In a community hospital, nurse-patient assignment is often done with inconsistent methods and rationales. Charge nurses use individualized processes to decide which patients are best paired-up and assigned by the nurses available. It is not uncommon for there to be no set criteria or acuity measurement system by which the number of patients or the types of patients can or should assign to a nurse.
NSG2201 Clinical Care B Nursing Assignment
As with many ethical dilemmas, there is rarely a single answer that resolves all the issues. Using an ethical approach to problem-solving can help nurses take into account the relevant factors, and find the best solution. This practice guideline has been developed to assist nurses in resolving ethical dilemmas.
The guideline provides an overview of relevant practice standards, laws, and professional and ethical accountability. It also describes a process for resolving ethical dilemmas and conflicting obligations that nurses face while fulfilling their duty to provide safe healthcare. When weighing professional and personal obligations and making decisions, nurses are expected to show leadership and accountability.
Clinical care involves many factors. The complexity of the patient's condition and the nurse's competency are both important factors in selecting the right nurse for each patient. When deciding which nurse to assign, the charge nurse will consider the clinical presentation of the patient. The complexity of the patient and the level of care required can make this a difficult task. A nurse's competence, which is measured by years of experience, certifications, and skills, is a major deciding factor. All of these factors should be considered, along with the patient's and family's involvement, their social and emotional needs, and their health literacy.
All of these factors add complexity to the decision-making process. It is important to take into account all of these factors and others when making a nurse-patient assignment.
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