Capability for Practice Through Lifelong Learning and Professional Development

Component One

National Nursing and Midwifery Board of Australia has given standards of practice that is expected by the registered to be followed or upheld and the same is used for the provision of quality of care given to the patients (Terry et al., 2017). Registered nurses are expected to practice in a manner which is person-centred, evidence-based and is preventative, curative, formative, supportive, restorative and palliative. Seven standards are prescribed which are registered nurses standards of practice which the nurses are expected to work accordingly and the nursing practice is considered professionalism and ethical practice. The standard that is being discussed here is standard six. It attributes to the provision of safe, appropriate and quality of care which is responsive as a part of nursing practice. As a registered nurse, it is the responsibility to make sure that patients are given safe, comprehensive and quality of practice such that the health goal of the patient as mutually agreed upon is achieved (Bucknall et al., 2019). The quality and the responsiveness of the care should be such that it is based on the best available evidence along with the clinical expertise and preference of patients.

The registered nurse should identify the limitations of their practice such that as and when required the assistance is sought and escalated when required so that the care of the patient has not deviated (Griffiths et al., 2016). It is the responsibility of the registered nurse to make sure the various aspects of the patient care are appropriately delegated and it is done by the nurse by understanding the scope of practice of the team members like an enrolled nurse and others so that clinical and non-clinical roles can be allocated. The practice of the nurse in the healthcare of the patient is such that it is in accordance to the national guidelines, standards, regulations and legislations also within the realms of the policies as provided by the organization being employed in. Working in the healthcare system a registered nurse is expected to assess the potential and actual risks in the system so that if the practice is below the expected standards it can be evaluated and rectified. A registered nurse while working in an organization does not have much autonomy and is expected to work harmoniously as a part of the team that works for the healthcare of a patient (Yew et al., 2018). As a part of the team also the nurse is expected to work such that comprehensive, safe and appropriate care is provided to the patient and it is evidence-based influenced by clinical expertise of the team and preferences of patients.

As a student nurse getting prepared to become a registered nurse, I have learned many important aspects of nursing care for the patient. I had the perception that the care of the patient is related to the knowledge that is present in the books or the course that is being taught but now I have the understanding that it is not limited to the books. Practical knowledge is very important and safety of the patient is the most important aspect to the care of the patient and time is of the essence along with the appropriateness of care. As a nurse, it is not only important to take care of the patient but at the same time, it is required that there is appropriate coordination between members of the team. One of the most important things that I gained as knowledge is that not just the hospital regulations or the policies are important but even the national guidelines and standards are equally important. If these are not followed or upheld the nurse can be deemed unprofessional and can have ethical and legal implication.

Component Two

In the profession of healthcare, ethics is an important component so that the care provided to the patient is appropriate, safe and if not followed can have ethical implication and can cause legal problems to everyone involved in the care process of the patient (Cowin et al., 2019). The code of the ethics for the nurses is such that it outlines the commitment of the profession and the professionals to respect, promote, protect and uphold the fundamentals so that right of patients as humans is not violated. Nursing and midwifery board of Australia has provided the code of ethics which consists of eight standards and all of them are required to be followed by the registered nurses. The code that is discussed here is that the nurse should value the cultural safety in nursing practice and healthcare. Australia is a land with cultural diversity and it is required that nurses being an integral part of the healthcare should recognize and work in such a manner that the care provided to the patient is culturally safe and sensitive.

Nurses are expected to value cultural safety and it is the responsibility to make sure that all the patients are safe within the realm of healthcare (Fleming et al., 2019). Nurses have less autonomy in the care of the patient but they also have a role in other organizations or authorities where development takes place regarding the improvement of safety and quality of healthcare of the patient. In relation with this, the nurses are expected to actively promote the provision of equitable healthcare which is just and culturally and socially responsive care to patients who are of variant cultural background. To provide culturally safe and sensitive care it is required that the nurse can do cultural identification and cultural reflection (Fleming et al., 2019).

Component Three

In the healthcare system, it is required that the safety of the patient is of utmost importance and to make sure that everyone in the healthcare service provider should follow and uphold the standards of care so that the safety of the patient is not compromised. Australian commission on safety and quality of the healthcare in collaboration with the governments of Australia, state and territories along with the private sector, clinical experts and consumers of healthcare have formulated national safety and quality health service (Boamah et al., 2018). There are a total of eight standards and it is made in such a manner that the quality of healthcare service is kept at the same standard and improved over time. These are required so that the care provided to the patient is such that the patients are safe. The main of the provision of the standard is to make sure that the patients are protected from harm and the quality of the health service can be improved. There a total of eight standards that are given by the regulating authorities and the healthcare organizations as well as the healthcare professionals are expected to follow all of them. First, clinical governance is the standard that is related to the reliability of the care provision such that quality care can be provided to the patient and improves the health outcomes for patients. Second, is to partner with the consumer such that their preferences, needs and values can be incorporated in the care process and make it person-centred care (Boamah et al., 2018).

Third, being in hospital can increase the chances of infection and it is required that healthcare services, as well as professionals, work such that the infections are reduced and even if it happens it can be effectively managed. Fourth, the clinicians are expected to prescribe, dispense, administer and monitor medications safely. Fifth, the care provider should be comprehensive and it includes integrated screening, assessment and identification of risks. Sixth, interprofessional and intra-professional communication is an integral part of the patient safety as nurses act as part of the team and effective communication is required so that care is appropriate and safe (Boamah et al., 2018). Seventh, blood management is associated with systems and strategies for safe handling of the blood of the patient as well as other blood and blood products. Lastly, in an emergency setting or a clinical setting the condition of the patient can get deteriorate rapidly and it is the responsibility of the healthcare professionals to make sure that the clinical deterioration is recognized at the earliest and appropriate measures are taken (Anstey et al., 2019).

Patient in the healthcare setting is prone to many things which can affect the healthcare of the patient such that it can even cause death. These are the standards that are given not only for the healthcare professionals but for the healthcare organization as well so that the patients can be well tended to and the implications of safety are less on the patients. The organizations are required to follow this is because only then they can work for the betterment of the care of the patient such that the competitive employees are hired compared (Havers et al., 2019). If there is any slack in the working of the employees they can be appropriately trained and policy and procedures made can be such that they are stringent. These standards are required by the entire healthcare organizations are required to follow so that the same level of care is expected by patients at the individual level as well as at the level of the community as a whole. The stress is on the safety measures of the patients so that there can be positive health outcome and the stay in hospital can be reduced to not more than required (Salmond & Echevarria, 2017).

References

Australian Institute of Health and Welfare. Health care quality & performance Glossary. (2017). Retrieved 27 June 2020, from https://www.aihw.gov.au/reports-statistics/health-welfare-overview/health-care-quality-performance/glossary.

Australian Commission on Safety and Quality in Health Care. ACSQHC. (2015). Retrieved 27 June 2020, from https://www.safetyandquality.gov.au/standards/nsqhs-standards.

Anstey, M. H., Bhasale, A., Dunbar, N. J., & Buchan, H. (2019). Recognising and responding to deteriorating patients: what difference do national standards make?. BMC Health Services Research, 19(1), 639. https://doi.org/10.1186/s12913-019-4339-z.

Boamah, S. A., Laschinger, H. K. S., Wong, C., & Clarke, S. (2018). Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing Outlook, 66(2), 180-189. https://doi.org/10.1016/j.outlook.2017.10.004

Bucknall, T., Fossum, M., Hutchinson, A. M., Botti, M., Considine, J., Dunning, T., ... & Manias, E. (2019). Nurses’ decision‐making, practices and perceptions of patient involvement in medication administration in an acute hospital setting. Journal of Advanced Nursing, 75(6), 1316-1327. https://doi.org/10.1111/jan.13963.

Cowin, L. S., Riley, T. K., Heiler, J., & Gregory, L. R. (2019). The relevance of nurses and midwives code of conduct in Australia. International Nursing Review, 66(3), 320-328. https://doi.org/10.1111/inr.12534.

Fleming, T., Creedy, D. K., & West, R. (2019). Evaluating awareness of Cultural Safety in the Australian midwifery workforce: A snapshot. Women and Birth, 32(6), 549-557. https://doi.org/10.1016/j.wombi.2018.11.001.

Griffiths, P., Ball, J., Drennan, J., Dall’Ora, C., Jones, J., Maruotti, A., ... & Simon, M. (2016). Nurse staffing and patient outcomes: Strengths and limitations of the evidence to inform policy and practice. A review and discussion paper based on evidence reviewed for the National Institute for Health and Care Excellence Safe Staffing guideline development. International Journal of Nursing Studies, 63, 213-225. https://doi.org/10.1016/j.ijnurstu.2016.03.012.

Havers, S. M., Russo, P. L., Page, K., Wilson, A., & Hall, L. (2019). Clinician perspectives of policy implementation: a qualitative study of the implementation of a national infection prevention policy in Australian hospitals. American Journal of Infection Control, 47(4), 366-370. https://doi.org/10.1016/j.ajic.2018.09.029.

Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopedic Nursing, 36(1), 12. https://doi.org/10.1097/NOR.0000000000000308.

Terry, K., Stirling, C., Bull, R., & Fassett, D. (2017). An overview of the ways nurses understand and utilise the existing Australian Competency Standards for Registered Nurses. Collegian, 24(2), 109-116. https://doi.org/10.1016/j.colegn.2015.10.003.

Yew, S. Y., Yong, C. C., Tey, N. P., Cheong, K. C., & Ng, S. T. (2018). Work satisfaction among nurses in a private hospital. International Journal of Healthcare Management, 1-8. https://doi.org/10.1080/20479700.2018.1489459.

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