NUR1202 Report: NMBA Standards and Registered Nurse Practice

This report analyzes the practice of registered nurses, emphasizing the importance of person-centered care, adherence to the Nursing and Midwifery Board of Australia (NMBA) standards, and the development of therapeutic relationships. It examines the roles and responsibilities of registered nurses in providing safe, quality care, including comprehensive assessment, planning, implementation, and evaluation. The report highlights the significance of clinical supervision in supporting nurses, promoting professional development, and ensuring that care meets established standards. It also discusses the impact of person-centered care on patient outcomes and the importance of ethical considerations and teamwork in healthcare settings. The report uses a case study to illustrate the practical application of these concepts, focusing on the importance of effective communication, respectful interactions, and the role of supervisors in monitoring and guiding nurses. Finally, it underscores the need for ongoing research and improvements in clinical supervision to enhance nursing practice and patient care.

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Registered Nurses practice is people-centered, the evidence-based and having preventive
treatment, formation, support, retrieval, and palliative features. Registered nurses create
therapeutic as well as professional relations with the individuals. These persons might be
healthy, have a range of capabilities, or may have health problems associated with physical or
psychological illness. Being a professional, RN practice requires constant thinking and
investigation in framework of considerate development as well as maintenance of the
constructive relations. In order to participate in work, registered nurses must continue
professional development and continue their professional practice. RN determines, coordinates
as well as provides protective and quality care (nursing and midwifery board of Australia, 2016).
This approach comprises a comprehensive valuation, planning, implementation and assessment.
As a medical professional, registered nurses are accountable and answerable to the Care and
Midwives Committee. Consequently, the code and the guidelines for these nursing practice
standards given should be evidence based in their contemporary practice.
According to the standards of the Nurses and Midwifery Standards Committee (2018) on
the Code of Conduct for Nurses, nurses should adopt people-centered and evidence-based
decisions and have a responsibility to ensure safe and quality care. Person-centered care (PCC) is
a concept and standard of care that describes organizing a health care system around a patient to
improve the quality of care. It is a way of thinking as well as doing things that enables people to
use health and communal services as equivalent partners for planning, developing as well as
monitoring care to guarantee that their desires are met. It also means putting individuals and their
relatives at the center of decision making and treating them as the experts, working with
professionals to acquire best results. (Merav Ben & Hochman, 2017). As noticed by the

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colleagues, at commencement of the shift, residents under the care of Mary looked uncared with
wet bed sheets and full urine bottles. It represents that practice of Mary is not meeting the
NMBA standards for delivery of safe and quality care. As the primary measure of quality care is
the interpersonal relationship between people who provide care and the person receiving the
care. Providing quality care is more than just provide a task. When the care is more person-
oriented, it improves the quality of care because its focus is not on completing tasks but personal
customization (Heale & Rieck Buckley, 2015).
The foundation of registered nurse practice is targeted participation in operative treatment
as well as professional relations. This comprises collusion and kindness in the framework of
shared trust and esteem for professional relations (McCormack & Mc-Cance, 2016). The
therapeutic relationship is different from the personal relationship. In this therapeutic association,
nurses are thoughtful to a person's situation in addition use information and services in a
courteous, compassionate as well as good faith means to interact with them purposefully. In this
relationship, human rights as well as dignity are acknowledged and appreciated. The practiced
nature of the relationship involves understandings of the professional limitations and the problem
of unequal influence (Chambers & Ryder, 2018). In the case study above, Mary worked most of
the time at the nurse station, and the residents were still left unattended. Positive professional
relationships are built on respectful, kind, compassionate and honest communication. People-
oriented care and respectful partnerships are good communication based on mutual trust and
understanding. Mary did not establish a treatment-centered relationship with the patient via good
communication instead leave the patients unattended and spend most of the time at the nursing
station.

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Mary must provide support and resources to represent people in optimizing their health-
related decisions and advocates in a way that admire individual autonomy and legitimate
capacity (Daly et al., 2017). Mary must clearly and precisely communicate significant and timely
info to individuals in order to establish a good person-centered care relationship. The study
establish that people-centered attention can have a major influence on quality of the care. So it
can develop people's care experience and assist them in feeling more gratified. It encourages
people to live a healthier lifestyle, for instance exercise or a healthy diet. It encourages
individuals to participate more in the decisions of their care therefore they can acquire the
services and maintenance that suit their desires. In addition, it can affect people's health results,
for instance blood pressure. It also lessens the frequency with which people use facilities. This
might in turn decrease overall care costs, nevertheless there is inadequate evidence. In addition,
it can improve the confidence and satisfaction of professionals in the care provided (Rosemond
et al., 2012). To achieve people-centered care, nurses need to understand the biographies of
patients and their relatives. Focusing on the patient's life story and experience is the only way for
the nurse to understand the patient and his future wishes.
Addressing the behavior and conduct of Mary to the manager is considered reasonable
because evaluating colleagues according to the NMBA Code of Compliance (2018) is an
important part of their practice to ensure the highest standards of practice across the industry.
When assessing the abilities and performance of colleagues, nurses must be honest, objective,
fair, unbiased and constructive, and not harmed by inaccurate and inadequate assessments. In
addition, provide accurate and reasonable information in a timely manner, and include all
relevant information when providing a reference or writing a report about a colleague, so that by

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noting Mary's behavior, her colleague immediately discussed the matter with the supervisor to
improve the setting. The quality of care provided by the nurse to attendants.
Clinical supervision allows nurses to deliberate patient maintenance in a protective,
supportive surroundings. By participating in the clinical supervision, registered nurses can
provide response and opinions to coworkers to increase their knowledge of clinical concerns. In
this sense, clinical supervision is planned for serving peer education functions as peers of Mary
monitor practice of their colleagues. Opportunities for discussing broad issues related to the
patient care may also open a space of the opportunity for a reliable approach for individual
patients as well as their families. So in this logic, clinical supervision delivers nurses with the
opportunity for improving patient care, especially for a particular patient, in addition is often
associated with maintaining care standards. Furthermore, clinical supervision make available a
way for the nurses to validate their active provision as professional associates. Through sharing
as well as understanding, they gradually realized that their emotional state plus perceptions were
“not alone”, consequently providing assurance as well as verification (Brunero & Stein-Parbury,
2018). By developing this practice and make them a regular part of their career, quality Care will
continue to be developed and delivered as a nurse get support and guidance.
According to the Supervision guidelines for the Nursing and Midwifery (2019) every
supervisee (individual being supervised) may have a professional obligation to work in the
boundaries of their capability. The specific nurse must assess and regulate their own knowledge
needs with assistance from their supervisor as required. Nurses as well as midwives taking
responsibility on period of the supervised practice should work in the areas that may provide
them with the maximum chances to encounter the required principles for the practice. As Mary is
not fulfilling the necessities of her job (giving quality care to attendants) being a registered nurse,

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after peer’s acknowledgement about her behavior to supervisor it is now duty of supervisor to
monitor her practice and discuss the issues to make her practice effective. Guiding and
monitoring of registered nurses is duty of supervisor of that center.
There is a large amount of clinical supervision evidence in the writings, in addition there
is enough experimental evidence to implement clinical supervision in the nursing. There is
evidence about three core areas in the clinical regulatory model, providing peer support as well
as stress reduction (recovery), along with tools to promote specialized responsibility (normative
function), skills and knowledge development (functioning) (Cherry & Jacob, 2016) . Nursing
writings dominates professional groups’ for instance mental health registered nurses and elderly
care nurses. Additional research is required to assess the efficiency of clinical surveillance in
further nursing professions. Advance research is needed to discover differences among related
forms of the supervision, for example action learning groups and steering groups. Upcoming
researches should also emphasis on the association between patient results in addition to clinical
surveillance.
The team approach, including peers and supervisors of nurses, is the cornerstone of
person-centered healthcare, and nurses have made significant contributions in this regard. In
today's complex healthcare system, a professional team cannot provide people-centered care.
Nurses are an important part of the health team and their role and contribution to the health team
is enforced by ethical and professional obligations. According to ICN codes of ethics for nursing
guidelines, nurses work with colleagues in nursing and other fields also. Through their presence
in a variety of healthcare settings and proximity to patient care, nurses are critical to providing
people-centered care. However, although nurses have this key function, they often lack decision-
making and policy issues. This gap in care in policy participation can be a major barrier to

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effective health team operations and may affect the success of people-centered care. Only
effective policies and implementation can overcome this gap.

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References
Brunero, S., & Stein-Parbury, J. (2018). The effectiveness of clinical supervision in nursing: an
evidenced based literature review. Australian journal of advanced nursing.
Chambers, C., & Ryder, E. (2018). Compassion and caring in nursing. Routledge.
Cherry, B., & Jacob, S. R. (2016). Contemporary nursing: Issues, trends, & management.
Elsevier Health Sciences.
Daly, J., Speedy, S., & Jackson, D. (2017). Contexts of nursing: An introduction. Elsevier Health
Sciences.
Heale, R., & Rieck Buckley, C. (2015). An international perspective of advanced practice
nursing regulation. International nursing review, 62(3), 421-429.
Merav Ben Natan PhD, R. N., & Hochman, O. (2017). Patient-centered care in healthcare and its
implementation in nursing. International Journal of Caring Sciences, 10(1), 596.
McCormack, B., & McCance, T. (Eds.). (2016). Person-centered practice in nursing and health
care: theory and practice. John Wiley & Sons.
Nursing and Midwifery Board of Australia (2016). Registered nurse standards for practice.
Melbourne: Nursing and Midwifery Board of Australia, pp.1-10.

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Nursing and Midwifery Board of Australia (2018). Code of Conduct for Nurses in Australia.
Melbourne: Nursing and Midwifery Board of Australia.