Report on Nursing Profession: Health Issues and Practice Analysis

This report provides a detailed overview of the nursing profession, examining the historical development of the Australian healthcare system and its impact on nursing practice. It addresses health issues affecting Aboriginal and Torres Strait Islander people, primary health delivery, and the impact of client health on nurses. The report also covers health and illness factors affecting people from different countries, principles of wellness, and professional development strategies. It further explores the roles of regulatory authorities, ethical guidelines, organizational policies, teamwork, communication strategies, and reflective practices. The report includes scenarios analyzing nursing care, clinical situations, and risk assessments, providing a comprehensive understanding of the nursing profession.

WORKING IN NURSING PROFESSION

Table of Contents
Introduction .....................................................................................................................................5
TASK 1............................................................................................................................................5
Question 1 Historical development of Australian health care system........................................5
Question 2 Issues that impact the health of Aboriginal and Torres Strait Islander people ........5
Question 3 What does primary health delivery include .............................................................6
Question 4 Impact of client health and illness on nursing practice.............................................6
Question 5 Health and illness factors affecting people from countries other than Australia......6
Question 6 Health issues for Aboriginal and Torres Strait Islander people and its impact on
health care delivery ....................................................................................................................6
Question 7 Principles of wellness ..............................................................................................7
Question 8 Historical and current perspectives of nursing profession .......................................7
Question 9 Professional development strategies that could be used to develop skills and
knowledge in contemporary practice of nursing ........................................................................8
Question 10 How scope of nursing practice decision making framework assist the enrolled
nurses ..........................................................................................................................................8
Question 11. Employment opportunities.....................................................................................8
Question 12. Roles of nurses regulatory authorities, industrial and professional bodies...........9

Question 13. Nurse’s responsibilities relation to ethical guidelines...........................................9
Question 14. Understanding of organizational policies, procedures, guidelines and protocols..9
Question 15. Range of healthcare environment and speciality practice areas..........................10
Question 16. Ways to achieving effective team work...............................................................10
Question 17. Factors influence health related behaviour..........................................................10
Question 18. Communication strategies...................................................................................11
Question 19. Cultural and linguistic difference........................................................................11
Question 20. Reflective strategies.............................................................................................11
Question 21 Responsibility of enrolled nurses in OHS/ WHS policies ...................................12
TASK 2..........................................................................................................................................12
1. Nursing care for client...........................................................................................................12
2. What to do.............................................................................................................................12
3. Response and reason.............................................................................................................13
4. In case, intention are not achieved........................................................................................13
Scenario 2: Managing a clinical situation .......................................................................................1
1. What would you do initially....................................................................................................1
2. Who would you inform?.........................................................................................................1
3. What document would you complete?....................................................................................1

4. What risk assessments should be completed?.........................................................................1
TASK 3............................................................................................................................................1
CONCLUSION ...............................................................................................................................3
References .......................................................................................................................................4

INTRODUCTION
Nursing is a profession in the health care sector that focuses on care of individuals,
families and communities. Nurses could also regarded as differentiated from one health care
providers due to their approaches of patient care, training and scope of practice (Schwab and
Foundations, 2016). The present research study has been made with the purpose of showcasing
the impact of different health care concerns on nursing practices. Furthermore, discussion has
also been laid on those factors that leads to health and illness among Aboriginal and Torres Strait
Islander people. Besides this, researcher has also mentioned several principles of well being
along with different strategies to strengthen teamwork.
TASK 1
Question 1 Historical development of Australian health care system
From the last 30 years, there have been several major restructuring in the health care
system and probably that has brought major changes in the system. Australia’s health system is
complex and is also multi-faceted web of public and private providers who render different types
of health services (Harrison, 2016). The Australian Government and state and territory
government’s funds deliver a range of health care services which includes population health
programs, community health services and specific health services for Aboriginal and Torres
Strait Islander people. Several other segments have been added in the health care system in terms
of underpinning the service capabilities.
Question 2 Issues that impact the health of Aboriginal and Torres Strait Islander people
The environment in which Aboriginal and Torres Strait Islander people live have a
significant impact on their health. It is crucial to analyze health practices so that risk and harms
can be reduced (Ha, 2017). Risk factors have been increasing due to improper sewage disposal,
inadequate animal control measures and rubbish disposal collection methods. Major number of
health issues are increasing related to cardiovascular and cancer related diseases. In that area,
diseases spread and as a result, it affects the overall situation of the country. At the same time, it
is also enhancing the treatment costs.

Question 3 What does primary health delivery include
Primary health care refers to essential health care system that is based on scientifically
sound and socially acceptable methods and technology. This is essential to adhere in all the
health care communities for enhancing the standard of services (Schwab and Foundations, 2016).
It includes all the areas that play major role in health development and it also provides
appropriate access to health services, environment and lifestyle. Primary health delivery includes
reduction in exclusion of social disparities in health sector. At the same time, it also organizes
health services around people’s needs and expectations. Henceforth, it can be said that
collaborative services should be given to the clients associated with quality facets.
Question 4 Impact of client health and illness on nursing practice
It is essential for the nurses to deliver proper services to the clients so that health care
standards can be increased. Nurses are entitled to render prominent care to the patients so that
capability and competency of the nurses could be enhanced (Duprez and et, al., 2016). Illness
and health factors of clients shows a great impact on nurse’s practice and at the same time it also
helps the nurses to adopt different practices for treating the clients in suitable manner. In terms of
impact, it can be said that sometimes nurses have to adopt different practices so that new
methods can be used for prominent delivery of services.
Question 5 Health and illness factors affecting people from countries other than Australia
The ratio of health and illness has been enhancing because of outbreak of different
diseases and along with that communicable diseases are also increasing in the countries. For
instance- when people migrate to different places, they usually come in contact with diverse
health diseases which sometimes affects other people as well (Yilmaz and et.al., 2016). This
changes the entire health standards of the community and as a result, it creates more issues.
There are several illness that comes from hereditary sources; hence this is yet another reason that
leads to development of other health problems.
Question 6 Health issues for Aboriginal and Torres Strait Islander people and its impact on
health care delivery
Health issues among Aboriginal and Torres Strait Islander people have been increasing
due to several aspects such as smoking, high blood cholesterol, diabetes, physical inability and
obesity. These are the major forces which increases health issues among Aboriginal and Torres

Strait Islander people (Saylor and Graber, 2016). These factors impacts health care delivery
through creating more burden on the service provision dimension. Moreover, people have to
spend a lot of resources in order to get appropriate access to health care services.
Question 7 Principles of wellness
 Social wellness is all about developing appropriate relationships among friends, families
and co-workers and it typically emphasizes on enhancing social wellness.
 Emotional wellness is useful to comprehend so that challenges prevailing in the life can
be reduced (Phelan and McCormack, 2016).
 Spiritual wellness establishes peace and harmony in the lives.
 Environmental wellness is essential wherein society people have to focus more on
developing quality environment.
 Occupational wellness is required wherein people should get satisfaction from the job
profiles so as to balance the life.
 Intellectual wellness helps the person to learn new concepts; hence this can improve the
pursuit of lifelong learning (Alghamdi and Urden, 2016).
 Physical wellness helps an individual to maintain a healthy quality of life and manage
physical fitness.
Question 8 Historical and current perspectives of nursing profession
Several advances have been occurred in nursing science and research and that particularly
impact upon nursing education and clinical practice (Working Together in the Nursing
Profession, 2012). Therefore, this increases new ways of looking at this phenomenon in which
traditional concepts are used to encourage the level of nursing. This evolving pattern of
intellectual growth holds importance in the realm of nursing through adding advancement of
knowledge based services in the practice of nursing. Currently, customer oriented approach has
been followed in nursing so that better amenities can be rendered to the patients.

Question 9 Professional development strategies that could be used to develop skills and
knowledge in contemporary practice of nursing
In order to deliver competent services to the patients, it is essential for the nurses to
develop several skills and abilities. Nurses must have to focus on time management strategies
wherein suitable schedules should be made so that all the patients can be delivered appropriate
services. Nurses are required to adopt different strategies so that they can enhance their service
delivery capability (Spetz, 2016). Further, nurses should also develop the capability to deal with
complex and challenging cases so they can underpin the practice of nursing. This is essential for
overall development of the health care services.
Question 10 How scope of nursing practice decision making framework assist the enrolled
nurses
The enrolled nurses of Western Australia developed the scope of Nursing practice
decision making framework in association with the nursing profession. This aims to provide
guidance for individual nurses and other health personnel which aids in enhancing the standards
of health care services (Raj, 2016). Implementation of the Framework and the use of the guiding
principles will assist enrolled nurses and employers to negotiate practice issues including
advancement and expansion of the scope of practice. It also aids the enrolled nurses to adopt
legal aspects so that scope of nursing could be enhanced. Nurses must be authorised to practice
their duties according to the legislative framework.
Question 11. Employment opportunities
There are different set of opportunities that a person has in context of nursing and they
are as follows: Dialysis nurse: They help people whose have issues with their kidneys, when they do not
perform properly. Nurse Midwife: They provide healthcare to females like family planning education,
delivering babies, gynaecological exams and postnatal care (Simon, Kümmerling and
Hasselhorn, 2013). Nurse Anaesthetist: They are the one who maintain and administer anaesthesia. Nurse care manager: They monitor the progress of patients. Further, they evaluate their
care and suggest alternative way for treatment.

 Nurse educator: They implement, design and provide educational program for nurses.
Question 12. Roles of nurses regulatory authorities, industrial and professional bodies
Authority: The As per their authority, it is important that they make sure that proper
services are provided to clients. The issues that are faced by them are identified and accordingly
services are provided.
Industry: On industrial basis, the set of roles and responsibilities that has been provided
to them should be understood and they should treat all patients equally. Further, they should
support the firm in achieving their goals and objectives (Hoeve, Jansen and Roodbol, 2014).
Professional bodies: Confidentiality should be maintained and the information that is
provided by client should not be shared with anyone. Further, all patient should be treated
equally.
Question 13. Nurse’s responsibilities relation to ethical guidelines
There are certain guidelines that as to be followed by nurses among which few of the
areas are as follows: Confidentiality: All the information that is provided by patient should not be disclosed to
anyone until the patient permits. However, in case the life of patient is at risk, then they
can share the information to professional so as to reduce consequence. Duty of care: All the type of services should be provided to patient and they should not
be differentiated on any basis (Huston, 2013). On order words, all patients should be
treated equally.
 Public Liability: It protects them from various claims with respect of legal liabilities in
context of property damage and personal injury.
Question 14. Understanding of organizational policies, procedures, guidelines and protocols Admitting and discharging a client: Person is admitted when they require observation so
as to be diagnosed. Infection control and manual handling: Proper tools and equipment should be provided
to protect themselves. Supporting the cultural needs of clients: Clients should not be differentiated and they
need to be provided with proper respect and value.

 Access and equity: People of different culture, cast, racial or language should be treated
equally (Cañadas-De la Fuente, Vargas and Emilia, 2015). Dealing with clients who may have behavioural issues: There should be patients and
proper understanding of these people and services should be provided accordingly. Risk management: Proper evaluation be made and monitoring is important so that risk
can be reduced. Access to client’s health information: Documentation should be made every day so that
improvement can be determined. Reporting and recording client information: Personal information, issues faced and the
treatment that were taken previously.
 Sharing of client information with other health professionals: Confidentiality should be
maintained and it should not be shared with anyone.
Question 15. Range of healthcare environment and speciality practice areas
All they of health related issues are taken into consideration and adequate services are
provided to patients (Matthews, 2012). There are many areas that has to be considered by nurses.
In this context, it includes ambulatory care nursing, cardiac nursing, case management nurse,
dialysis nursing, critical car nursing, etc.
Question 16. Ways to achieving effective team work
Below given are the ways through which effective team work can be achieved in
healthcare:
Communication: There should be effective interaction with team members as it helps to
develop strong relationship with others. Further, one get to know other and the skills they
possess and they can learn from each other (Engeda, Birhanu and Alene, 2014).
Resolving conflicts: All the issues that are among team member should be discussed and
appropriate solution should be discussed to solve them.
Question 17. Factors influence health related behaviour
Factors that affect health related behaviour as follows:

 Life style: Changing lifestyle can be determined as a major factor as the changes in
consuming food and diet that people have highly affected health in negative manner
(Morberg, Lagerström and Dellve, 2012).
 Genetic: There are many health related issues that are caused because of genetic. Some of
them can be cured and some can not. These affects the health behaviour of people.
Question 18. Communication strategies
Below given are the different communication strategies that are applied to interact with
other health team members: Body language: Body language is very important for one to have so that other will be
able to understand that information properly. Facial expression: The face should speak the situation that one wants to convey to other
members so that they can understand the seriousness.
 Eye contact: TO have effective communication, it is essential that one have proper eye
contact as it provides attention of others (Butterworth and Faugier, 2013).
Question 19. Cultural and linguistic difference
Cultural and linguistic can be determined as a pattern of human behaviour. In this, it
includes thoughts, actions, language, values, ethic, customs, communication, religious, etc.
(Zamanzadeh, Valizadeh and Azadi, 2013). In other words, it is a set of congruent behaviour,
policies and attributes that fall together in professionals and help nurses or health care providers
to work effectively in situations of cross culture it is essential to make sure that nurses provide
patient or clients with proper services by considering all the factors.
Question 20. Reflective strategies
There are different type of self-reflect strategies that can be followed and they are as
follows: Observing: Different people have diverse set of skills and knowledge. In order to develop
once own skill, one can observe and work with others so that skills and capabilities can
be improved.

 Facing situation: In nursing different type of situation are faced and these are helpful to
know the areas and skills that are required to be improved (Van Bogaert, Kowalski and
Clarke, 2013). This will enable to develop the understanding and efficiency.
Question 21 Responsibility of enrolled nurses in OHS/ WHS policies
 Enrolled nurses are responsible to adopt measures to control the level of infection
prevailing in the hospitals. This is essential for promoting health care standards.
 Manual handling is also on up to enrolled nurses wherein they have to ensure that
appropriate standards are being used while using any tools and equipment (Raj, 2016).
 Enrolled nurses have to put efforts in managing risks prevailing in the health care setting
so that accidents and uncertainties can be minimized.
TASK 2
1. Nursing care for client
As per the case, there are certain set of actions that has to be taken in order to make sure
that proper care is provided to client. In this context, below given are few things that has to be
done:
Analysing health condition: The issue that is faced by client should be evaluated (Van
Bogaert, Kowalski, and Clarke, 2013). That information should be documented so that doctor
can provide different type of meditation as per the change in health condition.
Bowel movement: It is important that there is proper bowel movement so that issues faced
by patient can be solved.
2. What to do
In such type of condition, as a nurse, it is the responsibility to inform a care worker to
stand outside of the room and he/she will convey that services and being provided to the patient.
This way, the relatives can wait for few minutes until the care is properly provided to the patient
(Butterworth and Faugier, 2013). This way, the situation of visitors can be handled effectively
and efficiently.