Accountability and responsibility are fundamental components of professional nursing practice. Being accountable for one’s actions means that nurses and midwives must be prepared to justify the decisions they make. All healthcare staff, whether they are students, HCAs, nurses or doctors, owe a duty of care to a patient, and must ensure that decisions are always made in their best interests. A duty of care is imposed upon these individuals by law, and exists even if they are not directly responsible for a patient’s care. Arising from this duty of care is an obligation to protect confidential information.
The Nurse and other multidisciplinary team discussed the treatment protocol with Mary and family. The nurse explained how the treatment works, the benefit and any side effect as well as expected outcome. This will enable Mary to gain understanding of the treatment options and take an active role in decision making regarding her treatment. And therefore, having been presented with the treatment information Mary consented to chemotherapy treatment. The National and Midwifery council (NMC) 2008 code of conducts emphasise the importance of communication, stating that nurse must communicate in a way the patient can understand the information they need about their health.
Patient-centered care is imperative to success of a nurse, and the building of a therapeutic relationship. It recognizes the patient first rather than their illness. Patient-centered care, family centered care, and holistic nursing care, view all aspects of the patient including the physical, psychological, social and spiritual needs as well as how the whole family unit has a part in the health and healing process of the individual patient. These holistic care concepts are not new concepts. They are widely recognized in healthcare, and are fundamental for nursing and healthcare professionals to understand and incorporate in the delivery of care as they empower the patient and their family to make decisions about their care (McGeorge, 2010).
To do this, Hall created a new method/standard of care, and referred to this standard of care as the “Care Core Cure” nursing theory. Hall noted that a few crutches were crucial to the new standard: the patient must be determined to explore his or her own behavior, and to overcome any problems that become exposed; the nurse must assist the patient to achieve this goal with every action that is performed (Alligood, 2018). The centrality of the actions of the nurse in these scenarios led Hall to believe that the actions of the nurses led to the care of the nurse (at least) equating to the care of the physician. The Three C’s of Nursing and its Integration
Lastly, clients should be regarded as experts in the sense that it is they who know their own health condition and history best. Thus, caregivers should take instructions and directions from clients seriously. In the nursing field, there are major concepts that help to cement the nursing value systems. The people concept mainly focuses on the patients themselves, their family members, friends, and any other groups related to them (Blackford, 2016). To make the people concept more effective, positive and personal connections should be maintained throughout the time the patient is seeking care, and the patients should be afforded the freedom to manage their health with dignity and self-awareness (Blackford, 2016).
Informatics continues to grow and plays a major part of the healthcare system. It is vital for all healthcare providers to have at least a basic understanding of informatics. Patient safety is the number one goal in healthcare, it is drilled into your heads while in nursing school. So, it is not surprising to see it be a major focus in the role informatics plays. One aspect that we will focus on is how nursing informatics helps reduce nosocomial infections, specifically catheter-associated urinary tract infections (CAUTI’s).
Communication is a vital aspect of the relationship between the patient and the nurse, as it allows for a therapeutic relationship to be built and maintained. It is stated that good, clear and professional communication is important for the delivery of high standard care (Reading, S. and Webster, B, 2014). This is particularly important in mental health nursing as giving verbal guidance and reassurance is an important aspect of the care being provided. Mental health nurses must also be able to recognise when a situation is needing a soothing tone of voice in communication or a more authoritative tone. When the nurse is talking to Geoff and advising him on his medication she must talk to him in a soothing and friendly tone.
The overall synopsis gives prompt for the need of utilizing standardized handoff tools as well as negotiation of patient transfer among departments. As nurses, the transfer of information efficiently is the ultimate responsibility to aid in communication for success rather than contribute to its failure. This could potentially be a barrier to improvement if many nurses fail to adopt the initiative. In preparation for a future career in nursing and being first line in patient safety, it is a personal responsibility and goal to implement efficient communication in my own professional practice. With efforts to promote effective communication, success among the transfer of information to eliminate issues will be exemplified through
These issues outlay measures which nurse leaders should follow in planning for the entire healthcare organization. In addition to this, legal concerns within the unit provide accurate guidance for nurse leaders on idea generation, problem-solving, conflict resolution, sharing information, performance and feedback evaluation and skills and attitude inspection in the health care system. References Gopee, N., & Galloway, J. (2017). Leadership and management in healthcare.
Autonomy involves the right of self-determination or choice, independence, and freedom. This is closely tied to informed consent because it requires that clients be provided clear and sufficient information to make good decisions for themselves (Ellis & Hartley, 2012, p. 291). This principle is an important ethical and legal principle. In this scenario there is a conflict between the physician’s choice and patient’s autonomy (that he wants to rescind his DNR order). According to CNO, Nurse should advocate for clients to acquire information before consenting to, or refusing, care, treatment (CNO, 2009, p. 7).