Analyze & Discuss Professional Approach in Nursing Scenario Assignment Sample

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Introduction

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The professionalism in nursing practice is considered to be important as it can directly impact on the quality of care being delivered to the patients. According to the definition by Royal College of Nursing, UK, the nursing is the practice of protecting, promoting, and optimising health and overall well-being, prevention of illness, and alleviation of suffering through proper diagnosis, and treatment (Royal College of Nursing. 2023). This formative assessment aims to analyse and discuss the importance of a professional approach, and appropriate professional behaviors in nursing practice. In this assessment, focus will also be given to the in-depth discussion of the NMC code and standards for proficiencies, vital ethical principles, legislation, values, and guidelines, that nurses should follow during their practice. To meet the purpose of objectives of this assessment, the case scenario of Anthonia, a registered nurse at Excel Community Nursing team has to be taken into consideration.

Discussion : Nursing Ethics & Accountability

This article explores the integration of nursing professional values, accountability, and responsibilities in clinical decision-making. It examines safe, ethical, and culturally congruent care, leadership skills in teamwork and advocacy, the impact of health and social policies on patient care resources, legal and policy safeguards for vulnerable patients, and resilience models for staff support. By aligning with NMC standards, this discussion highlights the importance of professionalism, patient dignity, and collaborative care in nursing practice.

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Nursing values & accountability in clinical decisions

According to the NMC or the Nursing and Midwifery Council Code and standards of proficiency, nurses should maintain professionalism by integrating professional values like integrity, compassion, respect, and trustworthiness during the practice (TIMPSON et al., 2019). It is also important for the nurse to promote the autonomy, dignity, integrity, and overall well-being of the patient while delivering care in accordance with their needs. The Standard of Proficiency set up by the Nursing and Midwifery Council delineates the competencies and skills that a professional nurse should demonstrate to deliver safe, effective, and culturally sensitive care support to the patient (DeLaune et al., 2023). These standards include domains like communication, assessment, decision-making, and person-centric care, which in turn facilitate a nurse to develop the necessary knowledge and abilities to meet the diverse requirements of patients and communities. Considering the case scenario of Anthonia, it can be evident that Anthonia as a registered nurse has faced several challenges in her clinical practice, which include the allocation of several patients, encountering difficulties with Magnus, to dealing with inadequate support from her manager. Considering the roles and responsibilities, it can be seen that Anthonia has demonstrated accountability by voicing her concern to her manager regarding the requirements for additional support for Mangus. Her responsibility, integrity, and commitment towards her nursing practice can also be evident in her attempt to promote the autonomy of Magnus by involving him in the decision-making process related to his insulin dose and use of host (Island, 2022). However, the sudden incident of falling from the hoist indicated the lack of thorough assessment and familiarity with the equipment, but the immediate response to the emergency by Anthonia, including the emergency call to the ambulance and providing initial medical support to Magnus demonstrated her commitment to the patient-safety, and integrity towards her nursing practice. According to the case scenario, during the interaction with Marth, Anthonia exhibited her qualities of support, and mentorship, which reflect her commitment to developing a positive learning environment and promotion of professional development with colleagues at the nursing practice. Additionally, the decision taken by Anthonia to visit Magnus after working hours to appologising for the sudden incident demonstrates her ability to offer patient-centric care and accountability for her action, which is considered to be important for developing professionalism in nursing practice.

Safe, ethical & culturally congruent care analysis

Safe and culturally viable care and services in nursing practice include the adherence to ethical, legal, moral, and professional standards with which the nurses can ensure the well-being, and dignity of the patient while respecting their cultural values. According to the Mental Capacity Act, of 2005, and the Human Rights Act, of 1998, the foremost responsibility of a nurse is to safeguard the rights to autonomy, dignity, and sense of belonging of the patient, by reducing the probability of practicing discrimination (Scolaro, 2016). From the legal standpoint, the nurse needs to ensure that their practice is aligned with these legal policies and that they are committed to respecting the decision made by the patient, and their cultural preferences which uphold legal obligation (Open Resources for Nursing (OpenRn), 2019). From an ethical standpoint, nurses should adhere the principles like beneficence, justice, autonomy, and non-maleficence, as outlined by the code of standards set up by the Nursing and Midwifery Council. The professional standards set up by the NMC and NICE further provide a guideline to the nurses on delivering safe and culturally viable care to the patient. According to the Nurses and Midwifery Council standards of proficiency and code of conduct, it is of foremost importance for nurses to be culturally competent and develop effective communication with which they can offer patient-centric, and personalised care to the patient (Nursing and Midwifery Council 2018). Considering the case scenario, it should be important for Anthonia to respect the capacity to make decisions of Mangus despite his cultural beliefs. As per the case scenario, it can be seen that after the administration of the wrong insulin dose to Magnus, Anthonia asked for sugar tablets and requested the ambulance crew to give him 20% glucose so that he could stabilised and regain his alertness. This incident refers to her adherence to the NMC Code of Conduct for delivering empathetic, and person-centered care to Mangus by Anthonia despite his cultural beliefs and values. Additionally, collaboration with Martha during the delivery of care and clinical intervention, and immediate information to the line manager about the sudden fall from the hoist by Mangus refers to the level of Proficiency and adherence to the collaboration with the multidisciplinary team while offering palliative care to a patient.

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Skills & leadership in nursing teamwork & advocacy

According to the case scenario, the role of Anthonia as a registered nurse not only involves the delivery of care to the patient but also leading and supporting her team in challenging scenarios. When it comes to leading a team and collaborating with the multidisciplinary team while offering care and clinical intervention to a patient, Anthonia must have to perceive several skills, knowledge, and attributes. One of the important skills and knowledge that Anthonia must have to adopt is related to the management of diabetes, wound care, use of modern equipment like hoists, administration of medication, and ensuring the safety of patients (Feringa et al., 2020). Additionally, Anthonia should be aware of the NMC standards, NHS policies, and guidelines related to patient care and professional conduct to avoid legal obligations arising from Mangus and his partner (Nursing and Midwifery Council, 2018).

Considering the skills, Anthonia needs to develop her communication skills, both verbal and non-verbal to articulate the nursing issues with his supervisors, line managers, colleagues, and multidisciplinary team. this skill will include the clear articulation of concerns, the use of open and transparent dialogue, and active listening skills (Jankelová and Joniaková, 2021). On the other hand, considering the case with Mangos related to the wrong administration of insulin dose, and lack of knowledge about how to use the hoist for patient movement, Anthonia must have to develop her clinical competence through evidence-based care. Leadership skill development is another important skill to adopt when it comes to collaborating with colleagues and multi-disciplinary teams to provide integrated care to the patient (Babiker, 2019). Considering the case scenario, despite encountering multiple complexities in providing the necessary care and clinical intervention to Mangus, and unfamiliarity with the use of Hoist, Anthonia has exhibited leadership skills by delegating tasks to Martha and maintaining a balanced situation during a crisis. Additionally, after knowing the administration of the wrong dose of insulin to Mangus, the decision and command Marth to administrate sugar tablets and 205 Glucose to Mangus demonstrates Anthonia’s leadership qualities and effective problem-solving attitudes to a considerable extent. Additionally, in this case study, the commitment by Anthonia to continuous learning is evident when she requests Martha to be her witness while filling out the incident form and acknowledging the importance of professional development.

Impact of health & social policies on patient care resources

In any health and social care aspect, one of the important health and social care policies is workforce allocation and staffing. Anthonia, as a newly appointed registered nurse has undergone through preceptorship program, and has faced several challenges related to excessive workload and staffing adequacy. Despite expressing concern regarding the allocation of too many patients to Anthonia, her manager dismissed her concern and assigned a student nurse to her as a support, which refers to the resource constraints in the healthcare setup. This scenario reflects on the way staffing policies and limitations of resources can impact the delivery of patient-centric care in healthcare practice. Moreover, the policies related to training, and professional development can influence the availability of resources while delivering patient care (Mosadeghrad, 2019). The role of Anthonia as preceptee highlighted the importance of investing in training programs for the newly appointed nurses to ensure the development of their competency and readiness to provide patient-centric integrated care practice. On the other hand, unfamiliarity with the use of the hoist and subsequent adverse events highlight the potential drawback of Anthonia and the lack of a training program at nursing practice, which can affect the safety outcome of the patient (Hessels et al., 2019). Furthermore, the resources available for providing patient care are influenced by legislation about community support services and patient access. Magnus's hospital release, which included a new indwelling catheter and complex care demands, emphasises how crucial community support services and coordinated care are for patients moving from inpatient to home care settings. Nonetheless, poor coordination and communication amongst healthcare providers—as seen by the failure to bring up Magnus's UTI incident at handover—may indicate inadequacies in the application of policies and the distribution of resources.

Legal & policy safeguards

Legal frameworks including the Mental Capacity Act, of 2005, and the Human Rights Act, of 1998 stress the rights and protection of vulnerable patients (Cave, 2017). Considering the case scenario, these legal frameworks can ensure that vulnerable patients like Mangus who have disabilities and complex healthcare needs should be treated with dignity, respect, and care. Additionally, it should be important for a nurse like Anthonia to maintain the autonomy, and dignity of Mangus while encouraging him to make decisions regarding the administration of an insulin pen. The local policies set up by healthcare organisations like the Excel Community Nursing team should also offer support to the nurses so that they can overcome potential risks while offering care to vulnerable patients and ensuring their safety. This policy will include risk assessment and management, safety training for the staff, protocols to report the incidences, and so on so Anthonia can overcome the legal obligations raised by Mangus and his partner related to his fall from the hoist and the wrong administration of the insulin pen. National Policies set up by organisation like NHS, and NICE provide overarching guidelines and standards to prevent risk and safeguard vulnerable patients in the UK (Adentan et al., 2019). These policies include the guideline of safe administration of medication, fall prevention strategy, and standard approach to wound care.

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Staff support & resilience models

According to the Reflective Practice model, nurses must reflect on their experiences, emotions, and actions in patient-centric care practice (Lucas, 2023). Through this model, the nurses can gain self-awareness, can identify their strengths, and weaknesses or areas of development in response to delivering integrated care to vulnerable patients. This model stresses effective interaction with patients, through which nurses can develop their understanding towards the importance of adhering to policies of the NMC code of conduct and change in behavior while delivering improved care to the patient (Nursing and Midwifery Council, 2018). On the other hand, the Traumma-informed care approach emphasizes understanding the impact of trauma and its prevalence on the patient, specifically those who are disabled or vulnerable (Kimberg and Wheeler, 2019). By adopting this model, nurses can develop empathy, compassion, and sensitivity toward patients who are disabled and going through complex healthcare need. This model also encourages self-care practices and provides a framework to manage the emotional demands of a nursing role. This model therefore can promote resilience among the nurses and help them to enhance the quality of care that is provided to the vulnerable patient.

Trauma-informed care model

(Figure: Trauma-informed care model)

Conclusion

To conclude this assessment, it can be stated that, to develop a code of ethics and professionalism in nursing practice, it should be important for the nurse to adhere NMC code of practice, policies, guidelines, and value-based principles. In this assessment, an in-depth analysis of the case scenario of Anthonia, a newly joined Registered Nurse and her competence to adhere the code of professionalism in nursing practices has been discussed about the service delivery to a disabled Asian patient Mangus. To conclude, it can also be stated that the integration of nursing professional values, accountabilities, and responsibilities is important to deliver safe, effective, and culturally viable care to the patient.

References

  • Adentan, A., Clark, J. and Mckenna, C. (2019). If you see something, say something. [online] Available at: https://www.elft.nhs.uk/sites/default/files/2022-01/safeguarding-strategy-final_draft_v2.pdf.
  • Babiker, A. (2019). Health care professional development: Working as a team to improve patient care. Sudanese Journal of Paediatrics, [online] 14(2), pp.9–16. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4949805/.
  • Cave, E. (2017). Protecting Patients from their Bad Decisions: Rebalancing Rights, Relationships, and Risk. Medical Law Review, [online] 25(4), pp.527–553. doi:https://doi.org/10.1093/medlaw/fww046.
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  • Hessels, A.J., Paliwal, M., Weaver, S.H., Siddiqui, D. and Wurmser, T.A. (2019). Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. Journal of Nursing Care Quality, [online] 34(4), pp.287–294. doi:https://doi.org/10.1097/ncq.0000000000000378.
  • Island, E., (2022). Entry-Level Competencies Registered Midwives.https://crnpei.ca/wp-content/uploads/2022/11/2022-03-31-Entry-Level-Competencies.pdf
  • Jankelová, N. and Joniaková, Z. (2021). Communication Skills and Transformational Leadership Style of First-Line Nurse Managers in Relation to Job Satisfaction of Nurses and Moderators of This Relationship. Healthcare, [online] 9(3), p.346. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8003159/.
  • Kimberg, L. and Wheeler, M. (2019). Trauma and Trauma-Informed Care. Trauma-Informed Healthcare Approaches, [online] pp.25–56. doi:https://doi.org/10.1007/978-3-030-04342-1_2.
  • Lucas, B. (2023). Using reflection in nursing practice to enhance patient care. [online] journals.rcni.com. Available at: https://journals.rcni.com/nursing-standard/evidence-and-practice/using-reflection-in-nursing-practice-to-enhance-patient-care-ns.2023.e11598/abs#:~:text=Sch%C3%B6n%20(1983)%20identified%20three%20elements [Accessed 20 Feb. 2024].
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  • Open Resources for Nursing (OpenRn) (2019). 1.6 Legal Considerations & Ethics. wtcs.pressbooks.pub. [online] Available at: https://wtcs.pressbooks.pub/nursingfundamentals/chapter/1-6-legal-considerations-and-ethics/.
  • Royal College of Nursing. (2023, November 3). Definition and principles of nursing practice | Royal College of Nursing. The Royal College of Nursing. https://www.rcn.org.uk/Professional-Development/Definition-and-Principles-of-Nursing
  • Scolaro, A., (2016). Dignity in care homes for older people: a qualitative study (Master's thesis, University of Malta).https://www.um.edu.mt/library/oar/handle/123456789/14049
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