Nursing Practice and Profession Abstract

AbstractNurses committed to the interpersonal caring hold themselves accountable for the valet sanitary cosmos of affected roles entrusted to their health palm. Being accountable means being attentive and responsive to the health flush demand of individual patient. It means that my concern for the patient transcends whatever happens during my shift, and that I ensure continuity of care when I leave the patient. In todays highly fragmented system of care, patients often find themselves unable to point to any one care giver who knows the overall situation and is capable and pass oning to organize the efforts of the health care team. Being responsive and responsible earns a patients trust that all will be well as the healthcare needs are addressed. This will be the central them of this radical in the quest of establish the nurses accountabilities in evaluating or implementing change.Nurses who are sensitive to the lawful dimensions of practice are careful to develop a strong sense of both ethical and licit accountability. Competent practice is a nurses best legal safeguard. When working to develop ethical and legal accountabilities, nurses must recognize that both deficiencies and or excesses of responsible caring are problematic.Although it is reasonable to hold oneself accountable for promoting the human well being of the patients, nurses can err by setting unrealistic standards of responsiveness and office for themselves. discernment is always necessary to balance responsible self care with care for others. Inexperienced nurses might get totally responsible for effecting patient outcomes beyond their control and become frustrated and sad when unable to rise the desired outcome Conversations about what is reasonable to hold ourselves and others accountable for are always helpful.Each employing institution or agency providing nursing service has an obligation to establish a process for reporting and handling practices by individual or by health care systems that jeopardizes a patients health or safety. The American Nurses Association code of Ethics obligates nurses to report pro conduct that is handless, unethical or illegal. For nurses, incompetent practice in measured by nursing standards, unethical practice is evaluated in light of the nonrecreational codes of ethics, while illegal practice is identified in terms of violation of federal legislations and laws.Nurses must follow the accountability and responsibility inherent in their roles. They have the moral obligations in the provision of nursing care, whence they collaborate with other health care providers in providing comprehensive health care, recognizing the perspective and expertise of each member. Nurses have a moral right to refuse to participate in procedures that may violate their feature personal moral conscience since they are entitled to careful objection. They must keep all culture obtained in a professional capacity confidential and employ profes sional judgment in manduction this information on a need to know basis. Nurses are expected to protect individuals under their care against lack of privacy by confining their verbal communications only to capture personnel settings, and to professional purposes. They are obliged to adhere to practice that limits access to personal records to appropriate personnel.They must value the packaging of a social as well as economic environment that supports and sustains health and well-being. It includes the involvement in the detection of ill effects of the environment on the health of the patient as well as the ill effects of human activities to the natural environment. They must acknowledge that the social environment in which the patient inhabits has an impact on health. Nurses must respect the rights of individuals to make certain choices in relation to their care. They have this responsibility to inform individuals about the care available to them, and the choice to accept or reje ct that care. If the person is not able to speak for themselves, nurses must ensure the availability of several(prenominal)one to represent them. It is vital to respect the decisions do concerning the individuals care.Standards of care are one measure of quality. Quality nursing care provides care by qualified individuals. Likewise, the individual needs, values, and culture of the patient relative to the provision of nursing care is in-chief(postnominal) to be respected and considered hence it should not be compromised for reasons of ethnicity, gender, spiritual values, disability, age, economic, social or health status, or any other grounds. Respect for an individuals needs includes recognition of the individuals household in a family and the community. It is due to this reason that others should be included in the provision of care, most importantly the family members. Respect for needs, beliefs and values includes culturally sensitive care, and the need for comfort, dignity, privacy and alleviation of pain and anxiety as much as possible.Evidence-based practice (EBP) is a problem solving approach to clinical practice that integrates the conscientious use of best evidence in combination with a clinicians expertise as well as patient preferences and values to make decisions about the type of care that is provided (Melnyk, 2004). Quality of care outcomes refers to the true and relevance demonstrated by the decisions concerning the need for medical and surgical intervention. Evidence of appropriateness in healthcare is necessary to improve health outcomes, balance costs, provide guidance to physicians and meet the need of the new informed health consumer. Appropriateness is unlike effectiveness since the later refers to the degree in which an intervention achieves the objectives set (Muir Gray, 1997). single criterion of appropriateness is that of necessity.As technology and improved methods of care has advanced, access to appropriate interventions should likewise improve. Today some interventions are still limited such as magnetic resonance imaging (MRI) in rural communities and since access to this technology is limited, a criterion of necessity is used to determine who is able to access and how quickly. thus although use of MRI may be appropriate in diagnostics, it may be underused. Advancements in technology, interventions and clinical research will provide updated evidence which in turn would affect ratings of appropriateness (Muir Gray, 1997). Clinical road map statements are developed from evidence to assist healthcare practitioners in making appropriate health interventions (Woolf, Grol, Hutchinson, Eccles & Grimshaw, 1999).The clinical guideline may be a general statement or concise instruction on which diagnostic test to order or how best to treat a specific condition. The purpose of clinical guidelines is as a tool for making decisions that will result in more consistent and economic care. Guidelines are not rules nor are they mandatory. The benefits of clinical guidelines include Improved health outcomes Increased beneficial/appropriate care Consistency of care Improved patient information Ability to positively influence form _or_ system of government Provide direction to health care practitionersReferencesAgency of Healthcare Research and Quality. (n.d.). Outcomes research fact sheet. Online. for sale https//www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/index.htmlBrook, R.H. (1994). Appropriateness The undermentioned frontier. Online. Availablehttp//www.bmj.com/ circumscribe/308/6923/218.full?ijkey=t7GNbMJu0NIhAFitch, K., Bernstien, S. J., Aguilar, M. D., Burand, B., LaCalle, J. R., Lazaro, P. van het Loo,McDonnell, J., Vader, J. P., & Kahan, J. P. (2001). The RAND/UCLA appropriatenessmethod users manual. Online. Availablehttp//www.rand.org/pubs/monograph_reports/MR1269.html?John A. Hartford Foundation. (n.d.). Online. Available http//www.johnahartford.org/Muir Gr ay, J.A. (1997). Evidence-based healthcare How to make health policy and managementdecisions, New York Churchill Livingstone.Woolf, S. H., Grol, R., Hutchinson, A., Eccles, M., & Grimshaw, J. (1999). Clinical guidelinesPotential benefits, limitations and harms of clinical guidelines. Online. Availablehttp//www.bmj.com/content/318/7182/527.full