9. PROFESSIONAL AUTONOMY IN NURSING Nursing has come a long way from being the hand maidens of the physician to having control over nursing knowledge and practice. It now has two essential ingredients of accountability and autonomy. There is more demand from the nurses now than in the past when all they were expected to do was just to provide comfort and care. They were just meant to assist the physician during treatment, assist in the patients personal hygiene administer medication that is prescribed by the physician and dress wounds.
The expert nurses have worked in a clinical environment for over five years. The expert’s performance become flexible, holistic rather than fragmented, and can quickly identify relevant information to make a knowledgeable clinical decision. Expert practitioners always know more than they can tell, and often rely on intuitive thought that results in holistic problem
Expert Nurse- no longer relies on principles or rules to put together situations to determine the course of action. They possess a deeper background and experience over the years in
Nursing has become a very dynamic role as it is constantly changing and evolving. The number of people entering the nursing field continues to increase. The responsibilities nurses are held accountable for are very diverse and demanding. Mental health nursing is one of the many diverse fields a nurse must be educated in. A nurse must be competent in attending to a patient’s mental health as it is something that pertains to all patients regardless of race, origin, or religion.
By continuing to partake in the Quality Assurance program and self-regulating, behaviours can fulfill the standard of being “safe, competent and ethical practitioners” (CNO, 2014, pp. 3). Setting of First Year of RN Practice The ideal setting of my first year of practice, as an RN will be at the Juravinski Hospital in the hematology unit. I have always known that I wanted to work in oncology and my placement on the hematology unit solidified my decision to pursue this goal. During a clinical shift, I would be responsible for providing care to patients with malignant hematological diseases, completing pertinent assessments and teaching skills, such as how to care for the mouth when experiencing mucositis and how to avoid infections.
Therefore, nurses need to have an intensive and broad knowledge of the medications and its method of organization in the compelling treatment of patients whose life lies in her grasp (Kozer, 2008) Human life is very valuable. When any person is admitted to critical care unit, life is critical or dangerous situations. The nurses who face such complex should have expert skills, knowledge
“As new nurses graduate from school and enter the health care industry they encounter many barriers that distract them from caring for their patients” (Johnstone & Mohsen, 2013). With limited experience they are ill equipped to prevent ethical distress when confronted with ethical dilemmas. “They need ethical knowledge to conduct their appropriate function to manage situations and to give safe and proper legal and ethical care in today 's changing world” (Mohammadi, 2013). Ethics and Nursing Ethics Ethics is simply defined as “the study of good conduct, character and motives, it is also concerned with determining what is good or valuable for all people” (Bouchal & Ecker, 2014). It involves choices and judgements about what to do or what not to do.
It is not just about looking after the patients, it also is about understanding them and the care they want to receive. Every individual has beliefs and values that they follow. The nurse has to acknowledge that and then proceed with providing quality care. Nursing also is also about establishing strong relationships with the patients, patients’ family and co-workers. Providing care should