please choose one of the following and discuss an example of what the provision might apply to.

 Please choose one of the following and discuss an example of what the provision might apply to.

 How can you foresee yourself acting in the interest of one of the following provisions?  What do these suggest to you?

7.   The nurse’s contribution to the profession through research

8.  Nurse’s obligation to advance health and human rights and reduce disparities

9.  Social justice – promoting nursing principles into health policies.

Provisions Resource:

Attached power point

© 2015 American Nurses Association

1

Provisions 7-9, Commitment Beyond Individual Patient Encounters

Slide Deck 3

© 2015 American Nurses Association

3

What do we mean by “commitment beyond individual patient encounters”?

Provisions 7-9 focus on the expanded duties of the nurse and the nursing profession in advancing nursing and health care nationally and globally.

Provisions 7-9, Commitment Beyond Individual Patient Encounters

The nurse, in all roles and settings, advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy. Interpretive Statements 7.1 Contributions Through Research and Scholarly Inquiry 7.2 Contributions Through Developing, Maintaining, and Implementing Professional Practice Standards 7.3 Contributions Through Nursing and Health Policy Development

4

Provision 7

Knowledge development advancing the body of nursing science.

All nurses engage in scholarly activity by providing evidence-informed practice.

Nurse researchers follow national/international standards for conducting research with human participants.

All research must be approved by institutional review boards (IRBs) in compliance with national standards.

Patient welfare must never be jeopardized for research findings.

5

7.1 Contributions Through Research and Scholarly Inquiry

5

Do not generally have access to government or private resources to meet basic needs:

Low-income persons

Underserved populations

People with disabilities

Elderly persons

Children

Prisoners

Homeless persons

Mentally ill persons

6

Vulnerable Populations

Should a study be judged by today’s ethical standards or the standards applied at the time of the study?

Were participants informed and did they comprehend risks?

Did the research knowingly cause harm?

Was harm a direct and foreseen result of the study or of some other factors?

Did experimentation continue after harmful results were known?

Was help available to subjects after the study?

Were results suppressed, falsified or destroyed?

7

Questions to Ask About Ethics of Research Studies

7

What are the implications of a research survey of Alzheimer’s patients?

How could informed consent be obtained?

How valid would verbal responses to a survey be?

What steps could be taken to make such a study ethically acceptable and meaningful?

8

Questions to Ask about Ethics of Research Studies

Research Ethics Committees: Safeguard Dignity, Rights, Safety and Well-being of All Research Participants

Professionals’ Use of Responsible Advocacy

Research Ethics Committees: Ensure High-Quality Research That Offers Benefits to Participants, Services and Society

AVOID:

Exploitation, Coercion and Exclusion and Discrimination

Informs Policy and Service Provision

Seek Active Involvement of Service Users

Volunteer to Participate

Informed Consent

Paternalism

Facilitative

Autonomy

Justice

Right to Withdraw

9

Nonmaleficence

Research With Marginalized Subjects

Beneficence

Right to Information

Smith, L. (2008). How ethical is ethical research? Journal of Advanced Nursing, 62(2), 254.

Discussion Question: Note that this relies on ethical principlism. How might an ethic of caring approach these questions? Virtue ethics?

9

Scope and standards inform practice in multiple specialties and all settings.

Practice environments should facilitate implementation of these standards.

Standards should be woven through any nursing program curriculum.

10

7.2 Contributions through Developing, Maintaining and Implementing Professional Practice Standards

Nurses must advocate for health policies through institutional, local, regional, state, and national initiatives to improve quality of life for populations.

Health policy advocacy should be included in nursing curricula.

Nurses are more powerful when their voices are combined through professional organizations.

11

7.3 Contributions through Nursing and Health Policy Development

The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities.

Interpretive Statements

8.1 Health Is a Universal Right

8.2 Collaboration for Health, Human Rights, and Health Diplomacy

8.3 Obligation to Advance Health and Human Rights and Reduce Disparities

8.4 Collaboration for Human Rights in Complex, Extreme or Extraordinary Practice Settings

12

Provision 8

13

8.1 Health Is a Universal Right Radical declaration: Health Is a Universal Right Creates obligation to advance health and human rights.

14

8.2 Collaboration for Health, Human Rights, and Health Diplomacy

“If health is a human right, then a health disparity is a human rights issue and the struggle to achieve health equity for all is an issue of social justice.”

-Jacquelyn Miller, CEO, Nebraska DHHS

Kosoko-Lasaki, S., Cook, C.T., & O’Brien, R.L. (2008). Chapter 15: Health Disparities: The Nebraska Perspective. In Cultural Proficiency in Addressing Health Disparities. Sudbury, MA: Jones & Bartlett.

14

15

“If we could change the health of the world by changing one thing, it would be to ensure equal rights for women.” -Eleanor Roosevelt

Retrieved from http://www.usaid.gov/what-we-do/gender-equality-and-womens-empowerment.

15

Highest attainable standard of physical and mental health

Including reproductive and sexual health

Equal access to adequate health care and services

Regardless of gender, race, or other status

Equitable distribution of food, safe drinking water and sanitation

Adequate housing, safe workplace

Freedom from discrimination

Education, including health and sex education

Environment appropriate for a child’s physical and mental development

16

United Nations human rights include…

Mertas, J. (2009). We can end poverty – Millennium Development Goals and Beyond 2015. The United Nations and Human Rights: A Guide for a New Era (2nd Ed.). New York: Routledge Publishing Company.

ISBN 978-0-415-49132-7

16

Eradicate Extreme Hunger and Poverty

Achieve Universal Primary Education

Promote Gender Equality and Empower Women

Reduce Child Mortality

Improve Maternal Health

Combat HIV/AIDS, Malaria and Other Diseases

Ensure Environmental Sustainability

Develop a Global Partnership for Development

17

United Nations Millennium Development Goals 2000-2015

Mertas, J. (2009). We can end poverty- Millennium Development Goals and Beyond 2015. The United Nations and Human Rights: A Guide for a New Era (2nd Ed.). New York: Routledge Publishing Company.

ISBN 978-0-415-49132-7

NOTE: United Nations Millennium Development Goals: http://www.unmillenniumproject.org/goals/

17

Check out the United Nations Progress Report: www.un.org/millenniumgoals/

Extreme poverty is falling in every region, including Africa

Water sources have improved

Fewer people living in urban slums

More children are in primary school (especially girls)

Deaths under age 5 have fallen

Millions more are receiving HIV antiretroviral therapy

TB deaths are expected to fall dramatically

Malaria cases have decreased

18

United Nations Progress Report

Global economic crises slowed progress for some countries; unemployment persists

Rural areas haven’t improved water sources enough

Maternal mortality is still too high

Hunger and malnutrition persist

Slums are still growing

Gender inequality and violence undermine efforts of women to reach goals

19

Global Challenges Remain

www.un.org/millenniumgoals/

19

Power differential exists between those who can access health care and those who cannot

Uninsured, underinsured

Marginally insured

Tenuously insured

Periodically insured

Refugees and immigrants

Stigma of welfare in America

Less likely to secure Medicaid benefits

Access to Care Is Still a Huge Issue for Millions

20

Underserved in Health Care

21

But What Can I Do About These Huge Problems?

Read to stay informed

Write letters to legislators

Foster healthy lifestyles in your community

Be aware of underlying community conditions contributing to health problems

Create a clinical environment that is culturally sensitive to diverse cultural perspectives

Join a professional organization that lobbies Congress for equitable policies

22

Some Small Steps for Individual Nurses

Nursing: American Nurses Association

Specialty Organizations

Multidisciplinary (Health)

Public Health, American Public Health Association

Rural Health

Multidisciplinary/Multiorganizational

Sociologists, political scientists, demographers

Environmentalists, journalists, historians, geoscientists, climatologists and more

23

Your Voice Is Amplified in Professional Organizations

Collaboration: An Instrument for Social Justice

Inequality, poverty, and stigma erode health

Social determinants of health must be addressed, including…

Contaminated water and air

Poor sanitation

Hunger

Limited education

Violence, warfare

Homelessness

24

8.3 Obligation to Advance Health and Human Rights and Reduce Disparities

24

Collaborative partnerships with a united voice can impact legislation, policies, and relief efforts to alleviate suffering and create living conditions in which populations can flourish.

25

Partnerships

26

8.4 Collaboration for Human Rights in Complex, Extreme, or Extraordinary Practice Settings

You are the only RN caring for three terminally ill patients in the ICU on the 5th floor during a hurricane that has knocked out power, contaminated the water, and produced structural damage to the hospital.

Evacuation is not possible for four days during which you run out of IVs and morphine. The pharmacy is shut down and all pharmacists have evacuated.

Patients are suffering in 105 degree heat with no fluids and no pain relief. One patient asks you to be merciful and end his suffering. What are your options? What guidance does the Code provide?

27

Imagine…

When individuals lose power to represent themselves and their needs, wishes, values, and choices, others must advocate for them.

Potentially vulnerable

Circumstantially vulnerable

Temporarily vulnerable

Episodically vulnerable

Permanently vulnerable

28

Continuum of Vulnerability

Blaikie, P., Cannon, T., Davis, I., & Wisner, B. (2014). At risk II natural hazards, people’s vulnerability and disasters (2nd Ed.). New York: Science Division of Rutledge Publishing Company.

ISBN 0-415-25215-6

28

29

The profession of nursing, collectively through its professional organizations, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy.

Interpretive Statements

9.1 Articulation and Assertion of Values

9.2 Integrity of the Profession

9.3 Integrating Social Justice

9.4 Social Justice in Nursing and Health Policy

Provision 9

Unified Voice to Assert Shared Values.

Professional organizations articulate and share mutual values with the profession, colleagues, and the public.

Unwavering Central Values

Promotion or restoration of health

Prevention of illness and injury

Alleviation of pain and suffering

30

9.1 Articulation and Assertion of Values

Ferrell, B.R., & Coyle, N. (2008). The nature of suffering and the goals of nursing. New York: Oxford University Press.

30

31

The Perils of Social Change

“All progress is precarious, and the solution of one problem brings us face to face with another.”

-Martin Luther King Jr., 1963

“Be not afraid of going slowly, be afraid only of standing still.”

-Ancient Chinese Proverb

“Make haste, but do it cautiously.”

-Marge Hegge

Martin Luther King Jr. quote from Orlando Sentinel. Retrieved from http://www.orlandosentinel.com/entertainment/os-martin-luther-king-jr-quotes-story.html#page=1

31

Encouraging respect, fairness, and caring in all facets of nursing

Ensuring nursing workforce sustainability

Fostering higher education of nurses

Advancing nursing science

Supporting certification and licensure

Facilitating evidence-informed practice

32

9.2 Integrity of the Profession

Vigilance to influence those in power to:

Improve health and health care

Address unjust systems and structures

Address underlying determinants of health

Redress wrongs

33

9.3 Integrating Social Justice

34

Creating the Landing Strip to the Future

“In today’s turbulent times, engaging people’s best thinking about complex issues without easy answers will be the key to creating the futures we want rather than the futures we get.”

-Eric Vogt, The Art of Powerful Questions

Vogt, E., Brown, J., & Isaacs, D. (2003). The art of powerful questions: Catalyzing insight, innovation and action. Mill Valley, CA: Whole Systems Association.

ISBN 0-9724716-1-8

Quoted in American Leadership Forum. (2012) Common Ground/Common Good. Silicon Valley, CA: Author. P. 38.

34

Open and honest communication

Work in concert to advance common good

Environmental restoration

35

9.4 Social Justice in Nursing and Health Policy

36

30 Richest Nations

Africa,

Southeast Asia

Are Poorest Nations

Population Disease Health $ Providers

Population Disease Health $ Providers

Global Burden of Disease (World Health Organization)

World Health Organization. Retrieved from www.worldhealth.org

World’s biggest killers: pneumonia, diarrheal diseases, followed by AIDS, TB and Malaria, all rampant in Tanzania.

36

37

Global Health Inequities

Less than 10% of the world’s health research budget is spent on conditions that account for 90% of the world’s diseases!

37

Doyle, L. (2004). Gender and the 10/90 gap in health research. Bulletin of the World Health Organization, 82(3). Retrieved from http://www.who.int/bulletin/volumes/82/3/162.pdf

Research does not reflect global disease burden, they reflect purchasing power!

In Rich countries, 1/10 deaths are due to infections, due to drugs/vaccines. In Poor countries 6/10 deaths are due to infections. Half of these could be prevented.

38

Americans can no longer isolate themselves from epidemics and pandemics in faraway places.

World Health

We all share this fragile small planet, and share risk of infectious diseases fanning across the globe.

Doyle, L. (2004). Gender and the 10/90 gap in health research. Bulletin of the World Health

Organization, 82(3). Retrieved from http://www.who.int/bulletin/volumes/82/3/162.pdf

Research does not reflect global disease burden, it reflects purchasing power!

In rich countries, 1/10 deaths are due to infections, due to drugs/vaccines. In poor

countries 6/10 deaths are due to infections. Half of these could be prevented.

Not a quote, just an observation.

38

39

How are we to respond?

Global Injustice

The poor bear the brunt of dangerous environmental toxins, contaminated water, poor nutrition, lack of education, warfare, violence, and homelessness. The poor are the least able to deal with these hazards. How is this just?

39

“Even if you’re on the right track, you’ll get run over if you just sit there.”

-Will Rogers

40

Retrieved from http://philosiblog.com/2011/06/28/even-if-you%E2%80%99re-on-the-right-track/.

40

“Nurses are messengers of hope for troubled times. Leave your footprints of hope for the next generation to follow.”

-Marge Hegge

41

Quote from Marge Hegge, January 21, 2015, ANA’s Webinar on Code of Ethics.

41

Order a similar paper and get 15% discount on your first order with us

Dr. Padma Myers
Dr. Padma Myers
98% Success Rate
Read More
“Hello, I deliver nursing papers on time following instructions from the client. My primary goal is customer satisfaction. Welcome for plagiarism free papers”
Stern Frea
Stern Frea
98% Success Rate
Read More
Hi! I am an English Language and Literature graduate; I have written many academic essays, including argumentative essays, research papers, and literary analysis.
Dr. Ishid Elsa
Dr. Ishid Elsa
98% Success Rate
Read More
"Hi, count on me to deliver quality papers that meet your expectations. I write well researched papers in the fields of nursing and medicine".
Dr. Paul P. Klug
Dr. Paul P. Klug
99% Success Rate
Read More
"A top writer with proven reliability and experience. I have a 99% success rate, overall rating of 10. Hire me for quality custom written nursing papers. Thank you"

How Our Essay Writing Service Works

Tell Us Your Requirements

Fill out order details and instructions, then upload any files or additional materials if needed. Then, confirm your order by clicking “Place an Order.”

Make your payment

Your payment is processed by a secure system. We accept Mastercard, Visa, Amex, and Discover. We don’t share any informati.on with third parties

The Writing Process

You can communicate with your writer. Clarify or track order with our customer support team. Upload all the necessary files for the writer to use.

Download your paper

Check your paper on your client profile. If it meets your requirements, approve and download. If any changes are needed, request a revision to be done.

Recent Questions

Stay In Touch!

Leave your email and get discount promo codes and the best essay samples from our writers!
Chat with us
WhatsApp Your Assignment!
Hello! Welcome! We have writers online to help you at any time!