Nursing Assignment: Personal Vision and Ethical Framework in Practice

This nursing assignment explores the student's personal vision for nursing practice, emphasizing compassionate care and patient-centered approaches. The essay connects these values with relevant nursing theories, such as Peplau's Interpersonal Relations Model, highlighting the importance of therapeutic nurse-patient relationships. It also aligns the student's vision with the New Zealand Nurses Organization Code of Ethics, the Nursing Council of New Zealand's domains and competencies, and the principles of the Treaty of Waitangi, particularly the principle of participation. The assignment discusses how effective communication, respect for patient values, and cultural sensitivity contribute to improved patient outcomes and ethical nursing practice in a multicultural environment. It underscores the importance of building trust, engaging in shared decision-making, and fostering a supportive healthcare system. The student emphasizes the significance of integrating psychotherapeutic communication skills, promoting patient involvement, and respecting cultural preferences to provide equitable and effective care.

Running head: NURSING ASSIGNMENT
Nursing assignment
Name of the student:
Name of the University:
Author’s note

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Introduction:
The nursing process encompasses delivery of care to patient to prevent illness and
promote health being of patient. In health care setting, one of the major expectations or desired
competencies required by nurse is to engage in interpersonal relationship and patient-centred
care process. Such process is needed to identify needs and preferences of patients and involve
them in health care decision-making. This is also an approach to build rapport with patient and
increase their trust with the health care system. This essay defines the nursing practice and
presents the personal vision or ideas about nursing practice by means of a metaphor or model.
Secondly, the personal nursing ideas or vision is linked to one nursing theory, New Zealand
Nurse Organization Code of ethics, one principle of Treaty of Waitangi and the Nursing Council
of New Zealand domain. This discussion highlights the personal values promotes fulfilment of
key nursing responsibilities.
Part B
The nursing practice and individual approach followed by nurses is also understood by
different nursing theories, professional code of conduct of practicing organization, competencies
required by registered nurse and the foundation document for nursing practice in a multicultural
environment. All these elements are linked with my person vision of nursing by the below
mentioned explanation:
a) Suitability of personal nursing value/ideas with nursing theory:
My personal values of nursing care are based on the value of compassionate care and
being accountable for the safety of patient. This is in relevance with the patient-centred care

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model, which focuses on respecting patient values, needs and preference while planning the care
process. Such process of delivering care promotes therapeutic relationship with nurse patient.
Other benefit of patient-centred care is that it increases patient’s satisfaction with care and
eventually improves patient outcomes (Kitson et al., 2013). My personal aim as a nurse is also to
maintain good relationship with my patient and encourage them to freely express their problem
to me so that we can engage in shared decision-making.
The patient-centred care approach and my personal values of compassionate nursing is
also in relevance with the nursing theory of Peplau’s. Hildegard Peplau gave the Interpersonal
Relations Model, which is based on the psychodynamic nursing theory. The interpersonal
relations theory is based on the belief that effective nurse-patient partnership is critical for good
outcome in patients. It defined nursing as process in which interpersonal process of therapeutic
interactions takes place with nurse and patient to identify common goals in treatment (Deane, &
Fain, 2016). Hence, both nurse and patient proceed with the same goal only when they find both
have mutual respect for each other. Therefore, the above mentioned nursing process comes out
on the basis of following assumptions:
 Nurse and patient can engage in therapeutic interactions
 Communication and interviewing skills of nurse is the basis on which therapeutic
interactions take place
 Finally, Peplau explained that nurse must evaluate their own values and promote growth
of client (D'antonio et al., 2014).
Hence, Peplau’s concept focuses on four concepts of man, health, environment and
interpersonal care process adapted by nurse. One major gap in this theory was that environment,

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culture of patient was not given enough emphasis, or no information was given regarding it
(Ramesh, 2013). However, in accordance with the vision of Peplau, I also focus on the four
phase of orientation, identification, exploitation and resolution to explore feeling of patients and
encourage patients to adapt new goals for health and well-being.
b) Code of conduct for nursing practice:
‘Being professional’ is one of the requirements for nurse according to the New Zealand
Nurses Organization Code of Ethics and this demands the nurse to be aware of their
responsibilities in care and meet all the standards of professional, ethical and legal requirements
for practice in New Zealand. On this basis, I can say that my personal values of affection and
accountability also fulfils this requirement because compassionate care is included in the
professional standards of nursing practice, whereas the accountability values promotes fulfilment
of ethical and legal requirements in care. For nurses, being professional means the ensuring that
all professionals standards of nursing practice is met on a daily basis and they adhere to ethics
and code of conduct for nurses too (Grace, 2017). Hence, I also use this responsibility to respect
the dignity of patient and work with them to protect their health.
c) Relevance of personal nursing values with New Zealand nursing council’s domain and
competencies:
The New Zealand Nursing Council discusses about four domains or competencies
required by registered nurse to practice in New Zealand. This includes professional
responsibility, management of nursing care, interpersonal relationships and interpersonal health
care and improvement. My personal values and ideas of nursing complements with the domain
of interpersonal relationship. The main expectancy from nurse under this domain is that nurse

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must maintain effective therapeutic relationship with clients, engage in negotiated partnership
with client and communicate effectively with patient and their family members (Competencies
for registered nurses, 2017). As my personal goals as a nurse was also to engage in honest
practice by establishing positive relation with patient, my personal values is in relevance with the
interpersonal relationships domains. My values of compassion and empathy facilitate me to
engage in honest and useful conversation with patient and engage them in treatment plan. Hence,
the main indicators for engaging in interpersonal relationship in nursing practice include the
following:
 Initiating and maintaining therapeutic interpersonal interaction with patient
 Integrating psychotherapeutic communication skills in nursing care
 Applying effective interviewing skills to encourage clients to speak and know
about their issues, needs and preferences
 Show respect, empathy and full attention to the patient and put efforts to develop
good rapport with them (Competencies for registered nurses, 2017)
In nursing practice, special emphasis is given on effective communication process
between nurse and patient because this acts as the foundation for appropriate nurse-patient
relationship. Hence, with the approach of patient-centred care, the focus of nurse is not just
physical assessment of patient for health issues and discomfort, compassionate nurse interacts
with patient to know about emotional state of patient and their readiness to communicate
(Kourkouta & Papathanasiou, 2014). It is often seen that patient’s are not in a state of talking,
hence nurse must evaluate their readiness to engage in fruitful conversation. Secondly, based on
the response of patient, their cultural preference, values and needs should also be identified to
prevent conflict and encourage patient to readily accept treatment (Kitson et al., 2013). My

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personal action of focusing more on patient’s values and respect while providing care helped to
have a positive impact of patient and they also expressed a sense of security with such nursing
practice. Through such actions, patients easily trust the health care system and effectively
respond to treatment process too.
d) Linking personal nursing vision with the Treaty of Waitangi:
The treaty of Waitangi was a proposal signed by the British Crown and Maori chiefs of
New Zealand on 6th February, 1840 to guarantee certain rights to Maori populations. The main
principles that were established to develop effective relationship between the Government and
Maoris included the principle of Partnership, the principle of participation and the principle of
protection. This principle of partnership focuses on working with Maori communities to plan
health services and appropriate health services for them. Secondly, the participation principle
emphasizes on involving Maoris in decision making and planning the delivery of care. The third
principle is related to involving the Government to ensure that gap in health outcome between
Maoris and non-Maoris can be reduced (Treaty of Waitangi principles, 2017).
On evaluation of all the principles, I can say that my personal nursing values or vision is
related to the principle of participations because I have always focused on engaging patient in
care by means of therapeutic interactions with them. In the context of Maoris or working in New
Zealand with diverse ethnics groups, it is important that for nurses to promote participation of
Maoris in care to provide equal opportunities to patients. This process of participation can be
possible only when nurses understand the culture, language and heritage of Maoris and respect
the cultural preference of Maoris during care. Apart from acceptance of care, this process will
also minimise mental issues of Maoris developed due to unfavourable effect of colonization

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(Wilson, 2017). This participation principle is also in relevance with the code of conduct for
registered nurse as it preserves the right of Maoris to have control in health care decision making
process. Hence, by complying to the participation principle, nurse-patient can therapeutically
interact to fairly improve outcome of culturally diverse group in New Zealand.
The research by Hardyman, Daunt, & Kitchener, (2015) has also presented the benefits of
patient participation in care. Firstly, frequent contact and honest conversation has been found to
reduce risk and improve the assessment process of nurse. Secondly, nurse-patient involvement in
clinical decision-making reduces incidences of conflict and patients dissatisfaction with care.
Patient involvement has also been found to be a factor for successful prevention and
management of chronic disease condition. Patient centred care models incorporate patient’s
perspective to increase patient engagement, achieve better health outcomes and reduce the
overall health care cost.
Conclusion:
The essay summarized the values of nursing practice and how such values develop on a
personal basis. Based on the metaphor of compassionate and accountable nurse, appropriate
nursing theories and code of conducts, behaviours and competencies were linked to understand
the place of nurse while working New Zealand. Such process of presenting nursing values
presents how personal values of an individual translates to effective nursing practice in clinical
setting.

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Reference
Blomberg, K., Griffiths, P., Wengström, Y., May, C., & Bridges, J. (2016). Interventions for
compassionate nursing care: A systematic review. International journal of nursing
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Competencies for registered nurses. (2017). Nursing Council of New Zealand. Retrieved 24
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D'antonio, P., Beeber, L., Sills, G., & Naegle, M. (2014). The future in the past: Hildegard
Peplau and interpersonal relations in nursing. Nursing inquiry, 21(4), 311-317.
Deane, W. H., & Fain, J. A. (2016). Incorporating Peplau’s Theory of Interpersonal Relations to
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medicine and nursing. Journal of advanced nursing, 69(1), 4-15.

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Kitson, A., Marshall, A., Bassett, K., & Zeitz, K. (2013). What are the core elements of patient‐
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