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Ethical and legal issues in nursing practice
Ethical and legal issues in nursing practice
Roles and responsibilities of nurse
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Important Attributes for Registered Nurse: The role of a Registered Nurse cannot be neglected in the provision of quality and safe care to patients and adopt procedures adequate for the condition of the patients because they work at the front line level; moreover, they have direct dealing with patients and integration of personal and professional skills is necessary. Therefore, there are certain attributes that are necessary to be present in a Registered Nurse for accurately performing various tasks. These include; Workload management, leadership qualities, interpersonal skills, control of practice, professional development, effective communication skills and organi zational loyalty (Daly & Carnwell 2003, pp. 158-167). These attributes hold significance in terms of obtaining positive outcome for not only the Registered Nurse but also the organization and the patient. Workload should be managed in such a way that the care process is not affected. Registered Nurse should have leadership qualities to help, motivate and inspire other nurses. Similarly, a Registered nurse should also enable and promote learning opportunities for other nurses. A Registered Nurse has responsibilities towards the subordinates, patients and most importantly to the organization. Effective communication skills can allow Registered nurses to establish a trusting relationship with patients identifying their problems and needs. The code of ethics and principles of practice must be followed and the practice of the nurse should be in the line of the organization’s working principles. The responsibility should be met as accountability factors must be considered significant in healthcare setting (Cornenwett, et al, 2007, pp.122-131; Bradshaw et al 2012, pp.13-14). ... ... middle of paper ... ... nurses to evaluate them and amend their practice accordingly. If these are adopted, then there is no loophole in the healthcare system and practical implementation of the whole system (Nursing and Midwifery Board of Australia 2013). These Competency standards are significant because every aspect is being covered and enable nurses to satisfy their organization and client at the same time. Integration of knowledge and skill adequately ensure the provision of quality healthcare and become effective in client management. Similarly, team work in the organizational setting can enhance the level of participation in improvement activities. Such initiatives are specifically necessary in healthcare as this sector demands that quality and of the processes must be improved with time and nurses can play a crucial role in attaining this task (National competency standards 2006).
Cronenwett et al emphasises the key competencies for nursing are not only providing patient centred care, ensuring safety, team work but also quality improvement, suggesting all nurses must embrace change. However embracing change can be difficult due to many barriers. Brown et al and Gerrish identify some of these barriers such as time constraints, communication issues and differences professional issues.
On November 17th, 2015 I had an observation clinical shadowing a Registered Nurse in Case Management. Case management is a side of nursing that is not brought up very often. We started off the shift in the nurse’s office. Morgan, the nurse, had a meeting to attend at 9:00am, so we stayed in her office to get organized for the day.
Advanced practice registered nurses play a significant part in extending access to health care by providing primary care and specialty care services to clients. Advanced practices registered are mentors, educators, researchers, and administrators. According to Health Resources and Services Administration, “Ninety-six percent of the NP workforce reported being in clinical practice, providing direct patient care” (Health Resources and Services Administration 2016). Furthermore, “Nearly three percentages were in faculty positions and approximately one percent was in administrative positions”(Health Resources and Services Administration 2016).
Essential II basic organizational and system leadership for quality care and patient safety is also an essential that all nurses deal with on a daily basis. “Leadership skills are needed that emphasize ethical and critical decision-making, initiating and maintaining effective working relationships, using mutually respectful communication and collaboration within inter-professional teams, care coordination, delegation, and developing conflict resolution strategies.”(American Association of Colleges of Nursing, 2008, p. 13) This essential begins on the first day of orientation and ends on the day a nurse retires. One cannot stress the importance of ethical decisions, critical decisions, and respectful communication enough. Whether speaking with an aggrieved family member or fellow staff member one should always look to quality
RN should be aware of the five rights of delegation that are right task, right circumstances, right person, right direction or communication ( Potter, Deshields & Kuhrik, 2010). These rules can guide registered nurses to effective delegation. Nurse should always check for workplace policy or guidelines to ensure effective delegation. Registered nurse should always ensure that the tasks allocated to AIN should be in their scope of practice ( Potter, Deshields & Kuhrik, 2010). Registered nurse should always clarify role of AIN to avoid any work related issues. Registered nurse should always be mindful of the caring needs of the patients and make care plan according to the needs; it must be discussed with AIN, before starting work ( Potter, Deshields & Kuhrik, 2010). In order to make skill mix nursing effective workplace should have policies on delegation or they should provide education to the nurses for effective delegation or nurse can access journal articles to understand delegation better. Work place can also organise discussions or meetings to educate nurses on effective
Best possible care for patients can and will be achieved when nurses and other health care team members work together and prioritize meaningful conversation among each other. Dissatisfaction, errors and unfair treatment can be avoided when there’s an effective collaboration among health care team. Working collaboratively with each other improves the nursing care by bringing out the best outcome of each discipline. Thus, in my stand among various competencies, team work and collaboration is the most necessary and vital qualities needed for future nurse to provide the best quality care
At any given time, a Registered Nurse (RN) play many roles and responsibilities. He/she often act as a caregiver, educator, communicator, manager and a leader. Sometimes a registered nurse assumes all these roles and responsibilities concurrently. Given the number, time and complexity of the tasks, she/he may not complete them satisfactorily. Such an environment may lead to instances where client care decisions are not well thought of and hurriedly implemented. This in return may expose the nurse to unsafe practices and unnecessary burnout. Luckily, some of these tasks could be safely and lawfully transferred to other members of
A Nurse Manager is the leader, organiser and facilitator of a ward or area (Swansburg and Swansburg, 2002). To be an effective Nurse Manager one must ensure that all employees understand the mission statement of the ward and incorporate it into their nursing willingly (Swansburg and Swansburg, 2002). In this essay the writer will critically discuss the influence that Nursing Management has on the standard of quality care to patients. This will not only be done by using examples from literature but also by the writers experience in the clinical area.
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
She further identified seven concepts that are essential to current nursing practice, she stated that,” Based on the acronym FLOWERSTM, they include fundamentals of care, leadership at the bedside, ownership of outcomes, wisdom, ethics, relational competence, and skilled caring.” (Sprayberry, 2014, p.123). Nursing professionals play several key roles, which directly affects client outcomes, such as, critically thinking while being the patient-caregiver, advocate and educator along with coordinating and collaborating with the various members of the multidisciplinary health care delivery team. Nurses always prioritize excellent patient safety and care every day and collect information and recognize the practices that need improvement. For example, the process of identification and documentation of nursing-sensitive outcomes that are a direct result of nursing assessments and interventions. Nursing professionals take leadership roles concerning promoting safety and quality through collecting evidence, analyzing and interpreting the data necessary to improve practice. Armed with the edge of working closely with clients, nursing professionals can identify opportunities of cost-effectiveness without compromising on QI. Through being patient advocates, nurses ensure, that health care clients receive good quality and
When I really think about what has influenced who I am today and how I view the world around me, I think about my mother. My mother played a huge part in my childhood and raised me to be both open minded and self aware. She’s able to do almost everything from changing the tires on the car to building a table to sewing up clothes and and cooking full course meals. From her, I learned just about everything I know. I grew up to be very independent and capable of doing things on my own, which I am extremely grateful for. The main reason why I am going to college now is also because of my mother. However, I wouldn’t exactly say I’m following in her footsteps as our career choices are extremely different from each others. She went to cosmetology school and I’m studying to become a registered nurse.
Out of all of the members of the health care interdisciplinary team, nurses are the ones who spend the most time giving care to the patient. In order to give the greatest quality of care to a patient, it is important for nurses to “assume accountability and responsibility in fulfilling the role of the associate degree nurse, through personal and professional growth, integration of current evidence-based practice and understanding of multiple dimensions of patient-centered care” (Ivy Tech Community College, 2016). One of the most important parts of this is the nurse’s ability to take responsibility in patient care. Battié and Steelman (2014) notes that patients expect the best care from nurses, so it is only fair that nurses also expect themselves responsible for delivering the best care. Battié and Steelman (2014) also says that accountability relies on two parts: clinical expertise and effective communication. Nursing expertise can only be gained through personal growth that comes from practice or learning over time, while effective communication has been built into nursing through
The role of nurses is constantly evolving. As a result, nurses need to develop resilience in their professional lives to respond to the competing demands of the service environment, quality and standard improvement of the client’s care, service update and demographic changes. Nurses be expected to continue their professional development to keep up and prove their decision-making competence to practice (NMC, 2004). Nurses are to keep up their commitment to learning for the purpose of nurturing their professional value and interpersonal skills, improving their leadership, management skills and team working to prove competence in decision-making, promoting the highest standard and best quality safe standard of care. With the commitment to fulfil
The nursing profession has changed drastically over time. The roles and responsibilities that nurses take on have increased and become far more complicated. Nurses are managers, leaders, supervisors and have become experts in many areas of care. Every day nurses are faced with the task of improving and strengthening professional leadership within their work environment. Managing good quality and eliminating risk is the major challenge in health care. All members of the team must work together to accomplish outstanding patient care. Budget cuts and nursing shortage in all areas of health care leads to less licensed staff, where use of unlicensed personnel have been used widely, where delegation is not an option, but a necessity. Nurses must be aware of delegation guidelines, what tasks to delegate,when to delegate for the safety of patients, liability of nurses and the facility.
Registered Nurses have many responsibilities. They work with many sick patients that vary in age. To begin, registered nurses are in charge of providing patients with treatments and medications. Also, registered nurses are responsible for recording patients medical information, vital signs, and progress. Without accurate records patients may be given the wrong treatment. Finally, registered nurses are responsible for examining patients and making sure proper nursing care is provided (“Task List” 1). While registered nurses are responsible for many other tasks, these three areas of nursing is the most important. Patients must be treated in a correct manner, and should feel protected while spending time in