APPROACHES TO PROFESSIONAL NURSING PRACTICE 401007 SOLVED & UPDATED.

ICN Code of Ethics for Nurses 2012 - Fundamental ethical values and standards for nurses in Australia and around the world. - Reference point for nurses to reflect on the conduct of themselves and others. - Guide ethical decision making and practice. - Outline to the community the ethical standards they can expect of nurses. - Doesn't apply to big issues such as abortion. Just day to day decisions. Nurses and People nurse promotes an environment in which the human rights, values, customs and spiritual beliefs of the individual, family and community are respected. The nurse holds confidence in personal info. nurse demonstrates professional values such as respectfulness, responsiveness, compassion, trustworthiness and integrity. Nurses and practice the nurse carries personal responsibility and accountability for nursing practice, and maintaining competence by continual learning. the nurse maintains a standard of personal health to not compromise providing care. uses judgement when accepting and delegating tasks. maintains standards of personal conduct that reflects well on profession and image and public confidence. in providing care, the use of tech and scientific advances are compatible with safety, dignity and rights of people. nurses and profession the nurse assumes major role in determining and implementing acceptable standards of clinical nursing practice, management, research, education. active in developing a core of research based professional knowledge that supports evidence based practice. active in developing and sustaining a core of professional values. through professional organisation participates in creating a positive practice environment and maintaining safe, equitable social and economic working conditions in nursing. contributes to ethical organisational environment and challenges unethical practices and settings. nurses and co-workers sustains a collaborative and respectful relationship with co-workers. takes appropriate action to safeguard individuals, families and communities when their health endangered by a co-worker or any other person. supports and guides co-workers to advance ethical conduct. Code of Professional Conduct 2018 has 4 domains and 7 principles - sets out legal requirements and professional behaviour and conduct (behaviour) expectations for RNs domain: practice legally principle 1: legal compliance 1.1 obligations 1.2 lawful behaviour 1.3 mandatory reporting domain: practice safely, effectively and collaboratively principle 2: person centred practice 2.1 nursing practice 2.2 decision making 2.3 informed consent principle 3: cultural practice and respectful relationships 3.1 Aboriginal and/or Torres Strait Islander Health 3.2 Culturally safe and respectful practice 3.3 Effective communication 3.4 Bullying and harassment 3.5 Confidentiality and privacy 3.6 End of life care domain: act with professional integrity principle 4: professional behaviour 4.1 professional boundaries 4.2 advertising and professional representation 4.3 legal insurance and other assessments 4.4 conflicts of interest 4.5 financial arrangements and gifts principle 5: teaching, supervising and assessing 5.1 teaching and supervising 5.2 assessing colleagues and students principles 6: research in health 6.1 rights and responsibilities domain: promote health and wellbeing principle 7: health and wellbeing 7.1 you and your colleague's health 7.2 health advocacy RN Standards for Practice 2016 7 standards - development of scope of practice and aspirations of RNs Standard 1 - thinks critically and analyses nursing practice RNs use a variety of thinking strategies and the best available evidence in making decisions and providing safe, quality nursing practice within person-centred and evidence-based frameworks. 1.1 accesses, analyses and used best available evidence 1.2 reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice 1.3 respects all cultures and experiences 1.4 complies with legislation, regulations, policy, guidelines when making decisions 1.5 uses ethical frameworks when making decisions 1.6 accurate, comprehensive and timely documentation of assessments, planning, decision making, actions and evaluations 1.7 contributes to quality improvement and relevant research. standard 2: engages in therapeutic and professional relationships RN practice is based on purposefully engaging in effective therapeutic relationships; collegial generosity - mutual trust and respect in professional relationships. 2.1 establishes, sustains and concludes relationships in a way that differentiates boundaries between professional and personal relationships. 2.2 communicates effectively and is respectful of a person's dignity, culture, values, beliefs and rights. 2.3 people are experts in the experience of their life 2.4 provides support and directs people to resources to optimise health related decisions 2.5 advocates while respecting autonomy and legal capacity 2.6 uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes 2.7 fosters culture of safety and learning - engaging with health professionals and others to share knowledge and practice that supports person centred care 2.8 participates/leads collaborative practice 2.9 reports notifiable conduct of HP, and others. standard 3: maintains the capability for practice 3.1 considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capacity of practice 3.2 provides the info and education required to enhance people's control over health 3.3 uses lifelong learning approach for CPD of self and others 3.4 accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities 3.5 seeks and responds to practice review and feedback 3.6 actively engages with the profession 3.7 identifies and promotes integral role of nursing practice and profession influencing better health outcomes for people standard 4: comprehensively conducts assessments 4.1 conducts assessments that are holistic and culturally appropriate 4.2 uses range of assessment techniques to collect relevant and accurate info to inform practice 4.3 determines factors that affect the health and wellbeing of people and populations to determine priorities for action and referral 4.4 assesses the resources available to inform planning standard 5: develops a plan for nursing practice 5.1 uses assessment data and best available evidence to develop a plan 5.2. collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons. 5.3 documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes 5.4 plans and negotiates how practice will be evaluated and the time frame of engagement, and 5.5 coordinates resources effectively and efficiently for planned actions. standard 6: provides safe, appropriate and responsive quality nursing practice 6.1 provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people 6.2 practices within scope of practice 6.3 appropriately delegates aspects of practice to enrolled nurses and others, according to enrolled nurse's scope of practice or others' clinical or non-clinical roles 6.4 provides effective timely direction and supervision to ensure that delegated practice is safe and correct 6.5 practices in accordance with relevant policies, guidelines, standards, regulations and legislation, and 6.6 uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards. standard 7: evaluates outcomes to inform nursing practice 7.1 evaluates and monitors progress towards the expected goals and outcomes 7.2 revises the plan based on the evaluation 7.3 determines, documents and communicates further priorities, goals and outcomes with the relevant persons. ACSQHC - NSQHS Standards 8 standards, 148 actions, protect the public from harm and to improve the quality of health service provision. Clinical Governance NSQHSS - clinical governance, safety and quality systems that are required to maintain and improve the reliability, safety and quality of health care, and improve health outcomes for patients. partnering with consumers NSQHSS -systems and strategies to create a person centred health system by including patients in shared decision making, to ensure that patients are partners in their own care, and that consumers are involved in the development and design of quality health care. preventing and controlling Healthcare Associated Infection NSQHSS - systems and strategies to prevent infection, to manage infections effectively when they occur and limit development of antimicrobial resistance medication safety which describes the systems and strategies to ensure that clinicians safely prescribe, dispense and administer appropriate medicines to informed patients, and monitor use of the medicines. comprehensive care which describes the integrated screening, assessment and risk identification processes for developing an individualised care plan, to prevent and minimise the risks of harm in identified areas. communicating for safety which describes the systems and strategies for effective communication between patients, carers and families, multidisciplinary teams and clinicians, and across the health service organisation. blood management which describes the systems and strategies for the safe, appropriate, efficient and effective care of patients' own blood, as well as other supplies of blood and blood products. recognising and responding to acute deterioration which describes the systems and processes to respond effectively to patients when their physical, mental or cognitive condition deteriorates.