1 HUMAN SERVICES Introduction The "Human Services Professional" is a general term that is used for the individuals who hold professional and/or paraprofessional jobs under various settings like residential settings, hospitals, mental health clinics, family clinics and youth service agencies. The following essay will focus on "Nursing" as one of the prime "Human Services Professional". The essay will initiate with a description of the duties of the nurses followed by reasons behind the emergence of the nursing as a profession. The second part of the assignment will focus on the relevant policies and legislation centred on nursing as a profession and changes in the society that led to change in the profession of nursing. The last part of the assignment highlights the success and downfall of the nursing profession and its impact on health care. Nursing and their professional duties The main duties and responsibilities of a nursing professional include assessment of the patients’ health needs followed by person-centred therapy planning based on the clinical priorityidentifiedthrough healthassessment.Theprofessionalsnurseswork eitherin collaboration or independently with other healthcare professionals like doctors. The therapy planning and other medication management is done under the supervision of physicians. The nursing professionals also monitor patients while administering medication and tracking patients’ outcome in care. Communicating with the patients’ and their family members and givingthemupdateaboutthetherapyanddiseaseprognosisalsofallunderthejob responsibility of a nursing professional (Health Careers in NHS 2020). The nurses are involved in healthcare research, policy negotiations as well as patient advocacy. The types of service provided by nursing professionals are based on the group of patient population catered by them. Main services include adult nursing, paediatric nursing, learning disability nurse, mental health nurses, general practitioner nurse, nurses in neonatal care, prison nurse
2 HUMAN SERVICES for the judicial system and theatre nurse. The theatre nurses mainly work with clients of diverse age group and these nurses take part in the client’s all phase in the operation (Health Careers in NHS 2020). Emergence of nursing The word “nurse” initially came from Latin word “nutrire” that literary referring to a wet nurse. During the latter part of the 16thcentury, this term “achieved its modern meaning such as an individual who cares. Although the origin of the nursing profession predate in the middle part of the 19thcentury, the emerging past of the nursing profession traditionally initiates with Florence Nightingale. During the time of Florence Nightingale, the profession ofnursingwasnotconsideredasrespectablecareer.However,dedicatedeffortsof Nightingale efforts in Britain’s Crimean War lead helped the nursing profession to evolve as a novel and wise career(Bradshaw 2017). With the outbreak of epidemics like cholera, small- pox and typhus, men also took active roles in nursing. The end of the 19thcentury witnessed the establishment of nursing as a renowned profession. The hospitals established their own training schools in order to appoint trained yet educated nurse(Egenes 2017).D'Antonio et al. (2010)stated that during the late part of the 19thcentury, the generation of the schools of nursing began and numerous alumnae association of schools of nursing started creating and functioning private duty. During the mid-part of the 20thcentury, the achievement of these schemes influenced numerous communities in nursing to launch larger enterprises that are operated by the nursing professionals in order to deliver a broader range of nursing services towards the communities. Policy and legislations The Department of Health and Social Care in UK (2019) passed the Health and Social Care Act 2012 in order to impose the legal duties over the healthcare and the nursing
3 HUMAN SERVICES professionals in the domain of health-related inequality. Specific duties are thus imposed over the nursing professionals who are working for Public Health England, Department of Health, Clinical Commissioning Groups and NHS England. The foundation of this legislation mainly finds its origin from the Equality Act 2010. The main aim of this legislation is reduce the health inequalities while increasing the healthcare access to the minority population. This act helps to meet the professional needs of the nursing profession. According to the Nursing and MidwiferyCouncil(NMC)(2015),TheCode:Professionalstandardsofpracticeand behaviours for nurses, midwives and nursing associates give importance to the prioritization of people (standard 1). According to standard 1, it is the duty of the nursing professional to treat people with kindness while respecting the difference in the cultural values and ethnic origin. The standard also entails that a nursing professional must never make assumptions or have preconceived notions towards any cultural group. It is the duty of the nurses to deliver care in unbiased manner towards people from diverse origin. Thus the Health and Social Care Act 2012 and the Mental Capacity Act (2010) helped the nursing professionals to abide by the standard 1 of the nursing professional code of practice and thereby helping to uplift the novelty of the nursing profession. The Act also helped to emphasise standard (1.5) of the nursing professional code of conduct that states that it is the duty of the nursing professional to respect and to uphold human rights of people and Equality Act 2010 promotes equal treatment for all. Changes in society Initially the concept of nursing was inclined towards the promotion health. Healthy initially focused solely in the physical health. However, later World Health Organization (WHO) re-defined the concept of health. The organisation defines health as complete state of social and physical well-being. Health can never merely defined based on the lack of or
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4 HUMAN SERVICES presence of the infirmity or disease(McClintock et al. 2016). The introduction of the revised or new definition of health, open a new dimension in the nurses. Initially, the roles of the nursing professionals were included towards catering the physical health needs of the nursing however, now both the mental and physical health needs of the patients are taken into consideration. Apart from the patient, the nursing professionals also care for the family members of the patient by briefing them about the patients’ disease prognosis(McClintock et al. 2016). Van Keer et al. (2017) conducted a study in order to examine the importance of the mental health of the patients who are from the ethnic minority background and are suffering the acute medical situation in clinical setting. The qualitative design directed over 86 ICU nursing professionals and observation over 10 patients from ethnic minority states that mental state of ethnic minority patients who are in acute care is defined by risky emotional solitude. Thus, it isvital for the nursing professional to identify and to meet the unique need of the patients by addressing their mental health needs. Improvement in their mood will help in increasing their physical health and well-being and thus helping to accelerate the recovery. Success and downfall The main downfall of the profession is indicated in the domain of the shortages of the nursing professionals under in-patient settings. Higher is the nurse: patient ratio under the in- patient or hospital settings, more is the burden over the registered nurses who are on duty leading t stress and burn-out (Paul et al., 2018). Paul et al. (2018) stated that nursing professional who are suffering from work-related stress and emotional burn-out are more likely to commit medication error or other practice related error and thus hampering overall quality of care.Nantsupawat (2016) stated that excess burnout and job-stress also increase the intention to leave among the nursing professionals and thus leading to the downfall in the nursing profession further.
5 HUMAN SERVICES One of the success of the nursing profession is, it help in the upliftment of the active participation of the patients and their family member in the therapy planning by the execution of the effective communication skills. The use of the effective communication skills (non- verbal as well as verbal communication skills) help in the development of therapeutic relationship with the patients and their family members. This help in increasing the level of trust and at the same time help in detecting the clinical priority in patients’ care(Percy and Richardson 2018). Conclusion and Recommendation Thus from the above discussion, it can be concluded that the emergence of the profession of nursing helped to increase the overall quality of the health-care system. The profession of nursing also promotes equal treatment for all irrespective of their ethnic and cultural background and this in turn promote the reduction of the prevailing health-inequality. However, there are certain areas in the nursing profession that needs to be worked upon. The analysis of the literature in the above mention essay helped in understanding that shortage of nurse is a major issue that lead to the down-fall in the quality of care while hampering the good-will of the profession. In order to address this situation, the government as well as the hospital administrative boards must come up with more recruitment advertisements in order to reduce the nurse to patient ratio. Moreover, initiatives must be taken in order to increase the nurse retention by increasing the level of job satisfaction(De Simone, Planta and Cicotto 2018).
6 HUMAN SERVICES References Bradshaw, A., 2017.The nurse apprentice, 1860–1977. Routledge. D'Antonio, P., Connolly, C., Wall, B.M., Whelan, J.C. and Fairman, J., 2010. Histories of nursing: The power and the possibilities.Nursing outlook,58(4), pp.207-213. De Simone, S., Planta, A. and Cicotto, G., 2018. The role of job satisfaction, work engagement, self-efficacy and agentic capacities on nurses' turnover intention and patient satisfaction.Applied Nursing Research,39, pp.130-140. Department of Health and Social Care in UK . 2019.Key legislations.Access date: 4thMarch 2020.Retrievedfrom: https://www.england.nhs.uk/about/equality/equality-hub/resources/legislation/ Egenes, K.J., 2017. History of nursing.Issues and trends in nursing: Essential knowledge for today and tomorrow, pp.1-26. Health Careers in NHS. 2020.Roles in Nursing. Access date: 4thMarch 2020. Retrieved from:https://www.healthcareers.nhs.uk/explore-roles/nursing/roles-nursing McClintock, M.K., Dale, W., Laumann, E.O. and Waite, L., 2016. Empirical redefinition of comprehensive health and well-being in the older adults of the United States.Proceedings of the National Academy of Sciences,113(22), pp.E3071-E3080. Nantsupawat, A. 2016. The Impact of Nursing Practice Environment on Job Dissatisfaction, Burnout, and Intention to Leave. Nursing and Midwifery Council (NMC). 2015.The Code: Professional standards of practice and behaviours for nurses, midwives and nursing associates. Access date: 4thMarch 2020.
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7 HUMAN SERVICES Retrieved from:https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/nmc- code.pdf Paul III, D.P., Bakhamis, L., Smith, I.I., Harlan, M. and Coustasse, A., 2018. Hospital Nurse Burnout: A Continuing Problem. Percy, M. and Richardson, C., 2018. Introducing nursing practice to student nurses: How can we promote care compassion and empathy.Nurse education in practice,29, pp.200-205. Van Keer, R.L., Deschepper, R., Huyghens, L. and Bilsen, J., 2017. Mental well-being of patientsfromethnicminoritygroupsduringcriticalcare:aqualitativeethnographic study.BMJ open,7(9).