There are lots of aspects that influence and direct the registered nurse (Registered Nurse) in her everyday nursing practice. These elements consist of state laws, professional requirements and duties, and personal belief systems and values. All factors collaborate to supply proficient, safe, and quality take care of society as a whole. It is crucial that the RN possess both awareness and understanding of the crucial role these elements play in his/her day-to-day practice.
The American Nurses Association (ANA) defines the Scope of Nursing Practice as, “the description of the who, what, where, when, why, and how of nursing practice that deals with the variety of nursing practice activities common to all registered nurses (2010, p.
67).” The private RN’s degree level, understanding base, employment position, and patient population all figure out the range to which she or he is able to work within the scope of practice (ANA, 2010).
Successfully working within the complete scope of practice requires the Registered Nurse to be able to deal with all physical, social, spiritual, and emotional requirements from admission to release; by methods of patient advocacy, personalized mentor, treatment preparation, and usage of household and social support systems (Oelke, Besner, Doran, McGillis-Hall, & & Giovanetti, 2008).
Working on a behavioral services unit enables me to completely resolve the complete series of client requires daily. I collaborate with mental health specialists to attend to psychological needs, medical physicians to manage and treat physical conditions, social employees to deal with real estate and family problems, and pastoral care to address the patient’s spiritual matters.
I think that problems of mind, body, and spirit must be equally dealt with for complete patient care.
The Ohio Modified Code sets the legal standards through which a nurse is permitted to practice Nursing laws are mandatory rules of habits, and when broken can lead to penalty, or even the loss of the Registered Nurse’s nursing license. The Ohio Board of Nursing is accountable for the licensing all nurses, in addition to for ensuring that all nursing standards are preserved. As a Registered Nurse it is vital that I comprehend the legal limits to my nursing practice.. For example, I cannot legally prescribe medications, but I have
the authority to administer medications under the supervision of a licensed physician. Always practicing within these defined limits assures safe patient care, nursing competence, and protection of the RN’s license. The Development of Practice
The Code of Ethics for Nurses was developed as a guide for carrying out all nursing responsibilities in a manner consistent with quality nursing care and the ethical obligations of the profession (Fowler, 2010). I will be discussing provisions seven, eight, and nine of the nursing code of ethics. Provision seven requires nurses to contribute to the promotion of the profession through involvement in the workplace, the maintaining of professional standards, and the participation in academic activities (Fowler, 2010). As an RN I have not contributed to the promotion of the profession through workplace involvement. I have had numerous opportunities to join work related committees, mentoring programs, or participate in the orientation of new RN’s.
Until now have refused based on the fact I am enrolled in school. I was recently approached by my nurse manager and asked to help orient a new class of RN’s. I accepted the challenge and will start the orientation process in late September. Provision eight necessitates that all nurses work inter-professionally with other health care professionals, as well as with the community, to meet all health care needs on a municipal, federal, and global level (Fowler, 2010). Nurses must possess an understanding of both global health issues, as well as community health concerns. Working on a behavioral services unit, means that I frequently deal with the homeless or shelter living populations of my city. As nurse I know that this patient population is more susceptible to preventable communicable diseases. I work hard to encourage any patients who either homeless or live in local shelters to take advantage of the hospitals flu and pneumonia vaccines.
My effort in this area helps maintain public and personal health, as well as prevent the spread of communicable diseases. Provision nine dictates that the entire nursing profession and all of its associations are accountable for upholding the integrity of the profession, the promotion of nursing values, and influencing social course of action (Fowler, 2010). It is vital that all nurses hold themselves, their peers, and other healthcare professionals to the utmost level of integrity and professionalism. I must admit that this I find this provision to be the most challenging for me professionally. I have no problem holding myself to the highest professional standards, but have a hard time holding my peers to the same standard of care. Recently, a peer chose not to medically address a patient’s incredibly high blood pressure. She reported to me that it was merely a side effect of the patient’s agitation, and assured me the high blood pressure was being controlled with an antipsychotic. I could not believe what I was hearing, and immediately called a medical doctor for help. In retrospect I should have had the courage to both confront my peer’s lack of concern, as well as report her disregard for the patient’s well-being.
Philosophy is defined as, “the intense and critical examination of beliefs and assumptions (Burkhardt & Nathaniel, 2008, p. 27). Philosophy can be further divided into the philosophy of knowledge and the philosophy of practice (Burkhardt & Nathaniel, 2008). The philosophy of knowledge concerns suppositions regarding truth and disagreement, and the philosophy of practice concerns suppositions regarding behaviors and morals (Burkhardt & Nathaniel, 2008). Philosophical beliefs can affect they type of care that the patient ultimately receives.
If the nurse is not able to see the patient as an autonomous individual, care will ultimately be substandard. Part of my work as a psychiatric RN is helping patients deal with drug and alcohol addiction issues. Over the course of my nursing career I have helped hundreds of patients go through drug detoxification. Because my department deals with a lot of recidivism, it is very easy for a nurse in my role assume that all drug addicted patients are unmotivated in maintaining sobriety. I must always be on guard against developing a jaded attitude about my patient’s chances for maintaining his or her sobriety. If I assume the patient is not committed to his or her sobriety I may give end up giving substandard care. Before the start of each shift I remind myself that each patient is an individual, and must not be judged based on my own assumptions or personal experiences.
Ethics is a moral philosophy, a deliberate opinion of right and wrong (Naman, Nystrom, & Eriksson, 2012). Two ethical theories related to nursing
are utilitarianism and deontology. The theory of utilitarianism believes that all ethical decisions should be based on the greatest benefit to the greatest number of people, and theory of deontology believes that all ethical decisions should be based on what is best for the individual person (Burkhardt & Nathaniel, 2008). Nursing values include: kindness, truthfulness, fairness, discretion, independence, loyalty, and nonmaleficence (Burkhardt & Nathaniel, 2008). The RN’s understanding of her own personal values is required for the delivery of quality care, because the art of caring manifests itself as a personal value (Nasman, Nystrom, & Eriksson, 2012).
As a psychiatric RN on an acute behavioral unit I frequently care for the underserved population of my community. Most of my patients have a history of violence against peers, are uninsured, homeless, or abused. Caring for this cross section of society can be challenging to say the least. It is necessary that I as the RN approach each patient as an individual; deserving of kindness, patience, and honesty. This approach treats each patient with the respect and dignity he or she deserves. On several occasions my patients have told me that I cared for them better than their own parents. I believe that all patients are entitled to the highest quality of care regardless of their current psychosocial standing.
Many factors play a role in the individual nurse’s daily practice and quality of care. It is vital that the RN professionally act within the legal standards and limitations set by forth by state laws. The RN must always strive to work fully within his or her scope of practice. Individual understanding of the code of ethics is fundamental in maintaining the integrity of the profession for all nurses. Awareness and self-assessment of the RN’s personal philosophical beliefs and value system are fundamental in providing quality care to all patients. When the RN has an understanding of all of these factors, quality patient care is assured.