Approaches to Professional Nursing Practice questions with 100% correct answers verified for accuracy

ICN Code of Ethics for Nurses 4 Ethical Standards: • Nurses and people • Nurses and practice • Nurses and the profession • Nurses and co-workers Registered Nurses Standards for Practice 7 Standards for Practice: 1. Thinks critically and analyses nursing practice 2. Engages in therapeutic and professional relationships 3. Maintains capability for practice 4. Comprehensively conducts assessments 5. Develops a plan for nursing practice 6. Provides safe, appropriate and responsive quality nursing practice 7. Evaluates outcomes to inform nursing practice Code of Professional Conduct for Nurses 10 Conduct Statements: 1. Nurses practice in a safe and competent manner 2. Nurses practice in accordance with the standards of the profession and broader health system 3. Nurses practice and conduct themselves in accordance with laws relevant to the profession and practice of nursing 4. Nurses respect the dignity, cutlture, ethnicity, values and beliefs of people receiving care and treatment and their colleagues 5. Nurses treat personal information obtained in a professional capacity as well as private and confidential 6. Nurses provide impartial, honest and accurate information in relation to nursing care and health care products 7. Nurse support the health, wellbeing and informed decision making of people requiring and receving care 8. Nurses promote and preserve the trust and privilege inherent in the relationship between nurses and the person receiving care 9. Nurses maintain and build on the community's trust and confidence in the nursing profession 10. Nurses practice nursing reflectively and ethically Nurses Guide to Professional Boundaries 3 Zones: 1. Disinterested Neglectful: Under involvement 2. Therapeutic Relationship: Zone of helpfulness 3. Boundary Violations: Overinvolvement ACSQHC National Safety and Quality Health Service Standards 8 Standards: 1. Clinical Governance 2. Partnering with Consumers 3. Preventing and Controlling HAI 4. Medication Safety 5. Comprehensive Care 6. Communicating for Safety 7. Blood Management 8. Recognising and Responding to Acute Deterioration Role of AHPRA Australian Health Practitioner Regulation Authority Role of NMBA - Registering nursing and midwifery practitioners and students - Developing standards, codes and guidelines for the nursing and midwifery profession - Handling notifications, complaints, investigations and disciplinary hearings - Assessing overseas trained practitioners who wish to practise in Australia - Approving accreditation standards and accredited courses of study NATIONAL REGISTRATION FOR NURSES AND MIWIVES INTRODUCED 2010 Role of Nursing Tribunal 1. Protect health and safety of general public by minimising recurrance of risk and deterring instances of simialr conduct by other practictioners 2. Educative to practitioners about professional conduct, thereby safeguarding the high standards in which the public can have confidence Professional attributes of nurses * Reflective practice * Self awareness * Lifelong learning * Evidence based practice * Ethical practice * Regulated practice * Tertiary education Miasma A noxious or poisonous atmosphere Self-awareness Critical reflection will help develop self awareness which in turn will enhance reflection Johari Window A visual representation of components of the self that are known or unknown to the self and to others Analysis Breaking things down so you can examine carefully and separately Synthesis Combining separate elements into a whole Informed consent * Can be impled, verbal or written * Must be freely and voluntarily given * Information must be accurate, non biased, comprehensive and in plain terms * Adults must be competent, able and have legal capacity to give consent * With exceptions of emergencies, consent without these requirements is not valid and HCP could be charged with battery Client's full access to medical records is determined on a case by case basis Ethics "Is about human potential, behaviour and expectations of what is good and socially worthy." "The study of what we ought to do." Ethics is not... * Professional etiquette or opinion * Hospital policy or medical authority * Religion or morality * Law * Gut feeling or intuition * Empirical data * Public opinion or consensus Ethical Principles AUTONOMY BENEFICENCE NON MALEFICENCE JUSTICE Ethical dilemmas * Rarely one clear cut answer * Refer to COE but still only a guide * Consult peers, supervisors * Consider from multiple angles, develop possible solutions, decide best solution * Reflect: Are any of your own strong views influencing your thinking * Complex situations rarely have simple solutions Ethical Dilemma Model E xamine the ethical dilemma T horoughly comprehend the possible alternatives H ypothesise ethical arguments I nvestigate, compare and evaluate arguments for each alternative C hoose the alternative A ct on your chosen alternative L ook at dilemma and examine outcomes while reflecting on the ethical decision Ethics and Law Ethics is about human potential, behaviour and expectations of what is good and socially worthy Law is about the rules and consequences or penalties imposed should someone fail to adhere to what society expects Confidentiality * All patient information is confidential. Only to be shared as neccessary with the treating team * Human right * Breaches are illegal as well as unethical * Requirements outlined in NMBA Code of Ethics, Code of Professional Conduct and National Competency Standards Confidentiality or Privacy? Confidentiality is the assurance that data about a person will not be disclosed without their permission Privacy is an individual's desire to control access to information about themselves Unsatisfactory Professional Conduct Significantly below standard reasonably expected of a practitioner of equivalent level and experience Professional Misconduct More serious impropriety and includes unprofessional conduct that is inconsistent with the practitioner being a fit and proper person to hold registration Scope of Practice Being aware of and remaining within areas in which you are competent Being aware of scope of practice of people to whom you are delegating tasks ... some tasks cannot be delegated Scope is dynamic. It changes with experience, new knowledge and skills, context