Reflective Report: Applying Registered Nurse Standards of Practice

This report provides a reflective analysis of Registered Nurse Standards of Practice, focusing on critical thinking, ethical considerations, and patient safety. It examines the application of standards set by the Nurses and Midwives Board of Australia (NMBA) in real-world scenarios, highlighting the importance of person-centered and evidence-based care. The report breaks down the experience of a practitioner nurse, exploring the challenges and strategies used to meet the standards, including thinking critically and providing quality services. It also utilizes Tanner's Clinical Judgment Model to interpret and respond to patient needs, emphasizing the importance of ethical frameworks, cultural sensitivity, and continuous improvement. The report identifies areas for improvement, such as expanding the scope of practice in emergency situations, and concludes with a reflection on the importance of adhering to NMBA standards to ensure ethical behavior and respect for patient rights.

Reflection

Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY..................................................................................................................................1
Experience...................................................................................................................................1
Breaking down the experience and reflecting upon that.............................................................1
Notice...........................................................................................................................................1
Interpret and responding..............................................................................................................3
Standard which needs to be improve...........................................................................................4
CONCLUSION................................................................................................................................5
REFERENCES................................................................................................................................6

INTRODUCTION
Nowadays, practices of registered nurse are person-centred and evidence-based with
some elements such as supportive, restorative, curative, preventative etc. The Australian
community has set the rich combination of cultural and linguistic which help to nurses to provide
facilities in their limit only. As there are many standards which has been set by government for
the practices of registered nurses (Bozimowski, 2012). Each standard is having their own criteria
which specify that how these revealed at workplace. In this assignment reflection on two
standards of Registered Nurse Standards for practices has been discussed i.e. one is thinks
critically and analysing nurse practices and second is provides safety, appropriate and responsive
quality of services in nursing practices.
MAIN BODY
Experience
Nurses and Midwifes Board of Australia (NMBA) has set many standards and has to be
follow by everyone in ethical manner. In hospital my role is to provide services to individuals,
communities and families as a practitioner. As I am working as a practitioner nurse and meeting
with kind of patients who are suffering from different diseases.
Breaking down the experience and reflecting upon that
This experience has been broken into different parts. As it will help in know about the
standards which has been given by NMBA. These standards which has been designed should be
properly followed by and support me to promote health and prevent illness and provide better
quality of services in order to stimulate recovery from health issues (Gerdeman, Lux and Jacko,
2013). While working as a practitioner nurse in under NMBA, this become essential for me to
comply with these rules and regulation and provide facilities according to my roles and
responsibilities and within my limit. These standard will assist in properly defining the roles of
practitioner nurses and can get the right to provide treatment in emergency situations.
Notice
As I noticed that there are many nurses who are not properly complying with set
standards because there is no one in hospital to properly guide them. For this two standards are
explained here which support me to adopt various strategies and help me to take best decision.
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Standard 1: Thinks critically and analyses for nursing practices
I am working as practitioner nurse in hospital in which I have to serve best quality of
services to patients. In this standard I have to think about varieties of strategies and have to
provide best evidence in making decision. Moreover, I have to provide safe and quality nursing
practices according to framework which has been set by NMBA. So it become easy for me to
work in ethical manner. In this my roles and responsibilities are: use ethical framework when any
decision has to be taken for the benefit of patients. Further has to comply with legislation, rules,
policies and guidelines and standards in the context of practices in order to take decision in
effective manner. Along with this, I have to contribute quality of work when services are
provided to patients and promote the health maintenance through proper treatment of illness.
Apart from that it is my responsibility to respect all culture and experiences which also involve
role of families or communities while providing any services to patients.
Standard 6: Providing, safe, appropriate and responsiveness quality nursing
practices
In this standard registered nurses have to provide or delegate ethical goal-directed
actions towards the services which are delivering by them to patients. These standards are based
on systematic assessment in order to provide best services and to get better outcomes from that
(Jervis and Tilki, 2011). Here, treatment according to problems of people has to be provided
which should reflect on the comprehensive safe and quality practices of registered nurses. Along
with this it is my responsibility to practice within my boundaries so that it does not cause harm to
other people. Apart from that, delivers effective timely directions and have to ensure about that
treatment is provides in best quality and precautions has been taken if anyone will face any
disputes. Further, I have to use appropriate tool and techniques in order to identify potential risk
which may below my expected standards in organisation.
These both standards are helpful for me while working as a practitioner nurse because as
the part of practice nurse, they are responsible and accountable for delegation and supervises of
nursing activity in proper manner. The role of practices is not limited or restricted it increases by
using nursing skills and knowledge day by day.
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Interpret and responding
While interpreting these standards with the working of practitioner nurse they can one
model i.e. Tanner (2006) Clinical Judgment model which will help them in understanding their
roles and responsibilities regarding their practices at workplace.
Tanner’s (2006) Clinical Judgement Model is offering a sensible way in understanding
the ongoing influence and process which will result into nursing judgement and actions. This
model depicts on constant changes, interrelations in context of situation which is influencing
other things also. this model consists with noticing, interpreting, responding and reflecting.
According to this proper action plan can be taken by me in order to resolve the issues which are
facing by patient. Tanner model had found that nurses are using those languages where they can
know the issues of patients in two different ways of knowing them. While knowing the patient it
will support me to provide treatment accordingly and certain aspects of situation can be find out.
Three aspects are there which are involved in this model; first nurses have to typically deal with
those situations where patient are suffering from serious illness. Second is, knowing about
patient will allow individualising response and interventions. Last, where current picture of
patient is compared with typical ones so it made possible to understand their nature. With the
help of this model, three criteria from above 2 standards has been explained which is
demonstrating to meet the required standards. These are explained as below:
Standard One: I have to comply with rules and regulations which are farmed by NMBA
through this it will help me to underpin the health of aboriginal and Torres Strait Islander
people and who are belonging from other culture. This will also help to me to not to discriminate
any people on the basis of culture or religion so that I can get good experience from that.
Another criterion is frameworks which has been set by Australian Board should be used in
ethical manner which will assist in taking decision for the advantage of patient. This model is
used when during the mental process during which nurses assess and evaluating various patients
cues in order to determine best possible action to prevent their illness. Third criteria are Quality
improvement, it is that process where strategies are designed to improve the workflow and
process. It consists with systematic and continuous improvement in actions which leads into
quantifiable enhancement in health and care services. With the help of Clinical Judgement Model
self-efficiency will determine whether I am having confident to take appropriate decision which
is based on patient response.
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Standard Six: First criteria are practise within the scope of practice, Australian nurses
and midwives have to act within line code of conduct, whether they are providing direct care to
group, individuals or communities. These codes are containing with prioritise people, practise
effectively, preserve safety, promoting professionalism and trust. Besides this, with the help of
Tanner model, I have to check my level of knowledge and what is my impression when I came to
know about the patient issues. So, through that proper facilities or treatment will be provided to
them. In hospital when I meet with mental person it was not good feeling because the patient was
totally mentally disturbing who is also causing injury to others. For this, it become my
responsibility to handle this situation in such a manner to minimise the risk also which are facing
by other patient due to this. Further, I have to make out the list where needs of patients should be
properly identified and will take appropriate action can be taken by me. Another criterion is, time
direction should be provided in effective manner which ensure about delegated practices are
performed by nurse in safety manner. With the help of this model, I can reflect upon the services
which is provided by me and see that where I need to take help from supervisor in order to
provide proper treatment to patients. Last criteria is, practices should be done in accordance with
relevant guidelines, standards, rules and regulations. In this, practice as a practitioner nurse I
have to comply with all rules and policies through which it helps me to work in ethical manner.
Along with this, it will also protect the rights of patients if any wrong treatment is provided by
me.
Standard which needs to be improve
In standard six; practices within scope, I need improvement in this because sometimes it
become essential for practitioner nurse to work out of their scope. So, it become difficult for us
always work in limit. This can be improving by conducting training to nurse so that in
emergency case they will deliver service to patient. Along with this, there should be always
supervisor who is guiding to nurse regrading to use equipment’s at the time of serving facilities
to people.
Practice development is also considered as participation in particular settings. As it
involves learnings where nurses can participate in community of practices and become the
member by using their languages and act according to the norms which are specified by
government. Along with this, standards which has been framed by NMBA should be comply by
every nurses to provide best treatment to patient.
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CONCLUSION
From above reflection it has been concluded that I have to perform my roles and
responsibilities with in my limit. But in emergency cases I have to provide necessary treatment to
patient. NMBA have set many standards which support us to comply with all rules and
regulation in order to ethically behave with patients and respect the other culture of people also.
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REFERENCES
Books and journals
Bozimowski, G., 2012. Patient perceptions of pain management therapy: a comparison of real-
time assessment of patient education and satisfaction and registered nurse
perceptions. Pain Management Nursing. 13(4). pp.186-193.
Gerdeman, J. L., Lux, K. and Jacko, J., 2013. Using concept mapping to build clinical judgment
skills. Nurse Education in Practice. 13(1). pp.11-17.
Jervis, A. and Tilki, M., 2011. Why are nurse mentors failing to fail student nurses who do not
meet clinical performance standards?. British journal of Nursing. 20(9).
Magowan, B. A., Thomson, A. and Owen, P., 2014. Clinical Obstetrics and Gynaecology E-
Book. Elsevier Health Sciences.
Neuss, M. N. and et. al., 2013. 2013 updated American Society of Clinical Oncology/Oncology
Nursing Society chemotherapy administration safety standards including standards for
the safe administration and management of oral chemotherapy. Journal of Oncology
Practice. 9(2S). pp.5s-13s.
Rantz, M. J. and et. al., 2011. Evaluation of aging in place model with home care services and
registered nurse care coordination in senior housing. Nursing Outlook. 59(1). pp.37-46.
Online
2 Examples of How I Used Critical Thinking to Care for my Patient (real life nursing stories).
2017. [Online]. Available through: <https://www.nrsng.com/2-examples-used-critical-
thinking-care-patient-real-life-nursing-stories/>. [Accessed on 13th October 2017].
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