Analysis of Professional Nursing Practice: A Case Study Approach

This report examines approaches to professional nursing practice, using a case study of a Sydney grandmother's death due to nursing negligence. The report highlights the importance of nurses' responsibilities, including proper patient care, medication safety, and maintaining a healthy environment. It discusses the roles and functions of nurses, emphasizing the need for professionalism, adherence to NMBA standards, and the application of critical thinking. The case study reveals a breach of duty by a nurse who administered crushed medication intravenously, leading to the patient's death. The report underscores the significance of ethical considerations, the Five Rights of Delegation, and the use of available resources. It concludes with the need for nurses to undertake professional practice standards, promoting commitment, dependability, and responsibility, thereby facilitating ethical and honest nursing practices. The report references various journals and books related to nursing practice, ethics, and patient safety.

Approaches to
Professional Nursing
Practice
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INTRODUCTION...........................................................................................................................3
MAIN BODY..................................................................................................................................3
CONCLUSION................................................................................................................................5
REFEREFCES.................................................................................................................................6
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INTRODUCTION
Nursing is a dynamic profession, which has lots of responsibility including proper care of
people, medication, providing a healthy environment etc, In professional nursing, it is essential
for nurses to be accountable for the responsibilities such as taking care of patients in more
presided way and ensure roles that have undertaken by them. Therefore, nurses are required to
make proper judgement or actions in best possible manner and maintain competencies while
providing quality patient care services (Masters, K. (2018). It is essential to maintain standard of
the nursing profession in more defined way in order to build trust and offer services in best
effective way to individuals. Nurses are the key aspect of hospitality firm and the growth of this
or medical institutions are based on the progression of nurses. The key role of nurses is to
providing effective facilities and medication to the patients in respect to making improvement in
their health condition. The key obligation of nurses is to develop good and healthy relationship
with customers as to making their self comfortable and encourage them to improve their health
condition. This report is based on the case study evaluation of Sydney grandmother, who died
because of carelessness of nurse. The report contains the study of roles and functions performed
by the nurses and the manner in which professionalism can be implemented in their practices to
render good facilities to the users.
MAIN BODY
The case incident identifies that Sydney grandmother who died in the hospital due to lack
of due care by the nurse. It has been seen that nurse As crushed three different types of oral
tablet and directly put mixture into Sydney grandmother IV drip. This is the main reason behind
the death of Sydney grandmother. It has been further prosecuted by functionary that, nurse
breaches her duty as she was not performing her responsibility in appropriate manner to
providing suitable care to the patients. After the injection of crushed tablets, the condition of the
patients was not stable she complained with severe pain in her breast and the arms that lead
towards major heart attack. As per the incident, it has been identified that nurse without checking
the actual medication crushed three medicine (being tablets or parts there of) added about 10ml
saline and drew the mixture into a syringe, before adding it to a Burnett containing 100ml of the
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deceased's intravenous drip fluid and then attached it to Sydney Grandmother IV cannula which,
in turn was inserted into her right arm.
Nurse breaches her duty, in the manner of not checking the proper way of providing
medicines to the patients. NMBA Registered Nurse Standards for Practice outlines the
requirement for nurses to use best available evidence for safe, quality practice and to develop
practice through reflection on experiences, knowledge, actions, feelings and beliefs (Nursing and
Midwifery Board of Australia. (2016). National Safety and Quality Health Service (NSQHS)
standards developed by ACSQHC (Australian Commission for Safety and Quality in Healthcare)
effectively evaluates requirements, which are undertaken by nurses as to effectively improve
their practices and reduce the risk of a error or miss-happening which cause the reason of any
one's death.
As per accordance with The Five Rights of Delegation, it is effectively included that
registered nurses are required to take use of critical thinking as well as professional judgement,
in order to make sure the allocation of right task under right circumstances. In addition to this, it
is necessary for the nurses to take care of patients in proper way and maintain friendly relation as
to understand their actual situation and then offer them proper care. However it is essential for
the nurses to follow the instruction provided by the professionals and make suitable use of
available resources for at-least maintaining the critical situation of the patient. Along with this, in
right circumstances it is essential for nurses to take decisions which leads towards the stability of
patient's condition. In this nurses are required to analyse the patient's need and then offer right
treatment with the help of allocation strategy. The main purpose, that professional standards
reflect is realted to the Professional standards of care defines diagnostic, intervention and
evaluation competencies.
As per the above mentioned discussion, it has been identified by that with Rapid and
dynamic change in environment of nursing profession critical reflection as a one of the most
important factor that play a role to shape nursing professionals within personal and professional
manner (Kangasniemi, M., Pakkanen. & et. al. (2015). As with the help of this, nurses can able
to overcome challenges which is related to their profession and can further provide effective care
to patient. In this it is essential for nurses to have core skills in professional manner and play
their role with experience and discovering personal as well as professional knowledge. In
addition with this, with the help of understanding and observing situation in a different manner,
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nurses can effectively improve their practices. With the help of critical thinking approach, they
can investigate, reflect, initiate, charge and review the information in an effective manner and
can further take decisions in effective manner. To effectively increase the skills, nurses can take
use of internet, data bases and search engine as to find out clinical, medical information with the
help of this they can able to learn diverse new topics from tutorial sites that are published by
organisation and Universities.
CONCLUSION
As per the above mentioned report, it has been concluded that there are certain types of
skills that are requires to be undertaken by the nurses such as problem solving, communication in
a passionate manner, through which they can conduct a professional nursing process in more
reliable manner. Professional standard of care effectively reflects legal as well as ethical duties
which are required to be exercise in nursing profession. In this there are different types of
clinical policy statement, likewise clinical practice protocol, Standard of practice technical
situation and standard, operating procedures. All these are required to be effectively considered,
in the profession of nursing as with the help of this nurse can be able offer best effective form of
treatment to patient even in critical circumstances. Thus, it is essential for nurses to undertake
professional practice standards in their care process, as to promote and guide clinical practice.
This will lead them towards commitment, dependability, confidence and responsibility towards
their nursing profession and can further facilitate nursing towards ethical and honest profession.
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REFEREFCES
Books and Journals
Adhikari, R., Tocher & et. al. (2014). A multi-disciplinary approach to medication safety and the
implication for nursing education and practice. Nurse education today, 34(2), 185-190.
Berragan, L. (2014). Learning nursing through simulation: A case study approach towards an
expansive model of learning. Nurse education today, 34(8), 1143-1148.
Crigger, N. & Godfrey, N. (2014). From the inside out: A new approach to teaching professional
identity formation and professional ethics. Journal of Professional Nursing, 30(5), 376-
382.
Ewertsson, M., Allvin & et. al. (2015). Walking the bridge: Nursing students' learning in clinical
skill laboratories. Nurse education in practice, 15(4), 277-283.
Kangasniemi, M., Pakkanen. & et. al. (2015). Professional ethics in nursing: an integrative
review. Journal of advanced nursing, 71(8), 1744-1757.
Laschinger, H. K. S. & et. al. (2014). Effects of unit empowerment and perceived support for
professional nursing practice on unit effectiveness and individual nurse well-being: A
time-lagged study. International journal of nursing studies, 51(12), 1615-1623.
Martyn, J., Terwijn & et. al. (2014). Exploring the relationships between teaching, approaches to
learning and critical thinking in a problem-based learning foundation nursing
course. Nurse education today, 34(5), 829-835.
Masters, K. (2018). Role development in professional nursing practice. Jones & Bartlett
Learning.
Nursing and Midwifery Board of Australia. (2016). Registered nurse standards for practice.
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