Apply the differences between negligence and malpractice to the practice of nursing.  Provide examples to illustrate your points. Read the following article and view the video on the same case.  How can this example be used as an illustration of maintaining patient safety and  providing safe, effective care?  Identify some of the possible barriers that nurses face when acting on what they believe to be the morally correct action in this particular case. https://www.youtube.com/watch?v=3SfrQnwRIjU

Negligence and malpractice are two distinct but related concepts in the realm of healthcare. Understanding the differences between them is crucial for nurses, as it helps them navigate patient care within legal and ethical boundaries. In this assignment, we will explore the distinctions between negligence and malpractice and their significance in nursing practice. Additionally, we will analyze a specific case and discuss how it exemplifies the principles of patient safety and the provision of safe, effective care. Furthermore, we will identify some of the possible barriers nurses may encounter in situations where they must act according to their moral beliefs.

Negligence can be defined as a failure to exercise reasonable care or skill that results in harm to another individual. It implies a breach in the duty of care owed by a professional to their patient. In the context of nursing, negligence occurs when a nurse fails to meet the accepted standards of nursing practice and this failure leads to harm or injury to the patient. For instance, if a nurse administers the wrong medication to a patient due to a miscommunication or lack of attention, resulting in an adverse reaction, that nurse can be held liable for negligence.

On the other hand, malpractice is a specific form of negligence that involves professional misconduct, unethical behavior, or a failure to meet the standard of care expected of professionals in a particular field. In nursing, malpractice refers to a nurse’s actions that deviate from the accepted standards of nursing practice and cause harm to the patient. It requires establishing that a duty of care existed, the duty was breached, the breach caused harm, and the harm resulted in damages. An example of nursing malpractice could be a nurse failing to appropriately monitor a patient’s vital signs post-surgery, leading to the patient’s condition deteriorating, and subsequent permanent organ damage.

The case provided in the article and video presents a compelling illustration of maintaining patient safety and providing safe, effective care. The case revolves around the death of a young girl who underwent surgery for a tonsillectomy. The primary concern in this case was the administration of an excessive amount of a potent pain medication, resulting in a fatal overdose. This tragic outcome highlights the importance of medication safety, proper dosage calculation, and vigilant monitoring of patient responses.

The case can be viewed as an example of maintaining patient safety through several lenses. Firstly, it emphasizes the significance of medication administration protocols, including double checks, cross-referencing, and verifying orders. Secondly, it underscores the need for clear communication among healthcare providers to ensure all necessary information and precautions are conveyed accurately. Lastly, it underscores the importance of continuous monitoring and assessment of patient responses, particularly when administering medications with potential adverse effects.

Despite the gravity of the situation and the unquestionable imperative to prioritize patient safety, nurses sometimes face several barriers when acting in what they believe to be the morally correct action. One potential barrier is a lack of autonomy and decision-making authority within a hierarchical healthcare system. Nurses may feel constrained by rigid protocols, limited independence, and fear of retribution for deviating from established norms. In this specific case, nurses may have encountered obstacles in questioning the excessive prescribed dosage or raising concerns about the patient’s deteriorating condition. Additionally, time pressure and competing demands can impede a nurse’s ability to thoroughly assess, communicate, and intervene appropriately. These barriers may lead to a reluctance or delay in taking action, potentially compromising patient safety.

In conclusion, negligence and malpractice are distinct concepts with significant implications for nursing practice. This distinction lies in the level of professional misconduct and deviation from accepted standards of care. The case discussed highlights the importance of patient safety and provides examples of medication errors leading to adverse outcomes. It also shed light on the potential barriers that nurses may face when acting on their moral instincts. Ultimately, understanding these concepts and their application in nursing practice is crucial for ensuring patient safety and quality care delivery.

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