The Professional Standards of The College of Registered Nurses of British Columbia,(CRNBC) include the following four key areas: Professional responsibility and accountability, Knowledge-Based Practice,Client-Focused Provision of Service and Ethical Practice(p,2). Each of these standards are outlined well within the CRNBC professional standards, and need to be followed by each registered nurse. If these standards of care are not being met then one must evaluate their own practice or it could need to be reported to CRNBC. This paper will explore three standards of practice and their importance, including: Challenges, Professionalism and Knowledge Based-Practice. These reflect significantly on registered nurses (RN) in Canada, and how they play their role as nurses professionally.
One of the many challenges in being a nurse is demonstrating the professional responsibilities of ones own practice in order to provide proper care to the patients and their families. It is crucial that nurses are in a healthy mental and physical state in order to provide adequate care for the patient. An example of Standard 1, professional responsibility and accountability, Indicator
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6, maintaining “our own physical, psychological and emotional fitness to practice” (CRNBC, 2013,p.8). In the article “Ethical Challenges in Pain Management Post-Surgery,” the nurses had explained that although they are part of a variety of patient difficulties, such as suffering, they must separate themselves from becoming overinvolved in order to keep a healthy emotional and psychological state (N Rejeh et al., 2009).
The nurses do this by following their scope of practice, this involves being with the patient every step of the way and ensuring they are in proper care. While doing such, the nurses consider their own mental state in order to give that proper care. This example meets the standard of professional responsibility and accountability indicator 6(CRNBC,2013) as the nurses were aware of how to maintain fitness to practice by recognizing how to set boundaries and safeguard their emotional
health. When nurses are working in a high pace environment it is crucial for nurses to behave in a professional manner when providing care to clients. N Rejeh et al discusses that in difficult times one has to be able to adapt to certain difficult conditions while remaining professional. (Melchert, E., Uden, G., & Norberg, A. (1997) This condition falls under Standard 1, Indicator 1 that it is accountable and takes responsibility for own nursing actions and professional conduct (CRNBC,2013) by being able to adapt to correct policies in the standards. Using critical thinking when analyzing and interpreting data, and implementing this information into their practice, allow nurses to properly meet their requirements. In addition, Standard 2, Indicator 3(CRNBC 2013). “Ethical Challenges in pain management,” is an example of Standard 4 Indicator 5, protects client privacy and confidentiality (CRNBC 2013). The nurses in this article meet this expectation by offering the client confidentiality into a private room where they can express their pain and the nurse can assist. In addition nurses need to take responsibility for their actions such as this article further describes when discussing they do not know how to manage patients when they are at home (N Rejeh et al.2009). After discharge the nurse is meeting Standard 4 Indicator 2, which coordinates client care in a way that facilitates continuity for the client(CRNBC 2013). Furthermore, this example meets the second standard of knowledge-based practice as well as indicator 8 within this standard. This meets this standard and indicator because the nurse set priorities when planning and implementing care for patients. When the client is discharged home they are provided with the proper education and information on how to manage their care at home and when and how to seek more resources and services. Nurses are responsible for a variety of care and standards, the following article states that clients are affected by stress and irregular challenges that need more assisted help than others in a healthy place. Meeting Standard 6, Indicator 7, Acts to implement changes that improve client care and educational practice (CRNBC 2013 p.18). “I help them find positive ways to deal with it” (Leah Geller,Canadian-Nurse.com,p.26). Nurses are very aware and well trained on their CRNBC. To meet their standards to provide educational and comfortable care. Standard 2, Indicator 2, knows how and where to access information to support the provision of safe, competent and ethical client care(CRNBC 2013 p.11). “We cannot change the human condition, but we can change the conditions under which humans work”(Canadian-Nurse 2015,p.6). This is a powerful quote based on the understanding of nurses and how they use their values of the RN profession. Standard 2, knowledge bases practice, Indicator 3, relates to what the nurse demonstrates in the next article. “The nurse on duty attempted to suction... Mrs. D's labored breathing with supplemental oxygen and morphine”(Cox-Davenport 2015) involves the importance of Critical thinking because the nurse proceeded to evaluate her patient and implementing new techniques when other techniques had failed. In order to be apart of the (CRNBC 2013,) each nurse is referred in clinical practice to understand the Professional Standards
One cannot fake being a nurse, one must be extremely genuine in order to perfect being a nurse; therefore, explaining why nurses enforce and value their code of ethics. The purpose of the code of ethics is to ensure patient safety and implement standard of care by following the nine provisions of ethics. The nine provisions explain the nurses’ responsibility while caring for a patient; for example, maintaining the rights and autonomy of a patient. Another point that the provisions highlight is being the patient advocate, nurses are in the front line of patient care and they must protect their patients. An important guideline that the nine provision emphasize is the need and requirement for nurses to continue with their education to promote beneficent and to avoid maleficent. The National Nursing Association (ANA) states that the nursing code of ethics “reiterates the fundamental and the commitment of the nurse” (Lachman, Swanson, & Windland-brown, 2015). The purpose of this paper is to highlight the obligations and duty of a nurse and why it is important when attempting to maintain standard of care.
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
It is the nurse’s duty to provide optimal care, take the right action, and deliver quality nursing care. Professional and ethical actions promote the best possible patient outcomes.
Standards are important aspects of nursing that a nurse must learn and implement every day for the rest of their nursing career. These standards provide for a nurse’s competence in the quality of care they deliver to the public. Standards offer a necessary guidance to nurses everywhere in an effort to ensure that people are treated correctly and ethically. Patients expect nurses to have a general knowledge of the medical realm and to know exactly what it is they –as nurses- are responsible for. Nurses need to have a sense of professionalism that enable the patient to feel safe and secure, knowing that a competent person is caring for him. A lack of professionalism does the opposite, making it impossible for a patient to trust or respect the nurse caring for him. Standards of nursing, if utilized correctly, give the nurse that sense of professionalism the patient is expecting. It insures for the safety of the patient and allows the nurse to provide quality health care that is expected of a medical professional.
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 ...
Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as well as the nursing standards. Through education in areas such as confidentiality, boundaries can remain in tact and the patient care can remain within the zone of helpfulness.
The philosophy of nursing consists of values, beliefs and ethics that shape the way a nurse thinks, performs their duties, and behaves. “Philosophy is the intense and critical examination of beliefs and assumptions. Philosophy gives coherence to the whole realm of thought and experiences" (Burkhardt, Nathaniel, & Walton, 2014, p.25). Nurses follow their personal philosophies, but also need to adhere to the professional standards and guidelines set by their governing body. This paper will discuss my personal nursing philosophy including my values, beliefs, ethics and clinical practice. I will outline my definition of nursing philosophy and how this relates to standardized practice guidelines
There are legal requirements and policy to govern specific areas of health care practise. It differentiates nurse responsibilities, help establish boundaries of independent nursing action and assists in maintaining a standard to ma...
According to the American Nurses Association, nursing is defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations” (American Nurses Association, 2016). Nurses have many jobs and responsibilities and wear many different hats. Nurses can perform at many different levels depending on their scope of practice which is defined by the board of nursing in one’s state of residence. It is important as nurses to understand and follow
Professionalism in the workplace in many professions can be simplified into general categories such as neat appearance, interaction with clients, punctuality, general subject knowledge, and likability. In nursing, professionalism encompasses a much more broad and inclusive set of criteria than any other profession. Nurses specifically are held to a higher standard in nearly every part of their job. Nurses are not only expected to uphold what it seen as professional in the aforementioned categories, but they are also expected to promote health, wellbeing, and advocate for patients, but also continually provide the highest standard of care, demonstrate exemplary subject and procedural knowledge, and abide by the Code of ethics set forth by the American Nurses Association. This Code of Ethics includes the complex moral and ethical principles of autonomy, beneficence, nonmaleficence, fidelity, honesty, and integrity.
This provision is strongly connected with nursing as a human science because one has to treat every patient in a unique matter with respect, compassion and empathy to their particular situation they are experiencing. The third provision interrelates with the fundamental nursing responsibilities of optimizing the health by advocating for the patient and protecting the patient. In sixth provision, it explains how nursing is group work that is constantly being evaluated, and improving to provide a safe but quality environment for everyone. (Morrisard, n.d.) Each of code of ethics are essential in providing care for the patient as well as protecting the patient’s safety, rights, and
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
Working in health care is an important job. People put their trust in us to do our very best to provide them with the absolute best care. Being entrusted with such responsibility requires nurses to conduct themselves both professionally and ethically. Nurses must adhere to the professional values of human dignity, integrity, autonomy, altruism, and social justice. It is these five values that guide us in our practice and as nurses we must promote and emulate these values. They play an important role in the quality of treatment and success of an organization and help us determine right from wrong.
The American Nurses Association created guidelines for the profession including, a set clear rules to be followed by individuals within the profession, Code of Ethics for Nurses. Written in 1893, by Lystra Gretter, and adopted by the ANA in 1926, The Code of Ethics for Nurses details the role metaethics, normative ethics, and applied ethics have within the field (ANA, 2015). Moral obligation for an individual differs within professions than it does within an individual’s personal life, so the code of ethics was written to establish rules within the profession. The moral obligation to provide quality care include the fundamental principles of respect for persons, integrity, autonomy, advocacy, accountability, beneficence, and non-maleficence. The document itself contains nine provisions with subtext, all of which cannot be addressed within this paper however, core principals related to the ethical responsibilities nurses have will be
Similar to all regulated professions that create their own standards to provide framework for the employees and describe the professional expectation of them, nursing has its Practice standards. Although all seven practice standards which developed by CNO are very important, in my point of view continuing competence is the most important one for the following reasons.