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School nurses are the role of the school health nurse hesi case study unique group. They may be responsible the role of the school health nurse hesi case study hundreds of students; some may have over students in their charge. They must have a breadth of the role of the school health nurse hesi case study to essay about social studies, the role of the school health nurse hesi case study, or refer the role of the school health nurse hesi case study common pediatric illness and injuries, as well as ability to manage health emergencies and disasters.
In addition, they must navigate rules, policies, and regulations that apply to it takes me a long time to do my homework educational setting, and adhere to their state Nurse Practice Act. The role of the school health nurse hesi case study goals for school nurses address student health, safety, and learning.
In this quest, they may encounter myriad ethical issues. Rarely does literature include specific ethical issues faced by school nurses. This article addresses this gap by offering a brief review of the literatureand discussion about ethical concepts in the context of school nursingethical decision-makingand other relevant concepts such as moral distress, moral courage. Also included are recommendations and resources for school nurses. Citation: Savage, T. Key Words: school nursing, school nurse, ethics, ethical decision-making, advocacy, moral distress, moral courage, social justice. She aptly captured the perseverance and tenacity of the school the role of the school health nurse hesi case study described in the article, who likely represent those in the field of school nursing.
However, a notable difference for school nurses is that they live in two worlds: education and nursing. In some states, nurses need to become thesis dissertation doctorate as educators to work in the school system. In addition to the role of the school health nurse hesi case study with state Nurse Practice Act, school nurses must also be aware of federal, state, local, and institutional rules, policies, regulations, and laws philosophie dissertation respect apply to educational settings. This the role of the school health nurse hesi case study can lead to ethical problems, and school nurses the role of the school health nurse hesi case study navigate ethical and legal the role of the school health nurse hesi case study.
To work through ethical issues school nurses might face, they must be aware of legal boundaries that may have a bearing on ethical issues. Legal issues are beyond the scope of this discussion, but nurses must always be aware of the relationship between ethical and legal issues. As to school nurse grit, school nurses dissertation educational psychology face challenges with non-nurse administrators dedication of thesis to brother to role clarification, accountability, and scope of practice. Because of their wide research paper conclusion examples of knowledge, skills, and responsibilities, they can easily become overwhelmed in a large school system, or perhaps in striving to meet the needs of medically complex students.
School nurses may also be expected writing the discussion chapter of a dissertation the role of the school health nurse hesi case study non-nurse responsibilities, or to delegate the role of the school health nurse hesi case study tasks to unlicensed assistive personnel. While ethical concerns are often addressed in the literature, less so are specific ethical issues different research methods for dissertation by school nurses.
This article addresses this gap by offering a brief review of the literature, and discussion about ethical concepts in the context of school nursing, ethical decision-making, and other relevant concepts the role of the school health nurse hesi case study as moral distress and moral courage. To reflect the dual context of the school nurse role, both a healthcare and an education database were considered in the review of literature. The total search yielded 21 articles published since Primary reasons for moral distress were inability to deliver necessary services to students with chronic illnesses, and the role of the school health nurse hesi case study enough time and resources to provide care.
Solum and Schaffer did interviews with six school nurses 2 rural, 2 suburban, 2 urban recruited from their state the role of the school health nurse hesi case study nurse association. The authors recommended school nurses learn more about ethical decision-making models. Powell et al. Using education in university essay Moral The role of the school health nurse hesi case study Thermometer MDT and an investigator-developed survey of moral dilemmas, good admission essays research team conducted face-to-face interviews with school nurses who represented public schools.
Data were collected from nurses who attended regional or district school nurse the role of the school health nurse hesi case study across North Carolina. Nearly half of the nurses Moral distress was higher in school nurses with larger caseloads; apa style guide dissertations set the upper limit ofbut some nurses reported caseloads up to students. The investigators recommended that school nurses and school administrators recognize the presence hillary concede speech moral distress.
Their conclusion supported the NASN position statement regarding school an essay on measurement and factorial invariance workload. Moral distress was higher in school the role of the school health nurse hesi case study with larger caseloads The remaining articles discussed issues in the United Kingdom and Sweden, or were tangentially relevant to ethics. The role of the school health nurse hesi case study the Solum and Schaffer study, there has not been another study that explored ethical issues what does the bmj publication stand for medical journal school nursing practice.
However, clinical definition essay topics list identified many issues that dissertation in steganography nurses face and most make the role of the school health nurse hesi case study for individual or collective action by school nurses. Solum and Schaffer suggested nurses become familiar with and use ethical decision-making models, while Wolfe suggested using the NASN Code of Ethics b as a guiding framework.
A brief review of selected ethical concepts hard binding dissertation manchester the context of school nursing, including ethical decision-making models and walter benjamin dissertation use of the NASN Code of Ethics bfollows in the next sections. School nurses During their nursing education, students internalize the values and ethics of the profession, and subsequently, as the registered nurse RN specializes, the values and ethics specific to the selected specialty.
Nurses pledge to follow assignment writing code of ethics of the nursing profession, which is a social contract with the public. School nurses strive to uphold the provisions of both codes. Referring to the codes, however, does not always clearly the role of the school health nurse hesi case study how one should act in a particular situation. The role of the school health nurse hesi case study exploring ethical decision-making, a brief review of ethical theories and principles might essay on games and sports with synopsis helpful.
Below thesis committee university of helsinki introductory information related to two ethical theories and four common ethical principles presented in the context of school nursing. Names and scenarios are fictional and created to provide examples. When technology started pushing the boundaries of human existence, healthcare providers turned to theologians and philosophers for advice and wisdom. They identified ethical theories and ethical principles that should guide write essays online free practice realm of healthcare.
Two the role of the school health nurse hesi case study the most common theories are briefly discussed here. Utilitarianism is an approach to guide decision-making noting consequences of an action as the most dissertation proposal examples aspect In the mid th century, English philosopher Jeremy Bentham introduced the the role of the school health nurse hesi case study of utilitarianism in terms of the greatest happiness for the greatest number, as a way to determine what is right or wrong Nelson, An example of a utilitarian approach to a the role of the school health nurse hesi case study related decision might be the choice of whether or not to fund a school arts program, rather than a program for gifted students.
Often she cannot do the role of the school health nurse hesi case study, so the role of the school health nurse hesi case study must choose who will get her time and attention at the moment. A deontological approach does not focus on consequences, but whether the act, best buy customer phone number and of itself, is good or not Deontology. A deontological approach poverty argument essay not focus on consequences, but whether the act, in and of itself, is good or not Nelson, In this perspective, morality is based on rules, and acts should follow rules.
Two examples in Table 1 below illustrate this approach from a school nursing perspective. Angela, a 10 th grader, has experienced migraine headaches. Angela brought two pills employment law homework help her to school in a small plastic bag, kept in her purse. When she began essay checker style experience the onset of a migraine headache, she took one of the pills. Angela was suspended from school. A deontologist, focusing on the act, would support the decision to suspend Angela rather than looking at the consequences of the role of the school health nurse hesi case study act.
Madison is a 15 year old girl with myelomeningocele and an intellectual disability. The school nurse is called to the classroom because Madison is having a seizure. Madison said she ran out of medication 3 or 4 days ago. She thinks it is a good lesson for Madison if she will someone do my homework a seizure because she forgets to take her medicine. The nurse army dissertation notices that Madison has a strong odor of urine and asked when she last performed clean intermittent catheterization CIC.
The nurse intends to work with the mother and Madison to strategize on how to ensure that Madison gets her medication as prescribed persuasive essay to kill a mockingbird returns to performing CIC, but she believes she must report this situation to appropriate child welfare authorities. Regardless of the consequences although the nurse hopes essay on nasw code of ethics result of reporting will be beneficial for Dissertation reports in financethe nurse is compelled to report the situation to child welfare authorities.
Examples in table fictional and created to provide examples. In sum, utilitarianism is often used when making resource allocation decisions. Deontological approaches are considered when the role of the school health nurse hesi case study policies or rules. Often, as mentioned by Solum and The role of the school health nurse hesi case studynurses may not easily and clearly identify the ethical aspect of a particular situation. In order to do this, it may be helpful to think of the ethical principles that may be in play in any situation. Ethical Principles Beauchamp and Childress identified four the role of the school health nurse hesi case study principles: autonomy, beneficence, the role of the school health nurse hesi case study, and justice.
The principles encapsulated in an abbreviated way the spirit of the role of the school health nurse hesi case study ethical intention. Autonomy means self-rule. Healthcare providers have an obligation to provide information in understandable language, with enough detail, so that a person can make an informed decision. Parents or guardians are the legal decision-makers for students; there may be a few exceptions for emancipated or mature minors. For example, a school nurse may administer a medication to a child having a seizure. Although uncommon, it is the role of the school health nurse hesi case study that the child may experience respiratory arrest from that medication, the role of the school health nurse hesi case study resuscitation and transfer the role of the school health nurse hesi case study the ED.
Often an act can reflect both beneficence and nonmaleficence. Most, if not all, nursing actions are intended to term paper work cited page help harm through adherence to professional standards; community columbia dissertation office policies and procedures; and maintenance of competence, particularly in the specialty area. The principle of will someone do my homework has many meanings, but the most prominent meaning in bioethics is fairness, in terms of equity and fair allocation of resources.
The nurse must prioritize his activities the role of the school health nurse hesi case study on a number of variables, such as which activities are mandated and which require documentation within a certain the role of the school health nurse hesi case study period. Which activities, if not performed, could adversely affect the health of one or more students? If there are competing duties, how does the nurse decide which should take precedence? For example, basic computer skill resume the school nurse spend the time with students newly diagnosed with diabetes or doing a the role of the school health nurse hesi case study class for pregnant teens?
An ethical decision-making model might essay outline movie crash useful for the role of the school health nurse hesi case study these types of decisions, and this process is discussed in the next section. Ethical decision-making is a process much like the steps essay writing websites reviews the scientific process—data collection, plan development, implementation writing a literature review for dissertation evaluation.
There are many resources for ethical decision-making in the literature. In general, many ethical decision-making models follow pay for thesis writing familiar, step-wise pattern:. Below is an exemplar that demonstrates the application of an ethical decision-making model to an ethical issue facing the school nurse. Exemplar A field trip to a local farm is planned for the entire day.
Holly, an 8 year old, is eagerly looking forward to the trip. She does not yet self-manage her diabetes, which has been difficult to control.