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Running head: NURSING1 NURSING Introduction Caring is essential part of Nursing practice. Effective caring helps nurses to know about the Client needs, illness, their behavior as well as problem that guides them in making quality intervention and offer opportunities to apply their own knowledge in decision making process. This essay discusses issues dealing with the NMBA standards and the RNs for practice (2016) guide (Melnyk, Gallagher‐Ford, Long & Fineout‐Overholt, 2014).RN practice refers person- centred as well as evidence-based with curative, preventative, supportive, formative as well as palliative elements (Garrison, 2019). On the other hand, according to some researchers NMBA standards sets out conduct expectation, professional behavior and the legal requirements for nurses. This paper is separated into different sections (Cusack, 2018).There is section A and B with different questions that touch on various areas. This paper will discuss some of the issues related to NMBA standards and the RNs for practice for the year 2016. According to the code of conduct for professional nurses which elucidates the values of professional behavior which control safe practice, as well as clearly highlights the conduct anticipated of professional nurses by the community and their coworkers, it is true that Mary does not meet the NMBA standards in applying person-centered as well as evidence-based care for the delivery of safe as well as quality care. Person-centered simply means focusing care on the person’s needs rather than of the service’s needs. Person-centered required that the staff of the health care should cater for the needs of their clients. In this case study, we find that most of the residents complained that Mary
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NURSING2 does not perform the duty assigned to her. The residents complained that Marry does not change Wet bed sheet. The code of conduct requires health care employees to be flexible to satisfy the desires of the people that they are caring for. Also, the health care employees should be flexible in satisfying the needs of the people that they are serving. Being person-centered simply means that the health care workers should have the person’s comfort, safety as well as well-being in their minds. But in this case, Mary did not care for the safety and comforts of the residents that she was serving. From the definition, we find that patient-centred emphasizes joint working in health care between healthcare professionals and Patients, acknowledge patients’ values and preferences as well as promote flexibility more so in the provision of services of health. In this case study, it is true that Mary does not acknowledge Patient’s values and preferences (Cowin, Riley, Heiler & Gregory, 2019). For instance, she failed to cater for the needs of the people. Mary should try to protect the interest of the residents regardless of their gender, culture, political beliefs and religion (Fencl & Matthews, 2017).The code of conduct also require the health care workers to apply a variety of strategies as well as the evidence in decision making, and providing safe nursing practice within evidence-based frameworks. In the case study, Mary never use the best evidence in making decisions on things that she should do to the residents in order to encourage safe quality practice. Therefore, it is true that the conduct of Mary fell below the set standard required in the code. This made her not to care about the residents. To me, the evidence in the case study cannot make me to believe that Mary who is a nurse has created therapeutic, person-centred relationships with all of her clients. Therapeutic, person-centred relations refer to a caring correlation that supports the well-being of the patient. The main components needed to create a therapeutic relationship are respect, trust, showing a
NURSING3 genuine empathy, and interest. It is true that most of the Clients have lost trust and respect for Mary because of the way she handle the residents. Marry could form therapeutic, person-centred relationships with all the clients when she: feel empathy for the client, and have unconditional positive regard for the resident (Cashin et al. 2015). Mary should also respect and show genuine interest for the client. Creation of a therapeutic relationship remains a crucial step in the recovery process. It will make the relationship between Mary and Clients to be productive. The key important element in therapeutic relationship is trust (Edmonds, Cashin & Heartfield, 2016).Therefore, a therapeutic relationship is quite essential for the creation of strong relationship. It is reasonable for the peers of Mary to report her conduct to the manager. This is because the nurse manager remains responsible for creating healthy, safe environments that contribute to clients’ engagement and support the work of the professional team. The Nurse Manager will help in the creation of a professionally environment as well as nurturing a culture where all the nurses are able to grow professionally (Takashima, Burmeister, Ossenberg & Henderson, 2019). When the conduct of Mary fell below the set code of conduct, she should be reported to the manager so that the manager can address the situation before the care of residents becomes affected. Reporting the case to the manager will enable Mary to enhance her practice with the residents. Also, when Mary is reported to the manager by her peers, the manager will provide her with the necessary skills to move forward in her careers. Though many researchers argue that a fellow worker should not report a colleague to the management, to me, I believe that a lazy worker should be reported to the top management for the necessary actions to be taken by the management (Cusack, 2018). Therefore, a fellow worker who is not performing should be reported to the manager.
NURSING4 Nursing remains a profession controlled by the NR standard for practice (2016) as well as NMBA code of conduct for nurses (2018). NMBA remains an institution established by the parliament mainly to safeguard the citizen by ensuring that midwives and nurses offer high standards of care to the people (Nagle & Vogt, 2018). The supervisor will use the NMBA to advice Mary on the most suitable practice as well as conduct. Because the NMBA provide advice for midwives and nurse, the supervisors can use it to give advice to Mary. RN standard for practice contain relevant steps which a fellow worker can take in order to correct this situation. The actions taken by the supervisor will be control by NMBA codes and RN standards. The supervisor will use RNs to conduct comprehensive assessment for Mary. The supervisor can also use RN standard to create a performance plan that to boost Mary to enhance her practice with the residents. Mary’s nursing peer may also advise her to contact Midwife and Nurse Support for help that will improve her personality difficulties.NMBA has the necessary guidelines which control all the nurses. So, if the conduct of Mary deteriorates further or does not get better during her performance plan, it will be necessary for the supervisor to inform the NMBA. The supervisor may also use the code of conduct as a basis to communicate with Mary the correct things that she should do in order to correct the situation. Mary’s nursing peers may use the code of conduct as a guide of determining the best actions that they should take in order to solve the problem experience by the residents. Therefore, it is true that the code of conduct provide guidelines to all the nurse and supervisors on the best actions that they can take to solve a situation at the workplace. Conclusion
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NURSING5 This paper discussed in detail issues related to NMBA code and the RNs for practice guide. This paper presented a discussion of various issues such as NMBA code of conduct. From the discussion we found out how Mary who was a registered nurse Mary did not care for the safety and comforts of the residents that she was serving. From this paper, it is true that we learned some of the essential aspect of code of conduct and RNs for practice. From this paper, it is true that the code of conduct is the principles of professional behavior which guide safe practice, as well as clearly highlights the conduct anticipated of nurses by the community and their coworkers. From this paper, it is also true that the nursing sector is being controlled by the NR standard for practice (2016) and NMBA code (Ostaszkiewicz, Thompson & Watt, 2019). Andboth NMBA codes and NRs regulate the role of nurses in various institutions. They set out standard and how the nurses should relate with the fellow colleagues and their clients in the workplace.
NURSING6 References Cashin, A., Buckley, T., Donoghue, J., Heartfield, M., Bryce, J., Cox, D., ... & Dunn, S. V. (2015). Development of the nurse practitioner standards for practice Australia.Policy, Politics, & Nursing Practice,16(1-2), 27-37.doi:10.1177/1527154415584233 Cowin, L. S., Riley, T. K., Heiler, J., & Gregory, L. R. (2019). The relevance of nurses and midwivescodeofconductinAustralia.Internationalnursingreview. doi.org/10.1111/inr.12534 Cusack, L. (2018). Meeting the standards of your profession.Australian Midwifery News,18(4), 8. Cusack, L. (2018). Midwife standards for practice.Australian Midwifery News,18(3), 9. Edmonds, L., Cashin, A., & Heartfield, M. (2016). Comparison of Australian specialty nurse standards with registered nurse standards.International nursing review,63(2), 162-179. Fencl, J. L., & Matthews, C. (2017). Translating evidence into practice: how advanced practice rns can guide nurses in challenging established practice to arrive at best practice.AORN journal,106(5), 378-392.doi: 10.1016/j.aorn.2017.09.002. Garrison, M. (2019). Educational Program for RNs Related to the Use and Function Mechanical Prophylaxis in VTE Prevention. Halcomb, E. J., McInnes, S., Moxham, L., & Patterson, C. (2018). Mental Health Practice Standards for Nurses in Australian General Practice. Melnyk,B.M.,Gallagher‐Ford,L.,Long,L.E.,&Fineout‐Overholt,E.(2014).The establishment of evidence‐based practice competencies for practicing registered nurses and advanced practice nurses in real‐world clinical settings: Proficiencies to improve
NURSING7 healthcare quality, reliability, patient outcomes, and costs.Worldviews on Evidence ‐ Based Nursing,11(1), 5-15.doi: 10.1111/wvn.12021. Epub 2014 Jan 21 Nagle, C., & Vogt, T. (2018). Midwife standards for practice: one size does fit all.Women and Birth,31, S51. Ostaszkiewicz, J., Thompson, J., & Watt, E. (2019). A national project to develop and validate practicestandardsforAustraliannursecontinencespecialists.AustralianandNew Zealand Continence Journal, The,25(1), 16. Takashima, M., Burmeister, E., Ossenberg, C., & Henderson, A. (2019). Assessment of the clinicalperformanceofnursingstudentsintheworkplace:Exploringtheroleof benchmarkingusingtheAustralianNursingStandardsAssessmentTool (ANSAT).Collegian.DOI:10.1016/j.colegn.2019.01.005