The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation
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Randomized Controlled Trial Comparative Study
A comparison of an evidence based regime with the standard protocol for monitoring postoperative observation: a randomised controlled trial.
Monitoring patients' vital signs is an important component of postoperative observations. ⋯ This study provides evidence to inform clinicians of a safe and cost effective regime in the management of the patient in the postoperative period following discharge from the recovery to the ward. Clinicians, however, must utilise clinical judgement to determine which patients require close monitoring during the postoperative period.
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Patient advocacy and a desire to rectify misconduct in the clinical setting are frequently cited reasons for whistleblowing in nursing and healthcare. ⋯ Whistleblowing represents a dilemma for nurses. It strikes at the heart of professional values and raises questions about the responsibilities nurses have to communities and clients, the profession, and themselves. In its most damaging forms, whistleblowing necessarily involves a breach of ethical standards, particularly confidentiality. Despite the pain that can be associated with whistleblowing, if the ends are improved professional standards, enhanced outcomes, rectification of wrongdoings, and, increased safety for patients and staff in our health services, then the ends definitely justify the means.