C304 Professional Roles And Values
Question
Task 1: Professional Nursing Practice
Introduction:
Requirements:
B. Identify the contributions of two historical nursing figures in the nineteenth or twentieth century.
C. Explain the functional differences between the State Board of Nursing and the American Nurses Association (ANA).
D. Discuss the functional differences between the Food and Drug Administration and the Center for Medicare and Medicaid Services (see the web links below).
E. Discuss the purposes of the Nurse Practice Act in your state and its impact on your professional practice.
F. Apply each of the following roles to your professional practice:
G. Identify two provisions from the American Nurses Association (ANA) Code of Ethics (see web link below).
H. Identify four leadership qualities or traits that represent excellence in nursing.
Answer
Professional Roles and Values
A. The Florence Nightingale’s Environmental Theory
1. Nightingale application of essential features that meant to ensure hygiene of residences. The home surrounding was the major situation Nightingale addressed in her theory. Nightingale educates on how to develop a favorable atmosphere to the patient’s health recovery back at home and suggested modifications on how hospitals were to be managed and built (Shafakhah, Molazem, Khademi, & Sharif, 2018).
Other health officer’s responsibility was to make judgments and analyze situations concerning a patient’s health. Hence, the caregiver, the primary concern in this theory apart from the patient, must be able to communicate with the professionals as this effect was the basis of efficiency in the patients care and welfare (Rooddehghan, Yekta, & Nasrabadi, 2018).
Some concepts which are not common are highlighted that is aeration about environment conservation the uncontaminated outside heat and air, to create a temperature that is moderate in the patient’s room preventing cooling.
2. As stated earlier, Nightingale left behind a legacy having in it surrounding as a very vital principle for the professional’s practice (Rooddehghan, Yekta, & Nasrabadi, Ethics of rationing of nursing care, 2018).
- The proper management of the dwelling impacts the healing of the patient.
- All external influences and conditions that affect the development and life of an organism are capable of suppressing, contributing to disease preventing and death.
- A sterile environment lowers many instances of infections.
- Appropriate clothing, bed and bed linen, nutritious foods and personal hygiene of an individual are crucial.
- Nursing care includes the house the patient lives in and those in contact with the patient, in particular, the caregiver.
2. As already mentioned, the legacy left by Nightingale has the environment as a fundamental principle for the practice of the profession. Hence, the theory enhances the development of the following concepts;
- With the proper clothing, you can keep, at the same time, the patient warm and in a well-ventilated environment.
- Nutritious food, beds, and appropriate bed linen and an individual’s hygiene are essential
- With the clean environment the number of cases of infection decrease
- All external conditions and influences that affect the life and development of an organism can prevent, suppress or contribute to disease and death.
B. Contributions of Florence Nightingale
Trust building; Professional outspokenness towards patients builds up trust and security
Communication skills; understanding the patient’s views lowers strain when communicating with the patient and reduces position shifting (Magelssen, Gjerberg, Lillemoen, Førde, & Pedersen, 2018).
Confidentiality: any nurse should be able to be confidential.
Contributions of Mary Breckinridge
Established FNS, offered healthcare to isolated places and the poor.
Members of FNS initiated American Associated of Nurse-Midwives.
FNS help to lower the mortality rate in Kentucky below the average of the nation.
1. Nightingale’s theory was introduced to produce the required ethics in nursing. Thereby created a solid foundation for various principles of nursing which came later. The contribution of Breckinridge focused on helping the poor access and learn to keep their health.
2. Nightingale has created ethics in the nursing profession. Ethics which include observation, confidentiality, and trust turn out to be the basic foundation in nursing while Breckinridge enlightened the public on the necessity of nursing associations and bodies (Sadooghiasl, Parvizy, & Ebadi, 2018).
C. Firstly, whereas the only role of BON’s is patient’s safety attended to by nurses within their control, the part of the nursing organization is to push on the interests of the public and its membership. Secondly, nursing organizations attend to the society and the profession through advancing the practice and philosophy of nursing. Thirdly, the scope of practice of nurses is determined by the BON’s only as its position and policy statements under the law carry weight (Grace, 2017).
1. Roles of BON’s
- Implement, enforce and interpret the NPA in regards to nurse practice, education, and licensure.
- Investigate possible violations and receive complaints of the NPA and discipline violators.
- Recommend changes to the legislation to the Nursing Practice Act.
- Develop procedure and policies to implement the NPA
Roles of ANA
- Advocating on healthcare issues which have an impact on the public and nurses.
- Promoting ethical and safe work environment.
- Fostering high nursing practice standards.
- Bolstering the wellness and health of nurses.
2. ANA is the voice and needs of its members. Instances where there are funny health care reforms, its role is to advocate for essential roles played by nursing expertise in the development of policy initiatives and to protect the interest of nurses and healthcare consumers. Boards of nursing are allowed to come up with administrative regulations and rules that may be used to create more specific statuses or clarify.
3. Renewal of license is required every three years from the New York State Board of Nursing. A fee of $35 for each period of restoration is needed. There is no requirement for educational qualifications for the licensure.
3a. A nurse is responsible for disciplinary mechanisms if the nurse fails to keep up with the requirements of licensure and will be treated as though the revocation of the license was by disciplinary.
4. A nurse will not be qualified for several state license where their PSOR is not a compact state. The nurse will be given a one- state license if they applied for a license in a compact state, and whereby the nurse’s PSOR is one of a compact state, the nurse would be qualified for a several state license.
D. CMS provides programs for affordable health care to citizens of America whereas the RDA controls drugs and food. The CMS supervise the standards of security, insurance policies and handle authorization while FDA manages medical insurance provided to the public. FDA helps in maintaining the safety of the public by regulating medicines which some CMS customers may be prescribed (Rich, 2015).
1. CMS has impacted nursing career by helping nurses to be advocates for the patients. For patients that lack private insurance, Medicaid or Medicare would be a choice for such patients so long as they met the requirements. Helping a patient find affordable insurance enables nurses to be able to offer patients quality services and blows away the stress of having to pay a lot of money (Burkhardt & Nathaniel, 2013).
FDA on the other hand also has influenced the nursing profession of nurses through regulating the medications nurses deliver to patients. The set standards for medications enables nurses to dispense the given medications based on known facts regarding them (Milliken, Nurse ethical sensitivity: An integrative review, 2018).
1a. The basis of nursing advocacy involves different roles, and one of them is the preservation of human dignity in that can incorporate all issues of patient care, upholding standards, making sure that concerns are handled and positive results as the goal. Hence, nurses can offer support and help patients make informed decisions by providing relevant information that can uphold the patient’s decision regarding a request for alternative therapy, especially, if the patient is competent and alert (Hanks, Starnes?Ott, & Stafford, 2018).
E. It establishes the purpose of nursing practice, to protect public health safety in the within the jurisdiction of practice and in the state. It supervises adherence to the scope and standard of practice, generally, professional conduct. It oversees licensure requirements compliance by verifying license qualifications for renewals and new graduates. Identifies whom to use nursing titles and also safeguards RNs titles for only the eligible individuals may apply the RN designation. It is in charge of disciplining nurses who have violated nursing laws (Gallagher & Jago, 2018).
1. In the New York State, practicing as an RN involves treating and diagnosing human responses to potential or actual health problems through using health services and providing supportive care to the restoration of life. The profession also requires legal authorization through respective licensing before executing the nursing medical regimes as defined by the New York Law.
2. The New York State defines delegation as the act of registered nurse to appropriately allocate nursing duties to competent Licensed Practical Nurses who have gone through certified training. These delegations depend on the RN’s professional judgment, procedures and policies of the institution, the nursing standard, and the LPN’s competency.
F. Scientist: Nurses take part in scientific research to enlighten healthcare critiques and decisions, implements and disseminates evidence to impact practice.
As a detective, an RN uses clinical imagination that is coupled scientific judgment to determine the outcome of subtle deviations and changes from the expected results then looking for preventive and control measures of regulation, thereby, restoring health effectively.
Healthcare Environment Manager: the healing atmosphere is worldwide in nature and involves considerations of regulations, finance, and healthcare policy that ultimately contribute to the development of a healing environment. The nurse would, therefore, consider these environmental factors, understand their unique designs and look for methods to reduce anxiety and stress in the staff and patients (Watts, Medeiros, Mumford, & Connelly, 2017).
G. Provision I: nurses operate with respect for intrinsic dignity and compassion, unique and worth feature of every human being.
Provision II: The primary commitment of a nurse is towards the patient even if a community, individual, family group or population.
1. 1st provision: This is the foundation of a Registered nurse profession. For every for every family member, patient or caregiver encountered, provision I influences my behavior and actions to promote respect and compassion towards different individuals. Thus, protecting human rights and dignity.
2nd provision: This provision is well explained when a patient requests for alternative therapy. If the patient is alert and competent, the RN has to help in producing an informed decision to the physician addressing the reasons for the patient’s stand, since every patient has the rights to make decisions on their health.
2. An error may occur in a clinical setting whereby a nurse improperly delegates tasks to unlicensed personnel. Unlicensed personnel lack qualification in performing healthcare duties and could lead to inadvertent harm to patients. An RN can help in producing informed decisions as shown in provision II, but poor delegating of this duty to unlicensed individuals may lead to harmful results on the patient.
2a. The provision I: Nurses have to be able to respect human life and handle human life with compassion and dignity as described in provision I. Hence, provision I cautions against poor delegation in clinical settings since it would be a lack of respect to the human life. Provision I directs for proper duty delegation to licensed personnel
Provision II: Nurses have to commit their care to patients and always look for ways of offering beneficial care. Delegating RN duties to unlicensed personnel such as family members goes against provision II since unlicensed personnel lack qualifications for providing best services in clinical settings. Hence, RN has to properly delegate though some family members may want to care for their ill relative solely.
H. Four leadership attributes that bring out the brilliance in nursing are commitment, advocate, accountability, and compassion.
1. Where a nurse is in charge at the bedside in such a case is an advocate for the patient. The nurse at the bedside advocates through the following for the patient expressing, seeing and hearing whatever the patient requires. Nurses exhibit compassion through taking time to understand and listen to what the patient is saying. Through doing what nurses promise to accomplish in itself is commitment. Accountability kicks in where nurses indicate responsibility for roles undertaken thereby building trust (Milliken & Grace, 2018).
When nurses are in the interdisciplinary or nursing team, compassion is well exhibited by taking time to listen and hear whatever the audience is saying to generate thoughtful answers. Commitment in undertaking the tasks assigned by the interdisciplinary team or nursing team indicates professionalism. Advocacy exhibits when nurses express sees and hears what the interdisciplinary team or nursing team needs to progress in decision making or teamwork (Schmidt & Mcarthur, 2018).
2. Nursing leadership: a work environment punctuated with dissatisfaction and tension often leads to a disconnected hierarchy in leadership. This workplace I filled with dishonesty and miscommunication that badly affects leading capability in RN. Workplaces with honest, sharing and frequent strategy discussion provides a good connection helpful in developing leaders.
Decision making: a clinical setting with appropriate support of RN minimizes terrible levels of emotions and stress resulting in precise decision making. Getting into practice requires support, while another nurse may be resilient in overcoming barriers and making good decisions, others may not be resilient and having a workplace that offers support to RNs greatly bridges the gap between the two in decision-making.
Professional development: a clinical setting with different practical applications broaden the skills of the RN for professional and advanced development. Workplaces with a variety of latest technologically improved medical equipment offer appropriate professional development compared to workplaces having less medical equipment. Additionally, RNs who get diverse hands-on experience are well off professionally.
References
Burkhardt, M. A., & Nathaniel, A. (2013). Ethics and Issues in Contemporary Nursing. Texas: Cengage Learning.
Gallagher, A., & Jago, R. (2018). Understanding professional misconduct. Snowflakes, stoics or organizational culture, 415-417.
Grace, P. J. (2017). Nursing Ethics and Professional Responsibility in Advanced Practice. Chicago: Jones & Bartlett Learning.
Hanks, R. G., Starnes?Ott, K., & Stafford, L. (2018). Patient Advocacy at the APRN Level: A Direction for the Future. In Nursing forum, 5-11.
Magelssen, M., Gjerberg, E., Lillemoen, L., Førde, R., & Pedersen, R. (2018). Ethics support in community care makes a difference for practice. Nursing ethics, 165-173.
McAndrew, N. S., Leske, J., & Schroeter, K. (2018). Moral distress in critical care nursing: the state of the science. Nursing ethics, 552-570.
Milliken, A. (2018). Nurse ethical sensitivity: An integrative review. Nursing ethics, 278-303.
Milliken, A., & Grace, P. (2018). Nurse ethical awareness: Understanding the nature of everyday practice. Nursing ethics, 517-524.
Rich, B. K. (2015). Nursing Ethics. California: Jones & Bartlett Publishers,
Rooddehghan, Z., Yekta, Z. P., & Nasrabadi, A. N. (2018). Ethics of rationing of nursing care. Nursing ethics, 591-600.
Rooddehghan, Z., Yekta, Z. P., & Nasrabadi, A. N. (2018). Ethics of rationing of nursing care. Nursing ethics, 591-600.
Sadooghiasl, A., Parvizy, S., & Ebadi, A. (2018). Concept analysis of moral courage in nursing. A hybrid model. Nursing ethics, 6-19.
Schmidt, B. J., & Mcarthur, E. C. (2018). Professional nursing values: A concept analysis. In Nursing forum, 69-75.
Shafakhah, M., Molazem, Z., Khademi, M., & Sharif, F. (2018). Facilitators and inhibitors in developing professional values in nursing students. Nursing ethics, 153-164.
Watts, L. L., Medeiros, K. E., Mumford, M. D., & Connelly, S. (2017). Qualitative evaluation methods in ethics education: A systematic review and analysis of best practices. Accountability in research, 225-242.
Use the following coupon code :
SAVE10