1. The Voice of Nursing Practice Model
Frontline Nurses as Change Agents: Educating and Promoting Application of the American Nurses Association Code of Ethics for Nurses Erica Garcia, BSN, RN, CCRN, Melissa Paule, BSN, RN, Paula-Goodman Crews, M.S.W., L.C.S.W, Anne Marie Watkins, DNP, MSHCA, RN
PURPOSE
Nurses encounter ethical binds that place them in conflict with their own moral values
These ethical binds challenge our professional and personal integrity
Ethical dilemmas in clinical practice occur in varying degrees, such as:
Witnessing a consent being signed by an incapacitated patient
Participating in offering CPR to a dying patient
Being asked by a family member to not give necessary pain medication
PROCESS
92% 6% 2%
Evaluation Results
The Voice of Nursing Practice Model
Utilizing Existing Infrastructure
KP Voice of Nursing
Quality and Patient Safety Committee
1 Staff Nurse Per Unit in the Hospital (15 units)
VON Fair: Ethics Booth
Attendees of the Fair
Survey Evaluation Themes
Opportunity to learn an ethical framework to practice by
Voice to promote individual & collective moral agency
Moral authenticity for compassionate quality care
Protected by the ANA Code of ethics when doing the right thing for the patient
Nursing feeling empowered to request ethics consultation
Modalities
Objectives
Promote ethical practice
Integrate the ANA Code of Ethics for Nurses from text into practice
Create an infrastructure for frontline nurses to utilize during an ethical bind or moral dilemma
Contribute to an ethical work environment
Modality 1: Quality and Patient Safety Committee: each meeting reviewed 2 provisions followed by open discussions on the application of the provisions and dissemination
Modality 2: Voice of Nursing kickoff fair, an event to promote the National Kaiser Permanente Nurse Practice Model. Members of the Quality and Patient Safety Committee manned the nursing ethics booth
CONCLUSION
The Quality and Patient Safety Committee in collaboration with the Bioethics Director were able to advocate for time and resources to educate, promote and disseminate ethical practice to frontline nurses
Ethics education by frontline nurses encourages ethical practice at the bedside
Frontline nurses were receptive to their peers leading the ethics booth at the voice of nursing fair
Contact Information:
Anne Marie Watkins:
Paula-Goodman Crews:
Erica Garcia:
Melissa Paule:
So.California Region / San Diego