Nursing Professionals Standards Report

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

1NURSING
This essay is based on the theory that following nursing professionals standards and
code of practice helps in improving the overall quality of care. While elaborating the
importance of the theories of nursing and the health related quality standards, the essay will
aim on the case study of a 40 years old aboriginal women named Raelene Ward. Raelene is
mother of has three children and is an active working professional. The entire narration of the
case study is done through excerpts of interview that is being conducted by Natasha Reedy.
The paper will highlight theories of the person-centred care, family centred care, code of
nursing ethics, National Safety and Quality Standards and Erikson psychosocial theory. The
assignment will start with identification of proper nursing theories along with examples of
effective and ineffective care as evidenced in the interview analysis. At the end, the essay
will highlight the importance of “partnering with the consumers” from the theme of the case
study.
The relevant standard of care that can be highlighted in this case study is informed
decision-making. According to the Nursing and Midwifery Board of Australia (2013), it is
the responsibility of the nurse to conduct informed decision making. Although, the case study
revealed that when Raelene was diagnosed with gestational diabetes, she was administered
insulin without taking any prior consent or discussion. According to Faden Beauchamp and
Kass (2014), a nursing professional must respect the autonomy of the patient in order to
practice informed decision making. Informed decision making, deals with discussing the
intended outcomes of the therapy with the service users while highlighting the potential side-
effects. This helps to increase the patients’ engagement in the care plan. The process of
initiation of informed decision making helps to increase the intimacy of a nursing
professional with the patients. This is because nursing professional makes use of the effective
communication skills in order to conduct informed decision making (Crawford, Candlin&
Roger, 2017). Intimacy and Isolation is the prime psychosocial need during 18 to 40 years as

2NURSING
per the Erikson model. Promotion of intimacy helps in upholding mental health and well-
being and helping to accomplish psycho-social aspects of life (Kerpelman& Pittman,
2018).Raelene reports during the session of interview that after the death of her sister,
Raelene was suffering from extremely depression but no counselling was offered to her. Lack
of proper counselling and mental health support might make her feel isolated during her crisis
situation and thus endangering in basic psychosocial needs. It might be due to isolation that
she was unable to manage her own medication and was feeling further mentally depressed.
However, Raelene herself reported that Aboriginals family members tend look after
themselves. This aspect of Raelene helped in the identification of the level of her self-coping
skills or the coping skills of the indigenous population in the absence of any
support(Kerpelman& Pittman, 2018).
The patient care plan highlighted in the interview is in-effective. The reason behind
this is, it failed to follow the person-centred care plan. As per the case study when Raelene
was detected with gestational diabetes, the physicians prescribed for insulin treatment for
controlling her blood glucose level (BGL). While administrations of insulincan be considered
as an important aspect of diabetes management through lowering of the BGL, but use of
proper diet along with exercise can also be useful for the effective treatment of the gestational
diabetes. This is because during gestation the body is immune-compromised and weak and
diet along with exercise in BGL management has no significant negative effects (Viana,
Gorss and Azevedo 2014).
Another ineffective care is lack of constant presence of the culturally competent
indigenous healthcare workers in designing the care plan for Raelene. Panaretto, Wenitong,
Button and Ring (2014), argued that presence of aboriginal professionals can be regarded as a
crucial aspect of framing culturally competent care plan for the Aboriginals and Torres Strait
Islanders population. McCalmanet al. (2017) presence of family members in designing of the