Policy and Ethics
Focal line-associated bloodstream infections (CLABSIs) stand out as one of the leading causes of complications and mortalities among hospitalized patients, especially in critical care units like the ICUs. DNP 850 Module 3 Policy and Ethics Assignment infections stem from the introduction of pathogens into the bloodstream via a central line, a catheter placed within a large vein to administer medication, withdraw blood, or monitor heart rate. As a Doctor of Nurse Practice (DNP) student, my practicum project is to reduce CLABSIs in the ICU at Roseland Community Medical Clinic. This appraisal aims to evaluate nursing ethics for my project, the domains of nursing ethics that are needed, compliance with ethical principles, and the beneficence of others regarding my DNP 850 Module 3 Assignment Policy and Ethics project.
Nursing Ethics and Their Role in My DNP Project
Nursing ethics can be viewed as a cluster of norms and standards, regulations, principles, and values that govern nursing practice. These include self-determination, beneficence, nonmaleficence, reasonableness, trust, and integrity. The subsequent guidelines are ethical principles that are core and fundamental to my DNP project in the management of CLABSIs.
Autonomy
It is basic to regard patients’ self-determination by allowing them to make decisions and choices about their treatment. This includes educating patients and families on the dangers of focal lines and involving them in the decision-making process on the placement and use of those lines.
Beneficence
This is the principle of making decisions and performing activities that will positively impact (Selby et al., 2021). In my project, it will be possible to mitigate CLABSIs, which will save lives and improve the quality of care.
DNP 850 Module 3 Non-maleficence
This principle focuses on the Nonmal eficenceenses. In other words, it will target preventing harm by lowering the incidences of CLABSIs through the reception of evidence-based practices.
Justice
All patients should be given fair treatment that is liberated from discrimination. The intervention proposed within the project guarantees that all ICU patients will get similar excellent care regardless of their identity and circumstances.
Fidelity
This principle involves honoring responsibilities and commitments. By committing to diminishing CLABSIs, I work to satisfy the commitment to protected and successful care.
My DNP Practice Problem for Nursing Ethics
Adopting and maintaining ethical principles in my DNP project involves a few key techniques:
Education and Training
All ICU staff need to understand the risk of CLABSIs and the measures that must be taken to forestall them. DNP 850 Module 3 Policy and Ethics measures in the form of training drills and bringing attention to the ongoing arrangements and strategies.
Evidence-Based Practice
This can be accomplished by following the most recent examinations and guidelines from the CDC, WHO, and other respected well-being specialists (Buetti et al., 2022).
Patient and Family Involvement
The care cycle requires the involvement of the patients and their families to protect ethical standards. This involves informing them on the benefits and impediments of having focal lines and engaging them during the time spent on dynamic privileges.
Interdisciplinary Collaboration
Nursing ethics combines self-care, multidisciplinary care, ethical calculating, and principled governance within nursing duties. These principles include: autonomy, social good, harm, rationality, trust and good faith, and truthfulness. The baseline policies of my DNP project in managing CLABSIs are ethical principles that are primary and fundamental to the project. For more detail or further information visit Assignment for policy and Ethics.
Monitoring and Evaluation
Understanding prevalence rates as well as assessing the adopted practices is crucial towards achieving continuous incremental improvements (Buetti et al., 2022). This course collects data, analyzes trends, and implements changes.
Transparency and Communication
Open and viable communication with the staff, patients’ families, and patients themselves is vital. This alludes to reporting on infection rates and thoughts on the means being taken to battle them.
The Beneficence of Others Within My DNP Project
The main principle of clinical independent direction is beneficence, which involves performing activities to help the patient.
Improved Patient Outcomes
The project aims to improve the patient’s perspective to minimize CLABSIs. DNP 850 Module 3 Policy and Ethics Assignment includes shortening medical clinic stays (Toor et al., 2022), decreasing the prerequisites for other forms of therapy, and decreasing mortality.
Enhanced Quality of Care
Adhering to the standards of CLABSI counteraction emphatically improves the quality of care in the ICU. This guarantees that patients are offered the best accessible care to ensure their well-being.
Staff Empowerment and Education
Education and training of ICU staff make them proficient and equip them with important abilities that can help them avoid infections. This isn’t just beneficial for the patient but additionally prompts professional development and fulfillment among the staff.
Cost Savings
Preventing CLABSIs would help the medical clinic cut costs. This includes cutting costs connected with infection treatment, shortening patients’ visits to healthcare offices, and not facing fines for increased infection rates from the pertinent specialists (Dube et al., 2020). These savings can be used to upgrade the care being offered to patients.
Community Trust
Decreasing infection rates accordingly would contribute to the advancement of the Roseland Community Medical Clinic within the community. This can go far in boosting trust in the clinic and its ability to convey protected and viable medical care.
DNP 850 Module 3 Policy and Ethics Climate
Incorporating and adhering to ethical aspects such as patient security, patient care, and responsibility in the Intensive Care Unit (ICU) enhances the work environment. This increases staff morale and results in high retention rates, which is beneficial for the patient.
From the countless options available, patient security is my project and the area of ethics most associated in my case. Security means taking all possible actions to ensure no harm to the patients in a healthcare environment. In the ICU, patients are critically ill and, if not appropriately managed, any unexpected complications such as CLABSIs can occur. Another aspect that could be mentioned is the issue of quality of care.
Quality care is the provision of the best available resources and procedures through the different stages of the care delivery process to achieve the desired outcomes. In this regard, reducing CLABSIs will guarantee that the population is served with the best quality of care (Dube et al., 2020). Responsibility is also essential. Patients should exercise their rights to receive information and know who is looking after them.
PPE Use & Team Collaboration for CLABSI Prevention
These actions should, for example, include using personal protective equipment to reduce the likelihood of infection and providing information concerning the number of infections that have occurred and the steps that need to be taken to mitigate their spread. Finally, there is the need for integration and collaboration, which must be pursued as primary strategy goals because of their relevance. By ensuring the participation of all team members, especially the physicians, nurses, and other healthcare workers, you guarantee that everyone is aware and committed to the CLABSI prevention plan.
Ensuring that the ICU staff is updated on new processes and policies designed to reduce CLABSI is essential. Any training sessions aiding the fundamental understanding of inserting, maintaining, and assessing central lines safely. Implementing evidence-based practice is crucial in every organization. DNP 850 Module 3 Policy and Ethics can include the use of scrubbing hand wash, the use of disinfectant solutions, and the regular reassessment of the necessity for central lines to avoid overreliance on
Teaching patients and their families about the focal line and its importance aligns with the DNP 850 Module 3 Assignment on Policy and Ethics goals.
In this way, while reviewing the above day-to-day infection information and giving criticism to the staff, the following lacks attention (Wei et al., 2021). This makes attention to ensure the adequacy of the methodologies that have been incorporated while making amendments, assuming the need emerges.
Conclusion
Eliminating CLABSIs at the Roseland People Group Medical Clinic ICU is an admirable intervention that speaks to the ethics of the nursing profession. From this perspective, given patient safety, quality of care, accountability, and responsibility, the main goal of CLABSI reduction is to ensure that patients receive the best possible care to improve the quality of care and outcomes.
Some of the major activities that should be carried out to successfully complete this assignment, such as teaching and enforcing ethical behavior, collaboration, supervision, and reporting, are pertinent to the successful completion. This project is expected to make a positive impact on patients, staff, and the entire community. Therefore, it is expected to support a safer and more efficient healthcare system for all.
References
Buetti, N., Marschall, J., Drees, M., Fakih, M. G., Hadaway, L., Maragakis, L. L., Monsees, E., Novosad, S., O’Grady, N. P., Rupp, M. E., Wolf, J., Yokoe, D., & Mermel, L. A. (2022). Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 update.
https://doi.org/10.1017/ice.2022.87
Dube, W. C., Jacob, J. T., Zheng, Z., Huang, Y., Robichaux, C., Steinberg, J. P., & Fridkin, S. K. (2020). Comparisons of central line-associated bloodstream infection rates in patients with one vs two central venous catheters. JAMA Network Open, 3(3), e200396.
https://doi.org/10.1001/jamanetworkopen.2020.0396
Patel, N., Petersen, T. L., Simpson, P. M., Feng, M., & Hanson, S. J. (2020). Rates of venous thromboembolism and central line-associated bloodstream infections among types of central venous access devices in critically ill children. Critical Care Medicine, Publish Ahead of Print.
https://doi.org/10.1097/ccm.0000000000004461
Selby, L. M., Rupp, M. E., & Fawcett, K. A. (2021). Prevention of central-line associated bloodstream infections.
https://doi.org/10.1016/j.idc.2021.07.004
Toor, H., Farr, S., Savla, P., Kashyap, S., Wang, S., & Miulli, D. E. (2022). Prevalence of central line-associated bloodstream infections (CLABSI) in intensive care and medical-surgical units. Cureus, 14(3).
