Application of Roach’s 6Cs of Caring within NMBA Code of Conduct

This assignment delves into the application of Roach's 6Cs of caring (commitment, care, courage, compassion, competence, and communication) within the framework of the Nursing and Midwifery Board of Australia (NMBA) Code of Conduct for nurses. The primary focus is on how the principles of commitment and care, as defined by Roach's 6Cs, align with the NMBA's standards for professional conduct. The assignment highlights the importance of professional boundaries, evidence-based practice, and the nurse-person relationship, as well as the nurse's commitment to patient health and wellbeing, including the reduction of health inequalities. It emphasizes culturally safe and respectful interactions, patient-centered care, and shared decision-making. The rationale provides a detailed explanation of how nurses can integrate these principles into their practice to provide compassionate and effective patient care, referencing relevant literature and NMBA standards. The assignment stresses the significance of nurses' roles in ensuring patient safety, promoting wellbeing, and addressing health disparities within diverse communities.

6Cs of Nursing – Commitment, Care, Courage, Compassion,
Competence, Communication, and Commitment
Commitment – Principle 4: Professional
boundaries
Care & Commitment
Care – Principle 7 Health and
wellbeing
Application of Roach’s 6Cs of caring within the NMBA Code of Conduct for nurses

Rationale
The above infographic has two elements of Roaches 6Cs of caring that nurses can comply with as per the
NMBA standards. The two selected elements as above include care and commitment. The element of
commitment in nurses complies with principle 4 (Professional behavior) of the NMBA standards of nursing
(Jones, 2019). Professional boundaries of nurses enable engaging in effective and safe establishing of
professional boundaries. Nurses need to commit to evidence-based professional standards in nursing which is
crucial for a nurse-person relationship. Nurses as per the NMBA standards (Principle 5) are also committed to
teach and supervise other nurses within their professional integrity. As commitment is the basis of providing
care to patients, nurses need to include divergent roles for abiding by their roles and responsibilities (Phipps, et
al, 2015). With such commitment nurses recognizes the inherent power imbalances existing between people in
care and nurses. This allows actively engaging in the person's expectations and being clear regarding the
objective of care also preparing the person when the care period ends. The nurse's role has to be committed to
providing the patient with prolonged care and establishing a long-term relationship with the patient. Nurses
need to be committed in their care roles to avoid potential risks, complexities, and conflicts that might be
present while rendering care. Factoring in these aspects might lead to judgmental impairment while delivering
care, leading to ineffective care for the patient (Ballantyne, 2016). Through the commitment of services, nurses
are able to avoid sexual relationships with persons with patients where a professional relationship exists.
Commitment allows involvement and discloses appropriate information to the person involved or colleagues as
privacy policy might allow. When commitment is absent, the professional relationship might be compromised
or ineffective for the ongoing care needed (Cashin et al, 2017). Nurses need to provide patients with a safe,
evidence-based way to promote health and wellbeing while working with others.
Commitment Principle 4- Professional boundaries
Care Principle 7- Health and wellbeing

Nurses can interact with people in a culturally safe and respectful way to promote honest professional
relationships (according to the NMBA standard). As a result, nurses may have time to ask the patient if they
know what is happening (Foulds et al, 2015). The aspect of care can be connected with principle 7 of NMBA
standards that aims at ensuring the health and wellbeing of patients, their families, colleagues, and the broader
community. Nursing should provide care to maintain good health and wellbeing of their patients and reduce
inequalities in health as much as possible. Nurses have the primary role of providing appropriate standards of
care to their patients, they also possess the responsibility of their own health and health of their colleagues.
Nurses should be aware that their working-class includes education, training, and engagement in line with local
policy (Nicholls, & Traynor, 2018). While allowing reasonable action, nurses can transfer care to patients and
inform them of their health status. By understanding the principles of public health, nurses can include care
activities for all. Such activities can include vaccination, reducing fatigue, being able to provide safe care and
seek expert, independent as well as objective advice. Especially in a diverse country like Australia, this
culturally diverse practice allows us to understand different cultures, gender roles, sexuality, and people's
experiences. There are significant disparities in health amongst various communities in Australia due to their
geographic, social, historic, legal, economic conditions. Mainly the Aboriginal and Torres Strait people
experience considerable disparities in their health status due to lack of access to proper care. Nurses through
their approach can provide care to all types of patients and communities and attend to the existing disparities in
health. Nurses can adopt advanced care planning which is an on-going shared planning procedure for the
current and future healthcare practices. As the primary focus of nurses is to provide care, nurses need to identify
the potential barriers and challenges that lead to disparities and overcome them. Nurses need to abide by care
planning strategies for the health and wellbeing of their patients and continuously undertake reflective practice
for the improvisation of the same. Nurses as per NMBA needs to continuously focus on a person-centered care
approach as well (NMBA Principle 2). This will allow nurses to envision a safe, person-centered and evidence-
based approach to be included in their practice and abide by professional codes of conduct (Fisher, 2017).
Nurses for the purpose of rendering care need to partner in a shared decision approach for undertaking their care
delivery to patients. This will enable nurses to factor in considerations and points that patients and their families

have in regards to care practices. Their acknowledge and acceptance of care plans will allow nurses to adhere to
professional conduct and code of ethics while practicing. Compassionate care gives nurses a positive experience
for patients. They need to understand how needs affect their understanding. Nurses should also be sure of
providing information to patients (McSherry et al, 2017).
Reference
Ballantyne, H. (2016). Developing nursing care plans. Nursing Standard (2014+), 30(26), 51.
Cashin, A., Heartfield, M., Bryce, J., Devey, L., Buckley, T., Cox, D., Kerdo, E., Kelly, J., Thoms, D. and
Fisher, M. (2017). Standards for practice for registered nurses in Australia. Collegian, 24(3), 255-266. DOI:
10.1016/j.colegn.2016.03.002.
Fisher, M. (2017). Professional standards for nursing practice: How do they shape contemporary rehabilitation
nursing practice?. Journal of the Australasian Rehabilitation Nurses Association, 20(1), 4.
Foulds, L., Timms, K., Barwell, J., & Gunning, A. (2015). Incorporating the principles of nursing practice and
the 6Cs. British Journal of Nursing, 24(Sup5), S4-S9. DOI: 10.12968/bjon.2015.24.Sup5.S4.
Jones, N. P. (2019). The 6Cs. Learning to Care E-Book: The Nurse Associate, 74. DOI:10.7748/ns.30.26.51.s48
McSherry, W., Bloomfield, S., Thompson, R., Nixon, V.A., Birch, C., Griffiths, N., Fisher, S. and Boughey,
A.J. (2017). A cross-sectional analysis of the factors that shape adult nursing students' values, attitudes and
perceptions of compassionate care. Journal of Research in Nursing, 22(1-2), 25-39. DOI:
10.1177/1744987116678904.
Nicholls, A., & Traynor, V. (2018). Undertaking research: On the role of assessing health complaints about
practitioners. Australian Nursing and Midwifery Journal, 25(10), 30.
Phipps, F. E. M., Whitney, E., Meddings, F., & Evans, M. (2015). Embedding the 6 Cs: Problem-based learning
the Bradford way. British Journal of Midwifery, 23(5), 330-335. DOI: 10.12968/bjom.2015.23.5.330.