Sheila, an RPN has been working at the Victoria General Hospital for the last 15 years. The first seven years she worked on a busy medical unit where she was part-time and worked both days and nights and the equivalent of full time hours because she went in more or less whenever she was called. She really enjoyed the work on this unit but when a full time posting came up on the Palliative Unit she really felt she should apply as she was getting married, saving to buy a house and thought it was very important to have more stable work. Sheila was the successful applicant in competing for this position. She was thrilled and eager to work in another area of nursing; Palliative Care.
Sheila has been working on this unit for 8 years now. She has really found the work on the Palliative Unit to be very rewarding; supporting families as they deal with the end stages of life; losing a loved one. Recently, she is beginning to find 12 hour days, nights and weekends and the intensity of the care along with having two young children at home to be difficult. She has been considering looking at what other employment options she may have within the institution. She frequently checks the on-line posting board.
One day on her lunch, she notices a new posting for the Post-op Day Unit. The shifts are 8 hours and primarily days and may be required to work one weekend a month. She discussed the opportunity with her husband. They both feel that this would be a very positive change for their family. He inquires if that would be the type of unit that his colleague, Ed’s wife would be going to have her colonoscopy and Sheila tells him yes.
Sheila feels confident in her skill set because of her experience. She begins to feel excited and wonders what it would be like. She wants to find out what a typical nurse’s shift would include. She does not want to ask a lot of questions because she really does not want any of her colleagues or her manager to know she is interested in this position. One night she ponders about how she could find out more information. She remembers that her husband’s colleague’s wife was going there for a colonoscopy and she decides to go into her chart on her break to view what the nursing care requirements involved. At the same time, she accesses personal information about Ed’s wife. When one of her colleagues enters the nursing station, she quickly closes the screen.
ANALYZE THIS CASE STUDY AND GIVE TWO(2) RECOMMENDATIONS ON for the RPN’s practice, based on information from the CNO Standard/Guideline. Support this recommendation with information from one scholarly peer-reviewed research article.
In this case study, Sheila, an RPN, is facing a challenging situation as she contemplates a potential job change within the institution. She is interested in a position at the Post-op Day Unit due to its more stable schedule, but she is uncertain about how to gather information without revealing her intentions to her current colleagues or manager. To make an informed decision while upholding professional and ethical standards, Sheila should consider the following recommendations based on the College of Nurses of Ontario (CNO) Standards and Guidelines.
Sheila should refrain from accessing personal information about Ed’s wife without proper authorization. The CNO’s Privacy and Confidentiality standard emphasizes the importance of maintaining the privacy of individuals’ health information and only accessing it when necessary for the provision of care or other authorized purposes (CNO, 2017). Unauthorized access to personal health information is a violation of privacy and ethical principles.
A study by Kaya et al. (2020) emphasizes the significance of protecting patient privacy and confidentiality in healthcare settings. The research highlights the importance of implementing strict access controls and monitoring mechanisms to prevent unauthorized access to patient information. Violations of privacy can erode trust in the healthcare system and lead to legal consequences for healthcare professionals (Kaya et al., 2020). Therefore, Sheila should respect patient privacy and adhere to the guidelines set forth by the CNO.
To gather more information about the Post-op Day Unit and the typical nurse’s shift without revealing her interest, Sheila should consider seeking professional advice from a colleague who works in that unit. The CNO’s Therapeutic Nurse-Client Relationship standard encourages nurses to collaborate with other healthcare professionals and seek advice when needed to ensure the best possible care for clients (CNO, 2019). By approaching a colleague who works in the Post-op Day Unit, Sheila can gain valuable insights without compromising her ethical obligations.
Research by Wong and Cummings (2019) emphasizes the importance of teamwork and collaboration in healthcare settings. Effective communication and collaboration among healthcare professionals contribute to improved patient outcomes and job satisfaction among staff (Wong & Cummings, 2019). Seeking advice from a colleague demonstrates professionalism and a commitment to providing quality care, which aligns with the CNO’s standards.
By adhering to the CNO’s standards on privacy and confidentiality and seeking professional advice, Sheila can make an informed decision about her potential job change while upholding ethical principles and maintaining the trust of her colleagues and manager.
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