NRSG138 Assignment 2: Caring, Competence, Confidence, and NMBA

This assignment presents an infographic and a detailed rationale focusing on the critical elements of competence and confidence within the nursing profession, as guided by the Nursing and Midwifery Board of Australia (NMBA) Code of Conduct. The rationale explores the significance of these two 'C's of caring, emphasizing their impact on delivering quality patient care and fostering therapeutic relationships. Competence is defined as the skills and knowledge necessary for providing appropriate patient support, while confidence is highlighted as a key characteristic that builds trust with patients and their families. The report references various studies and viewpoints, including those of Bradshaw (2016), Lee et al. (2020), and Dowling et al. (2019), to underscore the importance of these elements in clinical practice. The discussion also acknowledges the broader context of the six C's of caring and the evolving expectations of the nursing profession, particularly in relation to technological advancements and person-centered care. The assignment concludes by reaffirming the importance of competence and confidence, while recognizing the need to consider other components of caring in nursing practice. The assignment refers to the importance of the NMBA code of conduct for nurses.

1Error! No text of specified style in document.Chapter 1
ASSIGNMENT 2: INFOGRAPHIC & RATIONALE
Name of the Student:
Name of the University:
Author’s Note:

2Error! No text of specified style in document.Chapter 1UTILIZATION OF COMPETENCE AND CONFIDENCE IN CARING OF PATIENTS
FIRST ELEMENT OF CARING
Competence is the skills and knowledge acquired the nursing professional in order to providing
appropriate care and support to patients (Bradshaw, 2016). The use of effective interpersonal skills
and communication greatly enhance the ability of a competent nurse.
SECOND ELEMENT OF CARING
Confidence is a key characteristic of a registered nurse in offering caring to a patient. This help in
ensuring that appropriate treatment is offered to patient and motivates to recovery at a timely basis
(Lee et al., 2020).
IMPORTANCE OF CARING IN NMBA
Caring using competence and confidence need to be given in
accordance to the NMBA to promote health and wellbeing
(Dowling et al., 2019).
Source: (Bradshaw, 2016)
Source: (Lee et al., 2020)
Source: (Dowling et
al., 2019)

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Rationale
From the above infographic, it can understand that about of the six C’s of caring,
Competence and Confidence were chosen for discussion. The importance of caring in the
nursing profession is stated to be a vital role of the registered nurse and thus, elements of
caring have been evaluated.
In the first element, competence is introduced that can be simply stated to be an
ability to conduct operations in an effective manner that help in improvement of the practice
quality. Nursing competence involves the abilities to fulfil the role and responsibilities of a
nurse. The profession of nurse is challenged as they are the first line of professionals in the
healthcare sector and have the ability to contribute to society. Bradshaw (2016) opined that
they are expected to conduct professional responsibilities of offering continuous care,
protecting patients and supporting them in the activities of daily living. In order to
accomplish them, the competency needs to be improved and utilised in daily practice.
According to McSherry et al. (2017), there two components in competence, one is the
potential ability to conduct the duty of care at any circumstance and second is motivation
level that demonstrates the usefulness of conducting the abilities. Nehrir et al. (2016) opined
that it is a behavioural trait that is based on the experience and interest of nurses based on
attitudes, belief and motivation. The competency of nursing professionals includes the ability
to understand the need of people and circumstance, application of knowledge, the
establishment of interpersonal relationship, clinical judgement and offer person-centred care.
Fukada (2018) opined that competencies are critical in improving the quality of nursing.
In the second element, confidence as one of the critical caring component has been
introduced. Confidence is an important attributing that can be demonstrated to the family of
the patient in order to ensure that the care of the patient is appropriate and the information

4ASSIGNMENT 2: INFOGRAPHIC & RATIONALE
offered to them is current and true. As per the opinion of Lee et al. (2020), confidence is a
quality of nursing staffs that help in fostering a trustful relationship and thus, guaranteeing
the family to be aware and comfortable in the care process. Moreover, it allows the family to
trust the nurse and think that the patient is at good hands and is being assisted to recovery
rather than suffer. According to the study of Scerri and Scerri (2019), caring is defined as the
confidence of protecting and safeguarding the welfare of another person and helping the
patient to grow and recover from the ailment. If a nurse is competent enough to handle an
emergency, however, lack confidence may lead to serious concern and in most of the cases, it
can be seen that a less competent professional can be trained if they are confident enough,
however; a more competent professional with less confidence level is not preferred (Hurteau,
2019). Therefore, it can be stated that the attribute of confidence that one of the abilities that
can be used by the nursing professionals to help in effectively communicating with all the
stakeholders in the health care settings.
As per the current expectations of nursing practice within the Nursing Midwifery
Board of Australia (NMBA) Code of Conduct for nurses, nursing staff need to be confident
and competent in order to offer care. This is because it allows in improving the quality of
care, effectively developing a therapeutic relationship with patient and family as well as
involving them in the caring process. In many studies, it has been found that the engagement
of family in the care plan has been able to initiate the recovery process and offer a number of
advantages. The core nursing competency can be defined as the ability if performing nursing
care based on ethical thinking ability and demonstration of nursing skills for taking care and
offering appropriate support to patients which is an integral part of the nursing principles. As
per the principles, the nurse need to practice with confidence that allow in establishment of
therapeutic relation with patients. Therefore, it can be stated the standards and codes are
explicitly integrated in order to improve the characteristic of the caring process (Dowling et

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al., 2019). It can be stated that with the advanced in technology, the focus has shifted;
however, the basic feature of caring remained the same over the years and will never be
changed. The NMBA Code of Conduct for nurses states that the care process needs to follow
various aspects that include autonomy, respect and dignity that can be found to be delivered
by competent and confident nurses.
It can be concluded that the discussion was limited to only two components of caring
that is competent and confidence that has been rationalised with evidence; however, there are
other components that need to be taken into account by nursing professional in their practice.

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References
Bradshaw, A. (2016). An analysis of E ngland's nursing policy on compassion and the 6 C s:
the hidden presence of M. S imone R oach's model of caring. Nursing inquiry, 23(1),
78-85. https://digitalcommons.ric.edu/etd/303
Dowling, M. J., Payne, C., Larkin, P., & Ryan, D. J. (2019). Does an Interactive,
Teleconference-Delivered, Palliative Care Lecture Series Improve Nursing Home
Staff Confidence?. Journal of palliative medicine. http://doi.org/
10.1089/jpm.2018.0549
Fukada, M. (2018). Nursing competency: Definition, structure and development. Yonago
acta medica, 61(1), 001-007.
https://www.jstage.jst.go.jp/article/yam/61/1/61_2018.03.001/_pdf
Hurteau, J. (2019). Integration of Early Palliative Care in Oncology Patients: Improving
Nursing Knowledge and Confidence. https://digitalcommons.ric.edu/etd/303
Lee, C. C., Tseng, H. C., Wu, L. P., & Chuang, Y. H. (2020). Multiple brief training sessions
to improve nurses’ knowledge, attitudes, and confidence regarding nursing care of
older adults with depression in long‐term care facilities. Research in Nursing &
Health, 43(1), 114-121. https://doi.org/10.1002/nur.21997
McSherry, W., Bloomfield, S., Thompson, R., Nixon, V. A., Birch, C., Griffiths, N., ... &
Boughey, A. J. (2017). A cross-sectional analysis of the factors that shape adult
nursing students' values, attitudes and perceptions of compassionate care. Journal of
Research in Nursing, 22(1-2), 25-39. https://doi.org/10.1177/1744987116678904

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Nehrir, B., Vanaki, Z., Mokhtari Nouri, J., Khademolhosseini, S. M., & Ebadi, A. (2016).
Competency in nursing students: a systematic review. International Journal of Travel
Medicine and Global Health, 4(1), 3-11. http://doi.org/ 10.20286/IJTMGH-04013
Scerri, A., & Scerri, C. (2019). Outcomes in knowledge, attitudes and confidence of nursing
staff working in nursing and residential care homes following a dementia training
programme. Aging & mental health, 23(8), 919-928.
https://doi.org/10.1080/13607863.2017.1399342