A brief explanation of the issues and considerations at work in the Incident in the ER scenarios. Explain the lesson(s) you see illustrated in this comparison and the principle(s) that you would identify to guide legal and ethical decision making in healthcare settings. From a leadership perspective, explain your recommendations for nurse executives on safeguards to avoid “incidents” like that portrayed in Part 1 and responses to ensure the outcome in Part 2. Support your post with Learning Resources or current literature.

NURS 6221 Managing Human Resources Walden University| NURS 6221 – Managing Human Resources | Walden University

The “Incident in the ER” scenario highlights several important issues and considerations in healthcare settings, including patient autonomy, informed consent, confidentiality, and informed decision making.

The first scenario, in which a patient’s confidential information is shared without their consent, is a violation of their privacy and autonomy. This goes against the principle of informed consent, which requires healthcare providers to respect patients’ autonomy and obtain their informed consent before sharing or using their information. Further complicating matters is the sensitive nature of the shared information, which can add another layer of complexity.

In the second scenario, the patient has the option to make informed and self-directed decisions. This highlights the importance and value of patient-centered healthcare and shared decision making. This is consistent with the principle informed decision making. Healthcare providers should provide the necessary information for patients to be able to make an informed choice about their healthcare. These include the potential benefits and dangers of different options as well as all possible alternatives.

As leaders, nurses executives should take several steps in order to prevent situations like the one described in Part 1, and achieve outcomes similar to those discussed in Part 2. This includes ensuring that policies and procedures are in place to promote patient autonomy and informed consent. Staff may be trained and educated on these principles. Policies and procedures should also be reviewed and updated regularly to reflect current best practice. Nursing executives may also be able to promote an environment of trust and transparency within their organization. This will allow patients to feel at ease sharing information with their care providers.

One potential resource for nurse executives looking to develop their understanding of these issues and principles is the Institute of Medicine’s report “The Future of Nursing: Leading Change, Advancing Health”. This report provides a snapshot of current nursing practice and points out key areas of improvement.

In conclusion, the “Incident in the ER” scenarios illustrate the importance of respecting patient autonomy, obtaining informed consent, and promoting informed decision making in healthcare settings. By implementing policies, providing education, and training nurses, nurse executives can help ensure that these principles are maintained.


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