NURS11159 Introduction To Nursing

Question:

The Nursing and Midwifery Board of Australia, (NMBA), has produced a series of guiding documents for Australian Registered Nurses. These documents can also be used to guide you as a student nurse, especially during clinical placements.

These documents contain

The Code of Ethics For Nurses in Australia (2008).

The Code of Professional Conduct (2006) for Nurses in Australia

The Registered nurse standards of practice (effective 1 June 2016).

The Nurses Guide to Professional Boundaries (2010)

The Social Media Policy (2008).

You will need to select two documents from the list and write a formal essay explaining how they will help you in your clinical practice.

Use the existing literature as a support for your discussion. Explain why you think this way.

Answer:

Introduction

Gallup’s Annual Honesty, Ethical Standards (DEC20) 2016 results showed that nursing is the most trusted profession in the world for the 15th consecutive year.

Merriam-Webster (1828) defines trust as a firm belief about the character, strength, and truth of someone.

A person must be able to trust others if he demonstrates a particular trait, character or strength.

Johnstone (2016) states that character can also be built upon personal traits or principles that guide your reasoning and response to situations.

The poll also shows that nursing was the most trusted profession. It had made significant progress in its service delivery.

This may have been achieved through a specific act and being guided by certain standards and principles that govern the code and regulatory frameworks for service provision.

This essay examines the importance of two guiding documents created by the board for nursing and midwifery Australia in clinical practice.

These materials include the code and guidelines for nurses in Australia (2008), as well the professional boundaries (2010) nurses’ manual.

This essay will also address the practical relevance of these documents for clinical practice.

The Relevance Of Nurses’ Code Of Ethics For Clinical Practice

Gormley (2015) defines a code or ethics as a statement that outlines and supports the principles.

The code of ethics for nurses is a list of principles that has been designed to encourage responsibility in nursing practice and provide a framework for accountability between health care professions.

These principles define the commitment of nursing practitioners to uphold the fundamental rights of both users and providers of nursing care.

These codes of ethics are competency standards for nurses.

The Nursing and Midwifery Board of Australia, (NMBA), has developed codes of ethics that govern the practice of health-care professionals regarding health care provision.

The first code was developed in 2012 and stated that nurses should provide quality care to all patients (Holt & Convey).

This code of ethics aims to ensure that nurses take full responsibility for the quality of their care.

It will ensure that the best interests of the recipients of health care services are protected or taken into account.

It will guide the relationships with colleagues by making sure any unethical behavior is reported by their members, and support those who adhere to the standards.

According to Korhonen (2015), the second code of ethical was that nurses must value, respect and show kindness towards others. This helps in assessing one’s moral value and dignity.

This is important because it promotes self-worth and respect for colleagues, patients, recipients, and the entire community.

It also considers the community’s standards and values regarding health care delivery.

On the other end, kindness assures that your activities are carried out with gentleness, care and consideration.

According to the code of ethics, nurses value the diversity of individuals.

Gormley (2015) says it is vital because it makes it possible to appreciate the diversity of cultures and languages.

It will allow nurses to understand and appreciate cultural differences.

This will help in the assessment and better understanding of the needs of those receiving health care as well as the care they provide for their loved ones.

Gardener (2016) also explains that nurses value informed decision making because this allows one to voice concerns and express opinions during a health encounter.

One can also appreciate the moral rights of individuals as set out in the human rights.

It can also be helpful in respecting colleagues’ rights.

It allows the health care provider to recognize the contribution of the community in health care decision-making.

This will allow the health care providers be able to advise the community regarding any impending issues.

Finally, it is an ethics code that nurses respect the ethical management information according to Henderson and Dahnke (2015).

It is important because it allows the medical professional to adhere to the nursing obligations and principles.

It helps to preserve medical records and documents, as any modification could have severe health consequences.

When recording or recording information about health, it is important to be professional.

Relevance of the Nurse’s Guide to Professional Boundaries

This document was developed in Australia, New Zealand and as an addition to the code of ethics for nurses and the code of ethics for nurses.

It refers to the minimum standards nurses must adhere to both within and outside of their professional domains to ensure good standing in the profession (Australian and New Zealand: 2010).

Korhonen (2015) explains that these boundaries serve as a control mechanism for the behavior of health-care providers and help to set the ethical standards.

To illustrate, a nurse should follow the codes and ethics of professional conduct.

It must meet the clearly identified therapeutic needs of the individual receiving care.

It must be within the scope or practice of the nurse. This will enable the nurse be competent to perform certain tasks.

The NCSBN defines professional boundaries as the difference between the nurse’s power or the patient’s vulnerability.

According to the NCSBN, professional boundaries are the gaps between nurse’s power and patient’s vulnerability. Nurses must respect these gaps and ensure that patients are at the center of their care.

Any violation of these boundaries could have some serious consequences.

In this instance, the boundary crossing is done with the purpose of meeting a therapeutic need.

But, you should avoid crossing the boundary again.

Henderson and Dahnke (2015) state that boundary violations could occur when patients or nurses are not clear on what they need.

When privacy and secrecy terms don’t get followed as agreed.

Patients can be distressed by these violations, which in many cases may not be seen or noticed until they have serious consequences (Korhonen (2015)).

It is possible to use social media to post or comment on a health consultation without consent.

This is also distressing, and it violates professional boundaries.

Another form of professional boundaries is sexual misconduct, which falls under the extreme types of boundary violations (Gardner & McCutcheon (2015)).

Sexual misconduct is a crime since it may include any seductive behavior or harassing that could be sexually demeaning to patients (Lachman (2015)).

This is why it is important that health professionals in clinical, education, research, or management keep these boundaries in mind.

They will help ensure that the nurse works within a therapeutic relationship.

Conclusion

According to the research, the health profession is extremely important and sensitive.

The guide to professional boundaries and the code of ethics must be followed in order for the profession to perform better and provide better health care.

Both health care providers and patients need to be knowledgeable about the issues discussed in these documents.

As a medical student, I believe these papers will be crucial to my clinical practice. They will guide me in the code and ethics of my profession and provide guidance.

All of this will allow me to better understand my patients’ needs and help me deliver better service.

This will help ensure that the profession of health is respected as one of the most trustworthy.

References

Collaboration between nurse practitioners and medical professionals in primary care in Australia: Multiple case studies using mixed methods.

A grounded theory constructivist study of boundary maintenance in mental health care providers.

Australian Nursing & Midwifery Journal. 23(6), 30-33.

An analysis of logic revealed a process-based framework that guides nurse practitioners in their integration into primary care teams.

Henderson, M., & Dahnke M. D. (2015). Ethical use of social media in nursing practice.MEDSURG, 24(1), 62–64

Nursing Standard 27 (13), 51-56.

Here’s a quick historical overview of the key milestones in Australia’s implementation of professional nursing ethics.

Australian Journal Of Advanced Nursing, 33(4). 35-45.

Here’s a quick historical overview of the key milestones in Australia’s implementation of professional nursing ethics.

Australian Journal Of Advanced Nursing, 33(4). 35-45.

A comprehensive review of professional ethics for nurses.

The New ‘Code of Ethics For Nurses with Interpretative statements’ (2015): Practical Clinical Application.

MEDSURG Nursing 24(5), 363-368.

American Academy of Ambulatory Care Nursing Paper: The Role of a Registered Nurse in Ambulatory Care.

Nursing Economic$ 35(1), 39-47.

An evolving classification for advanced skills for registered nurses.

Australian Journal Of Advanced Nursing, 32(4): 40-46.