Breaching Safe Nursing Practice

This book addresses selected violations of professional nursing conduct and practices that take place in shadows or on the margins of clinical practice—incidents that represent “dark” or “gray” areas of nursing. Chapters identify threats to patient and nurse well-being that are antithetical to nurses’ principles; sensitize nurses and other stakeholders to gray and dark sides of nursing through case examples; and pose evidence-based solutions for eliminating, mitigating, and addressing examples representing the gray or dark side of nursing. The book encourages organizations to promote a culture of ethical responsibility for nursing practices.

Zane Robinson Wolf, PhD, RN, CNE, FCPP, ANEF, FAAN is dean emerita, adjunct professor at La Salle University in Philadelphia, Pennsylvania. She teaches and conducts research on medication errors, nurse caring, and nursing education, is a member of St. Christopher’s Hospital for Children Quality Improvement Patient Safety Committee, and editorial board member of the journal Patient Safety.

Denise Nagle Bailey, EdD, RN, MEd, MSN, CSN, FCPP is a public health nurse and former associate professor and director at the La Salle Neighborhood Nursing Center, La Salle University in Philadelphia, Pennsylvania. As Independence Foundation Chair of Nursing Education at La Salle, she fostered interprofessional public health programs and secured grant funding.

Edited by Zane Robinson Wolf and Denise Nagle Bailey

Format: softcover (7 x 10)
Pages: 281
Bibliographic Info: notes, bibliographies, index
Copyright Date: 2022
pISBN: 978-1-4766-8339-3
eISBN: 978-1-4766-4476-9
Imprint: McFarland

Acknowledgments vi
Introduction
Zane Robinson Wolf, PhD, RN, CNE, FCPP, ANEF, FAAN, and Denise Nagle Bailey, EdD, RN, MEd, MSN, CSN, FCPP 1
Chapter 1. The Dark Side of Nursing
Zane Robinson Wolf, PhD, RN, CNE, FCPP, ANEF, FAAN 7
Chapter 2. Justifying Coercion in Patient Care
Beth Marie King, PhD, APRN, ­­PMHNP-BC 23
Chapter 3. Lying to Patients for Therapeutic Ends
Maureen ­Donohue-Smith, PhD, PMHNP 39
Chapter 4. Blurred Lines: Professional Boundary Violations
Doris C. Vallone, PhD, RN, ­­PMHCNS-BC, and Zane Robinson Wolf, PhD, RN, CNE, FCPP, ANEF, FAAN 58
Chapter 5. “Difficult” Patients
Deborah Byrne, PhD, RN, CNE 71
Chapter 6. Neglect and Negligence of Patients
Denise Nagle Bailey, EdD, RN, MEd, MSN, CSN, FCPP 89
Chapter 7. Physical Abuse of Patients
Zane Robinson Wolf, PhD, RN, CNE, FCPP, ANEF, FAAN 109
Chapter 8. Bullying by Nurses
Jeannine Uribe, PhD, RN 126
Chapter 9. Relational Incompetence: The Witnessing Nurse
Colleen Maykut, DNP, RN, FCAN 144
Chapter 10. Reckless Nursing Care
Zane Robinson Wolf, PhD, RN, CNE, FCPP, ANEF, FAAN 162
Chapter 11. Missed Nursing Care: A Covert Error of Omission
Joanne R. Duffy, PhD, RN, FAAN 176
Chapter 12. Shielding from Bad News
Mary L. Wilby, PhD, MSN, MPH, RN, CRNP, ­­ANP-BC 193
Chapter 13. Failure to Report Abuse and Whistleblowing
Denise Nagle Bailey, EdD, RN, MEd, MSN, CSN, FCPP 208
Chapter 14. Homicide and Nursing Staff
Zane Robinson Wolf, PhD, RN, CNE, FCPP, ANEF, FAAN 230
Chapter 15. Mistakes Versus Crimes
Zane Robinson Wolf, PhD, RN, CNE, FCPP, ANEF, FAAN 249
Answers to ­­Multiple-Choice Questions 267
About the Contributors 269
Index 271

• “This book is appropriate for students entering the nursing field as well as those who have been practicing for some years. The book is well organized, and each chapter can provoke thoughtful discussion. Contributors address challenging topics and suggest possible solutions and strategies that can support evidence-based practice to promote safe nursing care. Barriers to safe practice are also recognized. The content of the book is applicable to most health care settings, and offers evidence to support students’ understanding of ethical clinical practice. …recommended”—Choice

• “Specific and practical…This is a solid book that can enhance knowledge of nursing ethics, leadership, and professional practice. It will be beneficial to nursing students as well as practicing nurses, leaders, and educators. The benefits of the book could be further enhanced by offering more contemporary references and examples in addition to the longstanding Supreme Court rulings and statutory laws.”—Doody