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Sounds of silence

J Lowell1, K Massey

  • 1University of Tennessee Medical Center, Knoxville, USA.

Nursing Management
|May 1, 1997
PubMed
Summary

This study outlines strategies for addressing nurse misconduct, patient harm, and treatment order issues. Guidance is available from the American Nurses Association (ANA) Code for Nurses and state nursing regulations.

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Area of Science:

  • Nursing Ethics
  • Healthcare Professional Conduct
  • Patient Safety

Background:

  • Reportable occurrences in nursing are critical to patient safety and professional integrity.
  • Inappropriate peer behavior, patient abuse/neglect, and treatment order issues pose significant risks.
  • Existing professional and regulatory frameworks offer guidance for managing these occurrences.

Purpose of the Study:

  • To describe strategies for managing three key categories of reportable occurrences in nursing.
  • To highlight the role of professional codes and state regulations in addressing these issues.
  • To provide direction for identifying, reporting, and resolving critical incidents.

Main Methods:

  • Review of strategies for handling specific categories of nursing occurrences.
  • Identification of guiding documents and regulatory bodies.
  • Analysis of frameworks for occurrence resolution.

Main Results:

  • Strategies address inappropriate peer behavior (substance abuse, behavioral problems).
  • Protocols cover patient abuse, neglect, and exploitation.
  • Methods are provided for issues concerning treatment orders.
  • The American Nurses Association (ANA) Code for Nurses offers ethical direction.
  • State Departments of Nursing License Regulations provide regulatory oversight.
  • State Intervention Projects for Nurses offer support and intervention.

Conclusions:

  • A structured approach is necessary for managing reportable occurrences in nursing.
  • Professional guidelines and state regulations are essential resources for nurses.
  • Effective identification, reporting, and resolution of occurrences enhance patient safety and professional accountability.

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