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Academic Misconduct in Nursing Whats the Big Deal

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chaste, sober, honest, truthful and trustworthy, punctual, quiet ... Florence Nightingale as cited in Seymer, 1954. Ethical Practice and Caring. Core Values ... – PowerPoint PPT presentation

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Title: Academic Misconduct in Nursing Whats the Big Deal


1
Academic Misconduct in Nursing Whats the Big
Deal?
  • Andrea McCrink, EdD., WHNP-BC
  • Assistant Professor of Nursing
  • Adelphi University

2
  • A really good nurse needs to be of the highest
    class of character … chaste, sober, honest,
    truthful and trustworthy, punctual, quiet yet
    quick, cheerful and hopeful, clean and thoughtful
    of her patient.
  • Florence Nightingale as cited in Seymer, 1954

3
Ethical Practice and Caring
  • Core Values
  • of the Nursing Profession

4
Ethical Standards of the Nursing Profession
  • Code of Ethics
  • Integral part of who we are as nurses
  • Non-negotiable commitment to society
  • Our promise to society do always do our best when
    caring for our patients
  • American Nurses Association, 2001
  • Ethical nursing happens when a good nurse does
    the right thing
  • Kelly, 1992

5
Caring and the Profession of Nursing
  • Caring, a core value within the nursing
    profession, demonstrates the importance of
    concern for and dedication to the patient
  • Cook Cullen, 2003
  • Commitment to society as a whole to practice
    morally and ethically

6
  • Ethical practice and the ethic of caring go hand
    in hand
  • Ethical practice is the antecedent of caring
  • Lemonidou, Papathanassoglou, Giannakopoulou ,
    Patiraki Papadatou, 2004

7
Does ethical practice which demonstrates caring
ALWAYS happen?
8
  • Academic Misconduct in Higher
  • Education
  • Parr, 1936 Drake, 1941 Baird, 1980 Harnest,
    1986 Sierles, Kushner Krause 1988 Sheer
    1989 Polding, 1995 McCabe Trevino, 1997
    Russian, 2003 Arvidson, 2004
  • Academic Misconduct in Nursing Education
  • Hilbert, 1985 Harnest, 1986 Sheer, 1989
    Roberts, 1997 Bailey, 2001 Russian, 2003
    Baxter Boblin, 2007 McCrink, 2008
  • Academic Misconduct Professional and Workplace
    Ethics
  • Hilbert, 1985 Nonis Swift, 2001 Papadakis,
    Hodgson, Teherani, Kohatsu, 2004 Papadakis,
    Teherani, Banach, Knettler, 2005 McCrink, 2008

9
Academic Misconduct in Nursing Education
10
  • Variety of Methods
  • Systems of hand and feet positions
  • M Ms
  • Making a paper flower and writing notes on it
  • Tiny cameras and micro-recorders
  • Hand-held scanner pens
  • Programmable watches
  • Skirts with pleats
  • Cheat At School Exams Professionally

11
Study on Academic Misconduct
  • Second year nursing students enrolled in
    associate (two-year) degree National League for
    Nursing accredited nursing programs in the
    northeastern United States.
  • Gender
  • 89.1 female
  • 10.4 male

12
  • Age
  • Range 20 56 years
  • Average age 33.5 years
  • GPA
  • Range 2.50 4.00
  • Average GPA 3.38
  • Marital Status
  • 40.4 Single
  • 50.8 Married
  • 8.3 Divorced
  • 0.5 Missing Data

13
  • Research Question
  • How often do nursing students engage in behaviors
    of academic misconduct?
  • The mean score (of 21.58) indicated that as a
    group, the respondents for this study did not
    engage often in behaviors of academic misconduct.

14
  • Research Question
  • How unethical do nursing students perceive
    behaviors of academic misconduct?
  • The mean score (of 81.54) indicated that as a
    group, the respondents for this study perceived
    behaviors of academic misconduct to be unethical
    to extremely unethical.
  • HOWEVER….

15
Reporting and/or recording vital signs that were
not taken or recalled accurately.
16
Reporting and/or recording vital signs that were
not taken or recalled accurately.
17
Reporting and/or recording treatments that were
not performed or observed.
18
Reporting and/or recording treatments that were
not performed or observed.
19
Recording medications as given when they were not
given.
20
Recording medications as given when they were not
given.
21
Discussing patients in public places or with
non-medical personnel.
22
Discussing patients in public places or with
non-medical personnel.
23
  • Ethical Standards
  • Majority of respondents in this study agreed to
    strongly agreed with the ethical standards of the
    nursing profession.
  • Ethic of Caring
  • Majority of respondents in this study agreed to
    strongly agreed with the ethic of caring within
    the nursing profession.

24
  • Neutralization Behaviors
  • A minority of respondents in this study agreed on
    the use of neutralization behaviors to
    rationalize behaviors of academic misconduct
    which allow the individual to engage in
    unacceptable behaviors without serious injury to
    self-image

25
Academic Misconduct Professional and Workplace
Ethics
26
  • Nurse in Indiana falsified medication
    administration records by initialing the MAR for
    meds not actually given. Decision to fire the
    nurse was upheld by the US District Court.
  • Tucker vs. St. Joseph Care Center, 2007
  • Home health nurse in Arkansas terminated for
    charting patient findings before actually seeing
    patient. Decision to fire the nurse was upheld by
    the US District Court.
  • Legal Eagle Eye Newsletter to the Nursing
    Profession, 2008

27
  • Nurses accused of photographing a patient and
    posting the pictures on the Internet have been
    fired (2009)
  • Retrieved from http//www.wisn.com/news/18796315/d
    etail.html
  • Nurse in Sweden was suspended for posting surgery
    photos on FACEBOOK (2008)
  • Retrieved from http//www.wisn.com/cnn-news/187963
    15/detail.html
  • Nurse in Philadelphia admits to removing body
    parts from 244 corpses for black market
    transplants
  • Fox News, 2008

28
  • American Journal of Nursing, March 2009
  • National Council of State Boards of Nursing
  • 40 of nurses who were on probation for
    professional misconduct in 2001 committed another
    act of misconduct between 2001 and 2005.
  • 33 of the disciplined nurses changed employers
    during their probation

29
What is the Future of Nursing Practice?
30
Nursing Faculty The Journey of Becoming a Nurse
  • Cultural uniqueness of each student
  • Cultural values, beliefs and principles
  • Socialization into the profession of nursing
  • Ethical standards and ethic of caring as core
    values
  • Provide nursing students with clearly written and
    comprehensive school policies and expectations on
    academic misconduct.

31
  • Inform students about the consequences of
    academic misconduct.
  • Zero tolerance policy
  • Need to be hyper-vigilant in their efforts to
    decrease and halt episodes of academic
    misconduct.
  • Be aware of student pressures and obligations.

32
Nursing Leadership Being a Registered Nurse
  • Continue socialization into the profession of
    nursing
  • Foster of culture of ethical practice and caring
  • Foster professionalism and accountability
  • Supportive and caring
  • Be aware of pressures in the clinical area

33
Ethical behavior is not the display of ones
moral rectitude in times of crises. It is the
day-by-day expression of ones commitment to
other persons and the ways in which human beings
relate to one another in their daily
interactions. Levine, 1990, p. 41
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