Nursing Professional Responsibility and Accountability Assessment 2022

Running head: NURSING
NURSING
Name of the Student:
Name of the University:
Author Note:

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Professional Responsibility and Accountability
Assessment (Knowledge)
1. Develops a therapeutic relationship with clients.
As a registered Nurse (RN), care aides are expected to establish a positive
therapeutic-relationship with the clients. Further, care providers are also expected to
critically consider the patient care priorities and devise a care that reflects cultural safety
(Price 2017). In accordance to the nursing standards of rendering effective care, I have been
able to create a positive therapeutic relationship with patients belonging to diverse culture
and ethnicity origin that include patients belonging to diverse religious beliefs such as
Islamic origin or Christian origin. While caring for an 80 year old, Muslim patient who had
been hospitalized due to the exacerbated symptoms of Diabetes, I have been able to
establish a positive therapeutic relationship based on the elements of care priorities and
appropriate gender and culture specific considerations such that the patient was satisfied
with the care experience.
2. Identifies client’s healthcare needs in a caring environment that facilitates achieving
mutually agreed health outcomes.
Registered Nurse (RN) or care professionals are expected to provide care that is
aligned to the specific health care needs and care priorities of the clients (Harding 2017). It
should be noted in this regard that the RN engaged in the process of providing care to the
patient must ideally identify the care needs of the patient and mutually agree with the
expectations of the patients to establish care goals (Price 2017). Accordingly, while caring
for the 80 year old Muslim patient, I have ideally identified the care needs of the patient and
mutually agreed upon the devised care goals to establish a positive therapeutic recovery
plan for improved health outcome of the patient.

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3. Collaborates with clients across the lifespan to perform a holistic nursing assessment.
While devising care for a patient, it is expected that nursing professionals must be
able to exhibit competence in delivering collaborative patient care. In addition to this, it is
also expected that the nursing care professionals would be able to conduct holistic nursing
assessment such that the care quality of the patient is not compromised and patients achieve
positive care outcome (Price 2017). I have exhibited competence in caring for patients and
actively collaborated with patients while devising the care process. In addition to this, as a
RN, I have also been able to successfully conduct holistic nursing assessment of patients
suffering from chronic illness disorders such as MR. K (who had been diagnosed with
CKD) and appropriately identified the care priorities to devise a recovery care plan that
focused on physical health disorder symptoms, nutritional needs, mental health and
psychological health needs as well as social wellness.
4. Demonstrates knowledge in critical thinking and problem-solving skills.
As a RN (Registered Nurse), I have been able to exhibit competence in critical thinking
and problem solving skills. I have been able to make use of the nursing theory knowledge
and advanced pharmacological knowledge to devise care for the patients (Ellis 2019). I have
exhibited the competence in critical thinking and problem solving skills while working
within the emergency department and preparing for a knee replacement surgery of a 71 year
old, Christian patient Mrs. J, who had been hospitalised after a fall. As an efficient RN, I
have collaborated with the multidisciplinary team of care professionals and devised an
appropriate care plan based on the constituents of critical thinking and problem-solving
skills such that the patient experienced high level of satisfaction associated with the care
delivery process.
5. Uses a theory-based approach.

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A registered nursing professional is expected to prioritize patient care needs and devise
a care process that ideally addresses the designated care goals. In addition to this, it is also
important for nursing care professionals to adapt a theory based care approach in order to
devise care that is aligned to the holistic care needs of the patient and at the same time
adherent with the care principles of nursing practice. Within the scope of my nursing
practice, I follow the Nightingale’s Environmental Theory which is based upon the
maintenance of pure water, efficient drainage, cleanliness, appropriate nutrition and food,
personal cleanliness as well as maintenance of clean bedding for the attainment of positive
care outcome and provision of a safe and person-centred care approach that helps to acquire
improved patient outcome (Medeiros et al. 2015).
6. Demonstrates knowledge in nursing, health and social sciences.
A competent and efficient care professional is expected to possess detailed knowledge
in nursing, health and social sciences. It is essential for a care professional to render care
services that help to acquire improved healthcare outcome (Grossman and Valiga 2016). In
addition to this, it should also be noted that care professionals are expected to empower
patients with health literacy and advocate the rights of the patient and serve in the best
interest of the patient. For the same, nurses are expected to possess improved nursing and
associated pharmacological knowledge in order to impart improved patient outcome. I have
demonstrated competence in possessing appropriate knowledge in nursing, health and social
sciences. I have been able to care for elderly patients aged 60 years and above belonging to
diverse cultural origin using advanced knowledge in nursing, health and social sciences so as
to impart holistic care.
7a) Promotes clients’ right and responsibilities by: obtaining client consent prior to
initiating nursing care

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Prior to commencing the care process, care professionals are expected to obtain
consent from clients and proceed with the care process. Obtaining client/patient consent prior
to proceeding with the care process is an integral aspect of the care process as it helps to
advocate patient rights and act in favour of the patient’s interests (Price 2017). During my
scope of practice, I have been able to appropriately identify the care priorities of the patients
and obtain consent prior to commencing the care process. On one clinical instance, I was
expected to care for a patient, who was a 72 year old, male and belonged to the Muslim
religion. While caring for the patient, I was able to appropriately greet the patient, establish
rapport, consider the gender, religious and cultural preferences of the patient and accordingly
obtain consent for commencing the treatment process.
7b) Promotes clients’ rights and responsibilities by: protecting clients’ rights by
respecting confidentiality, privacy, dignity and self-determination as part of the plan of
care.
An efficient care professional is expected to preserve the rights and responsibilities of
the clients and at the same time ensure that the patient confidentiality, dignity and self-
determination of the patient is maintained. As a competent nurse, I have been able to promote
the rights and responsibilities of the client and have maintained the confidentiality, privacy,
dignity and self-determination of the patient’s care process (Harding 2018). This can be
mentioned with the help of a clinical process where I was expected to care for a senior adult
who was 86 year old, Christian man who was suffering from Dementia and was unable to take
decisions on his own. In such a case, I was able to advocate the rights of the patient and did
not share the patient information with other care professionals, thereby preserving the patient
privacy and confidentiality.
8. Recognizes the impact of an agency’s organizational culture on nursing practice.

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As a competent care professional, a nurse must be able to identify the relationship
between organizational culture and its implication on nursing practice. As suggested by
Grossman and Valiga (2016), a culturally diverse and inclusive organizational culture is
expected to reflect upon the care services rendered to the patients. As a competent care
professional, I have been able to recognize the organizational cultural values appropriately
and accordingly include the elements of positive organizational culture in the care process
of the patient such that the quality of life of the patient is improved significantly. Aligned
to the organizational culture, I have been able to incorporate a patient centred, inclusive
and culturally diverse care approach that has helped me to acquire high level of patient
satisfaction with the care process.
9. Assess the appropriateness of assigning care to unregulated care providers (UCPs)
Nurses possess the professional responsibility to appropriately allocate tasks to allied
healthcare professionals. It is also expected that nursing care professionals would be able
to appropriately coordinate with the multidisciplinary team of care professionals so as to
ensure that the planned care interventions is aligned to the care needs of the client (Saari et
al. 2018). The evidence base suggests that delegation to unregulated care providers
generally occur when the task needs to be performed by primary care nurses and the care
role is outside the key responsibility areas and training of the care providers (Saari et al.
2018). As an efficient nursing care professional, I have been able to allocate tasks such as
documentation of patient history to unregulated care providers such that the best interest of
the patient is preserved and at the same time patient safety is retained to promote positive
patient outcome.
10. Reviews literature and collaborates with colleagues and other resources in selecting
assessment tools or techniques

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While conducting physical assessments of patients who have been hospitalised on
account of critical illness disorders, on multiple occasions there were situations when it
had become extremely difficult to decide the assessments that should be undertaken to
assess the physical health condition of the client. In such cases, it is expected that care
professionals must critically evaluate the evidence base and retrieve relevant literatures
such that evidence based patient assessment and interventions can be undertaken for
assessing the physical and physiological health condition of the patient (Ellis 2019). While
caring for a 62 year old, Christian patient, who had been presented to the healthcare setting
with an acute spinal injury, I had been able to investigate the evidence base and retrieve
assessment techniques which I later used to conduct physical health assessments of the
patients.
11. Demonstrates knowledge of conflict-resolution skills
As an efficient nursing care professional it is important to possess critical thinking
skills as well as important decision making skills in order to address strenuous conflicts
within the clinical environment that might occur intra-team or inter-team (Lahana et al.
2019). As an efficient nursing professional, I have been able to make use of critical
decision making abilities to spontaneously resolve conflicts within the team. On multiple
occasions, I have had the opportunity to care for patients who required a multidisciplinary
team to impart holistic care. In such cases, there were situations when there were
ineffective communication or communication gap that required effective leadership and
management skills so as to avoid conflicts. In such cases, I have made use of analytical
thinking and effective decision making skills to improve holistic patient care outcome.
12. Demonstrates of knowledge of therapeutic communication
A Registered Nurse (RN) is expected to critically consider the patient care needs and
make use of effective communication strategies so as to establish a positive therapeutic

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rapport. The level of patient satisfaction is dependent upon the strength of the therapeutic
relationship and the transparency of communication carried out between the nursing care
professional and the patient (Price 2017; Harding 2018). As an efficient RN, I have been
able to demonstrate appropriate knowledge and competence in establishing a positive
therapeutic relationship with the clients and appropriately identified the care priorities and
have rendered effective care delivery. In addition to this, I have also been able to prioritise
care goals of the patient and deliver optimal care services so as to acquire elevated level of
patient satisfaction.
13. Demonstrates knowledge of leadership skills and styles
As a Nurse, care professionals are expected to exhibit efficient leadership skills and
style such that the multidisciplinary team of care professionals can be appropriately
involved in the patient care process (Grossman and Valiga 2016). Further, it is also
expected that a competent nurse would be able to impart patient centred care and impart
care service that is aligned to the care priorities of the patient. As an efficient RN, I have
been able to appropriately lead and manage the team of multidisciplinary care
professionals so as to ideally address the care needs of the patient and deliver care that is
of superior quality and addresses the holistic care needs of the patient.
14. In collaboration with the client, identifies appropriate health teaching strategies that
will enhance the client’s learning.
An efficient Nursing care professional is expected to care for patients and empower
patients with education, awareness and self-management strategies such that the care
outcome for the patients can be improved (Delgado and Ruppar 2017; Kim and Lee 2016).
It is integral to note in this context that imparting health literacy and health awareness is
one of the integral constituents that help to empower patients about their existing physical
health condition and at the same time enable them to take better care of their health. As an