Question 1: What does it mean to be a regulated health professional?
Regulated healthcare professions are governed by the Regulated Health Professions Act, 1991 and Health Professions Act that is Medicine Act, 1991(Tunlind, Granström & Engström, 2015). The framework is made by legislation and it is established by health regulatory bodies that regulate all the professions in the public interest. Healthcare professionals are regulated by the guidelines set by healthcare regulatory colleges so that safe, ethical, and professional environment can be provided to them. This includes following all the standards, protocols, and procedures to have a proper discipline (Tunlind et al, 2015). A regulated health professional means that person who encompasses standard of care, accountability, protection from the risk of harm, accountability, standards of care, and informed consumers. The standards of care are followed made by the council to establish the system with entry of performance principles, a system of ethics, a brilliance guarantee agenda, ongoing capability capacity, a sexual abuse avoidance program, and expert bad behavior policy. The colleges have developed quality care emphasized programs so that practitioners are ethical and competent delivering their best value based upon present pertinent information and with the holdup of the stipulation of quality concern (Smolowitz et al., 2015).
Question 2: Why is regulation important in health care?
Regulation is said that it is a process or activity that the government supports while conducting activities on the part of institutions and individuals (Tunlind et al., 2015). It is the act that is included in the continuing process for participation and assessment on the part of the government. This ensures the government looks after the administration and other activities. Regulation is needed in organizations so that the registered medical practitioners may not harm any individual with unregulatory provisions. No such circumstances are there that support personnel if they perform any false activities such as administration of diagnostic tests, counseling of clients and their families, decision-making including all the steps such as initiation, duration, or termination of treatment. The client referrals, selection of hearing aid, formal reporting of client information, and transmission of information to clients or their families after modifications are not allowed as per regulations of the profession. This ensures that professionals deliver quality work according to the interest of the public. Regulations in the healthcare profession also get the support of healthcare providers rather than going for any alternative solutions. This ensures ethical and legal responsibility to the patient for providing all the services omitted. The regulation provides an advantage and appreciation of regulation as well as implications for the profession (Perry et al., 2017).
Question 3: What does it mean to be in a self-regulating profession and how does nursing self-regulate?
The professionals such as nursing professionals, physicians, and pharmacists have been involved in self-regulation. The purpose of regulation is to ensure that staff is well competent, safe, and ethical manner. The contracts are done with nursing professionals to regulate their members and defend the community from damage that could be cause by a registered care for in their presentation. Self-regulation acknowledges that a line of work itself is in the majority outstanding position to manage its registrants since their particular body of in order makes external rule hard and difficult. Registered nurses appreciate registered nursing better than anybody else, so it just makes high-quality cleverness for the community to have professional manage themselves as long as they do so in the group of people notice. The registered nurses support treatment teaching program to make sure RNs get the education they need to act upon the competencies of an RN. They set up and support a register process that ensures those who do as RNs are capable and competent. Maintenance of the principles of nursing perform that RNs must meet each day to make sure secure, capable, and moral register treatment mind. Also, they set up and make sure continuing capability supplies (McKinney et al., 2017).
Question 4: Explain the purpose and importance of registration for nurses
The purpose of registration of nursing professionals is that professionally standard describes the capable stage of be concerned in each phase of the action process. They copy a favored and attainable stage of appearance next to which a nurse's real appearance can be evaluated. The main motive of expert principles is to support the safe and clinically capable nursing put into practice. These principles are important to our procession of employment for the reason that they support and direct our clinical practice. They give an approximation tool for routinely and your generation to ensure clinical skill and safety. Professional nursing main beliefs are also used to provide an arrangement for rising clinical ability checklists or skill assessment for a specific scientific unit or company. They may be used as a difference tool to assess a nurse's care if the boss suspect the nurse has built-up dangerous work behavior or isn't adhering to recognized managerial policies or at length conventional rule documented by state and middle laws or most important healthcare organization (Tunlind et al., 2015).
Professional standards assist them, management team, and the healthcare organization to develop safe staffing practices, delegate tasks to licensed and unlicensed personnel, ensure adequate documentation, and even create policies for new technology such as social media. For example, if a nurse discloses on a social media site that he or she is providing care to a specific patient, it potentially violates the Health Insurance Portability and Accountability Act. (Tunlind et al., 2015). The nursing professionals are evaluated from time to time to know that they are performing their tasks according to the standards.
Question 5: Explain the College of Nurses Practice Standards and their significance for Registered Practical Nurses
The college provides practice standards and guidelines to support nursing professionals in delivering ethical and safe nursing care to the community. Practice standards are the public welfare contribution outlines that work according to professional’s expectations. The standards are applied to all nursing professionals irrespective of their job description, role, and area of delivering their services. On the other hand, practice guidelines are those which address specific issues related to practice and help the professionals in understanding the roles and responsibilities to make ethical and decision-based practice (Tunlind et al., 2015). The variety of services is provided that includes consultative and educational consultations. The college provides these consultations using practice support, webcasts, and teleconferences to understand more about standards and the application practice. The standards are of many types such as code of conduct, privacy, and isolation: Personal health information, decisions on events and authority, certification, principles, nurse practitioner, medicine, expert principles, and healing nurse-client relationship (Jones, Hamilton & Murry, 2015). These all are the standards followed to map code of conduct, privacy and confidentiality, social media handling, the role of nursing professionals in caring patients, diagnostic and prescriptive authority, abuse prevention, and maintaining boundaries. Hence, members of the nursing profession are responsible for practicing with standards of the profession, and for keeping competent and current throughout his or her career.
Question 6: Explore one RPN role in detail (palliative care, medicine, surgery, long term care, community, geriatric setting, home care, primary care, mental health, street nursing, etc.)
Registered practice Nurse Role in palliative care: Palliative care refers to the optimization of the excellence of existence for gravely ill patients with families that are used to expect, stop, and treat pain. Nursing professionals commit to palliative by showing concern about the conduct of end-of-life patients. Their way of providing care supports the psychological, social, spiritual, and physical needs of patients and their family. Palliative care is provided to the patients by following all the possible measures that help in curing the patient (Jones et al., 2015). Concurrent care is that which is different from traditional models based on extending models such as chemotherapy and palliative care. This is particularly followed in low-middle-income countries where the health services are provided limited in number. Palliative generally follows a multidisciplinary approach that is made by communal work, treatment care, medication, and to get together all the many-sided needs.
Based on the proofs, nursing professionals play a significant role in consulting with physicians and targeting patients with pain (Tunlind et al., 2015). The role of a registered nurse here is to provide recommendation, teach, and give moving support to family members along with patients. Duties other than caring for patients include education, treatment, medication, counseling, health promotion, injury care, and many other modified interventions. The advanced nursing practice provides excellent services to those who are suffering from seriously ill patients. Also, soothing care involve appraisal, analysis, and action of human responses to life-threatening illness and supplies. The care varies including patients in residential homes, clinics, hospitals, and skilled care facilities. Hence, this ensures that the end of life care is reasonably priced, sympathetic, best excellence, and sustainable in the best probable way (Jones et al., 2015).
Question 7: Describe the role of the RPN in the setting you have chosen above
Registered Nurse provides care with all the advanced care facilities to necessitate the dynamic and kind association with enduring and relations to decrease suffering. Palliative care nurses adjust their frames of mind such as treatments, vital signs, symptom management, comfort, and support. The nursing professionals involve palliative care because they face challenges in combine the art of kind and discipline of medicine at length. The nursing professionals providing palliative care are high in demand because they use intense critical thinking, abilities, and a high level of mental functioning in care (Jones et al., 2015). These professionals regularly encounter patients and families in the seriousness of the patient's condition. The complications in the situations arise due to complex social situations, challenging symptoms, difficult diagnosis, and demanding message during patient bereavement and grief. Communication is very important to have a connection with patients and families. Palliative care nurses can explain complex information on which families and patients need clarification. A thorough explanation is given to educate families and patients on treatments and symptoms through the medication regime. Nursing professionals deal with the situations with compassion with a desire to alleviate it. Compassion is needed to burn out all the preventions and establish a supportive and trustworthy relationship with change and death approaches (Jones et al., 2015).
Question 8: What nursing services do they provide? Consider an overview of what their role might entail on a given shift. What responsibilities do they have? How does this enhance health promotion and quality of life for clients?
Nursing professionals do all the activities related to the best possible patient care that includes medication, health promotion, physical assessments, wound care, medication and treatment management, personalized interventions, health histories, and administration of medications. Registered nurses ask and work together with a multidisciplinary squad to add to the plan of care (Hockenberry & Wilson, 2018). They oversee concern release by other checkup personnel like nurse aide as well as do examine in hold up of better presentation and lasting outcome. They have the blame of as long as information and the aptitude to produce multifaceted data and a holistic patient-centered plan of care to make the most of physical condition and excellence of care depending on functions. They have the blame of getting involved in appraisal, analytic, and action of human responses to potential or developing art and science of nursing practice and palliative care evolved. To ensure that nursing professionals providing palliative care they are observed to get involved in exact responsibilities such as treatments, very important signs recording, support, symptom management, and interventions.
They confront patients and families to meet grave sickness of life and death. They provide specialized services with expert knowledge including the pathophysiology of the disease, symptom assessment, advanced pain, advanced care planning, and communication skills (Hockenberry & Wilson, 2018). Palliative care nursing professionals deal with a diversity of situation, and many of high excellence that require huge research in medical conditions. They bridge the gap of continuity by delivering psychological and physical care throughout treatment. The nursing professionals are there in a unique position to address and advocates many moral and lawful aspects of care to ensuring that enduring receives palliative care as the patient development through illness from curative to palliative treatments. The point on which they focus is to establish release systems such as hospice and home care settings with joint partnerships with agencies and individual clinicians (Jones et al., 2015).
Question 9: Define and discuss patient-centered care. What does it mean to give ‘client-centered care? How would a nurse in this role demonstrate this principle?
Patient-centered care is the way of providing care to the patients as well as considering the value and meaningful aspect of patients (Jones et al., 2015). It includes the way of listening, informing, and involving the care of patients. It is the way of provided that deferential and open care to speak to the patient’s requirements, preference, and principles while ensuring all clinical decisions for patients. Client-centered care is given to identify exact wellbeing needs and preferred health outcomes by driving force towards healthcare-related decisions and excellence capacity. The care is provided with the teamwork and communal decision of patients, family, and provider to design and manage comprehensive and modified plans. The health systems and facilities are managed and designed to deliver the services in a way they can. The care is provided in a collaborative, accessible, and coordinated manner so that the services could be delivered at the right time and right place. This way patients and families are given emotional as well as physical support for well-being. Nurse displays their part by working on eight principles such as coordination and integration of care, respect for patient's values, preferences, and expressed needs, information, and education, physical comfort, affecting hold up and alleviation of fear and anxiety, permanence and change, the participation of relations and associates, and right of entry to care (Hockenberry et al., 2018).
Question 10: Discuss the entry-level education and continuing education/ training that is required for this position?
Teaching is the profession in which students are helped by educators to gain and knowledge for developing skills. Teaching and education involve a set of attributes including technical and management skills. The grade level varies depending upon the level of education of particular personnel. The courses of study vary from the structure, sociology, psychology, and cultural influences. Education introduces students, the strategies for creating a supportive learning environment. The graduate degree of nursing includes education and teaching that can lead to job opportunities and a higher salary for a job. Instructional coordinators, librarians, and principals of nursing colleges are those who hold a master's degree. They have high job security and licensure to carry their professional life in this field. The doctoral programs in nursing education help the students to get top leadership positions in schools such as school administrator, and superintendent. The roles of these positions vary preferably for employees that hold a doctoral degree. Graduate school requires GRE for admission into doctoral and graduate programs. In this test, quantitative, analytical, and verbal reasoning is tested. According to the public school requirements, educators must hold a bachelor's degree with a minimum GPA. This is the exam that students are required to give if they want to enter into a teaching profession. The requirements that are required to meet by the students are:
The innovative models in nursing helps in disease prevention and treatment for continuous professional development of healthcare workers. Strong leadership qualities are needed to bridge the gap that has been found in nursing practice. This will together improve patient outcomes and build up skills and knowledge in professionals.
Question 11: How much is a nurse in this setting paid?
The salary of nurse matters on where they live, work setting, and their specialty. It is known that around 60% of nurses are there that work in healthcare settings and 18% are there who work in ambulatory care settings. The salary that is paid to a nursing professional is with the median wage of $71,730, BLS supports a range of $50,000 to $106,530 (Hockenbery et al., 2018). Now, is a great time to become a registered nurse because of fast-growing registered nurse employment opportunities. Nursing professionals are highly needed because of the rising burden of diseases. The demand for nursing professionals is going to rise because of the increasing burden of the aging population in the country. Older people are more observed with medical illnesses and chronic problems such as obesity, diabetes, and dementia. Nursing professionals are hired to give education and support to the patients for long-term growth in inpatient care (Huber, 2017).
Question 12: Where does funding for nursing pay come from?
Nurses are professional members who are employed in a hospital setting. The hospitals receive funding from federal, state, and local governments as well as private institutions. The employed nurses get paid from employing the agency's funding source. The funds are given to the agencies based on a special grant for programs and allocation methods. Some of the nursing professionals get paid from billing insurance. Hence, nursing professionals are paid from many sources (Edvardsson, Watt & Pearce, 2017).
Question 13: In detail, discuss collaboration; specifically, when and how this nurse might collaborate with other health care team member
Nursing professionals work in a team to devise and take out plans for unwearied care. They work together with doctors, nursing professionals, and other healthcare professional to increase team associate awareness of each other’s knowledge of skill that lead to sustained development in decision-making. Teams work effectively if they have trust, collaboration, and respect. Teamwork is endemic in which all the employees work for the goodwill of the patient (Duarte et al., 2015). The teamwork model in healthcare is the multidisciplinary model in which employees are accountable for the behavior related to his or her regulation and formulate take part in goals for the patient. The map of care takes into manifold assessment and action regimens and letters to transport the services.
Duarte, S. D. C. M., Stipp, M. A. C., da Silva, M. M., & de Oliveira, F. T. (2015). Adverse events and safety in nursing care. Revista brasileira de enfermagem, 68(1), 136-146. DOI: 10.1590/0034-7167.2015680120p.
Edvardsson, D., Watt, E., & Pearce, F. (2017). Patient experiences of caring and person‐centredness are associated with perceived nursing care quality. Journal of Advanced Nursing, 73(1), 217-227. DOI: https://doi.org/10.1111/jan.13105
Feldacker, C., Pintye, J., Jacob, S., Chung, M. H., Middleton, L., Iliffe, J., & Kim, H. N. (2017). Continuing professional development for medical, nursing, and midwifery cadres in Malawi, Tanzania and South Africa: A qualitative evaluation. PloS one, 12(10), e0186074. DOI: https://dx.doi.org/10.1371%2Fjournal.pone.0186074
Hockenberry, M. J., & Wilson, D. (2018). Wong's nursing care of infants and children-E-book. Elsevier Health Sciences. Retrieved from: https://www.elsevier.com/books/wongs-nursing-care-of-infants-and-children/hockenberry/978-0-323-22241-9
Huber, D. (2017). Leadership and nursing care management-e-book. Elsevier Health Sciences. Retrieved from: https://www.elsevier.com/books/leadership-and-nursing-care-management/huber/978-1-4557-4071-0
Jones, T. L., Hamilton, P., & Murry, N. (2015). Unfinished nursing care missed care and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52(6), 1121-1137. DOI: https://doi.org/10.1016/j.ijnurstu.2015.02.012
McKinney, E. S., James, S. R., Murray, S. S., Nelson, K., & Ashwill, J. (2017). Maternal-child nursing-e-book. Elsevier Health Sciences. Retrieved from: https://evolve.elsevier.com/cs/product/9780323401708?role=student
Perry, S. E., Hockenberry, M. J., Alden, K. R., Lowdermilk, D. L., Cashion, M. C., & Wilson, D. (2017). Maternal Child Nursing Care-E-Book. Mosby. Retrieved from: https://evolve.elsevier.com/cs/product/9780323401708?role=student
Smolowitz, J., Speakman, E., Wojnar, D., Whelan, E. M., Ulrich, S., Hayes, C., & Wood, L. (2015). Role of the registered nurse in primary health care: Meeting health care needs in the 21st century. Nursing Outlook, 63(2), 130-136. DOI: https://doi.org/10.1016/j.outlook.2014.08.004
Tunlind, A., Granström, J., & Engström, Å. (2015). Nursing care in a high-technological environment: Experiences of critical care nurses. Intensive and Critical Care Nursing, 31(2), 116-123. DOI: https://doi.org/10.1016/j.iccn.2014.07.005
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