Collaborative Working, Reflection, Cultural Awareness And Ethical Practice

This assignment will explore the Roper, Logan and Tierney model used in first clinical placement and will explain how it helped to guide nurses to focus on the fundamentals of patient care. Patient dignity is upheld by using this model following the principles outlined in the Code of Professional Conduct and Ethics for Registered Nurses and Midwives as will be discussed.

The socialization of new graduate registered nurse into the field of practice is a pivotal event that helps to develop professional identity as a registered nurse. The process of organisational socialization includes three phases; phase one that includes new employee characteristics, new employee behaviours, organisational efforts, phase two that includes adjustments for new employees and phase three that includes new employee outcomes (Phillips, Esterman & Kenny, 2015). Many factors such as relatedness, internal motivation, role model, theory-practice incongruence, educational experiences and tacit knowledge are important factors to improve professional socialization (Zarshenas et al, 2014). These factors help new graduate nurses transition

The second academic illustration that I would like to submit for therapeutic nursing intervention is the PowerPoint presentation on Joanne R. Duffy: The Quality Caring Model © completed in NUSC 5003, Theory in Nursing, in the Spring semester of 2015, (see Appendix D). My PowerPoint presented Joanne R. Duffy’s theory and her focus on the clinical problem that “Nurses don’t seem to care” for which she created The Quality Caring Model ©. The concept illustrates the theoretical and the practical influences in jointly engaging quality of care with human caring and patient outcomes.

Nursing is a responsibility to provide the best care regardless of the patient’s age, race, religion, sex, disability, ethnicity, sexual orientation, or their past. A nurse must keep up to date on education and new processes in health-care, so they can provide the best care. As a nurse, you have promised to give each of your patients the best care that can possibly be given. Nurses must follow a code of ethics, to act safely, provide ethical care no matter how they feel about the patient or the reason they are in your care. Following this code of ethics shows your commitment to caring for people and society, it is a guide of ethics and standards to follow to keep everyone safe.

Nursing is a responsibility to provide the finest care regardless of the patient’s age, race, religion, sex, disability, ethnicity, sexual orientation, or their past. Nurses must keep up to date on education, new processes, policies and keep informed about new laws and regulations in healthcare, so outstanding healthcare can be administered. As a nurse, you have undertaken a responsibility to provide people the finest quality care that can possibly receive. It is a nurses’ duty to follow the code of ethics, to act

This situation presented an unresolved conflict between myself and the vice principal in my clinical placement. This conflict can be linked with the nursing concepts of interprofessional collaboration and communication, role clarification, and power. Therefore, it is understandable that nursing students working within an interprofessional team that does not demonstrate respect and understanding will result to ineffective care, health promotion delivery, and impede professional development.

This learning actively greatly assisted in building my confidence, which I required in order to be successful in the new graduate RN role. Good collaborative working relationships are based on clear communication and collaboration with the patient and all members of the healthcare team. (Kieft, et al. 2014) This semester I had no issues with regards to speaking with physicians and other members of the healthcare team, and I continued to actively participated and contributed to daily rounds on all 3 critical care units.

Significantly, “Cultural competence and respect for others becomes especially important for us in the nursing practice because we are patient advocates. We all begin the process of learning the behaviors and beliefs of our culture at birth. We become assimilated into that culture and the way that we express is often without conscious thought. Our culture can have a definite and profound effect on how we interact with others, and also how we relate to the healthcare system.” (Anderson, 2012, How Culture Affects Healthcare section, para. 1,3)

Firstly, the paper introduces a series of important questions a nurse should ask him/her about the importance of cultural competence in patient 's care, the assessment tool which is more feasible to use according to each specific population, and how that knowledge would help to improve patient 's care and reduce healthcare disparities especially for minorities.

According to Masters (2015), “An ethical dilemma is a situation in which an individual is compelled to make a choice between two actions that will affect the well-being of a sentient being, and both actions can be reasonably justified as being good, neither actions is readily justifiable as good, or the goodness of the actions is uncertain” (p. 129).

Try to be culturally aware of patients and identify the difference between self and others: Nurses must develop flexible attitude to respect the cultural difference of other people

My philosophy of nursing practice encompasses respect, compassion, candor, honesty, flexibility, privacy, culture, knowledge- teaching and learning which is a continuum. In addition to, technology, communication- active listening and understanding, allotting time, going the extra "mile" humor , protection of self and patients through holistic care. To be a nurse you must have a degree. However, to be a quality and qualified nurse one should be compassionate, knowledgable, and conscientious when interacting with patients. A competent nurse also utilizies empirical knowledge and his or her own nursing philosophy to guide care.

Encountering death constitutes one of the most stressful events that a nurse inevitably encounters. Patients and families often face complex choices as patients approach the end of their lives. These decisions often affect many aspects of a person’s well-being and may be spiritual, psychosocial, or legal. Dying patients have to consider their wants and needs from treatment, while also considering the ramifications that can accompany these choices. This paper discusses a professional nurse’s role in promoting a good death, personal experiences regarding my encounters with death, and how all nurses can effectively facilitate end of life decisions.

The American Nurses Association talks of nurse advocacy in the code of ethics as important in providing quality care for patients. In the code of ethics, provision 3 of the code of ethics states, a nurse should promote, protect and advocate for the health, rights, and safety of the patient. In the scenario, the provision 3 of the ANA code of ethics is violated as the effort to advocate for the patient is blocked and thus leaving the patient suffering in the hands of the physicians (American Nurses Association, 2005). Nurses play a vital role when it comes to the care of patients which include advocating for the patients since they have the closer relationship with their patients and tend to understand the needs and cases

The word collaboration is vital in any health institution with health professionals from different fields because success or goals of the institutions are achieved with good collaboration. For a good collaboration to exist in a healthcare institution, there must be set objectives and people involved must have same interest in meeting the set objectives. There must be a good communication that is clear, honest and purposeful. A collaborative nursing practice involve cooperation with the nursing team, other health professionals and patients as well as their relations. In as much as nurse are always at the forefront of every healthcare, their nursing care for patients is not adequate without the help of other health team members because the health team work as a group using their individual techniques to achieve high standards in patients’ health outcomes. Good collaboration among nurses makes their work easier as it ensures continuity and prevents errors or mismanagement in patients’ health.