Professional Legal and Ethical Consideration on Adult Nursing

The NMC (2018) standard is a set of principles that nurses must follow to provide safe, compassionate, person-centered, evidence-based nursing care that respects and maintains the dignity and human rights of patients. However, the video (http://www.patientvoices.org.uk/flv/0702pv384.htm) highlights the failure of nurses to provide evidence-based care and support to Elaine dad, which ultimately led to his death.

Professional legal and
ethical consideration
on adult nursing

Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................2
CONCLUSION................................................................................................................................6
REFERENCES................................................................................................................................7

INTRODUCTION
Ethics is defined as the moral and value which is associated with various form. In this, ethics
regard standard of the moral judgement and the professional conduct. In this, the nurses are
highly accountable to the patient, the public, employers and the total healthcare professionals. It
is imperative they have making understanding of the various ethical, moral, legal and the
professional issue which is based with professional during their careers. As per this, there are
three main central approach which is applicable for nurses. From all, the main duty is creating
autonomy, respect confidentially and provide the duty of care for all patient who is taking
admission in the healthcare clinics and the hospital. However, these duties are supplemented by
the core of principle which is based on some aspect include beneficence, meaning promoting or
doing good and acting in the patient with their best interest and non-maleficence which have
basic meaning and context to avoid the harm. Moreover, these are the professional duties which
is followed as a legal duty if any type of legislation or the policies is breaches during the
conducting of professional practice. In the contrast with the video
(http://www.patientvoices.org.uk/flv/0702pv384.htm), the main issue which is arise in this is
based on the failure of principle which is based on providing evidence and care. As per this, the
major areas of concern which is elucidated from the video
(http://www.patientvoices.org.uk/flv/0702pv384.htm) is that the unethical behaviour and
unresponsive care is being provided to Elaine dad. Elaine dad require proper support and care for
the health issue that based on person centred care that is deliver by the nurses. They generally
ask the health and there is no any specific discussion which is based on care plan and require
health process and operation (Attenborough et. al., 2019).
There is various study which is held on the 2001 which show some evidence which help to
advice the on ethical dilemma within the health profession. In this, the enhancement of legal
cases and public inquiries is mentioned. As per this, there are various group and authorities who
is undertaking eyes on the regulation and rules. Moreover, the clinical ethics committees and the
research ethics committees were mainly established within the aspect of UK which used to
provide ethics support. With the contrast of patient, they have set of cases which indicate that the
person centred care and patient invocation provide support but when they are followed in ethical
manner.
1

In this, the code of practice and code of conduct are followed which help to create a
standard operating procedure which allow the service user to take quality of health and quality of
care. In this, rapidly changing in the value of health, behaviour science, and society mean that the
medical practitioner that must aware of the new ethical issue which is based on medical sector. In
this, it allows the used to learn the process and respond towards the situation appropriately using
standard which is based on NMC (2018) and other clinical standard which regulate positive
working and ethical behaviour in development of quality life. Lastly, the major cause of death of
Elaine dad is poor care and unresponsive behaviour form the registered nurse, lack of care plan
and other plan which play some role to overcome from the issue which may be impact the poor
health condition (Callwood et. al., 2020).
MAIN BODY
The nursing and Midwifery council called NMC (2018) of the United Kingdom is corporate
body of professional healthcare practitioner that have form a committee called the council. In
this, the function of the NMC (2018) is to establish standard code of standard for the nurse and
midwives that have capability to provide guidance in the education and training which have set
of principle and is known as the code that based on NMC 2002:1. Moreover, the code has their
professional aspect which provide care to people, client and patient. It is also ensuring that the
people right and their decision and provide additional aspect which is associated with individual
rights (Hutchinson et. al., 2020).
In addition to this, the main purpose of the NMC code is provide support to nurses and
midwives with their role. In this, the NMC state that they can protect people that are ill, helpless,
vulnerable and require support in care. This guideline is usually focus on the nurses, midwives,
professional and student. They have some aspect which state that there is three function, conduct,
performance and ethics. This principle of conduct expresses the nurses which is expected to
measure inside and outside the profession, the performance is usually based on the knowledge
and skill which is gain to be confident and provide continuity which help to deliver safe practice
in the aspect with patient that include concern, need and play the interest towards the people.
The nurse care is help to support the spiritual belief by encouraging safe factor which is
associated with the psychosocial distress or the pain. In this, try to being an active listener, based
on the patient and answering their question truthfully which provide comfort or relief for the
patient. There is other survey which explain that it helps to develop behaviour, value and attitude
2

which is embedded within this, the codes of NMC (2018) explain about the factor which is
provide support to the nurse and other healthcare professional. In this, the video
(http://www.patientvoices.org.uk/flv/0702pv384.htm) state that the there are various professional
value which is not present during the Elaine dad. Moreover, through the video
(http://www.patientvoices.org.uk/flv/0702pv384.htm), it is analysing that the patient has issue
with approach which is provided by healthcare which include support and care, but, in this, nurse
only know the outcome of patient and their process of recovery. There is no any care plan or the
action plan is implemented which help and support the patient and this contradict the situation of
Elaine dad. The complete disruption of the NMC (2018) standard is analyse through the video
(http://www.patientvoices.org.uk/flv/0702pv384.htm) which state that the patient lead innovation
and person centred care is an approach which important for developing quality of care with
patient. The NMC standard allow the patient to take quality of care from the healthcare
professional (Leigh et. al., 2017).
The major importance that uphold the NMC code with potential registrant follow the ethical
behaviour which play key pointer by generating norms and moral value for the nurse. In this, the
nurse could not provide essential care to the patient in the video
(http://www.patientvoices.org.uk/flv/0702pv384.htm) and after a time while due to lack of care
and support patient become weak and die at some position. The determined video
(http://www.patientvoices.org.uk/flv/0702pv384.htm) is about Elaine dad who is died. Whereas,
Elaine state her dad requires patient lead innovation and person centred care that provide support
and care. The NMC standard are majorly include think critically and analyse nursing practice,
they are engage with the therapeutic and professional relationship, they used to maintain the
capability for the practice, comprehensively conduct the assessment. Moreover, they used to
develop plan for the nursing practice and they used to provide safe, appropriate and responsive
behaviour for the quality of practice. These are seven elements of NMC (2018) standard which
help to play key role in formulating ethical behaviour and attitude among the nurses and other
healthcare staff. It usually generates such behaviour which is effective for the patient health and
their improvement (Leigh et. al., 2017).
The understanding and application working within the legal, ethical and professional
requirement for the registered nurse is that they must practise autonomously and be responsible
and accountable for the supportive, safe, compassionate, person centred, evidence based nursing
3

which help to respect the and maintain the dignity and human right. As per this, they must follow
the aspect of professionalism and show the work of integrity that recognised the professional,
ethical and legal framework. The basic requirement which is needed for the registration of NMC
(2018) is that a scanned copy of the degree or qualification certificate with proper name, address
and contact email of education institution. However, the previous name if the qualification was
taken under a different name to be one used for the NMC online account. Whereas, there are
some aspect which state about the NMC which help to promote the professionalism which means
something to everyone who play a role of nurse or the midwife. Being an inspiring role model
working in the best interest of the people in the care. Moreover, the position that an individual
hold and used to deliver care is help to bring some practice and behaviour which comes together
to develop harmony.
In this, all nurse must act first and foremost which help to care for and provide safeguard the
public. They must practice autonomously and be responsible and accountable for safe,
compassionate, person centred, evidence based nursing that respect and used to maintain the
dignity with the aspect with human rights. In this, they must work with the partnership with the
other health and social care professional, ethical and legal framework. However, their carer and
the families in all setting majorly include the community which help to ensure that decision
which is about sharing of care and support (Mills et. al., 2021).
In this, the ethical requirement of the registered nurse is that they help in defining the ethical
value which respect other and dignity, autonomy and uniqueness of the human being, this all are
privileged with the nurse patient relationship which have their own acceptance for the personal
accountability in order to make decision and instant action. Moreover, the ethical principle that
based on nurse which must adhere the principle of justice, beneficence, non-maleficence,
accountability, fidelity, autonomy and veracity. Moreover, the justice is fairly taken with this
component because it shows the legal and ethical responsibility of a nurse. With the contrast to
video (http://www.patientvoices.org.uk/flv/0702pv384.htm), nurse do not provide fair behaviour
with the Elaine dad in their health outcome. They do not provide care which disintegrate and
create the hindrance in the ethical manner for the nurse, they only ask about the what Elaine dad
feel and their process of recover, they don’t even provide care plan and any recommendation for
the quick recovery and so on. This all against the consideration of ethical behaviour of nurse
because this type of approach raises the issue of improper health delivery among patient.
4

In the contrast with the video (http://www.patientvoices.org.uk/flv/0702pv384.htm), the
professional and legal standard in the nursing is used to play the role of professional standard
which allow to elaborate level of care in each phase of the nursing process and operation.
Moreover, the main purpose of the professional standard is to develop direct and maintain the
safe and clinically competent nursing practice. In this, these standard are the essential to the
profession because they help to promote and guide the clinical practice towards the moral and
norms. As per the analysis of video (http://www.patientvoices.org.uk/flv/0702pv384.htm), there
are some common legal issue that impact the Elaine dad support and care is relating to informed
consent and refusing treatment as per the previous details, licensure, the safeguarding of the
client with their personal a possession and with values, malpractice and negligence and so on.
Due to the poor care of Elaine dad, the implication is arising that is based on breaking of rules
and regulation, disruption of NMC (2018) standard which is essential for nurse in order to follow
their role and responsibilities (Nursing et. al., 2016).
Through the video (http://www.patientvoices.org.uk/flv/0702pv384.htm), it is also evaluated
and analysed that the data which is based on issue. However, the assumption was analysing and
evaluated in order to record the proper alternative to deal with situation. in context with the video
(http://www.patientvoices.org.uk/flv/0702pv384.htm), the proper support with the aspect of
patient lead innovation and person centred care is enough to maintain the ethical approach from
nurse. The code or practice and code of conduct with the regulations of standard which provide
basic aspect of developing the significance which allow the service provider to take their
decision which is beneficial for the service user.
In this, the elaboration of the transferable skill which used to develop education and training.
For the nurse, they must derive some transferable skill which help to solve the issue. It also built
communication which is effective and positive interaction, the problem solving skill and
teamwork are some of the example because they used to maintain the ethic towards the work and
provide care to patient with teamwork and making care plan by communicating with healthcare
professional and other medical staff for the recovery of patient (Thomas et. al., 2017).
In order to improve the quality of patient care, it is essential that to collect the data and used
to analyse the patient outcome that is measure and manage. Moreover, they used to set goals and
commit the ongoing evaluation which act as purpose to establish objective for the treatment and
self-management. Improve the access of care, with this patient feel comfort and do not follow
5

time which is associated with the longer period. With the help of standard, nurses focused on the
patient engagement with care and support. Lastly, try to make proper connection and
collaboration with other organisation. The clinical benchmarking is defined as the systematic
process which is based on the current practice which used to compare and amend to attain the
best practice and care. This help to allow to make uniqueness and associated with best practice.
In the healthcare profession, the benchmarking is the defined as the comparison and
measurement of the healthcare organisation service which is against the national health
organisation. It allows in order to share their best practice and evidence based practice clinical
research outcome between the healthcare at their national level. Moreover, there are five standard
of care which is associated with the nurses that include dignity and respect, compassion, be
included, responsive care and support and establish resilience and wellbeing (Tierney et. al.,
2018).
CONCLUSION
As per the above discussion, it is well analysed that the nursing is a profession which
provide proper support to the patient by accomplishing their need and wants. In this, they have
set of value and ethic which is primarily focus on the formulation of attitude and behaviour
which is helpful for the patient. In order to create concentration, the NMC (2018) code or
standard is established in order to make proper understanding for the nurse which is appropriate
for the conduction of process for the improvement of patient health and outcome. This is also
analysing that the people have facing issue with ethical and professional dilemma. As per this,
the proper factor is raising which is appropriate for the function that is based on relativity for the
nurse, as a role of nurse the ethical behaviour and positive behaviour is mandatory for the
adoption of environment which is helpful to regulate patient safety with person centred care and
patient lead innovation.
6

REFERENCES
Books and Journals
Attenborough et. al., 2019. The impact of Nursing and Midwifery Council revalidation on the
professional identity of academic staff in a higher education institution: A qualitative
study. Nursing open, 6(2), pp.434-442.
Callwood et. al., 2020. The predictive validity of Multiple Mini Interviews (MMIs) in nursing
and midwifery programmes: Year three findings from a cross-discipline cohort
study. Nurse education today, 88, p.104320.
Hutchinson et. al., 2020. A cross-sectional study of domestic violence instruction in nursing and
midwifery programs: Out of step with community and student expectations. Nurse
education today, 84, p.104209.
Leigh et. al., 2017. Implications for operationalising the new education standards for
nursing. British Journal of Nursing, 26(21), pp.1197-1199.
Leigh et. al., 2017. Implications for operationalising the new education standards for
nursing. British Journal of Nursing, 26(21), pp.1197-1199.
Mills et. al., 2021. Examining the transformative potential of emotion in education: A new
measure of nursing and midwifery students' emotional learning in first peoples' cultural
safety. Nurse Education Today, 100, p.104854.
Nursing et. al., 2016. Midwifery Board of Australia. Registered nurse standards for practice.
Thomas et. al., 2017. Supporting children’s nurses through Nursing and Midwifery Council
revalidation. Nursing children and young people, 29(1).
Tierney et. al., 2018. A historical account of the governance of midwifery education in Australia
and the evolution of the Continuity of Care Experience. Women and Birth, 31(3),
pp.e210-e215.
7

8