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Nursing Assessment Australia 2022

   

Added on  2022-08-21

9 Pages2789 Words15 Views
Running head: NURSING
Nursing
Name of the Student
Name of the University
Author Note

NURSING
Part A
The standards of practice that falls under this standard 1.6 of registered nurse
standards of practice as proposed by Nursing and Midwifery Board of Australia (NMBA)
(2016). According to this standard, it is the duty of the registered nurse (RN) to maintain
accurate, timely yet comprehensive documentation of the assessments followed by planning,
proper decision-making, followed by actions and evaluation. Akhu‐Zaheya, Al‐Maaitah and
Bany Hani (2018). stated that proper documentation of the patients’ healthcare details help in
avoiding the chances of the practice related errors. The assessment of the vital signs of the
patients falls under the standard 4 of NMBA (2016) RN standards of practice. According to
this standard, it is the duty of the nursing professional to conduct comprehensive yet
systematic assessment of health. This assessment must be done in a holistic yet culturally
competent manner. 4.2 states that it is the duty of RN to make use of arrange of assessment
techniques in order to collect accurate information and at the same time work in partnership
with other nursing professionals and allied healthcare professionals to determine the priorities
of care. Cardona-Morrell et al. (2016) highlighted upon admission of the patient under the
hospital settings or in the out-patient department, it is the duty of the nursing professionals to
conduct a detailed assessment of the vital signs of the patients. Proper assessment of the vital
signs of the patients help in the easy identification of the health priority and thereby helping
to design person-centred care plan and followed by identification of other health assessment.
Reporting error in practice falls under standard 6 of RN professional standards of
practice (NMBA, 2016). According to this standard of practice, it is the duty of the nursing
professional to provide safe, appropriate and responsive care to the patient. According to 6.6,
it is the duty of RN to employ appropriate process for the identification of errors and gaps in
practice while reporting the potential and actual risk related system issues and where the
practice might remain below the expected standards. In the mentioned case study, it was
highlighted that even though blood pressure of the patient was outside the normal range, the
buddy nurses said not to worry as it is normal for the patient. However, the previous blood
pressure record of the patient was within the normal range post admission. Upon reporting
the same to the buddy, they stated not to report to anyone. Not reporting to any one and
1

NURSING
continuing the same treatment might endanger the life of the patient and thus violation of the
ICN code of ethics. According to the International Council of Nurses (2012) or gICN code of
ethics, it is the duty of the nursing profession to overall health of the patient while preventing
illness. Rutledge, Retrosi and Ostrowski (2018) there are several barriers towards reporting
errors in practice and this include fear from getting bullied by the subordinate nurses, time
consuming nature of the reporting process and associated fear of repercussions.
According to the scenario, the patient is feeling secured and she also reports that she
has trust over nurse as she spends time with her in order to know her concerns. Here the RN
has executed the use of the effective communication in order to develop therapeutic nursing
and thus helping to generate the level of trust with then patient. The effective communication
skills include both verbal and non-verbal communication skills. Under verbal communication
skills, there occurs proper articulation of words (pronunciation) and use of proper vocabulary
in order to make it easier for the people to understand. Under non-verbal communication
skills, there are active listening, maintaining eye contact while talking or listening and
showing empathy to the patient. These help in the generation of emotional connection with
the patient and thereby help in the development of trust (Kim & Han, 2016). Development of
therapeutic relationships falls under the standard 2 of RN nursing professional standards of
practice. According to this standard, it is the duty of the RN to engage in therapeutic
relationships with the patient. Therapeutic relationships mainly involves use of effective
communication while giving proper respect to the dignity of the person’s culture, values,
rights and beliefs (2.2).
The buddy nurse has promised pain relief hours ago but has failed to provide the
same. This has lead to the violation of the nursing practice standard 6.1. According to this
standard, it is the duty of the nurse to provide safe and quality practice in order to achieve
goals and outcomes that are responsible to the nursing needs of the healthcare service users.
The standard of RN that coincided with this scope of practice is standard 5. According
to this standard, it is the duty of the nurses to develop proper nursing plan based on the
2

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