Supportive Submission 1: Developing a Strong Workforce in Healthcare
A healthy workplace is one in which workers and managers collaborate to use a continual improvement process to protect and promote the health, safety and well-being of workers (WHO, 2010). Ethics in public health are concerned not so much with the character of professionals as with the ethical dimensions of the public health enterprise itself. The field of public health ethics applies principles and values to evaluate the justifiability of public actions (Goston, 2010). It is imperative to maintain high ethical standards in health care. Health care ethics are founded on four main principles, which include non-maleficence, autonomy, justice, and beneficence. Contemporary ethical health care issues are centered on these principles, and therefore, professionals need to navigate those (Morain & Kass, 2016).
Understanding the key concepts and how they relate to clinical practices is essential to the effective functioning of ethics committees (Gostin, 2010). Autonomy is the ethical principle that includes determination of health care goals, power over what is done to one’s body, and control of personal information (Gostin, 2010). In addition, autonomy gives priority to personal values, and confers the professional obligation to respect patient privacy and confidentiality (Gostin, 2010). Secondly, Beneficence, the principle of beneficence underlies obligations to provide the best care for the patient and balance the risks or burdens of care against the benefits (Gordin, 2010). Beneficence is the principle with arguably the greatest resonance for caregivers, whose traditional mission is to heal and comfort, and notion of nurturing and protecting are reflected in caring for those who most vulnerable (Gordon, 2010). Thirdly, non-maleficence, this principle grounds obligations to avoid the intentional infliction of harm or suffering, recognizing that conceptions of harm, as of good, are inextricably tied to individual values and interests (Gordon, 2010). Last and finally is Justice, Justice refers to those principles of social cooperation that define what each person in the society or member of a group is due or owed in short, what is fair.
One main ethical issue is developing a vast workforce in healthcare. The government of US has been handling a nursing shortage of different levels for several years. Still, today, the deficit is one verge of being a crisis, one with adverse impact of care providers and patients. The shortage is mainly attributed to the increase in the aging population, the emergence of chronic diseases, and a high rate of the aging nursing workforce.
Many view quality health care as the overarching umbrella which patient safety resides. For instance, the institute of Medicine (IOM) considers patient safety “indistinguishable contemplated quality and its quality health care” (Hughes, 2008). The most critical contribution of nursing to patient safety, in any setting, is the ability to coordinate and integrate the multiple aspects of quality within the care directly provided by nursing, and across the care delivered by others in the setting (Hughes, 2008). The role of nursing as a prime communication link in all health care settings becomes evident.
In health care providers are not able to develop and maintain strong workforce, patient care is likely to suffer, as indicated by the American Association of Nurses. Yet, attaining this, with the prevailing shortage of nurses, is a big challenges (Cherry & Jacob, 2016). Therefore, health care institutions need to focus on nurse retention methods solely. Another strategy is to reject the proposed cuts to medical learning.
Despite these demographics, it is essential to offer training to physicians and mold them to be the future strong workforce in the health care sector. Governments have realized their role in funding its share for both direct and indirect expanses for educating health care professionals (Ulrich et al, 2010). Lastly staffing decisions need to be kept within the local institution and health care providers. Flexible plans for work staff are vital to make sure that health systems and hospitals continuously give access to high quality care.
In conclusion, patient’s safety is the cornerstone of high-quality health care. Nurses are critical to the surveillance and coordination that reduce such adverse outcomes. Much work remains to be done in evaluating the impact of nursing care on positive quality indicators, such as appropriate self-care and other measures of improved health status.
References
Cherry, B., & Jacob, S.R. (2016). Contemporary Nursing: Issues, Trends, and Management. Elsevier Health Issues.
Linda, F., Past & Jeffrey, Blustein. “Handbook for Health Care Ethics Committees.” Johns Hopkins University Press. 2015.
Morain, S. R., & Kass, N.E. (2016). Ethics Issues Arising in The Transition to Learning Health care Systems: Results from Interviews with Leaders from 25 Health Systems. eGEMs, 4(2).
Ulrich, C.M, Taylor, C., Soeken, K., O’Donnell, P., Farror, A., Danis, M., & Grady, C., (2010).
Everyday Ethics: Ethical Issues and Stress and Stress in Nursing Practice. Journal of Advanced Nursing, 66(11), 2510-2519.
Ronda G. Hughes, PH.D., M.H.S., R.N (April, 2018). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. AHRQ Publication No. 08-0043.
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