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Reflective writing process
Reflective essay on critical reading and writing
Road to becoming a registered nurse
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The aim of this assignment is to provide critical analysis on the transition from Student Nurse to Registered Nurse. The critical reflection will be based on Accountability and Autonomy and how they affect my practice. To maintain high standards patients’ safety and care must take priority with all staff/colleagues working together as a team, each taking accountability for their own actions (Begley 2010 cited in Jones 2017h). For anyone to be accountable they must have the ability (knowledge and skills) to carry out the task appointed and accept responsibility. Student nurses are accountable for their own learning, time management and actions and should not work beyond their own level of competence (NMC 2009). The registered nurse is accountable …show more content…
Good working relationships need to be formed with colleagues so that they feel valued. The registered nurse tasks responsibility for determining the best course of action when making decisions about staff and how to speak to patients and their relatives/carers sometimes in difficult situations (NMC2018a). When delegating thought must be given to the person most competent to carry out the task (RCN 2018). If there is dissention and the person is not happy this could cause conflict. Unrealistic expectations of a newly qualified member of staff could make them feel vulnerable and question their clinical skills. To address this there is a structured transition with the newly qualified member of staff being given a preceptor for support and to consolidate their learning and practical skills (Department of Health 2010).
As a student independent learning is important to develop new skills (Counihan 2017). Once qualified it is essential to continue updating skills and knowledge to keep up to date with new policies, skills, treatments and protocol to continue meeting the needs of patients, the health service and for your own professional development (PECK 2000). Addison (2013) says one important recommendations from the Francis Report was nurse revalidation, the importance of raising standards and
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According to (Draper et al., 2010) trying to find your place within a new team can be stressful as well as the anxiety of being a registered nurse and the responsibility and accountability that comes with this. According to Rafferty (cited in Jones 2017b) nurses who worked well together had more autonomy and this improved quality of care. As healthcare changes, effective teamwork is expected to enhance quality of care and patient safety. Rose (cited in Jones 2017c) suggests more focus should be on building structures to enable teamwork. As a registered nurse it is essential to draw on a range of evidence to become an independent practitioner (Jones
The Role of the Registered Nurse in relation to delegation. One of the vital skills required by the Registered Nurse is the skill to assign tasks to subordinates (Saccomanos and Pinto-Zipp 2011). When tasks are delegated to subordinates, the RN remains accountable (Nursing and Midwifery Council 2008). On the other hand, an individual who has been given a task also bears responsibility for the task and is answerable to the RN.
...rsing is not an individual effort to address patient symptoms or illnesses. While this is an integral step to thriving as a nurse, the duties of a nurse far transcend the scope of this responsibility. Nursing is not simply an individual pursuit, but rather, a communal role in which professionals convene to enhance patient care and the quality of their organization as a whole. As noted, the mission of this organization is to empower nurses and actuate beneficial changes in this professional field. The rules of order, leadership behavior, and decision making jointly contribute to the seamless flow of business. There is a team effort that joins nurses together in purpose, mission, vision, and corporate goals, and it is this very sense of joint responsibility that transforms individual efforts into a compelling, sweeping force that changes health care for the better.
To the profession: Professional accountability allows nurses to work in a frame work of practice and to follow principles of conduct that maintains the patient’s trust in the individual nurse. These will in-turn support the nursing profession as a whole (Caulfield, 2005, p. 4). Nurses are responsible and accountable for their own actions and also for the colleagues. For example, when nurses from step down unit floats to intensive care unit charge nurses are responsible to delegate assignments to them. Charge nurses are then accountable for the outcom...
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
The article I chose discusses the continual change in the roles of nurses. The article also poses a concept that nursing now is not based on caring, but medicine. “By accepting continual changes to the role of the nurse, the core function of nursing has become obscured and, despite assuming medical tasks, the occupation continues to be seen in terms of a role that is subordinate to and dependent on medicine.” (Iley 2004) Nurses are taking a more professional role, and more tasks are being delegated to assertive personnel. Therefore, with all these changes occurring, the role of the enrolled nurse is unclear. “Previously, having two levels of qualified nurse in the United Kingdom had been seen as problematic for health service managers and nurses themselves, and the ending of enrolled nurse programs in 1992 helped to solve this problem.” (2004) The study in this article gathered the characteristics of enrolled nurses and differentiated the groups converting to registered nurses, groups in the process of conversion, and groups interested or not interested in conversion. This study reveals the situation of enrolled nurses in context of continuing towards the professionalization of nursing. “The data from this study support the possibility that the role of nurses as direct caregivers is seen as a positive dimension of the work they undertake.” (2004) The findings imply that nurses need to get back to being caregivers, instead of concentrating on obtaining professional status in medicine.
Some research shows a connection between teamwork and reduced incivility in the workplace because a good team establishes a level of trust and effective communication, therefore, allowing nurses to feel empowered and supported (Logan, 2016, p. 48). Teamwork produces healthier environments with better healthcare outcomes. It is essential for staff to be proactive by attending staff meetings and committees such as shared governance and learn how to become effective mentors for new nurses.
Nurses must have a professional relationship with all types of people. The nurse must be a professional with their coworkers, superiors, and patients. The most important relationship is with the patient; if a professional relationship does not exist with them, the nurse as well as the organization will get a bad reputation. This in turn will ruin our professional relationship with our coworkers and superiors and will eventually cost that person a
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care (qsen.org). Like most medical professions, nursing is a constantly changing field. With new studies being done and as we learn more about different diseases it is crucial for the nurse to continue to learn even after becoming an RN. Using evidence-based practice methods are a great way for nurses and other medical professionals learn new information and to stay up to date on new ways to practice that can be used to better assess
There is a great importance and focus in modelling a contemporary nurse. The framework for improving this focus is accountability with three main areas: professional, ethical, legal. They all cross over and interlink with each other in many of the topics that are raised within the profession. The approach of the framework were inevitable to reduces to blame and defensive nursing attitude. This attitude can lead to nurses believing accountability is the same as blaming a professional however it is conversely nurses making decisions for individuals and engaging to improve better health outcomes. The topic around this contemporary approach is confidentiality and broken into the principles of the approach.
As nurses, it is our job to make sure we are practicing responsibly and being accountable for our actions. We should be able to use nursing judgment to determine whether a task is correct and incorrect. Our decisions can be life changing for patients so we must make sure every task, or action, is for the benefit of the
Nurses should also include individuals by communicating the right information in a way that people understand. When providing care these actions must also be agreed with their patients, families and carers of their patients, and in a way that meets the requirements of their professional bodies and law. The patients in a nurse’s care should have their health and social care needs assessed and reviewed this is to ensure the patients receive the right care and support. Information should be handled confidentially, deal with complaints effectively and are conscious of reporting things that they may be concerned about. Nurses should ensure the wellbeing of their patients by encouraging them to reach their full potential, asking about their lifestyle preferences and aspirations and support the individual to achieve them.
However, license may be revoked for some reasons. If one has tried to procure a license in a deceitful manner to practice nursing, guilty of a crime, incompetent, under influence of habit unsound mind, guilty of unprofessional misconduct and if in any case has violated the provision of the Acts repeatedly. Professional accountability is a complex phenomenon whereby it involves various components in the healthcare unit. For instance, it illustrates how an individual professional is accountable with his/her work and also his/her relation with others within the organization. Therefore, the cycle of nurse’s accountability is to self, patient, organization and
We are responsible for educating them about health promotion and prevention. We have to be responsible for the coordination and direction of care we provide. Registered nurses are also responsible for our profession as a whole. We need to further our own education and be involved in nursing research. We are responsible for upholding the standards of nursing in our communities.
They stated that accountability is one responsible to the punishment of what one does (2003). Reliable pupils such as nurses are accountable to the NMC which legislates and regulates all nurses. As well as nurses they regulate: midwives and specialist community nurses in the United Kingdom. It is the responsibility of all registrant to withstand to its principle.
The following essay is a reflective account on an event that I, a student nurse encountered whilst on my second clinical placement in my first year of study. The event took place in a Fountain Nursing Home in Granite City. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness. Upon arriving to the Nursing home for the second time on Thursday November 14,2013; assigned the same patient as before. On meeting my patient the first thing I noticed myself doing without even thinking about it was giving her a visual inspection. Before nursing school I never really looked at someone at face value and inspected him or her physically. While interacting with my patient I felt as if I was taking to my grandmother, it was very comfortable and easy. Her neurological assessment was good, she had eye contact with me, was able to follow some simple commands such as showing me her hands and squeezing my fingers. Being in the nursing home-made me feel like there was so much medical information to acquire, I viewed it as my own personal practice space for my nursing skills. When taking with my patient she reflected on her life a bit and her stories made me get emotional. The Patient, admitted to the nursing home as a permanent resident after the death of her husband.