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Thesis on nursing code of conduct
Thesis on nursing code of conduct
Thesis on nursing code of conduct
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Person centred care, is in essence, one of the most important and significant aspects in delivering effective and unique care within nursing practice. The phrase has been embedded within healthcare practice with individuals somewhat understanding the components of its meaning yet not quite comprehending how to express the concept when delivering care. With its prevalence comes a need for it to be better understood in order for effective practice to occur and for this reason it has become a prominent focus point for various academics. Brendan McCormack and Tanya McCance acknowledged person centred care to have a primary focus on traits including therapeutic relationships; individuality; human rights and the promotion of autonomy so that individuals …show more content…
The Nursing and Midwifery code of conduct states that in order for nurses to practice effectively they must be able to work and communicate effectively with colleagues. Multidisciplinary working helps to ensure both patients and staff are kept informed about the care of the patient and that any risks can be identified and reduced. Multidisciplinary teamwork in healthcare has a key role in creating a culture which is safe and effective in deciding upon the best practice related to patient specific care. It has become apparent in some organisations, the importance of multidisciplinary working with one example being the Francis report of the shortcomings in care at Mid Staffordshire Hospital where patients suffered appallingly due to the lack of person centred care with one such concern being professional disengagement where clinicians where not raising concerns to colleagues. Baylis, D 2014. This need for networking and shared knowledge is a focus point in the Person Centred Framework (McCormack and McCance 2010) where it is showcased that a prerequisite of nurses is to have developed interpersonal skills in order to encompass a positive care environment where effective staff relationships are formed. This then has an impact on the ability to share decisions and ultimately impacts person centred outcomes of creating a culture which is central to the …show more content…
Dignity and respect is another pivotal principle promoted by The Nursing and Midwifery Code. It is no secret that nurses must acknowledge each and every person as an individual and are aware that maintaining their dignity is a vital aspect of the individual feeling valued, respected and central to the care given. It is imperative that patients feel that they are in an environment where they can freely express their wish and need for help and that they are not being ignored but rather being understood and that nurses are listening attentively to them. Nursing Science Quarterly, Vol. 17 No. 1, January 2004, 86-91. The RCN (2008) clarifies that when nurses reflect professionalism within practice that see them treating patients with dignity and respect, the patients begin to feel a sense of autonomy and control of their own life. They tend to feel more valued as an individual and become much more confident when they feel the need to express their views regarding care or to raise any concerns which they may have. The uniqueness and intrinsic value of the individual person is acknowledged and each person is treated with
Although nursing is universally practiced, not all nurses values and morals are the same. Nurses and nursing students are usually put in situations where they must operate within an ethical structure which is either unfamiliar to their cultural criterion or those of the patients for whom they are taking care of. The most prominent values and morals of nurses are based on human dignity and benevolence. Human dignity is the main component that branches off into other values under caring for health and well-being. Trust, integrity, autonomy, and privacy are one of the many sub-values that fall under human dignity. It is important for the nurses to respect and understand the culture and beliefs of the patient without being judgmental or confrontational. The wellbeing of the patient is priority and so the nurses must focus on gaining the patients trust first by tending to their needs and exhibiting
The definition of person centred care is to include an individual receiving treatment in all aspects and decisions of both their healthcare treatment and recovery care plan. The Nursing and Midwifery Council (2008) state that nurses should ‘make the care of the people your first concern, treating them as individuals and respecting their dignity’. In 2012, the Scottish government introduced The 10 Essential Shared Capabilities (10 Escs) It has been created to promote and reflect on progressing policy and legislation to improve person centred care, values and beliefs in Scotland. Person centred care is a driving force not only within mental health nursing but all nursing. Whilst the service user and the nurse build a therapeutic relationship and develop a care plan, which is to the service users owns specific needs and wants. It ensures th...
For the case study one considered the overall working environment of the organisation, with a particular client situation to apply the case study arguments around. This client was experiencing a catastrophic reaction to an event. One applied an integrated person-centred approach which considered meeting their needs by listening to the issue, and working with the person, and their family, as well as care staff, Registered Nurses (RN’s) and the Director of Nursing (DON). In order to find a resolution and meet the client’s needs. As well as, adding to their care plan strategies to assist with future behavioural and psychological symptoms of dementia (BPSD). This particular situation fit perfectly within the two questions of; does the organisation prevent me from providing person-centred care, and do we have formal team meetings to discuss residents’ care.
Y.H.et al. (2012) told that Person centred care models start with education and training of
The Royal College of Nursing (RCN, 2009) defines dignity as treating someone as you or your family would want to be treated, when they are feeling vulnerable. According to ( Matiti & Baillie,2011) in modern world the word dignity has lost its meaning, whether it is intentionally or unintentionally, nurses have become very mechanical, trying to give care for dummies rather than human beings, who have emotions, feelings and self-respect, and not realising what impact patients will have when nurses show this kind of attitude. Patient centred care is vital for all nurses, without, discriminating against colour, gender, race, and religious beliefs. Following the code of conduct which is expected of the nurse, working according to the needs of the patients, being a good listener and respecting them. When the nurse shows dignity and respect, she/he tends to develop a therapeutic relationship with patient which in turn results in good health and rehabilitation (NMC, 2008).
The Core Competencies for Interprofessional Collaborative Practice recognizes how communication places responsibility on all team members. Members must have the opportunity to speak up in a respectful way about their concerns and quality of care, and in return be treated with respect. According to the Canadian Nurses Association (CNA) position statement on inter-professional collaboration (2011), it states how the use of interprofessional collaboration is critical for improving client-centred care as well as strengthening effective collaboration with other health professionals (2011). Communication is a common theme that has repeatedly surfaced in my research.
Person centred care is defined as health care professionals work together for people who use the health care services. Person centred care also helps to support the patient’s knowledge and also helps the patient to develop an understanding of their health condition and also gives them the confidence to effectively manage and make educated decisions about their own health and also the health care in which they receive. (Health Foundation 2014). This suggests that each individual needs to be treated with the same amount of respect and they also need to be treat equally. Furthermore, the RCN (2015) argue that important principles of Person Centred Care are respect, dignity and compassion. As professional it is important that
The concept of person refers to the recipient of nursing care, such that no person is the object of care and no aspect of wellbeing is left out (Arnold & Boggs, 2001; Thorne, Canam, Dahinten, Hall, Henderson, & Kirkham, 1998). This not only includes disease and illness states, but also psychological, social and spiritual dimensions. Therefore, factors such as gender, lifestyle, behaviors, beliefs, values, coping skills, habits, perceptions and lived experiences are considered (Arnold & Boggs, 2011). This holistic and multi-centered approach also extends to families, communities, and populations (Schim et al., 2007). The concept of person is central to nursing theory and research, and is fundamental to the, “Code of Ethics for Registered Nurses,” as outlined by the Canadian Nurses Association (2008). In practice, ‘person’ is used to guide client teaching and nursing interventions (Kozier, Berman, Snyder, Buck, Yiu, & Stamler, 2014).
Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the patient’s physical, emotional, and spiritual needs through their hospitalization.
This essay will explain what patient centred care is, how nurses use it in practice, the benefits of using it, and the barriers that need to be overcome to be able to use it, and the key principles of patient centred care. It will explain how patient centred care enables nurses to communicate and engage with the patients in a more effective way, and how it helps understand the uniqueness of each patient, which helps professionals avoid ‘warehousing’ patients (treating them all the same). It will also demonstrate how this type of care can help maintain the dignity of patients when nurses carry out tasks such as personal care. The Health Foundation describes patient centred care as being a type of health system where patients take control of their own care.
Poor care does not only result in bad press and public perception but also break the trust between the patient and nurse. Utilising the theoretical framework developed by Todres et all (2009) which explores eight central aspects of what it is to be human. Todres et al (2009). This model can be used to improve nursing care. Referring to the term ‘being treated as human beings’ not being treated as a number or object.
My most valuable work with patients is to listen and learn from each one, and let them determine their goals. The person in person-centered in care is more of an expert in what’s best for them than I am. As shocking as this fact was to me, it’s been liberating to let go of having to know everything about a patient that I just met. As a result of my experience with my therapy patients, person-centered care has now become the foundation of my practice.
Valuing and listening to a person’s wishes, requirements, likes and dislikes allows individuals to feel respected and in control of their own unique care. (Barker, Ward, 2014). Person centred care is when health care professionals recognise an individual’s unique needs and changes the care they administer to best suit them. When individuals receive person centred care they have a better understanding of what high quality care and support looks like. This makes vulnerable individuals less likely to experience harm, abuse or neglect as they are more likely to speak about it to others if the care they are experiencing care which is not at their usual standard.
In order for nurses to practice ethically they must understand the meaning behind each professional value. The first value is human dignity. With each patient we encounter we must show them respect as individuals. It does not matter what the medical condition is, race, ethnicity, culture, religion or gender of the individual. The dignity of a person must be protected. As nurses we must respect the uniqueness of each individual we care for, as this is a fundamental right of all humans. A person with dignity feels a sense of self-worth and as nurses we must do our best to help our patients maintain that feeling of worthiness.
It is expected by the general public, and nursing institutions, that nurses, and other healthcare professionals, deliver patient-centred care that is up to the utmost standard. To encourage professional conduct within the healthcare setting, nurses are required to follow NMBA’s Code of Professional Conduct. This code outlines the “legal requirements, professional behaviour and conduct expectations of nurses in all practice settings” (NMBA, 2018). It is important that all nurses comply with this Code at all times, as the profession stretches across a broad range of settings and clients, not only restricted to patients in need of care, with the overall aim to deliver a healthcare service that is effective, efficient and utilises the nurse’s clinical and professional skills within the workplace. Also, the nurse’s professional conduct sets the foundation for the level of care a patient receives from the nurse.