Nursing Transition to Practice: Ethical and Legal Issues, Clinical Decision Making, and Teamwork

Running head: NURSING TRANSITION TO PRACTICE 1
Nursing Transition to Practice
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NURSING TRANSITION TO PRACTICE 2
Abstract
Nursing transition into practice can be a complex process for most students. Nursing practice is a
closely regulated area regarding ethical obligations, legal ramifications, leadership, and other
professional standards. It is important to understand and get prepared to tackle realities like
ethical and legal issues in practice, leadership challenges, confidentiality, professional standards,
scope of practice and responsibilities. The clinical scenario of Jade’s dilemma provides a good
learning opportunity. Jade faces an ethical dilemma between autonomy and beneficence
principles that are associated to legal ramifications. Other areas covered under the clinical
scenario include scope of practice, clinical decision making, interprofessional team and
collaboration, roles and responsibilities of a newly registered graduate nurse and teamwork
parameters. There are also various recommendations for Jade regarding the future of her
practice. For instance, it is recommended that she should understand her scope of work and
operate within her limitations.

NURSING TRANSITION TO PRACTICE 3
Table of Contents
Introduction....................................................................................................4
Ethical and Medico-Legal Issues ...........................................................................4
Clinical Decision Making ....................................................................................6
Scope of Practice and Professional Nursing Standards ..................................................7
Teamwork and Interdisciplinary Practice Issues .........................................................8
Interprofessional team and Collaborative Skills.......................................................... 9
Key Roles and Responsibilities of a Newly Graduated Registered Nurse............................ 9
Conclusion ................................................................................................... 11
Recommendation............................................................................................ 11
References ....................................................................................................12

NURSING TRANSITION TO PRACTICE 4
Nursing Transition to Practice
1. Introduction
Nursing transition into practice can be a complex process for most students. However, it
is a closely regulated area regarding ethical obligations, legal ramifications, leadership, and other
professional standards. The regulations aim at streamlining nursing practice and protecting
different rights within the healthcare sector. Registered nurses are expected to perform and
deliver their services to patients using an evidence-based approach. However, due to the
diversity of patients associated with healthcare, many challenges face registered nurses in
practice. The challenges pose dilemma to nurses regarding their decision making and leadership
skills. The nurses are hence expected to deliver healthcare services in a professional manner
taking all care to improve the quality of lives of the patients.
The assignment provides a clinical scenario that abounds many critical issues for
discussion. Some of the areas covered in the case study include ethical and medico-legal issues,
clinical decision making, and the scope of practice, professional nursing standards, teamwork,
and interdisciplinary practice issues. This report will analyze the “Clinical Scenario: Jade’s
Dilemma?” through the above-mentioned parameters of practice surrounding the case study.
2. Ethical and Medico-Legal Issues
The ethical principles of autonomy and beneficence were conflicting according to the
clinical scenario. Autonomy places the patient, Bethany at the center of the treatment
interventions. Hence, their decisions should be respected with regards to care. If they refuse
treatment then that should be respected and given priority. As an ethical concern, I believe