The following structure will explain the relation between the Roach’s two of the 6C’s taken into consideration. These two C’s are competence and commitment. These two elements are very commonly observed in nursing practice on a daily basis.
There is a close similarity between end-of-life care as well as commitment needed in providing the patients with this required care. Nursing play a key role in providing the patient a level of comfort and ease to help them with the transition of care needed by them (Lally, 2019). They are committed to work in sync with the patients, providing them highest autonomy in decision-making process. They are also closely engaged in analysing one’s own beliefs and values regarding the concept of death and they are kept in close consideration while managing care for the patients in their final days. This also provides them with a sense of calmness and solace. It also takes commitment to work in sync with the close communities and local legislation to ensure that reasonable efforts are made to provide the patient with the desired care support.
Similarity can also be observed between commitment factor and advertising and professional representation. It takes a lot of commitment to not only tell the transparent information available, but to work within the legal boundaries while doing so (Gonda, 2018). Along with their experienced qualifications nurses can provide a verifiable source of information to the patients. Although, it only takes a continuous dedication to learn for all these advancements. They are also committed in providing correct information. They can also be observed to play the role of deleting the chances of providing false statements, which might create confusion amongst the patients.
There is a very proximate similarity between commitment and ensuring confidentiality and privacy in nursing care and management. Nurses are supposed to be ethically committed at all times towards promoting privacy for the patient. They make as big commitment as they take oath, to abide by all of the rules and laws, that safeguards the patients from any kind of harm. It also takes a lot of dedication to maintain the documentation of the patient and keeping it undercovers, to no be misused in any form or manner. Personal data of the patient is very vulnerable and can be easily accessed through data base of any setup (Hughto, 2017). They also ensure getting proper consent from the patient, briefing him in detailed about the further care and management, and also prior to implementation of any healthcare strategy for the benefit of the patient.
Competence in nursing care can be attained by fruitful communication methods. These methods of communication can be of verbal form and non-verbal form. Communicating with the patients in an effective manner, takes utter competence to carry on (Machiels, 2017). It is an important driving factor of nursing care and coordination, that helps the nurses in gaining trust of the patient and establishing a good therapeutic relation with the patient (Yeom, 2017). Therefore, it is vital that the communications with the patients and their families, should be carried out with due diligence. Doing so required competence and advanced skills sets.
Advocacy also required competence level of highest order. With their competence level the nurses will be capable enough to identify for the health status of various groups that prevail in the Australian community at large. With competence in advocacy they can fight for the rights of the group, that is unaware of its medical needs as well as rights (Pecanace, 2018). With competence they can make use of their expertise and influence in evaluating for the current needs and demands of the patient population, in a given particular region or place (Lechasseur, 2018). With competence they can also advocate for best possible healthcare solutions for individuals of these communities. This can be helpful for them in keeping a close track on various diseases and illness, prevailing in these community dwellings.
Promotion of conflicts of interests of the patients and competence in the working of the same goes hand in hand. Patient population thrive for nurses who are capable of formulating a robust and trustworthy relation with them. They can make use of their experience and competence combined together to avoid for any un-called-for situation. This is important as there is a fine line between the personal interest of the nurses and the patient. It is important to make use of this competence to not allow cultivation of any conflicts of any sorts (Forsman, 2020). They should be able to act in a selfless manner as well as proactively open to the needs of the patients and prioritize them, above and beyond their own. They make the use of their competence in ensuring that no financial or commercial end result is obtained, from the healthcare services provided by them to the patients.
The Roach’s 6C’s of nursing care can thus, be seen closely related to the NMBA guidelines. It is imperative that the nurses follow these driving factors in their daily practise as it enables them to carry out their roles and responsibilities in a more methodical manner. It not only helps in strengthening the skill sets of the nurses, but also helps in gaining the trust of the patient in the working of the healthcare system as an effective functional body.
Forsman, H., Jansson, I., Leksell, J., Lepp, M., Sundin Andersson, C., Engström, M., & Nilsson, J. (2020). Clusters of competence: Relationship between self‐reported professional competence and achievement on a national examination among graduating nursing students. Journal of Advanced Nursing, 76(1), 199-208.
Gonda, K., Clark, E., Roach, K., Tobias, T., & Hammond, K. (2018). Research activities and resources in in-vitro fertility practices: a survey of nursing professionals. Fertility and Sterility, 109(3), 27-28.
Hughto, J. M. W., Clark, K. A., Altice, F. L., Reisner, S. L., Kershaw, T. S., & Pachankis, J. E. (2017). Improving correctional healthcare providers' ability to care for transgender patients: Development and evaluation of a theory-driven cultural and clinical competence intervention. Social Science & Medicine, 195, 159-169.
Lally, K. M., Ducharme, C. M., Roach, R. L., Towey, C., Filinson, R., & Tuya Fulton, A. (2019). Interprofessional training: Geriatrics and palliative care principles for primary care teams in an ACO. Gerontology & Geriatrics Education, 40(1), 121-131.
Lechasseur, K., Caux, C., Dollé, S., & Legault, A. (2018). Ethical competence: An integrative review. Nursing Ethics, 25(6), 694-706.
Yeom, Eun-Yi. "The influence of communication competence, nursing professionalism, and emotional labor on clinical practice stress among nursing students." The Journal of the Korea Contents Association 17.4 (2017): 320-330.
Pecanac, K. E., & Schwarze, M. L. (2018). Conflict in the intensive care unit: Nursing advocacy and surgical agency. Nursing Ethics, 25(1), 69-79.
Machiels, M., Metzelthin, S. F., Hamers, J. P., & Zwakhalen, S. M. (2017). Interventions to improve communication between people with dementia and nursing staff during daily nursing care: a systematic review. International Journal of Nursing Studies, 66, 37-46.
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