Gina graduated from an associate degree program in nursing and is working in a l

Question

Gina graduated from an associate degree program in nursing and is working in a local hospital on a medical- surgical unit. Gina was introduced to Sue, a nursing student who is currently completing a clinical rotation on the medical-surgical unit. Gina has returned to school to obtain a BSN degree. Gina and Sue are having some difficulty agreeing on comfort care for a terminally ill patient. 1. Does Gina have the autonomy and authority to not force a terminally ill patient to drink? Are autonomy and authority the same thing? 2. Can Gina delegate care of the terminally ill patient to a nursing student? 3. What is meant by the term accountability? 4. What do accountability, responsibility, and autonomy do for a nurse such as Gina

Explanation / Answer

Does Gina have the autonomy and authority to not force a terminally ill patient to drink? Are autonomy and authority the same thing?

Authority is a sense of power over others. An AUTHORITY figure is like a boss who has the right to tell you what you can or should do.

Autonomy is a sense of being able to make one's own decision and do as one please. Because I have power over myself to make decisions for and about myself, I have a great sense of AUTONOMY.

Gina has the authority and autonomy to plan nursing care for the terminally ill patient, but she cannot force the patient to drink, because it affects the rights of the patient. But still she can convince the patient by giving the rationale for her statement.

Can Gin delegate care of the terminally ill patient to a nursing student?

Delegate: Appointment Transferring the expert to play out a chosen nursing errand in a chose circumstance to a skilled person.

Gina can delegate only few elements of terminally ill patient like assessment, heat and cold applications, drain care, blood transfusions etc under some conditions

Nurse’s responsibility in delegation:

Criteria for Delegation:

Supervision:

What is meant by the term accountability?

Accountability implies being liable for the choices made over the span of one's expert practice. A medical caretaker or a birthing assistant ought to have the capacity to give explanations behind the choices they make in their expert practice and ought to legitimize their choices with regards to enactment, proficient norms and rules, confirm based practice and proficient and moral direct.

Medical attendants and birthing specialists are responsible both lawfully and professionally for their training, that is, for the choices they make and the outcomes of those choices. Medical caretakers and birthing specialists are responsible to the patient, people in general, their administrative body, their manager and any pertinent supervisory expert. Lawful responsibility includes attendants and birthing assistants being in charge of guaranteeing they have fitting proficient repayment protection, as patients have a privilege to anticipate that them will hold this protection on the off chance that there is a substantiated case of expert carelessness.

Responsibility can't be accomplished unless the medical caretaker or maternity specialist has self-rule to rehearse. Independence alludes to a medical caretaker or birthing assistant's capacity to "settle on a few choices inside their own calling and their privilege and duty to act as indicated by the mutual principles of that calling" (Varjus et al. 2010). Proficient self-sufficiency originates from the capacity to utilize different sorts of information in a basic way, which offers sheltered, quality social insurance to patients. Singular levels of self-sufficiency can fluctuate contingent upon authoritative, hierarchical and singular variables.

What do accountability, responsibility, and autonomy do for a nurse such as Gina?

The concepts of responsibility, accountability and autonomy are intrinsically linked in determining the scope of nursing and midwifery practice. Nurses and midwives hold positions of responsibility and are, therefore, expected to be accountable for their practice. Responsibility and accountability are the cornerstones of professional nursing and midwifery practice, and are represented as a key principle in the Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives.

Autonomy:

Self-governance: consent to regard another's entitlement to self-decide a strategy; support of free basic leadership.

Accountability and Autonomy:

Responsibility is comprehended as having the capacity to give a record of one's nursing and birthing assistance judgements, activities and exclusions. Responsibility is tied in with keeping up competency and defending quality patient care results and measures of the calling, while at the same time being liable to the individuals who are influenced by one's nursing or maternity care hone.

Responsibility:

Duty is disclosed as the commitment to perform obligations, undertakings or parts utilizing sound proficient judgment and being liable for the choices made in doing this. A medical attendant or birthing specialist who is thinking about extending their extent of training ought to understand that this will include more noteworthy obligation.

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