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Accountability in nursing
Accountability in nursing
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As outlined by the Nursing and midwifery Council standarsd for assessment and practice (2008), a mentor is an obligatory prerequisite for pre-registration student nurses and at some point in a nurses career, mentorship is a required professional development (Ali & Panther, 2008). The NMC standards (2008) also relay facilitation of this development has been set out in the standards under eight domains which qualify a nurse to become a mentor when they are able to demonstrate knowledge and achievement of these outcomes, for entry onto the mentor register.
The eight domains are as follows; establishing effective working relationships, facilitation of learning, assessment and accountability, evaluation of learning, creating an environment for learning,
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I will adhere to this by omitting names and places and will use fictitious information throughout the assignment. I will refer to the student as Paul.
Nurses are accountable to a series of people within the context of mentor responsibilities such as the student, the professional body, the public, the mentor themselves and associated educational providers and trusts which will be explored more in depth later on.
Mentors are accountable to the student to ensure effective facilitation of learning to develop their skills (NMC, 2008). RCN (2006) second this statement acknowledging nurses are accountable for students entering the register by assessing their knowledge, skills and competence.
As a mentor you are accountable for your actions and professionalism and how this can influence others which the NMC code of conduct (2015 standard 20.8) reiterates stating the nurse should “act as a role model of professional behaviour for students and newly qualified nurses and midwives to aspire to.” However it is also your clinical judgement that allows a student to continue through their nursing programme therefore expressing the overall accountability of the mentor in the learner’s placement , NMC standards (2008 section 3.2.3) “Mentors will use their professional judgment and local/national policy to determine where activities may be safely delegated to students and the level of supervision
Introduction The College of Nurses of Ontario (CNO) is the governing body of all registered nurses in Ontario and is regulated. The CNO provides expectations and guidelines to follow, which need to be met by each Registered Practical Nurse (RPN) individually. As a nursing student, I am taught about the CNO and the importance of referring back to the guidelines while caring for patients. While gaining experience in the nursing field through my clinical settings, I have realized as a nursing student there are areas I need further development in. In this paper, I will address two of my learning needs and my goals for each.
setting. Journal of Nursing Education, 41(2), 61-68. Retrieved from CINAHL Plus with Full Text database.
Nurses are able to reflect upon their past experiences of work and build and improve this ensuring their level of competence and skills is in line with NMC guidelines. Improving the quality of care provided to patients is an ongoing process and requires practitioners to contently reflect and improve their practice. (Howatson-Jones, 2013) One way in which reflection can improve the quality of care is through the use of professional supervision, as stated by (Daly, Speedy and Jackson, 2014) a focus for supervision should be enhancing a nurse’s skills and ability to reflect on practice. It should reflect on the standard of care provided and highlight areas for improvement such as further training. This, in turn, leads to a greater self-awareness of practitioners’ own abilities. The process is not about finding faults, but to improve and learn to ensure the quality of care is high and professional for all patients. Being self-aware is a skill important to reflection and the provision of quality of
...ves with practice, it is important for students to gain knowledge about the skill and use them when on clinical placements. Learning these skills will also prepare the student nurses in future to delegate task when they qualify and become RN’s. In relation to my nursing practice, when I become a registered nurse, I will assist student nurses in their career by delegating tasks to them that are within their level of competence as well as making sure that all tasks assigned to them are duly supervised and follow up on the delegated task. I will encourage them to seek clarification where necessay. Providing feedback and praising them for work well done is another thing I would bring into my practice. I will equally inform them through feedback of any task which did not work well and show them areas where they need to improve upon.
It is important that students have the ability of being competent in a clinical setting. To be deemed competent in skills according to nursing regulations and requirements. This is a challenging factor for many students, as they enter transition period. This is due to students feel they do not have the desired clinical competency that promotes the skills and authorities of a registered nurse (Harsin, Soroor & Soodabeh, 2012). Clinical research studies have found that students do have the required expected levels of knowledge, attitude and behaviour’s. However, the range of practical skills aren’t sufficient for the range of practice settings (Evans, 2008). This research has also found that other evidenced based studies found that competency in nursing skills is still lacking (Evans, 2008). These skills are lacked by students and newly graduated nursing how are in the first or second year of
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...
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
This assignment will be based on continual professional development and will aim to identify a learning need encountered in my previous clinical placement. Through reflecting on my previous placement, I have identified that my lack of knowledge and organisation skills have impacted on my confidence and ability to hand over to qualified nurses. Therefore, the learning need I have identified involves improving my confidence, knowledge and organisation skills, in communication handover with qualified nurses.
Realistically, most students are not privy to the winding journey of a nursing career. Students learn how to bathe, medicate, feed, assess, and some psychosocial concepts. However, there is no class that teaches or can teach students how to stand back and watch your patients struggle to help themselves, how to face your own mortal...
Provision seven refers to nurse advancement of the profession through contributions of practice, education, administration, and knowledge development. Nurses serve by participation in the profession as mentors, on board of professional committees, and active leadership roles within their organization. While nurse educators promote the advancement of nursing through fostering professionalism and civic values; nurse managers and administrators are responsible for providing and environment which promotes ethical integrity and professionalism (ANA,
Continued Professional Development is now an important part of ongoing registration with the NMC and is essential in maintaining professional standards. In order to revalidate, nurses must write 5 reflective accounts within a 3 year period and each reflective account must explain what the nurse has learnt from the CPD activity and explain how it relates to the Code of Conduct and in particular the 4 themes of Prioritising People, Practicing Effectively, Preserving Safety and Promoting Professionalism and Trust.. Nurses also have to discuss the written reflective accounts with another NMC registered nurse coving the 5 reflective accounts Section 9.2 of the NMC code of conduct asks nurses to “gather and reflect on feedback from a variety of sources, using it to improve your practice and performance” (NMC, 2015) This is why the NMC promotes reflective practice as it ensures the nurse is practicing within their competency and in a safe manner while identifying any areas for improvement in their practice Reflective practice also makes the nurses more accountable for their actions.. (NMC, 2015) Reflective writing is an important feature of professional practice. Nurses have to keep a record of their continued professional development. At annual reviews nurses are able to present evidence of their development through a portfolio which should contain reflective accounts of their practice. These reflective accounts will help them identify strengths and weaknesses, highlight their performance, improve their skills and highlight any area that could be
To improve my understanding of maintaining my capability for practice as a RN, I set a goal to learn in depth from my classes, related units, and through interacting with my friends and tutors. There were many setbacks on the way, but as I became more acquainted with the matter I began understanding better. In this reflection I’ll use Gibbs reflective cycle (Gibbs, 1988) to address my experiences as a student nurse in fulfilling the maintenance and capability for practice. Description Through tutorials, lectures and simulation classes every semester, our practice is enhanced and maintained so that the skills and knowledge we learnt is always nurtured while new ones are gained.
Coaching and mentoring are vital tools in developing the workforce, most especially in enhancing quality practices at the point of care, and also innovating these practices. According to Abiddin (2006), mentoring and coaching are factors which are vital in developing people in their professions. As such, these two are related with career and self development and professional growth (Abiddin, 2006). In line with this assertion, this paper will discuss about the current relevance of mentoring and coaching in nursing in today's healthcare; how it influences both healthcare and nursing; how it is integrated into clinical practice; and how it is used in the clinical setting.
Saying that you are a registered nurse is a broad statement. Registered nursing is a job that has many aspects. Registered nurses work in many different settings and they carry out many different routines. As a registered nurse you could be exposed to many different opportunities. My goal is to be a registered nurse but, I need to learn a lot. Becoming a being a registered nurse requires a lot of hard work and effort but, if I focus on my goal I will be able to achieve it.
The learning environment and practice placement I currently work in is a substance misuse service. The clinical learning environment is where students work directly with patients whilst enabling them to and are able to conductively learn. Burns and Patterson (2005) state it is the responsibility of higher education institutes in partnership with the NHS to prepare nurses to cope with the complex nature of clinical practice. In my opinion I believe mentors play a significant role in relation to the clinical learning environment, as mentors are who support the student during their placement. Students learn most effectively in the environments that facilitate learning by encouraging and supporting whilst also making them feel part of the team