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NURS 6053 Reasons for Upholding a Standard of Conduct in the Profession of Nursing at Work and Personal Lives

NURS 6053 Reasons for Upholding a Standard of Conduct in the Profession of Nursing at Work and Personal Lives

NURS 6053 Reasons for Upholding a Standard of Conduct in the Profession of Nursing at Work and Personal Lives

Inappropriate Conversations or Posts based on Nursing Professional Standards

Nurses have a role in adhering with professional standards while in or out of the workplace, including using social media. Nursing professional standards include ethical practice, professional accountability and responsibility; client-focused service provision, as well as knowledge-based practice (Epstein & Turner, 2015). After going through my social media accounts, I found some posts that might be considered unprofessional. For instance, I had posted a photo of my patient and shared the location of the clinic. While she is my friend, people will know that she had visited the clinic. I also found a comment with my personal opinion regarding alcohol use, which may contrast professional standards. Moreover, I found a post about discontentment with a previous employer. Such information may contradict professional standards because I appear to go against my responsibility. Ethical practice necessitates not sharing details about patients, including personal information, medication, and the times they have been in the medical facility (Koocher & Keith‑Spiegel, 2019).

I recently learned about nurse that didn’t follow the standards of professional accountability when it came to medication administration and the out come resulted in death of the patient and much pain and suffering for that family after the loss of their family member. The nurse should have followed her 5 rights to medication administration. Right patient, right medication, right dose, right route, right time. In this instance this nurse overrode the pyxis and pulled vecuronium when she was supposed to pull versed. This mistake could have been prevented if the nurse followed the standards of professional accountability when it comes to patient safety and medication administration safety checks. Nurses are given great responsibility when it comes to caring for the lives of others, the accountability that the general public places in nurses is so great that nurses must always follow the standard of professional accountability in their day to day work in order to create a safe practice that becomes their second nature. Yes, the system that is in place could often times fail a nurse resulting in a sentinel event although, as a licensed nurse it is imperative to fall back on always using safe patient standards no matter where you work in order to protect patient safety and the RN license.

Reasons for Upholding a Standard of Conduct in the Profession of Nursing at Work and Personal Lives

It is imperative that nurses recognize that they have a legal and ethical obligation to always maintain patient confidentiality and privacy. Professional standards and the law prohibit nurses from electronically transmitting any patient-related image or information (NCSBN, 2019). It is not appropriate to identify patients by their name or different information through a social media post. It is essential to maintain boundaries that adhere to professional standards when using electronic media. This implies that nurses should enforce and communicate professional boundaries with nursing clients in the social media environment. In their personal lives, nurses should uphold nursing standards because this can help safeguard their career and avoid controversies that can put them in conflict with patients or coworkers.

How Personal Conduct can be considered Unprofessional or Unethical or violate HIPAA

Federal law defines and reinforces privacy through the HIPAA. This legislation requires medical professionals to protect patient confidentiality and privacy. It defines individually identifiable information and explicates how this critical information might be used, the circumstances under which it may be used, and by whom. Individually identifiable information consists of any info relating to the present, future, or past mental or physical health of an individual (HIPAA Journal, 2018). It also includes information that may result in the identification of an individual. Sharing such information is unethical and unprofessional under the HIPAA.

An example of a violation of confidentiality through the use of social media is a nurse who comments on WhatsApp about a patient she has helped. In the context of a WhatsApp Group, the nurse and patient, who are members, may end up communicating information. The patient may say that she is feeling better after visiting the clinic, which the nurse may say that the morphine she provided will help her recover. While the nurse may not have any ill intention, she has already shared details of the patient’s medication on social media. This violates the patient’s right to confidentiality and privacy. Such conduct may lead to the nurse being reported to a board of nursing or in the media.

Laureate Education (Producer). (2018). Moral Leadership [Video file]. Baltimore, MD: Author.

Learning Objectives

Students will:

  • Analyze the impact of competing needs of workforce, resources, and patients on policy development
  • Analyze the impact of competing needs on healthcare issues/stressors
  • Analyze policies and practices for healthcare issues/stressors
  • Critique organizational policies and practices for ethical considerations
  • Recommend policy or practice changes to balance competing needs and ethical considerations
Due By Assignment
Week 3, Days 1–2 Read the Learning Resources.
Compose your initial Discussion post.
Week 3, Day 3 Post your initial Discussion post.
Begin to compose your Assignment.
Week 3, Days 4-5 Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.
Week 3, Day 6 Post two peer Discussion responses.
Week 3, Day 7 Deadline to submit your assignment.

Photo Credit: on_WAL_CBLE0001_er1_EN.mov – Freeze frame

Learning Resources

Required Readings

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: Author. Retrieved from

https://www.nursingworld.org/coe-view-onlyNURS 6053 Reasons for Upholding a Standard of Conduct in the Profession of Nursing at Work and Personal Lives

Note: Review all, with special attention to “Provision 6” (pp. 23–26).

Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06. Retrieved from

http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html  

Milliken, A. (2018). Ethical awareness: What it is and why it matters. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 1. doi:10.3912/OJIN.Vol23No01Man01. Retrieved from

http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html

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Required Media

Laureate Education (Producer). (2012). Ethical, Moral, and Legal Leadership [Video file]. Baltimore, MD: Author.

Laureate Education (Producer). (2009b). Working with Individuals [Video file]. Baltimore, MD: Author.

Rubric Detail

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Content

Name: NURS_6053_Module02_Week03_Discussion_Rubric

  Excellent Good Fair Poor
Main Posting Points Range: 45 (45%) – 50 (50%)

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

Points Range: 40 (40%) – 44 (44%)

Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

Points Range: 35 (35%) – 39 (39%)

Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

Points Range: 0 (0%) – 34 (34%)

Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

Main Post: Timeliness Points Range: 10 (10%) – 10 (10%)

Posts main post by day 3.

Points Range: 0 (0%) – 0 (0%) Points Range: 0 (0%) – 0 (0%) Points Range: 0 (0%) – 0 (0%)

Does not post by day 3.

First Response Points Range: 17 (17%) – 18 (18%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.

Points Range: 15 (15%) – 16 (16%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

Points Range: 13 (13%) – 14 (14%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

Points Range: 0 (0%) – 12 (12%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Second Response Points Range: 16 (16%) – 17 (17%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.

Points Range: 14 (14%) – 15 (15%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

Points Range: 12 (12%) – 13 (13%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

Points Range: 0 (0%) – 11 (11%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Participation Points Range: 5 (5%) – 5 (5%)

Meets requirements for participation by posting on three different days.

Points Range: 0 (0%) – 0 (0%) Points Range: 0 (0%) – 0 (0%) Points Range: 0 (0%) – 0 (0%)

Does not meet requirements for participation by posting on 3 different days.

Total Points: 100