Nursing: Clinical Confidence, Autonomy, and Accountability

This discussion post examines the critical elements of clinical practice in nursing, focusing on confidence, autonomy, and accountability. Post 1 emphasizes that confidence is essential for effective clinical performance, enhancing patient care and satisfaction. Post 2 discusses nursing autonomy, its benefits in decision-making, and its impact on patient well-being, while also highlighting the importance of accountability in ensuring proper care. Part 3 underscores the role of nurses in healthcare, advocating for patients and integrating new practices. The post also includes a peer's response that links self-confidence to clinical skills and references various books and journals related to nursing practice, education, and patient care. The overall discussion provides insights into enhancing clinical skills and improving patient outcomes.

Discussion Online Forum
Posts

Table of Contents
Post 1.............................................................................................................................................3
Post 2.............................................................................................................................................3
Part 3.............................................................................................................................................4
Peer's Response.............................................................................................................................4
References.....................................................................................................................................6

Post 1
Confidence is the essential factor for the effective clinical performance as it improve the
adhesion to medical equipments and enhance the health outcome with better patient
experiences. The clinical skills improvement will improve patient care and increase patient
satisfaction and through this the nurses are able to recognise the the side effects of the
medications and the when the treatments are no working properly. The nursing students can
enhance their confidence by surrounding themselves with the positivity (Roman Jones & et.al.
(2022)). The nursing students should compliment each other which can lead to positivity, It
will encourage the person to speak out their minds and make the other person feel better. They
can cultivate the healthy relationship and develop clinical confidence. The nursing student
should work on their weaknesses which will result in the enhancement of the confidence in the
clinical skills. In order to improve the clinical skills by getting practical experience in a
effective ways. The nursing student should analyse their set of skills and focus on the weaker
skills (Mackavey & Cron, S. (2019)). The clinical skill can also be improved by spending time
with the patient and evaluating their medical test. A meeting with the medical team and
mentors and maintaining the patients chart accordingly will also benefited (Nigenda & et.al.
(2021)).
Post 2
Autonomy gives the freedom to the nurses to command their work as in the nurses can
use their professional learning and make decision and take actions. This autonomy can also be
refereed as self direction, self governance. Autonomy is important factor in nursing profession
as this ability have several benefits on health, patient experience, job satisfaction and also the
well-being of the nurses also. The decision made by the nurses, make it sure that the proper
care is provided to the patients and satisfy the well-being the patient (Svavarsdottir & et.al
(2018)). This decision making ability without the involvement of any physician reflects the
leadership qualities. However, accountability make the nurses liable for the results or the
actions taken to get the results. This is related to the several aspects within the nursing practices
such as maintaining the confidentiality, following of procedures and policy, aliment of care
provided to the organisation practices, competence in clinical practice and many more (Pearson
(2020)). Within the patient care the accountability is linked with the assessment of patient,

intervention of the nursing care and the health outcomes and the costs. Nurses can depicts their
accountability by participating in conferences and activities, political advocacy and vote for
one who support the mission setted for the profession. This also reflects the leaderships
(Walker & et.al (2019)).
Part 3
Nurses are the essential component of the Healthcare system as they deliver support to
the patients and their families also. Through their experiences the nurses advocate the others
also (Konttila & et.al (2019)) As the patient now a days require more care, it is necessary for
the nurses to change old procedures and incorporate new practices in the system. The nurses
can utilises their knowledge and compassionate the quality of care and also through their
knowledge they can allot the available resources which will increase the quality of care
(Roberts & et.al. (2020)). The RN can develop the therapeutic relationship with their healthcare
knowledge and their psychomotor skills and establish a mutual approved goals with the
patients. They can appropriately plan the actions to facilitate the attainment of the patients
goals. The nurses can ease the patient health by educating them emotionally and facilitate the
learning to handle the stressing circumstances. Nurses can assist the medication procedure and
teach the patient to attain the health related needs. The role of nurses in patient care are
limitless (Eckerson (2018)).
Peer's Response
The articles suggest that the self confidence is crucial constituents for effective clinical
performance and this will ease them becoming the effective nurses. This articles suggest that
the self- confidence can be gained through the forces which are performing the procedure,
observing the performance of the other, verbal communication and physiological and affective
states. The nursing practices are lower when the nurses are studying due to lectures and
practicals. The self confidence is enhanced only when they are clinically placed. This articles
also suggest that the self confidence is decreased by the fellow senior nurses. However the
clinical trial are interlinked with the identification and management of infection control,
assessment of the vital signs, assessment of the intravenous therapy and administration of all
dosage forms. The self-confidence and the clinical skills are inter linked as they the self

confidence will result in effective clinical practices (Self-confidence in clinical skill: A
descriptive study of the perspective of first-year nursing students(2022)).

References
Books and Journals
Eckerson, C. M. (2018). The impact of nurse residency programs in the United States on
improving retention and satisfaction of new nurse hires: An evidence-based literature
review. Nurse education today, 71, 84-90.
Konttila, J & et.al (2019). Healthcare professionals’ competence in digitalisation: A systematic
review. Journal of clinical nursing, 28(5-6), 745-761.
Mackavey, C., & Cron, S. (2019). Innovative strategies: Increased engagement and synthesis in
online advanced practice nursing education. Nurse education today, 76, 85-88.
Nigenda, G & et.al. (2021). Progress and challenges for advanced practice nursing in Mexico
and the United Kingdom. Journal of Nursing Management, 29(8), 2461-2469.
Pearson, M. M. (2020). Transformational leadership principles and tactics for the nurse
executive to shift nursing culture.JONA: The Journal of Nursing Administration,
50(3), 142-151.
Roberts, L. R &et.al. (2020). Meeting preceptor expectations to facilitate optimal nurse
practitioner student clinical rotations. Journal of the American Association of Nurse
Practitioners, 32(5), 400-407.
Roman Jones, J& et.al. (2022). Nursing Students' Knowledge, Personality Traits, and Self-
Efficacy Related to Medication Administration Error. Journal of Nursing Education,
61(7), 367-374.
Svavarsdottir, E. K & et.al (2018). The impact of nursing education and job characteristics on
nurse's perceptions of their family nursing practice skills. Scandinavian journal of
caring sciences, 32(4), 1297-1307.
Walker, D & et.al (2019). Development and validation of the just culture assessment tool for
nursing education. Nurse Educator, 44(5), 261-264.
Online
Self-confidence in clinical skill: A descriptive study of the perspective of first-year nursing
students(2022)[online] Available through
<https://www.sciencedirect.com/science/article/abs/pii/S1471595321003061>