Professional Autonomy

The two agencies that were interviewed have some differences in developing policies and procedures as well as some similarities. University Medical Center at Brackenridge (UMCB) is local organization; whereas, ST. David Medical Center operates under Hospital Corporation of America (HCA) organization which has multiple hospitals and surgery centers in 21 States. UMCB policies are not officially regulated according to current evidences; however, the hospital librarians’ researches on current evidence based articles and pass that information to physicians and nurses. On the other hand, HCA make their policies using current evidence based studies as well as conducts their own limited trials. UMBC uses all types of evidences and stakeholders (Physicians,

Ambiguity and lack of regulatory control is echoed in David Powner’s article published in the Lancet Journal: “Clinicians do not always follow an established policy or provide appropriate documentation. Surveys or chart reviews showed that doctors sometimes failed to document specifics of clinical examinations, omitted criteria demanded

The Atlanta-based internist is concerned with how recipients and providers of medical services receive and make health advice and recommendations, respectively. He rues the current practice of medicine, which now pays more emphasis to data or evidence: anything that the data reveals are immediately taken as hard science, with the results taken from studies that claim to “represent a consistently reliable representation of the real world of human beings” i.e., those who do not participate in the studies. For Paul, the data or studies could mean

Atul Gawande in his article “When the Doctor Makes Mistakes” exposes the mystery, uncertainty and fallibility of medicine in true stories that involve real patients. In a society where attorneys protect hospitals and physicians from zealous trials from clients following medical errors, doctors make mistakes is a testimony that Gawande a representative of other doctors speak openly about failures within the medical fields. In this article, Gawande exposes those errors with an intention of showing the entire society and specifically those within the medicine field that when errors are hidden, learning is squelched and those within the system are provided with an opportunity to continue committing the same errors. What you find when you critically analyse Gawande, “When Doctors Make Mistakes essay is how messy and uncertain medicine turns out to be. Throughout the entire article you experience the havoc within the medicine field as the inexperienced doctor misapplies a central line in a patient.

Katz states, “the conviction that physicians should decide what is best for their patients, and, therefore, that the authority and power to do so should remain bested in them, continued to have deep hold on the practices of the medical profession “(214).

Goldman based his beliefs on the fact that all doctors have knowledge of treatments; however in American society, not all physicians follow the same practice or know of every solution to a patient’s illness. In John Wennberg’s reading, Wennberg criticizes the irrationalities in the Agency for Health Care Policy and Research (AHCPR) and comprises it in two key points: the weakness of poorly tested medical theories and a physician’s preference of treatment and position dominating over the choice of a patient (1, Wennberg, CC 2015 p. 21). Wennberg developed the idea of outcomes research, which is the results of research in the health care system based on patients and population. Urologists were interviewed in different locations of Maine based on the different practices on prostate disease. Some physicians recommended men to receive surgery earlier in order to improve health and to have a longer lifespan. Result showed that this practice was not only an untested hypothesis, but it

Two completely different viewpoints of randomized clinical trials are given, article one is against the idea and article two is for it. Article one argues that when a patient sees a physician; the physician has the duty to provide the best treatment for that

The Board of Nursing is a regulatory agency that enforces the Nurse Practice act through disciplinary action, provides the NCLEX for registered nurses to obtain their license to practice in that state and approves nurse education programs (Cherry & Jacob p.71). The Board of Nursing regulates my personal professional nursing practice by the following. I have to pass the NCLEX to get my RN license and keep up with my continuing education units. I have to renew my RN license every year on my birthday to ensure that my license remains valid and maintain safe practice by following the Nurse Practice Act. If I do not follow the Nurse Practice

The face of nursing has evolved and changed since it’s inception. Today’s nurse is faced with cultural, ethical and technological issues that didn’t exist even twenty years ago. As such, nurses have had to continuously evolve to continue to provide the quality, selfless care that patients have always relied on them for, and expected, since the very beginning of nursing. From pediatrics to gerontology, nurses are serving a culturally, religiously and financially diverse population with challenging needs. In the face of this, nursing itself is becoming ever more diverse in it’s culture and skill set, which is helping the profession stay in the race, and continue to advance the practice of nursing.

In the administration of medical services in the United States law and regulation now control much of professional life. (p. 586)

Nursing is one of the most trusted professions in the community. This means that nurses are trusted to enter into therapeutic relationships that adhere to the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the professional knowledge and skills of the nurse and the patient trusting in the nurse’s ability to care for them. Professional boundaries are an intricate aspect of a nurse’s daily work. These boundaries are based on trust, respect and the appropriate use of power. Breaches can be classified as boundary crossings, boundary violations or sexual misconduct. Breaches of boundaries lead to violations of a nurse’s professional responsibility. Nurses must maintain

What does Professionalism mean to me? Professionalism in my term means it is someone who is very dedicated to their profession. It is an important and great decision to follow by the rules and ethics of professionalism. If we did not have anyone that cared about their profession it would cause a lot of problems in our society today. It could cause a lot of disruption in your workplace. In order to abide by professionalism you must take pride in your job, percieve realistic goals and values, and know what your expectations are.

The Merriam-Webster Online Dictionary defines professionalism as the conduct, aims, or qualities that characterize or mark a profession or a professional person. Yet the White Paper on Pharmacy Student Professionalism says it is displaying values, beliefs and attitudes that put the needs of another about your personal needs. There is still another definition. The Medical Professionalism Project says professionalism is the basis of medicine's contract with society. It demands placing the interests of patients above those of the physician, setting and maintaining standards of competence and integrity, and providing expert advice to society on matters of health. In my opinion, a person's attitude, values, and behaviors

Everywhere you go and in everything you do, professionalism comes in to account in some way or another. Professionalism has been defined as, “a strict adherence to courtesy, honesty and responsibility when dealing with individuals or other companies in the business environment” (Clarke, 2015). When it comes to the career of nursing, professionalism is taken to a whole other level. Not only does professionalism come in to account with your business professionals and peers, but you have patients with whom professionalism is highly practiced as well. Professionalism in nursing means that you are able to handle all the responsibilities given to you in an efficient and proper way. It means that when you are given an order that needs to be carried out by a doctor or a patient who needs your help, you adhere to what is being expected of you in a timely manner. Physicians put trust into nurses in order to carry out orders that are needed to save patients’ lives. If you’re not looked at as professional and responsible, it is going to be very hard to have a successful career. Responsibility is what nursing is all about. Professionalism in nursing means that along with taking on big responsibilities, you have discipline. Discipline in nursing is crucial to being successful. Not only to keep your patients safe, but so that you personally are on the ball and looked at by others as professional, therefore, making you a great nurse. Professionalism means that you have the

Imagine you are injured or sick and have sought a doctor’s help. Although you trusted your doctor, something, something seemingly very in control of the doctor, went wrong. You are angry and confused, but also think of the commonality of medical malpractice. So, why do doctors, who are supposed to help, harm? Though many flaws influence it, malpractice can be, and often is unintentional. Most doctors aren’t trained to harm their patients. Inexperience and lack of medical discovery led to unintentional suffering of the patient. Personal flaws, like lack of willingness to abandon previous medical methods and shortcomings in communication also harm patients. Further reasons why doctors harm are socio-medical understandings that breed hate, prejudices stemming from a society’s belief about certain people, such as the medical practice under the Nazi regime. Additionally, displayed in the case of Ignác Semmelweis, judgement of one to oneself can be detrimental to any progress one’s ideas could make. We will examine these concepts through Jerome Groopman’s “Flesh-and-Blood Decision Making”, Sherwin Nuland’s The Doctors’ Plague and Barbara Bachrach’s “In the Name of Public Health”. Those who practice medicine are, unfortunately, unfree from the imperfections that plague all of humanity. Through these intimate and varied faults, doctors do harm.