Assessment Essay: Professional Nursing Practices and Standards of Care

This essay provides a comprehensive assessment of professional nursing practices, focusing on a case study involving RN Youssef and RN McArthur. The essay identifies multiple instances of professional misconduct, including lack of knowledge, poor decision-making, and failure to adhere to nursing standards. It analyzes errors such as inadequate wound dressing, failure to ensure patient safety, and incorrect information, all of which led to the deterioration of the patient's condition. The essay examines the importance of compliance with NSQHS and NMBA standards, highlighting the impact of these standards on patient care and safety. It further discusses ways to improve future nursing practices by implementing ethical guidelines, promoting professional relationships, and emphasizing continuous learning and adherence to NSW policy documents. The conclusion reinforces the consequences of professional misconduct and the importance of ethical conduct in delivering comprehensive patient care, ultimately improving the patient outcomes.

ASSESSMENT
ESSAY

Introduction:
Professional nursing practices are very important to providing good care to the
patient. In addition, in order to provide care according to the standards, it is
required to take the nursing standard in the practices. Professional conduct is
defined as the implementation of the ethical guideline that will make the nurses to
provide the care according to the standards (Combrinck et al., 2020). The
assessments help in the identification of the professional nursing practices that are
conducted by the nurses and the midwives in the case study (Searle et al., 2021). It
will also involve the reflection on the decision-making statement under the
professional standard. The assessment takes the case study to evaluate the
professional nursing practices and what is the faith in the implementation of the
nursing standard in the practices. With the help of the assessment, an insight is a
gain that is going to improve the management of the future case study.(150 words)
Summary of case study
Professional issues identified in the case study, According to RN Youssef and RN
McArthur are involved in the case study. RN Youssef the lack of knowledge
application of Mepilex occlusive dressing is done on the patient A stoma and then
going for the shower is the next thing. In the RN the problem that is found is the
lack of knowledge about the anatomy and clinical history. It will lead to a
worsening effect on the patient. Apart from that taking advice of the junior rather

than the senior nurse will lead to an impact on the condition of the patient. In
addition, after performing dressing on patient A stoma she was found
unresponsive. Failing to ensure that the airway is clear at the patient end. All these
practices by the nurse are professional misconduct as the condition of the patient
gets worse and she became unresponsive (New South Wales, 2021). The next
professional misconduct that is seen gets clear with the statement that she found
that the stoma is not covered with the dressing that makes the stoma not leading in-
situ anymore. This becomes the reason for the worsening of the condition of the
patient.(200 words)
Errors that noticed in the case:
Lack of knowledge and decision making skill is the first professional error. The
professional misconduct that happens in the case is that nurse admitted that she
does not have any knowledge about the patient history and anatomy. RN Youssef
also admitted that she provided false and misleading information on which the
third complaint relies. With the evidence, it gets clear that RN Youssef admitted
mistake that will lead to complaints against him in addition the practices that are
conducted by the RN is nowhere at the professional levels. Lack of time and
inadequate dressing of the wound is second professional error. RN McArthur is
found to be guilty as in the statement given it is committed by the nurse that he is
not having any understanding about dressing and doing it before the shower will

lead to the compromise with the integrity of the wound. It became the reason for
the worsening of the condition (Bloomfield et al., 2021). Application of dressing
and taking the patient to shower and leaving alone is unethical. As it will lead to an
accident to happen. All these actions by both the RN will lead to danger to the life
of the patient. Asking questions to the patient about the stoma will leads to
hampering the integrity of the bandage that will make the wound to get open. As
per the NMBA Standard, it is important to provide the safety practices to the
patient and as per the NSQHS standard comprehensive care standard need to be
follow in the practices. Therefore, it will lead to respiratory distress condition that
makes the patient unresponsive (Papinaho et al., 2019). Inability to identify the
signs of patient and poor compliance to the standards is the third error. In the given
case of HCCC v Youssef & McArthur, it is found that the majority time the
standard and care of the patient is hampered which becomes the reason for the
unresponsiveness of the patient. In addition, providing incorrect information will
also lead to hampers on the care of the patient. Making the patient stand alone will
result in the stoma getting open. And by making the mistake of confessing the
denial that not committed the mistake will lead to the problem add on. The nurse
that was there is unable to meet the care standard for the patient (Gallen et al.,
2019). In this case, there is a wide range of mistakes have been committed at the
end of the RN that become the reason for the deterioration of the patient's

condition. The verdict is that there are a number of phases is there where there is
professional misconduct is seen.
Incident that leads to the suffering of the patient: Compliance with nursing
standards, there are a number of nursing standards is there to guide the RN that
what is the suitable way of dealing with the patient. Clinical governance that
describes the safety and quality of the system, will lead to the improvement in the
reliability, care and safety of the health outcomes of the patient. Partnering with
consumers will lead to the creation of shared decision-making. Comprehensive
care involves integrated screening, assessment and identification of risk that will
lead to the development of an individualized care plan (Australian Commission,
2017). Communicating for safety will allow effective communication with the
families and teams that are allowing the designing of the care plan. Recognizing
and responding to the acute deterioration of the patient. It is used to describe the
system that will lead to the effective response to the physical, mental and cognitive
condition. In the above case study, the NSQHS standard gets a hamper that will
lead to an impact on the care of the patient. Compliance with the nursing standard
is important as it will lead to the management of the patient and will prevent any
kind of accident that is going to happen with the patient. With the implementation
of the NSQHS standard, it becomes feasible for the nurse to give care as per the
professional standards (Nursing Midwifery Board, 2022). The eight principles of

the NSQHS that is clinical governance, partnership with the customer, prevention
and controlling the healthcare-associated infection, safety in terms of medication,
comprehensive care, communication for safety, blood management and responding
to the acute state the standard present that get hampered in the case study (Oldland
et al., 2020). In conclusion, the result of the negligence of the standard leads to a
negative influence on the condition of the patient. (600 words)
Improving the future nursing practices:
Apart from this standard, the NMBA standard also there guides the nurses to give
quality care to the patient. As per the midwife standard for practices, the following
are the principle of NMBA present that requires to be followed in the care of the
patient and will leads to a positive influence on the scope of practices (New South
Wales, 2021). I will take the Standard 1 is the promotion of health and well-being
for the sake of evidence-based midwifery practices. It will help the nurse to make
decisions that what is good for the care of the patient. I going to improve my
Engagement in the professional relationship and respectful partnership.
Demonstration of the practices under the capability of a nurse. In the presented
case, if the standard of NMBA is not followed that will leads to a compromise with
the care. As a RN I will not do such things that I don’t have idea that what is the
consequence of the dressing and what the precaution requires to be followed are
(Rosi et al., 2020). It will lead to the in-situ covering getting disrupted and results

in the unresponsiveness of the patient. I am going to implement Standard 2 gets
violated as the nurse has not taken the advice of the senior nurse those outcomes to
the application of the wrong dressing on the patient. It will make the stoma to get
prevalent to the infection. Lastly, the capability of the practices for a nurse who is
not having any understanding and knowledge about the practices that require
understanding is not acceptable.
The lack of knowledge about the anatomy and not taking a history of the patient
before the application of dressing will lead to the worsening of the condition of the
patient and is a case of professional misconduct (Mlambo et al., 2021). Therefore,
it is a must practice present to have a look that what is the required steps and role
and responsibility of the nurse present that is going to improve the condition of the
patient. Lastly, I am going to learn about the NSW policy document as per that it is
important practices present for the nurse that the documentation and management
of the health record will take place. It will lead to ensuring a high standard of care.
It is important for the management of the condition of the patient. With the
adoption of the nursing standard, the practices can be improved in future (Oshodi
et al., 2019). I am going to implement the nursing standard in my practices. (400
words)

Conclusion
Professional misconduct will lead to serious consequences for the patient. It will
make the nurses guilty and results in punishment as the action will lead to danger
to the life of the patient. According to the case HCCC v Youssef & McArthur it is
noticed that the patient is suffering due to the action of the RN (Rosi et al., 2020).
With the implementation of the nursing standard, it becomes manageable to give
quality care to the patient. NSQHS, NMBA and NSW policy document is there
that will guide the nurse to take ethical action. In conclusion, it will lead to the
delivery of comprehensive care to the patient. In the given case, the nursing
standard is not followed which becomes the reason that patient becomes
unresponsive (Oshodi et al., 2019). With compliance with the standard, practices
can be improved in future. The issue highlights the professional framework that
will lead to the idea that what is the required action present and what standards will
help in the correction of future practices (150 words)

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