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Functional Differences
Nursing professionals rely on Professional Nursing Organizations (PNOs) and Regulatory Agencies for standards, guidance, support, rules, regulations, licensure, and discipline when necessary. An example of a PNO is the American Nurses Association (ANA), which aims to advance the nursing profession, engage in legislation and policy making, and support nurses to provide quality care. The ANA's mission is clear: "nurses advancing our profession to improve health for all" (ANA, 2014). Full membership requires a Registered Nurse license and a fee, while subscribers can be non-RNs who pay a fee but do not have full access to resources.
Joining the ANA offers nurses connections to professionals in the medical field and access to various resources and articles.
Reasons for not joining may include lack of awareness about membership ease, knowledge of fees, or availability of free internet resources. Nursing regulatory agencies like the State of Tennessee Board of Nursing (BON) typically operate at a state level. The TN BON's mission statement focuses on ensuring all practitioners in the state are qualified and licensed to practice, with the goal of protecting Tennesseans' health, safety, and welfare (TNBON, 2014).
The Tennessee Board of Nursing (TN BON), supported by the governor, is made up of 11 members - 10 nursing professionals and 1 consumer.
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They are responsible for supervising licensure/certification, education/curriculum in nursing programs, and the practice of nursing within the state. The TN BON analyzes and assesses statutes and regulations to create criteria that encourage professionalism (TNBON, 2014).
The Tennessee Board of Nursing, also known as TN BON, is in charge of addressing complaints and concerns regarding misconduct within the nursing field.
They have the power to enforce penalties like license suspension or revocation to protect public health and safety (TNBON, 2014). Furthermore, TN BON provides various free resources for the public, such as meeting minutes available on their website.
Examples of nursing code include:
The Nursing Code of Ethics provides guidance for nurses on morals, ethics, and professionalism through 9 provisions that must be adhered to in order to deliver the best care. As the nursing director at a youth residential behavioral facility, two key provisions impacting my practice are #2 and #4. Provision 2 emphasizes the importance of prioritizing the well-being of patients, whether they are individuals, families, groups, or communities. Working with behaviorally challenged adolescents in a residential care setting can present challenges related to legal matters and parental rights. While focusing on the welfare of the youth, it is essential to involve parents by offering information and education.
The challenge arises when the parent does not agree with the care plan for the youth in state custody, which must be followed strictly according to guidelines and nursing responsibilities. The child's welfare is the top priority, and legal action may be necessary if parents reject treatment. Provision 4 of the Nursing Code of Ethics emphasizes the nurse's obligation to provide excellent care, a duty that corresponds with my role as a nursing manager overseeing caregivers for youth.
As a leader, it is my top priority to ensure the safety of both children and employees at the facility. I take full responsibility for this, whether I am physically present or not. My role involves delegating tasks effectively and providing top-quality care to guarantee the safety and security of everyone involved. While some staff members have formal training like nurses, most receive their training on-site from managers and nurses. It is crucial for me to educate youth care workers and other staff on proper interaction, safety protocols, infection control, and medical policies.
Professional Traits
As a member of the American Nurses Association, I bring four professional traits to the interdisciplinary healthcare team based on Provisions 1 and 3 of the Code of Ethics. In my role as a nurse manager, I ensure that all team members are aware of "Provision 1.1 Respect for human dignity" (ANA 2014), especially when working with children from diverse backgrounds. Upholding the individual rights and dignity of our clients is essential. Additionally, I am responsible for promoting professionalism within my department, as outlined in "Provision 1.5 Relationships with colleagues and others" (ANA 2014), which emphasizes the importance of respectful interactions among team members.
As the supervisor, educator, and discipliner of employees, I maintain a high level of professionalism when interacting with colleagues. The youth in this facility have varied medical and personal backgrounds, some of which may involve sexual exploitation or abuse leading to sexually transmitted diseases. This is especially tragic for child victims. "Provision 3.1 Privacy" and "Provision 3.2 Confidentiality" (AMA 2014) are clear guidelines that all employees must follow to ensure the privacy and confidentiality of these children. Adhering strictly to these provisions allows me to establish trust with the youth and understand their diverse histories, helping the healthcare team provide comprehensive treatment.
Discussion of Nursing Theory and its Application in Professional Practice
My nursing foundation is influenced by various factors, one of which is the nursing theory of Patricia Benner (Cherry, 2011). Benner's theory outlines five levels of nursing competence: novice, advanced beginner, competent, proficient, and expert. Despite having a nursing degree for some time, I have found it necessary to continually acquire new skills and knowledge in different areas of nursing. In my current role in adolescent care, my previous experience in adult health meant that I began as a competent nurse rather than an expert. Over four years in adolescent care, I have consistently expanded my expertise by learning lab values, medication dosages, educational methods, and therapeutic techniques.
E. Contributions
Florence Nightingale's contributions have a lasting impact on my nursing practice, particularly in the drive for continuous improvement. Her dedication to enhancing healthcare conditions, as seen in her work in military hospitals, sanitation, public health, and use of statistics, inspires me daily. As a nurse manager, I rely heavily on statistics and documentation in areas such as monitoring vitals, nutrition, sleep patterns, potential incidents, and behavioral changes. These elements are essential in modern medical practices.
F. Scenario
In my work with children and families, I prioritize upholding the ethical principles of beneficence and nonmaleficence to protect the safety and well-being of my clients. Beneficence involves promoting good and preventing harm, while nonmaleficence means refraining from causing harm and helping others improve their overall wellness. These principles were demonstrated when an adolescent admitted for a primary diagnosis revealed self-harming scars during an assessment and asked that her parents not be told.
My main focus was on ensuring the child's safety by removing any potential hazards and alerting the staff to increase safety measures. I then discussed with the child the importance of informing her therapist and parents for her own well-being and to prevent any further harm. The child understood the necessity of sharing this information to start the rehabilitation process. Balancing trust, honesty, and the promotion of the child's health made this situation challenging yet straightforward.
Conclusion
Nursing is a diverse profession that follows standards set by Professional Nursing Organizations (PNO's) and Regulatory Agencies. The Nursing Code of Ethics serves as an essential tool for ethical nursing practice, while professional qualities are important for interactions with coworkers, patients, and the community. Various theorists and medical figures have contributed to shaping nursing practice, with their theories and models continuing to impact the field today, including my own practice.
Professional Nursing Organizations and Regulatory Agencies in Nursing Practice. (2016, Aug 26). Retrieved from https://studymoose.com/the-professional-nursing-organizations-essay
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