This website uses cookies to ensure you have the best experience. Learn more

Impaired Nurse Essay

670 words - 3 pages

According to the American Nurses Association, an impaired nurse is unable to meet the requirements of the code of ethics and standards of practice of the profession. This nurse has cognitive, interpersonal or psychomotor skills affected by psychiatric illness and/or drug or alcohol abuse of addiction (American Nurses Association, 2010). Not only do these nurses create a potential threat to their clients, but they have also neglected to care for themselves.
A survey has been recorded about the prevalence of chemical dependency in nurses. About 2.6 million registered nurses are employed in the United States (U.S. Department of Health and Human Services, 2010). The American Nurses Association estimates that about 10% of the RN population has a drug or alcohol related problem (Dunn, 2005). Eleven percent are chemical dependent on drugs, ten percent are dependent on alcohol, and about 546,000 of the 2.6 million RNs in the United States abuse either drugs or alcohol (Dunn, ...view middle of the document...

Reporting is done for the benefit of others. This may prevent or remove harm or simply improve the situation for the impaired nurse, client, and others involved.
The opposing view may look at this situation differently and argue that it may not be necessary to report the impaired practice if there is no harm in the first place. The teleological theory supports this argument. This theory is about the consequences of one’s decisions. Some nurses consider the outcome of their decisions, following “the ends justify the means.” Nurses avoid reporting the impaired nurse due to many factors. Friendship is always at stake. Fear is also factor. There is a fear of jeopardizing another’s job or license, fear of being a “whistle blower” or snitch, fear of being criticized, fear of being sued if one is wrong, and fear of being a hypocrite. For example, going out for a drink after work with a few nursing friends is an accepted social phenomenon in the United States. A nurse who is suspicious of another nurse may feel guilty reporting a potential problem because he or she is one of the group having a few drinks after work. Some nurses do not want to be involved or confront another who may become angry or plead of another chance as well. Some nurses may even rationalize that if a patient has not been harmed already, then there is no reason to report the impaired nurse. Sometimes, it is always easier to look the other way and deny that a problem exists.
The teleological theory may support the idea that in the end, reporting the impaired nurse may not have the best outcome, but the deontological theory continues to argue against it because it still does not protect anyone from harm. Reporting an impaired nurse provides help and support for that individual. Although patients may not have been harmed, reporting will prevent any future harm by the impaired nurse. This not only helps the patients and impaired nurse involved, but it will help the nursing profession practice and employer. About 37% of nurses who had experiences of working with an impaired colleague reported them to their supervisors (Beckstead, 2002).

References
Beckstead, J. W. (2002). Modeling attitudinal antecedents of nurses’ decisions to report impaired colleagues. Western Journal of Nursing Research, 24(5), 537-551.

Dunn

Other Papers Like Impaired Nurse

Therapeutic Communication Nursing Essay

2544 words - 11 pages ). Nichols, B.(2006) “The Basics of Cultural Competence”, Breakthrough to Nursing. Nurses Association of New Brunswick (2000) Standard for the Therapeutic nurse- client relationship. Osbourne, H.(2000) “Communicating With Patients Who Are Visually Impaired”, Health Literacy Consultancy. Available,http//:www.healthliteracy.com/article.asp?PageID=3774 [assessed ]27/04/2014]. Watkinson, S., Scott, E.(2004)” Managing the care of patients who have visual

Pharmacology Case Study

1668 words - 7 pages not understand something. The family can be educated on the adverse drug reactions and how drug- to- drug or drug- to- food can interact and cause harm. Drawing up insulin in a syringe can be hard especially when your vision is impaired, and it may take several times to learn it thoroughly. The children should know what pharmacy the couple uses in case the couple get low and cannot drive to pick up the medicines. The key to the process is an

Approaches to Pain Management

2055 words - 9 pages effective pain relief. When the serum level decreases, the individual will consequently experience pain. It is important that the nurse doesn’t delay administering the analgesia when required, as the lower the serum level, the harder it is to achieve a therapeutic level with the subsequent dosage. Preventive approach: With the preventive approach the therapeutic serum level is maintained. The analgesia is administered at set intervals

Notes for 3rd Year

2205 words - 9 pages Keflin next due at 1200hrs. RESPONSE: - She slept intermittently through this shift - She will go to theatre at 930am - her husband remains with her Gordon’s Funtional Health Patterns (GFHP) (Devised by Majory Gordon) ▪ A holistic approach to providing health care involving 11 components ▪ Nurse assesses clients by organising patterns of behaviour and physiological responses that pertain to a functional health category ▪ GFHP assist

The Patient Who Ll Through the Cracks

3189 words - 13 pages Analysis of a Case Study Community Health Nursing - NUR 311 November 01, 2015 Abstract This paper examines the role of a home care nurse in the case of a patient who is non-compliant with care and lacks knowledge about his medical condition. Nurses have numerous legal, professional and ethical duties. The three main duties are to respect all patients’ confidentiality and autonomy and to recognize duty of care owed to all patients. This

Professional

2004 words - 9 pages to help and guide nurses. There are numerous professional nursing organizations, many catering to a nurses personal career choice. As an Emergency Room Nurse belonging to the Emergency Nurses Association, one of the many professional nursing organizations, has proven to be an asset to my career. Their mission is to advocate for patient safety and excellence in the emergency nursing practice, (ENA 2015) which differs from the Board of Nursing. The

Home Visit

1184 words - 5 pages experiencing difficulty walking unaided, which puts her at risk of a fall. 3. Janet has a potential risk for impaired wound healing: Janet is experiencing pain that can impair the wound healing on her already infected leg. Critical Thinking: According to Beaumont, Marsh & Panetta (2011, p. 201) the social model of health is an approach to health care that attempts to address the broader determinants of health, rather than focus on

Reflection

1088 words - 5 pages the physical and emotional well-being of a patient’ (Laffan. S, 2011) and as ‘a process in which the nurse consciously influences a client or helps the client to a better understanding through verbal or nonverbal communication’ (Mosby's Medical Dictionary, 8th edition. © 2009, Elsevier.). Reflecting on the ‘Doctor Emergency Department’ video (Doctor Emergency Department), I chose to concentrate on therapeutic communication. Therapeutic

Pathophysiology Paper

1628 words - 7 pages is minimal. Heart failure and fluid volume excess seems evident, as well as, her renal system appears to be impaired. Underlying Disease This patient’s underlying disease is diabetes mellulitis; she has uncontrolled high blood sugar that she has been neglecting to take care of. According to Porth (2007), “Diabetes is a disorder of carbohydrate, protein, and fat metabolism resulting from an imbalance between insulin availability and insulin

Risk Assessment With Relation To Falls In The Home In The Elderly Population

2125 words - 9 pages This assignment will focus on the issue of Risk Assessment with relation to falls in the home in the elderly population. It will discuss the relationship between the community healthcare team and the individual client, the government policies related to the topic, and the influences of health policy upon the provision of community care. The role of the community nurse in public health education and promotion will also

Care of a Group of Patients

1759 words - 8 pages infection r/t retained secretions, poor nutrition, chronic disease, impaired pulmonary defense system secondary assoc with COPD, skin tear, indwelling Foley catheter, lumen port access, and decreased immune system due to steroids. 3) Risk for Aspiration Client #2 is a 74 year old male who was hospitalized on 1/25/13 with an admitting diagnosis of chest pain. He presented to the emergency room with c/o pressure like pain chest pain that wasn’t

Related Essays

Substance Abuse In Nursing Essay

613 words - 3 pages impaired or addicted nurse appears to be very likely; the more I know on the subject the better prepared I will be to handle the situation. It has been estimated that roughly 10% of the nursing population has alcohol or drug abuse problems furthermore 6% has an addiction serious enough to interfere with their ability to practice (Talbert, 2009). The American Nurses Association (ANA) estimated that 6%--8% of nurses use alcohol or drugs to the

Ethics Essay

1633 words - 7 pages , administrator approach to impaired nurses was swift and punitive. Nurses were fired without any understanding or rehabilitation” (Loeb, 1992). “Administrators and nurse colleagues not only failed to report impaired nurses, but also failed to offer support or rehabilitation. His approach is a dereliction of ethical responsibility that abandons the best interest of both the addicted nurse and her patients (Booth & Carruth, 1998, Loeb 1992; Loweel &amp

Ana Code Of Ethics Essay

1247 words - 5 pages nurse's responsibility to his or her patient, employer, society, or government? Privacy and confidentiality are concepts that could be challenged under the concept of fidelity. If a nurse is aware of another healthcare giver who is impaired, but the circumstances are private or confidential, how is the conflict resolved? As a general rule, nurses are employed by a hospital, clinic, or private practice. Decisions that are made about patient care are

Nursing Leadership Essay

1020 words - 5 pages Organizational Systems and Quality Leadership[->0] Nursing Leadership Jean Marion WGU For every patient, there is a team of healthcare professionals collaborating to determine the best plan of care for that patient. As a part of that team, nurses have a great opportunity to advocate for the patients and have a positive impact on patient care outcomes. By being a good leader, the nurse can make the patients needs