Friday, May 31, 2019

Our Future as Nurses Essay -- Nursing

Nurses should be empathetic and compassionate cargongivers. However, what happens when sustains are constantly giving their energy to compassionate care, without seeing the positive outcomes nor being satisfactory to regain energy through self-care? This eventually would lead to compassion fatigue, which often results in impairment of concentration and diminished performance ultimately leading to unfortunate shade of care. Preventing compassion fatigue can be achieved through a strong foundation with a comprehensive education consisting of critical thinking skills, evidence-based practice, leadership, management, and delegation, which are only taught in baccalaureate nursing programs. Nurses and nursing students must be reminded or taught that in order to prevent compassion fatigue, they should not only be winning good care of their patients but also themselves.All caregivers are at risk for compassion fatigue, especially nurses, since our commerce is based on taking care of th e ill. One experience that illustrates this condition was when I helped on an Intensive Care Unit (ICU). I recall one nurse I met who had more years of experience but had a reputation of being anal-retentive and unfriendly. I would greet her every time I walked onto the unit, but she never responded. One day, this nurse was assigned to the son of a non-English speaking Chinese mother for whom I often acted as a translator. Her son was suffering from neuroleptic malignant syndrome and recovering from abdominal surgery for an ischemic bowel, which was infected. The mother rushed to me that day with a worried look and told me that the nurse was harming her son. She said she saw the nurse give deuce intravenous (IV) medications through his neck (internal jugular central venous ... ...es have worked long and hard to advance their careers and should have higher standards for education and provide quality care not only for the patients, but for themselves. Additional focus on nurses per sonal health and higher education will allow the nursing profession to advance in the future with improved integrity and credibility and result in better healthcare for patients.ReferencesAiken, L. (2011). Nurses for the future. The New England Journal Of Medicine, 364(3), 196-198. Aiken, L., Clarke, S., Cheung, R., Sloane, D., & Silber, J. (2003). Educational levels of hospital nurses and operative patient mortality. JAMA Journal of the American Medical Association, 290(12), 1617-1623.Boyle, D. A. (2011). Countering Compassion Fatigue A Requisite Nursing Agenda. Online Journal of Issues In Nursing, 16(1), 1-14. doi10.3912/OJIN.Vol16No01Man02

Thursday, May 30, 2019

The Ethical Structure Behind Human Experimentation Essay -- Medicine H

The Ethical Structure Behind Human ExperimentationThe history of medical research in the twentieth atomic number 6 provides abundant evidence which shows how easy it is to exploit individuals, especially the sick, the weak, and the vulnerable, when the only moral guide for science is a naive utilitarian dedication to the greatest goodness for the greatest number. Locally administered internal review boards were thought to be a solution to the need for ethical safeguards to protect the humane guinea pig. However, with problems surrounding intercommunicate consent, the differentiation between experimentation and treatment, and the new advances within medicine, internal review boards were found to be inadequate for the job. This led to the establishment of the National Bioethics Advisory mission by President Bill Clinton in the hopes of setting clear ethical standards for human research.HistoryExamples of unethical human research casesThe dark history of human experimentation began with the clarification between experimentation and treatment. The larger public began to notice experimenters ethical neglect for their subjects in the early 1960s. Those charged with administering research funding took furrow of the public furor generated by the exposure of gross abuses in medical research. These included uncontrolled promotional distribution of thalidomide throughout the United States, labeled as an experimental drug the administration of cancer cells to senile and debilitated patients at the Brooklyn Jewish Chronic Disease Hospital and the uncontrolled distribution of LSD to children at Harvard Medical Center through Professors Alpert and Leary. Most important was Henry Beechers 1966 article in the New England daybook of Medicine, detaili... ...S make amends for human radiation experiments. JAMA. v274, n12. folk 27, 1995. pp. 933. Stone, Richard. Eyeing a projects ethics. Science. v259, n5103. March 26, 1993. pp. 1820.Watson, Russel. Americas nuclear secrets. Newsweek. v122, n26. December 27, 1993. pp. 14-19.Williams, Peter. Ethical principles in federal regulations the case of children and research risks. The Journal of Medicine and Philosophy. v21, n2. April 1996. pp. 169-214.Willwerth, James. Madness in fine publish using mentally ill subjects for psychiatric experiments too often means extracting and relying on their ill-informed consent. Science News. v144, n19. November 7, 1994. pp. 62-64.Yeoh, C., E. Kiely, and H. Davies. Unproven treatment in childhood oncology - how far should paediatricians co-operate. Journal of Medical Ethics. v20, n2. June 1994. pp. 75-77.