Assignment
In approaching this scenario, it’s crucial to prioritize patient safety and effective communication within the interdisciplinary team. One ethical principle that can be applied here is veracity, which emphasizes honesty and truthfulness in all interactions with patients and colleagues. By adhering to the principle of veracity, healthcare providers uphold integrity and trustworthiness, ensuring that accurate information is communicated and documented.
To address the situation, I would respectfully bring up the observed discrepancy during the interdisciplinary rounds, emphasizing the importance of accurate documentation for patient care and safety. I would express concern for the patient’s well-being and advocate for a reassessment of the patient’s mental status to ensure appropriate interventions are implemented. By advocating for honesty and transparency, I fulfill my ethical duty to prioritize veracity in patient care.
Furthermore, organizational culture plays a significant role in managing errors and promoting patient safety. In a culture that values open communication, collaboration, and a non-punitive approach to error reporting, healthcare providers feel empowered to speak up about discrepancies and report errors without fear of retribution. By fostering a culture of accountability and continuous learning, healthcare organizations can effectively manage errors and prevent adverse events from occurring. Implementing systems for double-checking documentation, conducting regular audits, and providing opportunities for interdisciplinary education and training can further support error management and promote a culture of safety within the organization.
References:
- American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: American Nurses Association.
- 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. https://doi.org/10.1111/j.1365-2648.2010.05412.x
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You are a member of an interdisciplinary team participating in patient rounds at the start of your shift
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