Registered Nurse Standards of Practice Presentation - NURS1005A

This audio-visual presentation, prepared for the NURS1005A Applied Science in Professional Practice course, examines the Registered Nurse (RN) Standards for Practice as outlined by the Nursing and Midwifery Board of Australia (NMBA). It focuses on two key criteria: critical thinking (Criterion 1) and providing safe and responsive nursing practice (Criterion 6). The presentation details how RNs apply critical thinking, emphasizing the importance of logical reasoning, flexibility, and intuition, alongside the five-step nursing process. It highlights the need for RNs to utilize evidence-based practices, reflect on patient situations, and integrate health information technology for improved patient care. The presentation also addresses the importance of patient safety, including error reduction strategies, team collaboration, and continuous monitoring of patient health indicators. It concludes by summarizing the RN's role in delivering evidence-based, person-centered care, emphasizing the establishment of professional relationships, patient safety, and the application of critical thinking.

Running head: AUDIO-VISUAL PRESENTATION
NURS1005A – Applied Science in Professional Practice (PEP)
Name of the Student
Name of the University
Author Note

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S1
RNs are entitled with the duty of recognising the significance of culture and history to
wellbeing and health (White et al., 2019). This practice also makes them accountable and
answerable to the Nursing and Midwifery Board of Australia (NMBA), for their actions
(Nagle et al., 2017). The organisation has framed the Registered nurse standards for practice
in order to provide an overview for the aspiration and scope of practice of RNs. The two
criteria that will be discussed in this presentation are criteria 1 and 6, respectively (NMBA,
2016).
S2
Criteria 1 elaborates on the fact that nurses are expected to think critically, while
analysing nursing practice. RNs utilise a variety of thoughtful approaches and the best
accessible evidence for reaching decisions that would enhance care delivery (NMBA, 2016).
In addition, the criterion also essential owing to the fact that critical thinking facilitates the
delivery of excellent quality and safe nursing practice to all patients.
S3
It has often been established that a RN who is open minded shows the competency of
learning valuable lessons from critical thinking abilities and are also able to ensure good of
their clients. Thus, the process of critical thinking in nursing profession must be self-
disciplined and self-guided (Carvalho et al., 2017). In nursing, the characteristic of critical
thinking at the time of clinical decision-making can be accomplished if the RNs think in a
methodical and rational manner with directness to query and reflect on
the thinking procedure.
S4

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This criterion can be accomplished if the three components of critical thinking are
followed by the RNs. These three components are namely, (i) application of logic, (ii)
requirement of flexibility, and (iii) requirement of intuition. RNs can achieve this criterion by
applying the five-step nursing procedure that comprises of several stages such as, assessment,
analysis, planning, application, and evaluation (Zuriguel Perez et al., 2015). Showing
adherence to polices and guidelines of the health organisation and health department, while
maintain the four ethical principles of beneficence, non-maleficence, autonomy and justice
will also help in accomplishing this criterion.
S5
Attainment of this criterion can also be accredited to the fact that critical thinking has
been identified as a type of organic evolution that is a direct derivative of holistic nursing
experience. Hence, RNs must take all possible efforts to trusting their intuitions about an
incorrect treatment or procedure, following which they must rely on systematic search of
evidences for guiding the care process (Azizi-Fini, Hajibagheri & Adib-Hajbaghery, 2015).
This criterion will also be used in clinical practice by reflecting on patient situations,
participating in interdisciplinary rounds, and conducting a comprehensive review of the
documentation system of the healthcare organise to ensure that the focus of care is based on
outcome charting, and not merely on health assessments and interventions.
S6
Criterion 6 focuses on providing appropriate, safe, and responsive nursing practice to
all patients (NMBA, 2016). It is imperative for the RNs to collate safety data about the
patients, in addition to monitoring and evaluating any kinds of errors that occur such as, error
at the time of medication administration, or during handover. This must be followed by
implementation of strategies for reducing the error rates. Participation in multidisciplinary

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team programs for collaboration and training will also help in safe patient care since it will
increase familiarity and proficiency regarding different nursing interventions (Groves et al.,
2017). This in turn will help in ensuring that the patients are being subjected to safe
nursing practice.
S7
While caring for the patients, RNs must also conduct a comprehensive observation,
monitoring and collection of patient information in a manner that can be easily analysed by
all members of the healthcare team, in order to make accurate decisions about the plan of care
for the patient (Mansour, 2015). The RNs must also demonstrate an awareness of any kind of
subtle changes that occur in the patient’s health features such as, temperature, blood pressure,
blood rate or respiration, which in turn will facilitate the critical thinking process.
S8
RNs are also expected to promote an organisational culture at the healthcare centre
that is able to effectively strike a balance between accountability and fairness, which in turn
will prove conducive to the process of ongoing care improvement. This can be accomplished
if the RNs reduce their reliance on cognition and memory and start utilising health
information technology components such as, electronic health records and electronic patient
charts for the caregiving process (Howe et al., 2018).
S9
To conclude, registered nurse (RN) practice refers to a type of evidence based and
person-centred care practice that is typically delivered with curative, restorative, preventative,
supportive, formative, and palliative elements. It is a well-known concept that all RNs have
the duty of establishing close professional and therapeutic relationships with persons, while
maintaining patient safety, and using their critical thinking skills.

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References
Azizi-Fini, I., Hajibagheri, A., & Adib-Hajbaghery, M. (2015). Critical thinking skills in
nursing students: a comparison between freshmen and senior students. Nursing and
midwifery studies, 4(1).
Carvalho, D. P., Azevedo, I. C., Cruz, G. K., Mafra, G. A., Rego, A. L., Vitor, A. F., ... &
Júnior, M. A. F. (2017). Strategies used for the promotion of critical thinking in
nursing undergraduate education: a systematic review. Nurse education today, 57,
103-107.
Groves, P. S., Bunch, J. L., Cram, E., Farag, A., Manges, K., Perkhounkova, Y., & Scott-
Cawiezell, J. (2017). Priming patient safety through nursing handoff communication:
A simulation pilot study. Western journal of nursing research, 39(11), 1394-1411.
Howe, J. L., Adams, K. T., Hettinger, A. Z., & Ratwani, R. M. (2018). Electronic health
record usability issues and potential contribution to patient harm. Jama, 319(12),
1276-1278.
Mansour, M. (2015). Factor analysis of nursing students' perception of patient safety
education. Nurse education today, 35(1), 32-37.
Nagle, C., Heartfield, M., McDonald, S., Morrow, J., Kruger, G., Bryce, J., ... & Hartney, N.
(2017). A necessary practice parameter: Nursing and Midwifery Board of Australia
Midwife standards for practice. Women and Birth, 30, 10-11.
Nursing and Midwifery Board of Australia. (2016). Registered nurse standards for practice.
Retrieved from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-
Statements/Professional-standards/registered-nurse-standards-for-practice.aspx
White, E. M., Aiken, L. H., & McHugh, M. D. (2019). Registered Nurse Burnout, Job
Dissatisfaction, and Missed Care in Nursing Homes. Journal of the American
Geriatrics Society.

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Zuriguel Perez, E., Lluch Canut, M. T., Falco Pegueroles, A., Puig Llobet, M., Moreno
Arroyo, C., & Roldan Merino, J. (2015). Critical thinking in nursing: Scoping review
of the literature. International journal of nursing practice, 21(6), 820-830.