Healthcare Boundaries: Respect and Commitment in Medical Personnel Duties - Essay Sample

Introduction

Millions of people suffering from disorders and illnesses worldwide depend on medical personnel duties such as medication without damaging ethics value and with a sense of commitment. Boundary issues come from a variety of healthcare reasons to the holder with respect and great esteem medical personnel by society. Boundary issues such as moral weakness with emotional vulnerability, unfair character, and physician's ignorance are among the reasons that may pave the way for problems that can result in boundary violations and crossings. The core concepts of the relationship between doctor and patients comprise the principles of compassion, autonomy, nonmaleficence, and beneficence in an ideal setting. Physician behavior needs to be consistent with the culture with norms of the society that people live in and towards their clients. People rather than blaming medical workers toward their work within organizational cultures should emphasize on safety to dispel incompetence and the perception fears in healthcare.

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Ethical and Professional Boundaries Compromised

Ethical principles, such as the right to self-determination, autonomy, beneficence, and nonmaleficence, can categorize as medical errors concerning ethical issues (Bonney, 2013). The peer compromises the concepts of the right to self-determination and autonomy by not giving her patient a scheduled medication. The ideas acknowledge the perceived benefits and personal views of patients as a right to take action and make healthcare choices. There is an ethical obligation for the peer with the medical error to enlighten the patient about the on-going strategy of the care and additionally notify her nurse. In making decisions, healthcare providers are obliged to help patients with honest discussions to maintain trust and prevent potential medical errors. Principles of nonmaleficence and beneficence are compromised by the peer that best direct providers in healthcare to avoid harm by doing what is best for the patient. In terms of balancing the projected benefit, she creates a moral conflict that can potentially risk the patients’ health. Errors range of severity in healthcare can root damage to the system, to the individual who created the error, and to patients (Kalra, Kalra, & Baniak, 2013). Hospitals have a duty to take obligatory steps through healthcare providers to lessen the harm initiated by failure through dialogue as a team. The peer also compromises the Hippocratic Oath that bounds and abides physicians in the ethical practice of medicine. Physicians with the patient’s best interest in mind should always initiate and maintain conduct that expands trust that the public has and help preserve the relationship integrity.

Guidance

Systematic management strategies are required within an organization to prevent medical errors. The first thing that the peer need is to have education and understanding of the prominence in reporting medical errors. In research of long-term care workers working as Canadian nurses noted the distinct meaning of medical error to constituting harm by whether they said it with influence on their perceptions of the damage (Hannawa et al. 2013). The error report was under prioritization by these nurses with causes of harm choosing because of their busy working conditions. There was an overwhelming indication that the participants handling the after-effects of error manifestation would like to have continuing education on the issues. The peer in all settings must understand the process of error reporting and develop a definition of harm for the case that should be shared through education and training. The second step for the peer is to diminish the fear that healthcare providers often discloses a barrier between willingness to risk and disclose missed medication. The primary medical source of errors comes from the culture of blame that can cause fear like, in this case, the peer to the nurse, therefore, missing medication of a patient. An open dialogue should be used in healthcare with organizations creating an environment of support for health practitioners in conferring, revealing, and reporting errors. Having healthcare policies to discuss boundary challenges can offer health workers opportunities during in-service training by constituting boundary violation and transgression. Health practitioners struggle to maintain an internal relationship. At this stage, the peer should face the nurse to report the incident to mitigate any future harm that may arise with the missed medication.

Importance of Reporting Errors and Near Misses

Prevention of errors and near misses in healthcare is essential through reporting. Following the release of a report in the United States, the cause of death in hospitals for the nation led to preventable adverse events (Leape et al. 1991). Secondary to negligence, the errors were avoidable and resulted in adverse circumstances. Vast numbers of errors are never captured or reported voluntarily, therefore, causing failures in patient safety initiatives for health care. The healthcare system is under reflection with numerous problems through errors that do or do not harm patients, for instance, by having unfavorable working conditions with a culture that is not safety-driven. Reporting errors and near misses detecting system issues that could have caused harm, occur, and mitigate them before reaching patients. Near misses and reporting errors offer critical information for averting the same mistakes that, in the future, can harm patients by creating or modification of procedures and policies in the healthcare industry. The underlying root causes or factors in the identification of errors increase patient safety by reducing similar errors. Reporting errors and near misses do predict happening again of error by determining its frequency with the combination of factors that caused it, therefore, causing organizations to understand better what exactly happened.

Society should not blame medical workers for their work with organizational cultures of healthcare and emphasize patient safety. The American Nurses Association at all levels of healthcare over competing goals should commit to a culture of safety with conduct and core values emphasizing safety for patients. Reporting missed medication can prevent medical errors by contributing to the management and prevention of errors in the future. A healthcare culture of safety should incorporate professional disciplinary perspectives in ethics, communication, and law to manage medical errors and implement ethical practices, thereby helping healthcare providers.

References

Bonney, W. W. (2013). Medical errors: moral and ethical considerations. J Hosp Adm, 32(32), 80-88. , doi:10.5430/jha.v3n2p80.

The author considers morals and ethics in medical errors as a threat to patients with practical implications if used well can prevent and disclose the mistakes. The writer notes that for the management of risks in medical errors, some norms and values can relate to the focus of employee commitment.

Gallagher, T. H., Waterman, A. D., Ebers, A. G., Fraser, V. J., & Levinson, W. (2003). Patients' and physicians' attitudes regarding the disclosure of medical errors. Jama, 289(8), 1001-1007. Retrieved from https://pbrn.ahrq.gov/tools-and-resources/pbrn-literature/patients-and-physicians-attitudes-regarding-disclosure-medical

The article determines error disclosure with the physician's and patient's attitudes. The authors discuss medical errors with physicians and patients thinking to best effort minimization of errors in healthcare.

Hannawa, A. F., Beckman, H., Mazor, K. M., Paul, N., & Ramsey, J. V. (2013). Building bridges: future directions for medical error disclosure research. Patient Education and counseling, 92(3), 319-327., doi: 10.1016/j.pec.2013.05.017.

The article identifies tensions and gaps in medical error disclosure outlying discipline in the perspective field of healthcare. With a functioning approach, the authors strive for improvement and understanding of improving medical care with quality and disclosure of medical errors.

Kalra, J., Kalra, N., & Baniak, N. (2013). Medical error, disclosure, and patient safety: A global view of quality care. Clinical biochemistry, 46(13-14), 1161-1169., doi: 10.1016/j.clinbiochem.2013.03.025.

The authors focus on system sustainability to improving patient safety by tackling medical errors as a prominent problem. The journal suggests addressing errors in healthcare through a uniform policy.

Leape, L. L., Brennan, T. A., Laird, N., Lawthers, A. G., Localio, A. R., Barnes, B. A., ... & Hiatt, H. (1991). The nature of adverse events in hospitalized patients: results of the Harvard Medical Practice Study II. New England journal of medicine, 324(6), 377-384. Retrieved from https://www.nejm.org/doi/full/10.1056/NEJM199102073240605

The authors estimate the incidence of medical management for the definition of injuries through adverse events in the United States. In the interdisciplinary study, the authors discover damages caused by medical treatment errors and offer ways to stop them. Through tests, the article identifies the significance of medical errors concerning negligence.