NURSING LEADERSHIP, TECHNOLOGY, AND ETHICS

All healthcare workers and care takers can possibly confer a moral or limit infringement.

All Healthcare care givers can possibly be blamed for a moral or limit infringement 

All Infringements are PREVENTABLE

All these three statements are true! In healthcare, nursing leaders, front-line nurses, and the other interdisciplinary team work hard in pursuing excellence to adhere to standards that enhance the patient's experience by meeting ethical standards of behavior and values. These ethical standards and expectations are rooted and embedded in the value of the nursing code of ethics and principles of ethics. Dignity is identified with human rights, health, as well as emotional/mental well being. In health care practice in general, nurses need to advance great safe care and assume their moral liability to shield the patient’s nobility in caring situations with 

 Nonmaleficence: Nurses have to remain competent in their field to avoid causing suffering or injury to patients as well as a mandated reporter  

  Beneficence: As patient advocate protecting patients rights and doing what is right for them
Autonomy: Patients rights to what happens to them in their care

 Justice: By advocating for the poor and vulnerable, recognizing and affirming each individual's contributions and uniqueness, staying honest and ethical in all dealings such as informed consents, clients rights and respect, and maintaining an inclusive environment.
 Fidelity: With compassion, courteous, collaboration, resources allocated, empathy, tenderness and respect to the patient.
 The principal of total and integrity: Using technological advancements to provide the highest quality of care and service, meeting and exceeding the patients and families expectations with professionalism whiles maintaining confidentiality.

INNOVATIVE NURSING LEADER
 In every organization, there are Leaders. Nursing leaders are innovative leaders in healthcare also known as Quantum Leadership. In today;s fast paced business and every changing technological healthcare world, on the off chance that you are not developing, you are falling behind. Each healthcare organization today needs to accomplish more with less, achieve new clients, and utilize assets admirably. Regardless of whether you are building up a totally new amusement changing item or basically another procedure to spare cash, these are all developments. As a healthcare leader and pioneer, it is your duty as a leader to encourage development with the group to meet the constantly expanding objectives. That implies you should construct your authority abilities so you can give innovative tools to the team. All these have to be done by adhering to ethical standards by protecting and safeguarding patients privacy, and dignity,  valuing and protecting staff,  making sure that resources are utilized in a resourceful way to prevent waste and fraud and to establish trust and security in the community. All these roles of a nursing leader can be challenging, but nursing leaders use the innovative ways through technology and ethics to excel in delivering excellence to the patient and community as a whole. Innovative leaders

•    Explore how current technology trends are driving global growth

•    Leverage technology changes for a competitive advantage

•    Apply design thinking principles to better understand and shape customer behavior and patient satisfactions

•    Create a corporate culture that recognizes and rewards innovation

•    Build personal power and influence within their organization and

•     Drives results-Through coaching

 

 COMMUNICATION
Compelling correspondence is maybe the most critical nature of a Nursing leader. Ordinarily, there are numerous partners found in a solitary venture each having their own correspondence inclinations. For instance: while one needs to stay up with the latest every day by means of email, others lean toward making telephone calls. Now, it's your obligation to coordinate with all stakeholders, through the various communication styles. It is instructed to practice numerous types regarding correspondence as favored by the partners and every so often holds meeting too, as up close and personal meeting is the best type of correspondence to communicate goals and values to enable a team to work toward the goal and in the end success. Documentation is also important to bring clarity to everyone.

TIME/COST
 Cost management and effective cost estimation is another factor which has a broader impact on any project. A good leader needs to ensure that the cost invested in the project must not exceed the budget resulting in losses. To prevent such type of situation, costs involved in the project must be tracked and accounted time to time.

NEGOTIATING/NETWORKING AND REPORTING

Due to the advances such as EHR, leaders in healthcare have to be constantly collaborating and networking with other interdisciplinary teams to deliver quality and excellence to their patients. Reporting constantly both internal and external to improve and to measure organizational growth. Also, reporting to State and Federal can earn the organization rewards due to patients outcomes. As we can all see, it takes an extraordinary person with exceptional skills, with flexibility and adaptability for the betterment of result. But the skills does not just end here, there is much more ahead.

 WHY IS ETHICS IMPORTANT IN NURSING?

Morals are critical in nursing since it puts forward a progression of activities and choices that are to the greatest advantage of a patient and direct what must be finished. Morals guarantee that each individual is given the best level of consideration and care conceivable. It is an ethical compass that pushes attendants to regulate benefits reasonably and in an opportune manner. Nursing morals manage expects toward the correct choice in troublesome conditions. This incorporates cases wherein a man might be in terminal hazard or situations where the probability of misery or threat is high. Morales becomes an integral factor by giving a response to any ethical question to such an extent that it permits the person to continue with other employment undertakings and act in a way that conveys obligation, and trust. In nursing, ethics dictate the provider must oblige the desire of a patient and his family, regardless of the possibility that the nurse does not concur with these decisions. Nurses also must follow doctor's orders and administer care in a safe manner as well as alert the provider and protect the patient. These issues are all Ethical dilemmas of nurses and nursing leaders. This set me back to my undergraduate years where I told my ethics professor that I do not need ethics to be a nurse, and it is not important and does not understand the reason why I am being forced to take it. Boy,  was I wrong! You see, ethics plays a role in the daily delivery of patient care. Making the right choices and decisions to protect the patient as well as respecting the patients right. Fighting with your individual morals and that of the patients and respectfully agreeing to what the patient's desires are even if it is not the right choice.

ETHICAL DILEMMAS/TECHNOLOGY 
As a registered nurse, I have personally had to deal with the ethical dilemma. This dilemma was personal because it was my mother. As a cancer patient, she chooses to abort her routine treatments of chemotherapy and radiation. My initial thoughts were not what is ethical for her but what will be better for me. I want my mother to be here forever no matter how tired or painful her treatments were. I tried to intervene and stop her requests as her health care proxy, forgetting she can make her own decisions. But I had to step back as a professional and ask myself what I will do if the roles were reversed and that was one of my patients, what will I do?  Will I try to intervene on behalf of the patient or the family? Those were hard choices when it was personal. But I would like to know what will you do in this kind of situations? Would you continue with care knowing that the outcome is grave? Or will you just respect the wishes of your dying parent? I struggled with that I can honestly tell you, but in the end, she made the right decisions. Now, pretend you are the part of a team in the emergency department (ED), your patient have difficulty breathing and you know without incubating that patient they are not going to make it but the patient stated clearly that they do not want that kind of treatment, instead signed a paper against medical advice (AMA), and walked out of the emergency department only to drop dead on the floor right at the door steps of the emergency department. As a health care provider you are furious because that could have being prevented, but due to ethics your have to respects that patients rights. Now how about in that same scenarios, these family members want to live but the provider is new and does not know all their medical history. You have tried several times to get hold of your family members medical records but was told the printer is broken, or your have to pay money for each page of their health record to be printed, or worse, it will be mailed to you in a couple of days. You know they don't have a couple of days or hours to drive back and forth to get that medical record, and know they could have could have being saved if the provider caring for them have access to all their medical records instantly? Will technology help in this situation? Yes! We are all worried about how intrusive and how our privacy can be compromised when it comes to technology. But having access to care and data saves time, saves money, above all save lives. Technology helps with easy access to patient electronic health record (EHR). In the United States, both State and federal councils have officially settled tenets for telemedicine; however, it is still important to further this dialog to include the whole health care service area. Since there are numerous eHealth ventures being created in the United States, there is an earnest need to outline protocols and educational programs for all professionals involved especially nursing.The important ethical dilemma arises at the point of guideline implementation, relating to risk labeling and medicalization, as well as resource allocation and sustainability within the health care system. In spite of the fact that eHealth can give intriguing arrangement/solution, for example, a moment master feelings in topographically separated territories, an expansive number of moral and lawful issues must be considered. It is basic to talk about, among others, viewpoints identifying with advanced recording, stockpiling, and transmission of clinical information; copyright; approval from expert administrative bodies and authorizing for the remote routine of medicine. Now let us all be real if your family member or YOU need instant care, and technology can help, will you choose technology, or walk away? You be the Judge.

Nursing Leadership Challenges in Integrating New Technology

Balancing the Human Element with Technology

Balancing Cost and Benefits

Training a Technology Enabled Nursing Workforce and Assuring Ongoing Competency

Assuring that Technology Use is Ethical

Human services results including personal satisfaction measures are the aftereffect of a multifaceted relationship between the patient, the medical caretaker, the treatment and the data social insurance framework. A solid establishment for tending to the difficulties of electronic documentation is the informatics attendant's capacity to comprehend and coordinate adjustment of patient care with the innovation frameworks and hierarchical structure that backings this adjust. Keeping in mind the end goal to ensure a fruitful execution of technology systems while overseeing tolerant care it is essential to coordinate nursing ' observations, convictions, and learning in the utilization of new innovation and how nurture actualize this innovation into their everyday nursing practice. Finding the correct adjust of data science in conjunction with nursing science is a proceeding with the process that will depend on the groundbreaking and diligence of today's present day nurture and the support of nursing informatics experts.

NOW THIS IS AN EYE OPENER

REFERENCES 

Ethical Standards

Ethics
 Impact of Technology on Nursing 
Technology and patient care