A Clinical Experience Of The Nursing And Midwifery Council ( Nmc ) Code Of Professional Conduct

Nurses have a responsibility to provide safe, quality and competent nursing care and are therefore expected to conduct themselves personally and professionally in accordance with the code of conducts established by the Nursing and Midwifery Board of Australia. The Code of professional Conduct as well as the Code of Ethics for Nurses in Australia together provide a quality framework of professional practice for Nurses, outlining a set of minimum standards Registered Nurses are expected to maintain (Nursing and Midwifery Board of Australia, 2010). Unprofessional conduct is defined as “conduct that is contrary to the accepted and agreed practice standards of the profession” (Nursing and Midwifery Board of Australia, 2010). In the video “Crossing

Dignity and privacy are rights that can be forgotten by staff when working in a residential facility like Highfield. They must ensure that the resident’s privacy and dignity are respected at all times. Areas where this is important are dressing and undressing, intimate care, entering private room and examinations.

Every health professional has a legal obligation to patients. Nurses as part of the health care team share an important role in the quality and safe delivery of patient care. They have the major responsibility for the development, implementation and continuous practice of policies and procedures of an organisation. It is therefore essential that every organization offer unwavering encouragement and resources to support their staff to perform their duty of care in every patient. On the other hand, high incidences of risk in the health care settings have created great concerns for healthcare organizations. Not only they have effects on patients, but also they project threat to the socioeconomic status. For this reason, it is expected that all health care professionals will engage with all elements of risk management to ensure quality and safe patient delivery. This paper will critically discuss three (3) episodes of care from the case study Health Care Complaints Commission [HCCC] v Jarrett [2013] Nursing and Midwifery Professional Standards Committee of New South Wales [NSWNMPSC] 3 in relation to Registered Nurse’s [RN] role as a leader in the health care team, application of clinical risk management [CRM] in health care domains, accountability in relation to clinical governance [CG], quality improvement and change management practices and the importance of continuing professional development in preparation for transition to the role of RN.

For the purposes of this essay the Elderly Care Scenario has been selected. The aim of this essay is to discuss the concept of vulnerability and why the patient in the Elderly Care Scenario is vulnerable. With reference to the NMC Code, the second part of the essay will discuss how the scenario demonstrates/does not demonstrate professional values and how the staff could have empowered the patient and demonstrated respect and maintained his dignity. The third part then discusses the anti-discriminatory issues within the scenario and how it could be promoted. The final part is a reflection on the assignment and the lessons learnt.

The guiding principles of Catholic Social Teaching have the overarching, dominating theme of human dignity (Condit, 2016, p. 371). The focus is, that human beings were formed in God’s image and in return, humanities purpose is to follow in God’s footsteps and portray the same love and grace (Coleman, 2008) (Condit, 2016, p. 371). Consequently, this affects how human beings interact with each other, requiring commitment, to look after, encourage, maintain and promote each other (Coleman, 2008) (Herbert, 2016, p. 7). One way to apply, this Catholic Social Teaching of human dignity, is to understand the nurse’s relationship with the patient. Nurses need to approach the patient with respect and maintain the person’s privacy, acknowledging that they are a fellow human being, with their own personal characteristics and beliefs (Condit, 2016, p. 371) (Walsh & Kowanko, 2002, p. 143-144, 149).

Truth-telling is an important issue within the nurse-patient relationship. Nurses make decisions on a daily basis regarding what information to tell patients. The specific issue in question is whether a nurse should abide by the Code of Ethics for Nurses by revealing the truth to the patient or refrain from telling the truth to the patient because they are respecting the wishes of the patient’s family. Nurses and health care professionals should always tell the truth to their patients unless the patient forgoes their rights to autonomy or cannot think for themselves. By providing the patient with the truth, they allow the patient to come to terms with their conditions and give them the options for further treatment.

During a late shift on the ward, my mentor asked if I would stay with Mrs Smith whilst she gave out medication in order to ensure she wouldn’t be left on her own and fall. I introduced myself to Mrs Smith and sat with her in her room. It became apparent to me quite quickly that she was obviously very confused and she was not fully aware that she was in a hospital, as she repeatedly asked me where she was. On being told she was in hospital she would say no and shake her head. It wasn’t long before she asked me when her husband would be there to take her home, to which I replied

dignity of the patient are essential components of caring. Caring in nursing is there to meet the

Human dignity is respect for an individual regardless of sex, race, or gender. This ethical principle promotes respect for life, freedom and privacy. A nurse can promote dignity by providing patient privacy during nursing care procedures, allowing independence, and upholding the cleanliness of the patient. For the nurse, human dignity does not only apply to patients but also to our peer and colleagues. The nursing student can promote human dignity by being respectful to his or her fellow classmates, faculty, and staff. They can also promote dignity by decreasing prejudice, judgment and competition among students (Shaw & Degazon, 2008).

This essay will consider ethics in nursing, discuss values and morals and how dignity and respect in patient care is influenced; considering the importance of reflection and the implications it has on effective practice from the perspective of a student nurse. The scenario “Call Me Joe” provided by Nursing and Midwifery Council (NMC) (2010a) highlights concerning issues and bad practice that are happening in modern day nursing practice, and using the Driscoll and Teh (2001) reflective model: What, Now What and So What, to consider the care that Joe is receiving; considering how the nursing practice affects him directly and the implications of the nature of knowledge in nursing practice. Part of the way in which nursing practice is

The Purpose of this essay is to reflect upon an experience which relates to the chosen topic of dignity and respect, this was highlighted in my self-assessment (please see appendix) Acknowledging a persons’ dignity can contribute to their sense of good health, well-being and independence. Dignity is an essential element of high quality care and involves aspects such as respect, privacy, autonomy and self-worth (The Welsh Assembly, 2007)

As the nursing profession progresses throughout the years, its nature becomes more complex in meeting the professional standards and codes of ethics that are required by all nurses. The American Nurses Association has a specific code of ethics that each nurse should follow and adopt as their own beliefs. The public and the patients should be the priority when providing care in the healthcare setting. The knowledge and education that nurses’ gain is valuable and allows them to encourage health, avoid illness, restore health, and aid in coping for those who are all ill. (LeMone, pp.192) Given that the code of ethics is put into place, there are many registered nurses who violate these codes in various situations. The following will discuss

The ‘zone of helpfulness’ describes the centre of a continuum of professional behaviour. This zone is where the majority of interactions between a nurse and a person in their care should occur for effectiveness and the safety of that person. ‘Over involvement’ of a nurse with a person in their care is to the right side of the continuum; this includes boundary crossings, boundary violations and sexual assault and inappropriate relationships with the

The RCN’s (2008) definition of dignity is seen to be the ‘foundation of excellence in nursing practice’. The definition is concerned with how nurses care about individuals by how they support patient autonomy and choice (Barker 2000).

Patient’s decisions may sometimes be affected by various factors i.e. Their surroundings, they are often vulnerable and out of their normal environment. A conventional health care setting may be in a hospital environment where patients are most likely feel sensitive and insecure. Matiti and Trorey (2008:17) conducted interviews involving 102 patients in 3 different hospitals across the United Kingdom, over a period of 18 months. The purpose of these encounters was to annotate what was being said and also the fundamental meaning of how patients believed that their dignity was being put in jeopardy. One of the key aspects of patient dignity is making choices. Whilst conducting these interviews Matiti and Trorey (2008:17) discovered that despite the fact that patients accepted the loss of a little independence within the hospital surroundings, they wanted the freedom to participate in the decisions about their healthcare. Patients’ understanding in terms of choice, authority or participation in care and autonomy varied extensively. A number of patients were grateful that they were given the option to make decisions and that these were acted upon. On the contrary others considered that their right to making choices was contradicted and often their