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Unfortunately this has led to many nurses practicing defensive care rather than preventive and supportive care (Guevara & Mendias, 2002: 350). In some cases this may lead to overly conservative treatment of a patient's condition.
Discrepancies in job titles and assignments as well as responsibilities exist (Guevara & Mendias, 2002). Increasingly management responsibilities are delegated to nurses which increases their administrative burden and the potential for malpractice claims when patients receive care from less experienced staff or unqualified staff because of staffing shortages (Guevara & Mendias, 2002).
Strict reimbursement mechanisms, a decreased staff, health service restraints that are brought upon by economic factors and new organizational structures as well as a changing dynamic in the public have all influenced the nursing field" (Guevara & Mendias, 2002:350).
This interview has confirmed that nurses in the field are having a difficult time coping with all of these increased demands. This brings about ethical issues in the medical community and has impacted nurse's ability to provide optimal and direct patient care in many situations. In addition the administrative...
As more patients pursue malpractice claims more nurses are acting defensively and providing even more conservative patient care, in a field where nursing care quality is already decreasing substantially. The legal systems that govern medical care management including managed care organizations and new legislative acts such as HIPAA have actually increased rather than decreased or helped manage the demands currently placed on registered nurses regardless of their field of specialty. Reform seems like it is needed in order to ensure continual quality and perhaps even basic care for patients in the United States.
Reference:
Guevara, Edilma B. & Mendias, Elnora P. "A comparative analysis of the changes in nursing practice related to health sector reform in five countries of the Americas." Pan American Journal of Public Health (2002): 12 (5), 350-355. 20, October 2004, from http://www.scielosp.org/pdf/rpsp/v12n5/14093.pdf
Reference:
Guevara, Edilma B. & Mendias, Elnora P. "A comparative analysis of the changes in nursing practice related to health sector reform in five countries of the Americas." Pan American Journal of Public Health (2002): 12 (5), 350-355. 20, October 2004, from http://www.scielosp.org/pdf/rpsp/v12n5/14093.pdf
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