The Health Care Services Delivery

The restructuring of the health care delivery environment adds new dimensions to the ethical issues involved in the practice of nursing. These issues are particularly relevant to the delivery of health care services in the home home health care. Professional nurses must become cognizant of these issues, and they must integrate their knowledge of nursing practice with the requirements of home health care so that these issues are addressed effectively. As a profession, nursing must develop and promote licensing and accreditation criteria which assure quality health care delivery in the home.

Some of the more significant of the ethical issues which are associated with home health care are discussed in the remainder of this paper. Their relevance to nursing practice, and associated licensing and accreditation implications are also considered.

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me a significant issue for health care professionals in the decade of the 1980s. Problems of abuse are most critical with respect to wives, children, and the elderly (Thobaben, 1985). For the professional nurse, patient abuse is not a situation which simply demands the extension of care to the victims. On one hand, health care professionals have a moral obligation to these victims to insure that the victims are removed, to the extent possible, from abusive situations (Salladay, & Haddad, 1987). On the other hand, the professional nurse feels a traditional obligation to protect the privacy of patients and their families. Between these extremes of an ethical continuum, contemporary society is demanding increased accountability from its health care professionals (Wagner, 1988). Health care professionals who fail to report instances of abuse expose themselves to potential legal problems (Mundinger, 1983). This ethical dilemma appears destined to grow in significance. It is also one which will more likely encountered in a home health care situation than in the hospital environment. PATIENT RIGHTS Significant ethical dilemmas confront the health care professional in a home health care situation with respect to patient ri
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Approximate Word count = 2196
Approximate Pages = 9 (250 words per page)