Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
Due to the nature of nursing field, nurses may face different circumstances and dilemmas that might require good decision making or choosing from alternatives to meet the best outcome that go with the patients ' wellbeing, comfort and wishes. As a consequence, nursing practice requires a framework that known as "ethics" which regulate and guide nursing actions to achieve these goals (Curtis and Benjamin 2010). In view of the fact that nurses notice, observe and attend to a lot of patient 's information, it is necessary to maintain them private. Also, nurses need to understand the importance of confidentiality and how to enhance and protect patients ' confidential information. The objective of this paper is to discuss the importance of confidentiality and describe its significance as an ethical principle during providing nursing care for individuals in the clinical setting.
There are many instances in which physicians are required in order for Medicare to pay for services, such as conducting assessments to admit patients to skilled nursing facilities. Currently NPs are allowed to order skilled nursing care, but it will not be covered under Medicare, unless the assessment to admit the patient to these facilities is done by a physician. (American Association of Nurse Practitioners [AANP], 2017) Similarly, NPs are not allowed to "provide the initial certification for hospice care, although they are authorized to serve as attending providers and recertify patients' eligibility." (American Association of Nurse Practitioners [AANP], 2017, p.1) Situations such as these limit the role of the NP due to financial burdens placed on patients if Medicare will not cover these services. By changing the term "physician" within these Medicare policies, it would allow services that NPs are well equip to provide, to be covered.
The second concept which inspired me was that of the 'Biopsychosocial Model ', a modern approach to healthcare that contrasts with the traditional view of diagnosis, treatment and care. Traditionally, the patient was examined as a whole organism and then examined at tissue, cellular and molecular level., i.e. the patient was only examined at a biomedical or biological level. Nowadays, the physician is encouraged to see the patient as part of a family group, peer group and wider society. The physician must diversify his/her approach to include a small amount of counselling, necessary in order to examine a patient 's interactions with his family, peer group and society as a whole.
Colley calls out nurses to embed the theories learned into practice that there should be a narrow gap between what we learned from school and what we apply in the actual setting. Theories act as a guide to continuously direct the nursing practice. There has been a lot of intriguing discussion regarding it’s plausibility to the nursing profession however Colley keeps on reiterating that nurses require these theories to realize their function and responsibilities .It also seeks to define and discover the distinctive characteristics that the profession has to contribute to the overall all healthcare service. She also mentioned that up until the present the nursing profession has not yet able to seclude itself from the precursor health models.
The profession of a registered nurse comes along with the complexities and major responsibilities. Registered nurse works in different areas of the health care sector, having different obligations and different working hours. The majority of the medical staff is the vast bulk of their energy strolling, standing, moving up and bending. They are working intimately with patients who are experiencing irresistible illnesses. The registered nurse may help their patients as primary care providers, that helps with all facets of patient care such as bedside care.
In order to determine how a nurse works as a professional, it is important to first define the duties of a nurse. Potter et al. says that according to the American Nurses Association, it includes: "the protection, promotion, and optimization of health and abilities; prevention of illness and injury; alleviation of suffering through the diagnosis and treatment of human response; and advocacy in the care of individuals, families, communities, and populations" (2015, p. 2). While ideas of what constitutes professionalism in the field of nursing have long remained the same, nurses are now held to an even higher standard. In addition to traditional values, nurses are now expected to strongly advocate for their clients, rather than subscribe to the old model of simply following the doctor 's orders (Williams & Hopper, 2015).
Core competencies of indirect and direct care providers may share some similarities; however, their implementation is different with respect to environment and specialization. Nurse Administrator and Adult-Gerontology Nurse Practitioner (NP) Core Competencies Denisco and Barker (2016) define direct care as functions performed by advanced practice nurses within the patient-nurse interface, and indirect care as undertakings completed away, and on behalf of the patient. A nurse administrator performs external duties for the patient, while the nurse practitioner conducts the patient-to-nurse interactions. Regardless of the difference in functions, the two mentioned advanced care providers must
You must be able to fully understand your own values and beliefs to be able to understand others. This is so important as a nurse because you will deal with a lot of clients who either disagree with your decisions or you will disagree with the choices they make regarding their care. Another important concept in my opinion is Human Relationships: Interpersonal skills and group dynamics. A big part of this subject is communication, communication in my opinion is one of the most important forms of client care because it includes so many different forms including client communication, communication with family, communication with co-workers and when you are doing public health teaching. Through the many forms you can understand more thoroughly the patient’s needs.
Advanced practice nurses (APN) have a vital role in the future of health care, especially since the enactment of the Affordable Health Care Act. With more citizens having health insurance coverage they will be seeking health care providers, and there are not enough physicians to care for them all. According to Letiziam (2014), advance practice nurses are licensed autonomous health care providers that have been trained to evaluate, diagnose, and treat patients and their conditions. Advanced practice nursing is an umbrella that covers four separate roles of nurses, this includes: the certified nurse midwife (CNM), certified registered nurse anesthetist (CRNA), certified nurse practitioner (CNP), and certified nurse specialist (CNS). An APN has obtained a masters of science in nursing or a doctoral degree from an accredited nursing program within the United States.