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Contributions of Florence Nightingale in nursing practice
Contributions of Florence Nightingale in nursing practice
Florence Nightingale's major concepts of nursing theory
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In the past nursing practice was identified as an art or a calling, by Florence Nightingale, “where patient had to be put at the best condition possible in order for the nature to take place upon them” (LaSala, 2009), however at present one does not merely become a registered nurse (RN) or keep the registration as a Registered nurse, after undergoing 3 years of higher education at degree level (Jacob, Sellick, & McKenna, 2012), present registered nurses must demonstrate competence to provide necessary care, as specified in relevant Legislations and National board standards of the said country or state, in accordance with educational preparation received, whilst maintaining competence to provide continual care by maintaining standards through …show more content…
This frame work assists nurses to deliver competent and safe care. National competency Standards can also be utilized as a framework to assess nurses that maybe involved in matters of professional conduct. Professional practice is the first domain of National Competency Standards of Australian Nursing and Midwifery Council, this includes and relates to legal, ethical and professional responsibilities registered nurses are bound to. Professional practice is demonstrated through a sound knowledge base, practicing accordance with legislation and being accountable for his/her own practice (Pardey, …show more content…
At present a nurse is considered as a member of a profession, therefore they are held legally accountable and could be struck off the professional register for any unprofessional conduct (Tilley & Watson, 2008). Accountability in nursing practice come from within the practice itself. Nurses are expected to accept accountability and responsibility, during patient care, delegating tasks to staff, teaching, research and for own learning and development. Adaptability, problem solving skills and confidence lead to a sense of accountability in nurses which in turn will instigate, better patient outcomes (Ruhs, 2013). Literature review of Krautscheid states 19 of the cited articles looked at 4 main areas in accountability, these were nurses being accountable for their lifelong learning, upholding standards of the profession through good nursing practice, quality patient care and their omissions. Nursing Midwifery council of the United Kingdom describes good nursing practice as putting service users first and providing safe and effective care whilst promoting trust through professionalism (Nursing Midwifery Council, 2015) . If a nurse, state is unsure of their practice or is unable to control the results or outcome of his/her nursing practice or cannot fully commit to be accountable they demonstrate lack of accountability in their practice
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.
Registered nurses came through a long way back to the 19th century, when they used to provide care to the injured soldiers and other injures strangers. Florence Nightingale was the first influenced in this career. She was a daughter of a British family who worked her life to improve the field of nursing. Her main goal was to spread this field throughout the countries. As a success the first school was in the United States, in Boston. Then later it was passed to New York and others states. In today’s society we are still acknowledge to her great work. And improve the medical field for a better upgrade towards today’s society and generation.
...Council, M., & Federation, A. N. (2008). Codes of Professional Conduct & Ethics for Nurses & Midwives, 2008: Australian Nursing and Midwifery Council.
The American Nurses Association (ANA) sets forth scope and standards of practice to facilitate the social contract between society and the nursing profession as a whole. The Scope of Nursing Practice describes the “who,” “what,” “where,” “when,” “why,” and “how,” the duties, of nursing practice (American Nurses Association, 2015, p. 2). The nursing profession is continuously evolving and develops on past works. In response, the ANA revises and updates the standards every five years. They are important because professional nursing practice regulation is based on these standards, the code of ethics, and specialty certifications. The 2010 and 2015 Scope and standards editions are important as they have variations speaking to competencies,
All nurses and midwives must meet the Registration standards set out by the Nursing Midwifery Board of Australia. These standards included in the nurses’ portfolio should cover; Continuing Professional Development, ensuring the nurse is continuing to maintain, improve and their knowledge, by attending education related to their nursing subject area (Sinclair, 2013). Criminal History, as stated is to guarantee the nurse will not affect their area of nursing and will be able to work, collaboratively with all individuals promoting and providing health care as defined as a nurse. English Language Skills is a registration standard is five years taught and assessed in English. Nurses must not practise in their profession unless they have appropriate Professional Indemnity Insurance Arrangements. Under the Regency of Practice standard Nurses must undertake sufficient practise to demonstrate competence in their profession. Endorsement scheduled medicines to be eligible for endorsement for scheduled medicines; a nurse must complete an accepted curriculum determined by the
Competence in nursing is having the knowledge, judgement, skills and experience to carry out professional duties correctly and effectively (RCN, 2009). All nurses must prove their level of competence before they can become registered as a nurse. They must do this by showing their competencies in all fields of nursing, and by proving their specific competencies in their own field of nursing, without doing this, they will not be allowed to practice. This ensures that all practicing nurses have a high level of competency. The nursing and midwifery council also states that to protect the public they ensure that they set standards for education, training and conduct, and by ensuring registered nurses keep their skills and knowledge up to date.
1. Legal, ethical and professional principle frameworks underpin all fields of nursing, and it is a requirement for all Registered Nurses to be competent and knowledgeable, act with integrity and maintain professional standards set out by Nursing and Midwifery Council (NMC, 2015). Working with multidisciplinary teams within our profession, it is important to acknowledge and recognise the way in which all the professionals are guided by law and their independent regulatory bodies. The needs of the individual patient is to be considered by doctors and nurses alike, who share professional values and are set out in the respective codes of practice, The Code (NMC, 2015) and GMC (2013).
While on the unit I made sure to use my time wisely, I completed my assessment in a timely manner, advocated for pain medication, checked on fellow nursing students, and kept patient’s rooms organized and clean. Professionalism was also exhibited in my clean outfit, with my hair back, name badge on, nails cut, and appropriate footwear and clinical tools on hand.
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.
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
Nursing is a medical profession that involves the care and management of patients majorly in the hospital setting. This paper seeks to illustrate the fact that nursing is both a science and an art. Nursing is a science because it involves evidence based practice, education of the public, lifelong learning for the nurse and administrative roles that are allocated to the nurses. Nursing is also an art because nurses depend on intuition, have the capacity to promote positive change, are understanding and culturally sensitive.
In the todays century, the responsibilities, roles, and opportunities for nursing and nurse education has grown abundantly to that of modern day nurses. Many nurses in the eighteen century were not educated nurses and never attended nursing school; however, they still provided care for the sick, poor, and needy and played a vital role in health maintenance. With the hard work from many notable nurses in history such as Florence Nightingale, Clara Barton, and Isabel Robb and the persistence and dedication for change from influential nurses such as Mary Mahoney and Mabel Staupers; nursing today has transformed in many aspects of practice. Although nursing as a profession is continuously evolving throughout the years, the core foundation of nursing hasn’t changed in that nursing is a profession of caring for others and servicing those in need.
One of the goals of nursing is to respect the human rights, values and costumes of a patient and his or her family and with the community as a whole. The International Council of Nurses states that nursing practice can be defined generally as a dynamic, caring, helping relationship in which the nurse assists the client to achieve and maintain optimal health. As health care providers, we have some fundamental responsibilities such as to promote health, to prevent illnes...
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.
Nursing is more than merely a job, an occupation, or a career; it is a vocation, a calling, a frame of mind and heart. As a nurse, one must value the general good of others over his own. He must devote of himself nobly to ensure the well-being of his patient. However, today’s well-recognized nurses are notably different from nurses of the recent past. Service is the core of the nursing profession, and the essential evolution of the vocation reflects the ever-changing needs of the diverse patient population that it serves. As a profession, nursing has evolved progressively, particularly in its modernization throughout the past two centuries with the influence of Florence Nightingale. The field of nursing continues to grow and diversify even today, as nurses receive greater medical credibility and repute, as its minority representations