This Professional Nursing Mission Statement describes the professionalism a nurse needs to perform excellent care in the health environment. The Mission also demonstrates different aspects of nursing and what nurses are to look forward to now and into the future.
A. Functional Differences
Board of Nursing has an authoritive role in nursing. They are made up of professionals that make up rules so the nurse is aware of what is allowed or not allowed in their scope of practice. Theses rules may differ from state to state but primarily, their focus is to protect the public from people who practice nursing without the appropriate qualifications. State Board of Nursing has the authority to rescind and reissue licenses. Board of Nursing also decides on penalizing action against a nurse who has a complaint or lawsuit against them (Villaceran, 2007). The State of Hawaii board of nursing purpose generally claims just the same. It claims that anyone posing as a nurse must show proof ‘in order to safeguard life and health’ (Hawaii Revised Statute Chapter 457 – Nurses, 2013).
A professional nurses organization, or PNO, such as the American Nurses Association for example, was generated to direct a licensed nurse on how to present him or herself in an ethical manner. Although it is not law, it should be practice as a guide to uphold the integrity of the nurse (American Nurses Association, 2001). PNO defines the nurse Code of Ethics and the Scope of Practice. They also explains what a nurse is and promote professionalism. PNO may be involved with research to improve the quality of patient care as well as be apart of the political decision-making to endorse them (Sauls, 2013).
B. Nursing Code Example
A nursing code of ethics is a good place to start with to guide any nurse to become a great healthcare provider. American Nurses Association, also known as ANA, Code of Ethics gives ideas on how one may want to envision themselves as a respected nurse with values. It identifies how a nurse may want to carry themselves in the workplace with quality and good integrity. ANA provision 1 seems to define what a nurse is all about. It describes the nurse as student nurses were taught to be in nursing school. Practicing human dignity keeps nurses in good standing with the Gallup polls. In 2008, Gallup polls showed that 84% of the people see nurses as the most ethical. This is the highest amongst other occupations (Cherry, 2011). Generating a relationship with the patient is inevitable. There’s no way a nurse can do their job without first establishing a relationship with the patient. The question is, will a nurse generate a good relationship as oppose to a bad one? To give good care, the nurse and the patient is in need to be on the same page where the patient is made to feel as they are the one in charge of their care.
So, if a patient does not feel like getting up to work with physical therapy the nurse should grant their wishes. Nurses should not ‘force’ patients to do things the patient does not want to do. The nurse should first encourage the patient that it is important to take their daily medications or encourage them to get up for physical therapy, for example. If they continue to refuse, the patient should have the sense of control of their care by not feeling ‘threatened’ for not wanting to take their medication or getting up for physical therapy. But, allowing the patient to set a plan for their day may have the patient more cooperative and less stressed. ANA code of ethics provision 5 is a code that states: ‘the nurse owes the same duties as others, including the responsibility to preserve integrity and safety, and maintain competence, and to continue personal and professional growth.’ (American Nurses Association, 2001).
Moral self-respect is required to carry out this code; not only to ones self but to the patient as well. It is a good start to establish trust. Moral respect should also be practice to the individuals in the interdisciplinary team involved. Moral self-respect is key to keep self-esteem and respect to others. It keeps the feeling of unity in a patients care. Having a good rapport with the interdisciplinary team will keep the all on the same page as far as patient care. With the every changing healthcare systems and updated research, nurses are in constant need to keep up for the sake of keeping the patient up to date with healthcare technology (Amcee, 2003). This requires ongoing classes of not only updated technology but with competency as well. If the interdisciplinary team and peers are aware of this, this will boost trust and respect for the educated nurse.
C. Professional traits
The ANA Code of Ethics discusses many professional traits. Although all are very important and continuously need to be practiced, the professional trait of Collaboration is essential for the interdisciplinary team to practice as well (American Nurses Association, 2001). Collaboration is the job description of any disciplinary team. It is valuable for all individuals to be apart of the care of the patient. Each member of the team gives valuable information from his or her expertise resulting in a holistic plan of care. Another professional trait the nurse to advocate to the interdisciplinary team is to respect the patients right to self-determination while admitted in their care. Every patient needs to be apart of their care and should be able to claim what they want or do not want in their plan of care (American Nurses Association, 2001). This would give the patient a sense of control in their care and their life. Delegation is the third professional trait that is essential to the interdisciplinary team in order to give appropriate and timely care to the patient (American Nurses Association, 2001).
The interdisciplinary team all has his or her own unique specialty that will allow the patient to receive individual care they are requiring. Patients put their lives into the hands of the physician everyday. They trust that they will be taken care of as if they were the only patients the physician possesses. The nurses and staff are an extension of the physician. Everyone taking care of patients has an obligation to continue that integrity the patient has already upheld in the physician. This is why provision 5 in the Code of Ethics should be practiced. This fourth professional trait allows the patient the feeling of respect and dignity. This sense will allow them to have faith in the nursing team and the healthcare system that they will have the best care possible (American Nurses Association, 2001).
D. Recommended resource
Jean Watson established in 1978 the Theory of Human Caring. Watson introduces the 10 ‘carative’ (or caring) factors that support her theory. They are:
1. The formation of humanistic-altruistic system of values
2. The instillation of faith-hope
3. The cultivation of sensitivity to one’s self and to others
4. Thedevelopment of a helping-trusting relationship
5. The promotion and acceptance of the expression of positive and negative feelings
6. The systematic use of the scientific problem-solving method of decision making
7. The promotion of interpersonal teaching-learning
8. The provision for a supportive, protective, and (or) corrective mental, physical, sociocultural and spiritual environment
9. Assistance with the gratification of human needs
10. The allowance of existential-phenomenological forces (Nursing Theories, 2012).
D1. Theory in Professional Practices
Jean Watsons Theory of Human Caring is essential in patient care. Being in the hospital, away from family and literally laying your life in the hands of a stranger cannot be easy. Human caring and showing compassion and empathy can possibly decrease stress and allow patients to focus on healing and be compliant with their care. If patients feel good about their care they’ll be more involved with their care. Using the environment of a Skilled Nursing Facility, as an example, where the healing process may take longer than expected, following the 10 ‘caratives’ in the Theory of Human Caring will not only show quality care but give the patient a pleasant hospital experience for the remainder of their stay
Lillian Wald was known for her works in the public health nursing. She believed that the caring for the patient should start before they end up in the clinic. She encouraged the importance of disease prevention and taught health education. She provided well-baby care and treated minor illness in her main clinic named Henry Street Settlement House (Cherry, 2011). Lillian Wald emphasized the significance of prevention. A practice that continues to be reiterated everywhere. As seen in commercials or billboards or even on the radio, prevention is key to a long, healthy lifestyle. When patients leave the hospital, discharge education is vital to making sure they are capable to care for themselves and, hopefully, bring down the numbers of hospital visits.
One principle I safeguarded for a patient was respect for autonomy. Sometimes patients are admitted into the hospital for something as simple as daily intravenous antibiotics. They are independent with all of their activities of daily living. Sometimes these patients are intertwined with other patients in shared rooms. These independent patients, because of their alertness, should be able to be in a private room. These patients are not only of low acuity, but these patients will be happier not being around sicker patients. Happier patients means good rating for us.
On the other hand, there are times when patients are admitted as stable yet confused. The second principle I safeguarded for a patent was non-maleficence. Because these patients are not in control of their thoughts or actions they are required to be supervised more closely than others. Patients who are at risk of getting hurt by getting out of bed without assistance can cause nurses to be of concerned. These patients can easily be put in a wheelchair and ‘hang out’ with the nurses at the nurses station for continuous supervision from, not only of the team nurse but, all staff. This would allow more eyes on the patient bringing down the risks of injury. This will also prevent more invasive means like using physical or chemical restraints.
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