It is purely therapeutic and should be planned, time-limited, and goal-oriented. Imogene King explained this further when she developed her Theory of Goal Attainment. She stipulated that interactions between the nurse and the patient must result in goal achievement (Webber, 2015). Therefore, the nurse must meet the client needs and help them regain control of their health. Regardless of the context or the duration this relationship, the nurse has the obligation to respect the client 's dignity, promote their autonomy, and respect their privacy.
With regards to monitoring and sanctions, when nurses are supervised by their supervisors to ensure that they follow their ethics in their professional practice, they will observe them. nurses will comply when they have awareness about sanctions that could be meted out to them should they breach any of the ethical provisions .monitoring and sanctions also influence how nurses perceive and comply to their professional ethics. This monitoring is ultimately oriented towards the goal of making sure that all nurses adhere to the ethical standards in their professional practice
It reflects the exploration of one's thoughts, beliefs, behaviours, approaches and values (Bibi, 2016). In healthcare, nurses are constantly interacting with individuals who may not share the same characteristics, therefore, it's very important to recognise these differences in order to successfully develop a therapeutic alliance which will lead to a healthy therapeutic relationship (Rasheed, 2015, p. 213 - 214). Nurses that don't take into consideration self-awareness tend to project personal opinions and beliefs onto those who may not share the same values. (Rasheed, 2015, Bibi, 2016) Therefore, being aware and staying neutral will allow nurses to be person-centred, participating in active listening and having mutual understanding. Reflection is an important aspect of self-awareness and allows health professionals to look back and analyse practices, identifying which aspects need further development (Rasheed, 2015, p. 214, Bibi 2016).
PART A: DIGNIFIED CARE IN NURSING: Dignity; “the state or quality of being worthy of honour or respect.” (Oxforddictionaries.com, 2016). Nurses must respect patient dignity because they have a duty of care to each client. Without respecting this, a patient may feel they have not received the correct standard of care, which may prolong their recovery time. Dignified care in nursing practice means delivering a service to patients or clients in a way that respects their rights as human beings. Nurses have a responsibility to encourage patients to be as independent as possible.
Nurses not only need to be disciplined, but also they need to have integrity. Integrity: Nurses should be honest and trustworthy in their actions. If nurses make mistakes, they have to admit it. In addition, Nurses have an ethical responsibility to keep their patients ' medical record confidentiality. Nurses shouldn 't release this confidential data to other persons.
Background and Significance of the Study Moral integrity is the key ingredients and navigator in professional nurses that lead to ultimate goal of nursing care. It has been recognized as a fundamental part of professional nurses’ practice (Ulrich et al, 2010; Pavlish et al, 2012). Professional nurses play the largest role to support the need for individualized treatment of the patient. The goals of the profession of nursing are related to ethical and involve protecting patients from harm while providing care that is the most benefit for the patient (Bosek, 2009; Kopala&Burkhart, 2005; Helft, 2011; Susan, 2013,). Nowadays, professional nurses have encountered to face and manage with moral problem that occur from complexity of patient health problems, advances in technology, inappropriate of health care system, policies and priorities that conflict with care needs, inadequate staffing and increased turnover, or lack of administrative support (Brazil et al.
Introduction Nursing in its entire essence is not only a profession per se but is actually a vocation. A humbling and a rewarding profession that needs a good heart to be able to perform and needs a degree of commitment, discipline and responsibility not only for oneself and also for others. As nurses place value on their commitment to serve, they are also bounded by the profession to be accountable and responsible of ones actions. There is that moral aspect that nurses owe to themselves, to their colleagues and to the community they serve. All nurses same as with other professionals, undertake their practice in accordance to a code of ethics and legal practice which is acceptable to the norms of service to the society.
Likewise in healthcare, oncoming staff generally does initiate not patient care delivery until a hand off process occurs. “Communication failures are increasingly being implicated as important latent factors influencing patient safety in hospitals.”(Sutcliffe, 2004, p. 187) Parker (1996) reports, “the nurses handing over had direct knowledge of the patient and were able to convey idiosyncratic and personal knowledge of the patient. This is a crucial element in professional nursing practice. The nurse can report on clinical judgments and can be held accountable for the judgments made” (Parker, 1996, p. 25) Critical evaluation of nursing actions can be evaluated and considered to be either continued or discontinued based on the rationales for the action and the patient outcome. In 2005, the Australian Council for Safety and Quality in Healthcare published a literature review of clinical handover and patient safety.
All of those aspects are pivotal in order to maintain a healthy, therapeutic relationship with our clients and to provide the greatest, holistic care possible while maintaining a sense of respect. Brennan and Monson (2014), say it best, stating, “professionalism is an indispensable element in the compact between the medical profession and society.” I consider autonomy and accountability a package deal when it comes to the professional nurse. Being able to work autonomously means that you handle certain situations independently while utilizing your knowledge and the evidence presented to you to come to a decision. You also have to remain accountable for the decisions you made while using that knowledge and take responsibility for those choices and any possible mistakes. These qualities are essential when it comes to operating within a healthcare team in order to gain
Knowledge is the foundation of professionalism, but accountability establishes trust in the profession. Davis (2017) defines accountability as being “answerable to oneself and others for one 's own actions.” This means that when a nurse engages in an activity on the job, she/he will be responsible for the outcome and might suffer negative consequences if her/his actions are careless or reflect poor judgement. Accountability provides a motivation for all professionals to perform well. Most people who are passionate about their profession have an internal desire to perform well, but accountability to one’s colleagues and patients provides an important external motivator to perform well. Nursing is unique as a profession because a nurse is in a position of authority and care over patients.