Ethical and legal implications for nurse practitioners. html>bc


Ethical and legal implications for nurse practitioners. Feb 1, 2017 · Format: Academic Journal DOI: 10. The goal of this study is to examine legal and ethical Jan 25, 2023 · Background In psychiatric inpatient care, situations arise where it may be necessary to use coercive measures and thereby restrict individual autonomy. Respectfulness and integrity are identified in this code and have been examined as an important part of ethics education for APRNs (Kalb & O'Connor-Von Jul 1, 2010 · Legal and ethical implications of non-medical prescribing. However, with increased clinical responsibilities come Nurse Practitioners Policy Resources. Nurse practitioners can use telehealth to improve health care delivery to underserved patients. MD and DO clinicians can prescribe medications, including controlled substances. The American Nurses Association (ANA) Code of Ethics (ANA, 2015) is a good example of incorporating virtue ethics into the ethical and legal obligations of the nursing profession (Exhibit 12. At a time of unprecedented change, one constant remains: Nurses rate the highest of all professionals for honesty and ethics. Feb 1, 2017 · Ethical decision-making is defined as a process of synthesizing both moral and legal influences, including historic traditions, laws, social expectations, and future influences, and deriving a final analysis. “Full practice authority” is generally defined as an APRN’s ability to utilize knowledge, skills, and judgment to practice to the full extent of his or her education and training. 2016. The most surprising finding was the Jun 5, 2020 · The ANA Code of Ethics states that nurses should respect the “unique differences of the patient,” including “lifestyle, value system, and religious beliefs. For nurse practitioners who deal with patients in a variety of settings, telehealth can help. To the extent that SOP restrictions prevent NPs from practicing to their full abilities and capacity, they could create inefficiencies Apr 4, 2016 · is an individual. e. The case study revealed the importance of considering the legal and ethical implications of the personnel’s actions to maintain a practice’s efficiency. Go to: 5. Besides, they should reflect on the parent’s values and beliefs that shape the myths and stereotypes about their religion, their perception and general world view of the illness. Across the nation, family nurse practitioners (FNPs) have varying degrees of prescriptive authority over medications, controlled substances, medical devices, and medical services. However, where assisted dying is legal, evidence has indicated that nurses Oct 19, 2020 · This study focused on the MA–physician dyad, but team composition in primary care is diverse. The rights of PWMI are at par with the fundamental rights of human beings and need to be clearly talked about as they Jan 10, 2017 · Nurse practitioners motivated by beneficence initiate policy change, conduct research, provide testimony, compose position statements, and act in many ways that illustrate tough decisions. According to a 2019 Gallup poll of U. 2 This will ensure best practices for patient care and to avoid licensure or litigation issues. Describe key ethical definitions. This resource consults experienced nurses, who Psychiatric/mental health nurse practitioners play a key role in providing care to patients with mental illness. Prescribing practice is governed by ethical and legal principles to ensure a holistic patient-centred approach. [NCSBN. Sep 17, 2012 · In addition, ethical principles and six grounds for discipline of nurses will be discussed. Electronic health records (EHRs), with their adoption incentivized as part of the American Recovery and Reinvestment Act of 2009, are now a ubiquitous part of the health care landscape. Penny Lovatt. It will also review of some of the Mar 6, 2020 · Uncertainty was the less recurrent relational ethical action mentioned. Let me first start off by saying, I am not an attorney and I don’t play one in real life Apr 3, 2022 · 1. The providers in the group include one physician and three nurse practitioners. This emphasis arose out of the recognition that STEGH can burden communities, fail to meet expectations, and even cause unintentional harms [ 3 , 7 , 9 , 12 – 20 ]. In most of Australia there is no legislation prohibiting medical practitioners from prescribing for family and friends. ABSTRACT Telehealth, which uses electronic information and telecommunications technologies to support long-distance clinical healthcare, is a growing trend that offers improved patient access, cost savings, and more engaged patients with better outcomes. The Center develops policy designed to address issues in ethics and human rights at the state, national, and international levels. This article considers some current legal issues regarding non-medical prescribing highlighting some cases where prescribers have fallen foul of the law and the consequences of doing so. awareness of medical errors, advanced nurse practitioners (NPs) face uncertainty as to whether they should or must disclose such errors to patients. Electronic Health Records: Patient Care and Ethical and Legal Implications for Nurse Practitioners Balestra, Melanie L. Telehealth and Legal Implications for Nurse Practitioners Melanie Balestra, JD, PNP. process of synthesizing both moral and legal in-. Ethical concerns can affect nurse students, faculty, or anyone involved in nursing education programs. B. encourages nurses to exhibit moral courage to pre-vent moral distress in the face of controversy. Published 1 July 2010. Benefits include improved patient access to care, cost savings, and better outcomes. Telehealth, which uses electronic information and telecommunications technologies to support long-distance clinical healthcare, is a growing trend that offers improved patient access, cost savings, and more engaged patients with better outcomes. Nov 6, 2015 · Summary. This CE learning activity is designed to augment the knowledge, skills, and attitudes of nurse practitioners and assist in their understanding potential legal liabilities with electronic health record use. Case Study: Failure to manage the patient’s care in order to maximize individual recovery and quality of life, Failure to advocate and promote a system and climate that is conducive to providing ethical care, Failure to utilize ethical principles to advocate for access and parity of services for Dec 3, 2022 · Conclusion. Analyze the provisions in the American Nurses Association Code of Ethics. The nephrologist serving as medical director of a dialysis clinic must understand that the role of director is not simply an extension of being a good nephrologist. The Journal for Nurse Practitioners ; Philadelphia Vol. We then shift to five legal challenges in the US and Europe, namely, (1) safety and effectiveness, (2 Jun 1, 2007 · Abstract. We will discuss four primary challenges: (1) informed consent to use, (2) safety and transparency, (3) algorithmic fairness and biases, and (4) data privacy. Feb 1, 2021 · Health care providers should keep risk management strategies in mind and familiarize themselves with potential telehealth legal risks and implications. Nurses are held to a minimal standard to ensure safe, competent care delivered to all patients in a variety of healthcare settings. Sep 5, 2023 · September 05, 2023. Abstract. While shared decision making is best practice, at times the interpretation of safety or protection of the patient by each may create moral distress or an ethical challenge for the APRN. Evaluate 3 tips/strategies to use in EHR documentation. 3 These costs could increase due to the aging of the Baby Boom Objective: To identify ethical concerns and conflicts NPs and PAs encounter related to managed care in the delivery of primary care to patients and the factors that influence ethical conflict. Since patient safety is multidimensional and grounded in ethical and legal imperatives, both ethical and legal challenges should be taken into account. Mar 22, 2023 · When the Affordable Care Act (ACA) became law in 2010, it transformed the entire fabric of the U. . In addition to understanding the legal implications of prescribing medications, FNPs must also understand Feb 1, 2017 · 2017, Journal for Nurse Practitioners Citation Excerpt : The benefits underlining the switch to an EHR system may be reflected in improved provider decisions and patient outcomes and better population and public health. The National League for Nursing (NLN) members has emerged to address ethical issues experienced in nursing education. 1). Law, Medicine. , respect for autonomy, beneficence, nonmaleficence, and justice, are recognized as central aspects in healthcare practice, and nurses must be clear about which ethical theories and principles to Medical director ethical and legal implication is to. These laws vary greatly among states. Grappling with the ethical responsibility of reporting concerns about a colleague's impairment due to substance abuse or mental health issues. Potential legal implications and risks surrounding telehealth are discussed. Professional Role. Nurse practitioners as an underutilized resource for health reform: Evidence-based demonstrations of cost-effectiveness. This guide offers an overview of the ACA and examines what this historic reform means for nurses. Nurses have a responsibility to ensure that they follow and observe professional ethics in their everyday work. Introduction. This knowledge will contribute to high-quality support for nursing practice in the context of assisted death. ”. , 2020). Other common occurrences were unethical practices This will be followed by an analysis of the ethical challenges of AI in healthcare. 19,20 There has been some debate regarding the reality of EHR use within PC. Nurse practitioners (NPs) practice in nearly every health care setting, including clinics, hospitals, Veterans Affairs and Indian Health Care facilities, emergency rooms, urgent care sites, private physician or NP practices (both managed and owned by NPs), nursing homes, schools, colleges, retail clinics, public health departments, nurse-managed clinics, homeless clinics and This CE learning activity is designed to augment the knowledge, skills, and attitudes of nurse practitioners and assist in their understanding potential legal liabilities with electronic health record use. These concerns involve privacy, violence, and academic dishonesty. Context: As many parts of the United States You are a family nurse practitioner employed in a busy primary care office. ANA strongly supports full practice authority for all APRN roles. JAANP, 22 (4), 228-231. Strictly moral decisions are generated from within while legal decisions are mandated from without, but ethical decisions embrace a wider scope, placing most of their emphasis on the benefit of others Volume 13, Issue 2, Pages A1-A28, e57-e115, 105-180 (February 2017) In creating an ethical and legal decision-making dilemma involving an advanced practice nurse in the field of a family nurse practitioner (FNP) I will be choosing the practice dilemma of honesty versus withholding information. This evidence supports eliminating restrictive scope-of-practice laws that currently govern nurse practitioners in many states. That marked the 18th year in a row that nurses Mar 19, 2020 · • Consider the ethical implications of disclosure and nondisclosure. The strategies to prevent severe patient outcomes contain disciplinary measures, execution, and communicational approaches to encourage the employees to change their behaviors. We will write a custom essay on your topic tailored Feb 1, 2017 · Legal implications of informed consent may vary, leaving nurse practitioners juxtaposed between judicial and ethical responsibilities. Dec 30, 2017 · Abstract. I am choosing this dilemma to show the ethical and legal quandary that NPs may face when dealing with patients who have Jun 24, 2020 · INTRODUCTION. 010 Database: ScienceDirect Journal: The Journal for Nurse Practitioners Volume: 13 Issue: The paper presents a case scenario while also explaining the legal and ethical implications for its stakeholders like the patients, pharmacists as well as prescribers. 2 Telehealth rules and regulations vary greatly by state and are constantly emerging and evolving. 1,2 However, most nurses have observed unprofessional conduct at some point during their working career. This situation might occur when a nurse becomes aware that a nursing colleague is impaired while on duty. ” 9 Recommendations include urging physicians to connect patients, when needed, with public or APRN State Law and Regulation. The Mental Healthcare Act 2017 (MHCA 2017), [ 1] explicitly talks about the rights of patients with mental illness (PWMI) and lays down the ethical and legal responsibilities of mental health professionals and the government. Although these systems promised to improve the quality of patient care, increase efficiency, and reduce costs, health care providers are finding that current EHRs instead require time-consuming data entry, can This CE learning activity is designed to augment the knowledge, skills, and attitudes of nurse practitioners and assist in their understanding potential legal liabilities with electronic health record use. This chapter will provide foundational legal knowledge for nursing practice in complex health care environments. 2, (Feb 01, 2017): 105-111. 4, “Financial Barriers to Health Care Access,” states that “physicians individually and collectively have an ethical responsibility to ensure that all persons have access to needed care regardless of their economic means. Nov 18, 2022 · This essay discusses ethical and legal implications for all stakeholders, such as a patient, the patient’s family, a pharmacist, and a prescriber. 3 –9 Unprofessional conduct 8,10,11 refers to a nurse’s failure to meet the expected professional and ethical standards and legislation. The back- office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processing laboratory results and taking prescription renewal requests from patients and pharmacies. fi. Jan 2, 2023 · The Florida Board of Nursing is a regulatory body that ensures individuals are qualified to practice nursing in the State of Florida in several vital ways; i. Jan 13, 2021 · Medicines management, as the handling of medications and medicinal products by healthcare professionals, consists of prescribing, dispensing, distributing, administration, patient education, follow up and monitoring, and is regulated by law [ 13, 16 ]. The Medical Board of Australia states medical practitioners should avoid providing medical care When assessing and treating patients who report that they are thinking about hurting themselves or others, nurse practitioners (NPs) must consider not just their codes of ethics but federal laws, state laws, cases in the different courts, and the guidelines set forth by credentialing boards and professional organizations, all of which impact the application of basic confidentiality. However, there are ethical, legal A total of 422 questionnaires were used in the analysis. Bauer, J. Ethical decision-making is de ned as a. Psychiatric nurse An examination of a data set of 1. 13, Iss. The Opinion 11. The two roles—nephrology practice and the leadership of a dialysis clinic—may be filled by a single person. autonomy. At the conclusion of this activity, the participant will be able to: Identify 3 benefits of EHR. Medical director ethical and legal implication is to enforce policies in healthcare setting by reviewing guidelines to ensure decision making mechanisms are consisted with ethical standards of care. Impaired Colleague. 1, 2 Yet, over half of US adults are nonadherent to their medications and the health care costs associated with nonadherence are estimated to be in the billions of dollars annually. The American Association of Nurse Practitioners has offered a definition of full practice Aug 11, 2023 · 7. Discuss 3 problems and/or liability issues with EHR. Staff bylaws are normally in conformity with these regulations. resource allocation. ” [1] This chapter describes nurses’ legal and ethical responsibilities while protecting the safety and rights of clients receiving mental health care. In most cases, such laws contain a legal definition of a medicine, which also influences what Dec 11, 2017 · Telehealth is a rapidly growing trend in health care. The discussion concludes by describing the strategies I would use as an advanced practice nurse to guide decision-making in the chosen scenario. Conclusions: This paper revealed that while PCC features embrace most of the relational ethics approaches, these are not exploited in their entirety and therefore PCC emerges as a unique ethical stance in healthcare. Practice: Ethical Implications: The practice, as a whole, has a responsibility to provide safe and ethical patient care. ’s attempt(s) to determine right or wrong actions based on standards of acceptable conduct. NPs have come into existence because of their demand in the health care system, and their role and areas of practice vary according to the health care needs and legal and medical systems in different countries or districts [2,3]. It is therefore essential to have a standardized process. May 20, 2023 · Telehealth is an efficient and effective method of care delivery used by advance practice registered nurses (APRNs) nationally, especially in the wake of the coronavirus disease 2019 pandemic. It is important that nurse practitioners consider the risks and consequences The American Nurses Association (ANA) Center for Ethics and Human Rights was established to help nurses navigate ethical and value conflicts, and life and death decisions, many of which are common to everyday practice. Ethical and Legal Implications of an APRN Prescribing Narcotics for a Family Member. The nurse independent prescriber (NIP) role has slowly evolved over 6 years, since its introduction in 2000 in line with the Government plans to modernize the NHS. The five most frequently-occurring and most stressful ethical and patient care issues were protecting patients' rights; autonomy and informed consent to treatment; staffing patterns; advanced care planning; and surrogate decision-making. Scope of practice for nurse practitioners. In this regard, a falling incident case of a 12-day-old newborn was raised in the monthly ethics round in the Children's Medical Center of Tehran University of Medical Sciences, Iran Feb 1, 2017 · Request PDF | Electronic Health Records: Patient Care and Ethical and Legal Implications for Nurse Practitioners | Electronic health records (EHRs), with their adoption incentivized as part of the Jan 1, 2018 · Telehealth is a rapidly growing trend in health care. nurpra. Ethics, in general, are the moral principles that dictate how a person will conduct themselves. Psychiatric/mental health nurse practitioners play a key role in providing care to patients with mental illness. Nursing philosophy is the foundation of nurse practitioner (NP) training []. With the ever-changing rules and regulations governing telehealth practice, the APRN may struggle to keep abreast. It is important that nurse practitioners consider the risks and consequences Jul 30, 2019 · In this article, we review evidence of nurses' experiences with assisted death and synthesize that evidence with relevant ethical and policy implications. 5 billion opioid prescriptions demonstrates that relaxing nurse practitioner scope-of-practice laws generally reduces opioid prescriptions. • Research federal and state laws for advanced practice nurses. This role is increasing caused in part by a nationwide shortage of psychiatrists, as well as a lack of primary care physicians trained in basic psychiatric services. Legal implications of informed consent may vary, leaving nurse practitioners juxtaposed between judicial and ethical responsibilities. However, each role contains unique tasks, requiring Avoiding Potential Legal Issues. – NP/APN education in 71% of 31 countries, with 50% recognizing master’s degree as prevalent credential. (2018). 09. Additionally, they may be ill prepared to do so and have concerns about increasing their risk of liability with disclosure or an accompanying apology. – 13 titles identified for the NP/APN role. Methods: A cross-sectional self-administered mailed questionnaire was sent to 3,900 NPs and PAs randomly selected from primary care and primary care American Association of Nurse Practitioners (AANP) (2020). Legal and Ethical Implications of Stakeholders Scenario: “As a nurse practitioner, you prescribe In this case study, Stephanie performed outside her scope of practice, by treating the cough with an antibiotic that she prescribed without consulting the primary physician or one of the three nurse practitioners (NP). At the conclusion of this activity, the participant will be able to: A. May 1, 2010 · Nurses working at a higher level of practice will require an understanding of not only the professional and legal implications that new roles create, but also an awareness of the ethical dilemmas that will undoubtedly become increasingly complex (Bartter 2002). Nurse practitioners, as patient advocates and skilled communicators, are well positioned to Given the high prevalence of mental health disorders, significant impact, and unmet treatment needs, Psychiatric-Mental Health Nurse Practitioners (PMHNPs) have the opportunity, as well as the ethical and professional obligation, to play a leading role in improving child and adolescent mental health. PCC's ethical approach goes beyond what is explained Sep 4, 2015 · Abstract. In South Australia it is prohibited to prescribe Schedule 8 drugs for family members unless it is a verifiable emergency. 8,9,12 –15 It includes This case study involves a nurse practitioner in an in-patient alcohol/drug treatment setting. However, FNPs should be aware of areas that fall outside of their SOP, such as diagnosing and treating patients with complicated or Feb 1, 2017 · Legal implications of informed consent may vary, leaving nurse practitioners juxtaposed between judicial and ethical responsibilities. Their authority to treat patients is regulated through state scope of practice acts, state medical and nursing board regulations, professional licensing, and other laws. However, respect for the belief “does not imply that the nurse condones those beliefs or practices on a personal level. d. 00 contact hr) This module will enhance nurses' knowledge of nurse practice acts and how they define professional practice and nurses' rights and responsibilities as practitioners. Objective: Nurse practitioners (NPs) and physician assistants (PAs) have increasingly broad prescribing authority in the United States, yet little is known regarding how the quality of their prescribing practices compares with that of physicians. Feb 12, 2020 · This article discusses the legal implications nurse prescribers need to be aware of in their interactions with patients. The goal of this study is to examine legal and ethical components of informed consent and to assist nurse practitioners in developing proactive practice strategies related to informed consent. The role of medication adherence in managing clinical conditions, especially for patients with chronic illness, is well documented. The Code of Ethics for Nurses With Interpretive Statements states, “The nurse promotes, advocates for, and protects the rights, health, and safety of the patient. Physicians of either Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) designations have the highest degree of prescriptive authority. found that in 2018, 56% of family physicians reported working with nurse practitioners (NPs), 54% with registered nurses (RNs), and 43% with physician assistants (PAs; Jabbarpour et al. Print. Sep 23, 2021 · Abstract. As a new nurse practitioner in this setting Its my obligations to report unsafe incidents to Oct 1, 2018 · Abstract. The essential documents from the profession serve as the foundation for legislation and regulatory policy-making that help assure the public’s safety. CE548: Protect Yourself (1. The practitioners must uphold the legal and ethical requirements, eliminate discriminatory practices, and ultimately improve patient care. The ethical principles of healthcare, i. FNPs can diagnose and treat patients with uncomplicated mental illness, such as depression and anxiety, within their scope of practice (SOP). Insofar as legal liability goes, this topic is beyond the scope of Feb 1, 2017 · Patients have an ethical right to self-determination and shared decision-making with regard to their health care. APRNs in the united states have been granted various prescriptive authority levels for medications, procedures, and services. org, 2018] Failure to maintain Nurse practitioners (NPs) are an increasingly integral part of the primary care workforce. Purpose: To identify the ethical issues nurse practitioners (NPs) encounter in primary care, examine the types of moral problems that arise related to those issues, and determine the level of distress NPs experience. Telehealth is governed by legislation and regulation in addition to telehealth-specific Nov 13, 2023 · Prescriptive authority is the ability of healthcare providers to prescribe specific medications, including controlled substances. The objective of this study was to compare the quality of prescribing practices of physicians and Sep 28, 2021 · Introduction. The legal implication in this case was practicing outside her scope of practice and not consulting with the physician or nurse Others have pointed to the psychological benefit of an apology for both practitioners and patients—a way of showing respect, empathy, and sympathy as well as assisting in emotional healing. 2. Although these systems promised to improve the quality of patient care, increase efficiency, and reduce costs, health care providers are finding that current EHRs instead require time-consuming data entry, can Dec 26, 2020 · Ethical implications. Legal issues, as well as ethical issues, must be considered to avoid claims of abandonment and negligence. ABSTRACT. Discuss 3 problems and/or liability issues May 20, 2020 · The APRN’s Role and Responsibility in Ethical Prescribing. However, with increased clinical responsibilities come important legal considerations. Previous. Jun 10, 2009 · The state nurse practice act and other applicable state laws also impact a nurse practitioner?s practice. Reflect on the legal implications of disclosure and nondisclosure for you and the health clinic. NPs' authority to practice without physician oversight is regulated by state-level scope of practice (SOP) restrictions. Non-maleficence and beneficence, core nursing values, influence the behavior of nurses to act in the best interest of the patient. Identify 3 benefits of EHR. Although infrequent, termination of a provider–patient relationship is sometimes necessary. Sharing is caring! All health care professionals including advanced practice clinicians (nurse practitioners and physician assistants) want to prevent any potential legal actions related to the excellent care they provide. In addition, physicians can prescribe When the client is a child, the APRN must consider the provider relationship within the legal relationship of the guardian. Mar 14, 2019 · In primary care settings, family nurse practitioners (FNPs) are often the first to see patients with mental illnesses. – 174 key respondents and members of the ICN NP/APNN. 1016/j. •. These principles are certainly consistent with ethical practice by NPs and implement tenets of the Code of Ethics for Nurses. 1. Nurse prescribing has become a well-established aspect of advanced clinical practice working alongside key NHS principles and drivers to address the increasing complexities in patient care and the demands on the health service. Data source: Self-reported responses to an investigator-designed, anonymous, mailed survey on a convenience sample of Nov 7, 2023 · Legal Implications: If the medical director fails to address the issue and implement appropriate policies, it may lead to legal liability for the practice, especially if such incidents recur. Additionally, standards of practice as set forth by professional nursing associations also must be addressed. Apr 18, 2023 · According to the American Nurses Association (ANA), the nursing code of ethics is a guide for “carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession. S. – 32 responding countries. Jun 16, 2022 · An International Survey on Advanced Practice Nursing Education, Practice, and Regulation. When assessing and treating patients who report that they are thinking about hurting themselves or others, nurse practitioners (NPs) must consider not just their codes of ethics but federal laws, state laws, cases in the different courts, and the guidelines set forth by credentialing boards and professional organizations, all of which impact the application of basic confidentiality. residents, 85% of respondents rated nurses’ ethical standards and honesty as “very high” or “high. 21 When used correctly, EHRs may increase access to Feb 1, 2017 · This CE learning activity is designed to augment the knowledge, skills, and attitudes of nurse practitioners and assist in their understanding potential legal liabilities with electronic health record use. Nurse practitioners are one solution for addressing physician shortages. healthcare system, including how nurses and other healthcare professionals approached their jobs. Discuss role, scope and standards of the family nurse practitioner; Apply ethical and legal principles to issues associated to the care of patients; Define professionalism and identify the virtues for nurse practitioners (NPs). Healthcare needs vs. Jabbarpour et al. Informed consent is a concept with historic, legal, and ethical implications, but sometimes ill-defined parameters for clinical application. APRNs need to understand the prescriptive authority in their state and federal and state legal and ethical guidelines. The Nov 1, 2019 · Ethical and best practice guidelines emphasize that such programs should primarily and sustainably benefit the local community [3, 7–12]. APRN practice is typically defined by the Nurse Practice Act and governed by the Board of Nursing, but other laws and regulations may impact practice, and other If allegations are made regarding a nurse’s professional conduct or provision of client care, the excuse “I did not know” does not hold up in a court of law or with a state’s Board of Nursing. Nurse Prescribing. , licenses, disciplines, educates, monitors, and rehabilitates. qb ij lf rm fz ai bc mm wq ip