The Role Of APNs In Hospice Care Essay Assignment
Hospice care
The hospice philosophy accepts death as the final stage of life. It affirms life but does not try to postpone or hasten death. Hospice care is compassionate care for patients suffering from long-term and life-limiting diseases. Hospice care offers symptom management, pain relief, and spiritual and emotional care (Wu, 2020). Hospice care should begin when treatment can no longer cure the disease. A team of professionals work together to provide quality care to the patient and the immediate relatives. It ensures the patient and family spend quality time together, brings a quality life, and makes the best of each day when undergoing treatment. Most patients believe that hospice care is giving up on the patient’s illness. The services offered by hospice care include spiritual care, family meetings, symptom control, coordination of care, respite care, and bereavement care (Wu, 2020). The assignment of the role of advanced practice nurses in hospice care, their scope of practice, and performance outcome evaluation of progressive leadership about their specialization. The Role Of APNs In Hospice Care Essay Assignment
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Advanced Practice Nurse
Advanced practice nurse APN is a nurse with a certification or training in master in nursing. Their skills specialization and advanced training enable them to work independently without the help of a physician. They can clerk patients, order diagnostic tests, make clinical; diagnoses, and make critical medical decisions (Kleinpell et al., 2019). According to the American association of nurse practitioners, APNs can work in various clinical settings such as nursing homes, hospitals, and medical offices as nurse practitioners, certified nurse midwives, nurse anaesthetists, and clinical nurse specialists. The scope of practice in advanced practice nurses allows nurses to practice within their education, training, and certification without state regulation or supervision from the physicians. Additionally, there should be a standardization through the federal pre-emption of state nursing licensure laws to the extent that they conflict with the entire practice of authority. The Role Of APNs In Hospice Care Essay Assignment
The Role Of Advanced Practice Nurses In Hospice Care
A hospice care nurse practitioner is highly skilled in taking care of patients during their last stages of life. They have a greater understanding of the specific end-of-life issues from the patient’s and immediate family’s perspective. They offer conventional nursing duties, including observing, recording symptoms, and relieving acute symptoms. They offer emotional and psychological support to their patients. The nurse acts as a psychologist to provide effective emotional and therapeutic communication. The nurse serves as a counsellor to help the patient alleviate their sufferings (Collins & Small, 2019). Additionally, they uplift their spiritual aspect of life. The nurse provides the patient with information about their health condition and how to treat the illness. Most of them entertain their patients or keep them distracted to alleviate the disease’s suffering and anxiety. The nurse offers emergency care to this patient and relief of acute symptoms, especially pain.
The Nursing Issues In Hospice Care
Patients suffering from terminal illnesses are in pain and only look forward to death. The family members are equally emotionally and financially drained to care for the terminal illness. The family members opt for their relative to undergo a medically assisted death or euthanasia (Aydogdu, 2022). Due to prolonged pain and loss of hope to recover from illness, most patients instruct a nurse not to renew in a medical emergency. These two issues put the nurse in an ethical and legal dilemma because a human being has a right to life and access to emergency care services. Another nursing issue in hospice care is understaffing, thus increasing the nurse workload and burnout, eventually causing poor outcomes. The Role Of APNs In Hospice Care Essay Assignment
Effects Of Ethical Dilemmas In Nursing Practice And The Future Of APN
An ethical dilemma is a situation where the decision options are not ideal in any profession. In nursing, ethical dilemmas compromise patient outcomes because they decline the quality of care and deprive the patient-care-provider relationship (Aydogdu, 2022). The role of a nurse is to manage the patient’s physical needs, offer emotional support, and prevent the recurrence of symptoms (Collins & Small, 2019). The ethical dilemma in hospice care involves ignoring science and upholding spirituality, honesty versus withholding information, healthcare needs versus resource allocation, and autonomy versus beneficence. These situations cause confusion, disappointment, anxiety, distress, and discomfort at their place of work, thus reducing their productivity. The Role Of APNs In Hospice Care Essay Assignment
According to Collins & Small, (2019) nurses focus on providing medical attention to promote healing or alleviate pain. However, cultural and religious practices in some patients prevent them from seeking emergency care because they believe in a supernatural healer. These cultural and religious convictions create a conflict between the nurse and the patient. However, the nurse should respect differences, which does not imply that they should not provide acute care. The hospice care nurses are discouraged by this religious and cultural conviction, thus losing motivation in their practice. Some incidences allow nurses to forego the patient’s wishes, especially if it is against human rights. The nurses breach the patient’s autonomy of respect, openness, and caring. However, most patients believe that hospice care is for the weak. Therefore, the nurse is unable to conduct her usual hospice care activities. The Role Of APNs In Hospice Care Essay Assignment
Effects Of Ethical Dilemmas On Healthcare
Ethical dilemmas may strain the healthcare sector because patients have a right to medical decisions. The healthcare sector should provide services that promote health, offer curative services, and prevention of diseases. It should ensure the community’s health and improve the outcome of its sick patients. Hospice care facilities are stipulated to provide end-of-life care to their patients. Therefore, they recruit highly skilled and efficient personnel to provide quality care to the patient. When the healthcare institution has such a dilemma, patient autonomy is threatened, there is inadequate communication between the care providers and the patient, and provision of non-beneficial care (Aydogdu, 2022). The incidence creates confusion among professionals and decreases the quality of care in the healthcare sector.
Effects Of Ethical Dilemmas On Patient Health Outcomes
Hospice care provides quality care that relieves pain, distracts the anxiety of illness, and keeps the family members close. The patient feels happy and at peace as they prepare for death. However, few hospice care patients recover and continue their everyday life. When there are ethical dilemmas in nursing, the nurses cannot provide restorative care, acute and emergency services, and resuscitation, and they withhold medical information from the patient. This eventually causes poor prognosis, and they die because of poor relationships and communication (Aydogdu, 2022). Hospice care offers the family members some time away from taking care of the patients to give them time to rest and relieve their anxiety. Poor communication and conflicts arising from the ethical dilemma cause nurses to bypass the benefit of respite care. This increases the emotional burden on the family members. The Role Of APNs In Hospice Care Essay Assignment
Effects Of Understaffing In Nursing Practice, Healthcare, And The Health Outcomes
Advanced practice nurse in hospice care takes care of the patient holistically, including their physical, emotional, spiritual, and psychosocial needs to enhance patient satisfaction. Therefore, in the ratio of nurses to patients, each nurse should have one patient at a time to deliver quality services. Increasing the number of patients each nurse can handle decreases the quality of care and causes a scarcity of beneficial services for the patient. The nurses with increased workloads are often frustrated and need more motivation to work, thus decreasing the quality of care. The outcome usually needs improvement, and the patient is unsatisfied with the services offered. The American Association of nurses should encourage hospice care training to ensure the correct ratio between nurses and patients. The Role Of APNs In Hospice Care Essay Assignment
Provisions In The Code Of Ethics For Nurses
Nurses should accord high-quality healthcare services to all patients. The American nurses association outlines the code of ethics that explains how they should perform professionally and fulfil their obligations. The principle of ethics is culturally adopted and defines the responsibility of nurses with other people, the profession, the practice, and colleagues. A code of ethics is essential to facilitate nursing practice, train nursing students, perform research, policy making, and manage. The principles of ethics are the values and ethical guidelines. The weights that make nurses responsible within their career limit respect for human dignity, sympathy, accountability, justice, commitment to honesty and loyalty, respect for autonomy, compassion, kindness, and confidentiality (Stievano & Tschudin, 2019). The nurses should understand these ethical principles to help them make the appropriate medical decisions.
Nurses should take accountability for ethical and legal professional liabilities during interventions and clinical decisions. The ethical principles enable nurses to know their scope of practice and understand their limits of convention. Additionally, they should offer essential services based on professional standards. Nurses should take care of their own physical and mental health to enhance the delivery of quality care (Stievano & Tschudin, 2019). The nurses should share their professional knowledge with other colleagues, establish a good working relationships, and consult the hospital ethics committee. The Role Of APNs In Hospice Care Essay Assignment
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Intervention To Address The Problem
Solving an ethical dilemma is a complex task that involves the ethics committee. According to the American Association of nursing, nurses must offer promotive, curative, restorative, and preventive healthcare services to all groups of people. Nurses should meet this obligation up to standard to express their commitment to society. Therefore, when in an ethical dilemma, they should refer to their professional, ethical principles and consult the ethics committee in the institution (Aydogdu, 2022). The American nurses association should define the patient-to-nurse ratio in hospice care to prevent burnout among these nurses. They should train more hospice care nurses to cover the gaps.
Conclusions
Hospice care is compassionate care for patients suffering from long-term and life-limiting diseases. Hospice care offers symptom management, pain relief, and spiritual and emotional care. Advanced practice nurse APN is a nurse with a certification or training in master in nursing. Their skills specialization and advanced training enable them to work independently without the help of a physician. The nurses offer psychological, emotional, and contemporary nursing care. A breath of autonomy and beneficence are the most common ethical dilemmas in hospice care centres. The nurses solve the moral puzzle by strictly following the American nurses association codes of ethics. The Role Of APNs In Hospice Care Essay Assignment
References
Aydogdu, A. L. F. (2022). Ethical dilemmas experienced by nurses while caring for patients during the COVID‐19 pandemic: An integrative review of qualitative studies. Journal of Nursing Management. https://doi.org/10.14475/jhpc.2021.24.4.245
Collins, C. M., & Small, S. P. (2019). The nurse practitioner role is ideally suited for palliative care practice: A qualitative descriptive study. Canadian oncology nursing journal, 29(1), 4. https://doi.org/10.5737%2F2368807629149
Kleinpell, R. M., Grabenkort, W. R., Kapu, A. N., Constantine, R., & Sicoutris, C. (2019). Nurse practitioners and physician assistants in acute and critical care: A concise review of the literature and data 2008–2018. Critical care medicine, 47(10), 1442. https://doi.org/10.1097%2FCCM.0000000000003925
Stievano, A., & Tschudin, V. (2019). The ICN code of ethics for nurses: a time for revision. International nursing review, 66(2), 154-156. https://doi.org/10.1111/inr.12525
Wu, Y. (2020). Pain talk in hospice care: a conversation analysis. BMC Palliative Care, 19(1), 1-8. https://doi.org/10.1186/s12904-020-00625-x
APN Practice Issue Paper
Write a scholarly paper on the topic of role, practice, and performance outcome evaluation of the advanced leadership role pertained to your APN specialization. Mine will be • Role of the APN in Hospice Care The Role Of APNs In Hospice Care Essay Assignment
Objectives:
1. Describe the scope of practice of APN role.
2. Identify relevant practice issue/problems existing in APN work setting.
3. Demonstrate problem resolution and opportunities for professional growth both for the role and within the role.
Instructions:
1. Select an issue relevant to the practice and role of your APN specialization.
2. Analyze the issue in respects to it effects on the APN role, health care system, and patient health outcomes, including significant of this issue in future development of APN.
3. Discuss at least two provisions in the Code of Ethics for Nurses with Interpretive Statements that would relate to this issue/problem.
4. Propose an intervention to address the problem, including outcome indicators to measure success of the interventions and steps one can do to enhance future APN growth.
5. Write a paper with your findings. Paper will be 8-10 pages long – not including cover and reference pages – and in APA format. The Role Of APNs In Hospice Care Essay Assignment