Autonomy In Nursing

This community placement allows me to understand that community nurses have a greater autonomy and responsibilities in practice. From a clinical perspective, nurses play an important role in assessing the clients and making decisions to manage their care. For instance, in medication management, community nurses do not have a second nurse to check the certain medication such as insulin which would routinely be checked by a second nurse in hospital settings. Thus, nurses need to adhere to the standard of practice (NMBA 2016), perform three checks and five rights to ensure safe medication administration. In rural communities, nurses might be the only persons to provide complex care to the clients, decision making needs to act ethically and

A profession can be defined as a “prestigious occupation with a high degree of identification among its member that requires a length and rigorous education in an intellectually demanding and theoretically based course of study; that engages in rigorous self-regulation and control; that holds authority over clients; and that puts service to society above simple self interest” (Schwirian, 1998, p. 6). Nursing is just that, and with its specific body of knowledge, standards, and codes of ethics, it is only fitting that it be self-regulated (College of Nurses of Ontario, 2012). The College of Nurses works with registered nurses, registered practical nurses, and nurse practioners to determine whether or not standards and best practices are met and that the public’s safety is protected.

According to the ANA, Delegation is when a nurse who is responsible for nursing care delivery, transfers responsibility of a task to an LPN/ LVN or nursing assistive personnel while retaining accountability for a safe outcome (ANA, 2012). There are five rights of delegation; These include, the right task, the right circumstance, the right person, the right communication and the right supervision" (ANA, 2012). In the right task, the nurse takes into consideration whether it is within a person’s scope of practice to perform the task being delegated.

Emancipatory knowing is just one form of knowledge development used to create the underlying structure of nursing as a profession; Carper (1978) also explains that the different categories of knowing help to define the direction and authenticity of the field. Understanding emancipatory knowing, in congruence, with the other forms of knowing will allow practitioners to stand atop a foundation “on

ABSTRACT: Delegation refers to the practice of a registered nurse assigning certain tasks and activities to other people while still maintaining responsibility for the actions of the others to whom responsibility has been delegated. The act of delegating assumes that the delegator has a certain amount of trust in the person to whom they delegate. Additionally, quality communication is paramount in maintaining superior patient care when delegating tasks to others. One signifigant obstacle to delegation is ensuring that the proper tasks are delegated to the appropriate individuals. The organizational structure and leadership

A nursing philosophy coincides with self-awareness. Nursing philosophies are developed by each individual nurse regarding the nursing practice and are important in understanding what is fundamentally important to each nurse, along with their values and beliefs. Self-awareness, in short, is knowledge of one 's self, feelings, motives, and desires. In order for nurses to develop their own nursing philosophy they must first have a good sense of self-awareness. As a future nurse it is important that I recognize my own self-awareness so I can continue to build onto my beliefs and values of the nursing profession and gain a better understanding of what is fundamentally important to me as a nurse. In this paper I will discuss why I chose the nursing profession, my beliefs and values, and what I feel is fundamentally important in the nursing profession.

In nursing, delegation helps in making use of the talent or skills of another person. One nurse transfers interventions which are under his/her practice roles to another to another member of the healthcare team who lacks such powers authorized under their scope of practice. Delegation can only take place if it is in patient’s best interest.

I enjoyed reading your discussion, despite all controversy around nurse profession, the nursing profession is one of the most trusted professions; however, much of the public does not really understand the type of responsibility, background, or education a nurse must possess, and much of this is due to media portrayal or society biases ethical and moral issues. Nursing is seen as a feminine occupation and is thus devalued in male dominated patriarchal society (Burtt, 2012).

Theory analysis offers a systematic method for identifying the strengths and weaknesses of a theory that ultimately helps validate its usefulness in directing and influencing clinical practice (Linder, 2010). Using the seven-step process outlined by Walker and Avant (2011), this paper will provide a theory analysis of the self-determination theory (SDT) to examine its meaningfulness and contribution to the nursing discipline with special attention to work engagement among nurses. Self-determination theory is a motivational and personality theory that explores the socioenvironmental causes that influence a person’s tendency toward psychological health and wellbeing, enhanced performance, and self-motivated behavior (Podlog & Brown, 2016). SDT analyzes intrinsic and extrinsic motivations to explain why people behave the way they do; specifically, when the basic psychological needs of autonomy, relatedness, and competence are met, self-motivated behaviors and effective performance will be actualized (Podlog & Brown, 2016).

Delegating nursing care to subordinates and colleagues, so how do things get missed? Our day is planned out, we have a perfect plan of action, and something goes wrong. Our shift is coming to an end we are checking our list to see if everything was completed but inevitably we have forgotten something. You’re running through your mental list and you thought you delegated duties to someone but did you? Keeping up with all of your patients’ needs can be overwhelming. Each day at work is different with a new set of patients

Mollie, I really enjoyed your post. It amazes me how many people do not always recognize the value of the nurse until they are impacted by one first-hand. As with so many other topics, the media can easily distort the true meaning and purpose of so many things. After the incident on the View with Joy Behar, I was rejoiced by the out-pour of support for the nursing profession by so many. Nurses united as one and demanded respect for what they do. As more advanced practice registered nurses (APRNs) provide direct care for patients, the community can observe first hand the excellent care a mastered-prepared nurse can give. This will help promote the nursing profession.

Nurses that work in a psychiatric clinical setting deal with ethical dilemmas daily. One of the ethical issues that are common in psychiatric nursing is autonomy. Autonomy is defined as the patients’ rights to make decisions about their own lives and health without interference from the nurse, physician, or other team member that is included in the care. As a nurse this right must be respected.

The results of this integrated review underscored the principle of SG implementation as having an effect on the empowerment of nurses. Yet the degree of SG and empowerment is still uncertain. Erickson et al. (2003) was the only study to capture baseline data prior to implementation of SG activities. Erickson et al. (2003) then compared empowerment and power scores over a three-year period. Additionally, Erickson et al. (2003) measured two separate groups, council members and non-council members and provided a comparative analysis of both. His conclusion is that empowerment scores were significantly higher one and two years after baseline data was collected. He went on further to report that committee members scored significantly higher than nonmembers. Erickson et al. (2003) makes a considerable contribution to the body of knowledge on the empowerment of nursing and (SG). In order to fully understand the degree of empowerment, capturing baseline data is critical. Different nursing environments can foster varying levels of empowerment. An intensive care unit is a more empowering environment for nurses than a long-term care environment. ICU nurses generally practice with more autonomously.

Autonomy applies to the profession of nursing because the patient should always be allowed to make decisions regarding their care while being treated with respect and dignity; however, autonomy can serve as a limiting agent when the patient decides to refuse care that would be of benefit to them. Autonomy is a sensitive issue because it allows the patient to choose to die and all health care can do from that point is allow the patient to do so comfortably. With healthcare always being one step ahead, it allows a surrogate to serve as a voice piece for that patient when they are unable to make decisions. However, that surrogate can end up making decisions they think is best for the patient ignoring the patients’ will. The responsibility of the nurse and interdisciplinary team is to inform and educate the patient and patient’s surrogate on all aspects of care to include medical diagnosis, treatment, and care plan so that the patient and

Nursing process discipline is a nursing theory developed by nursing theorist, Ida Jean Orlando. This theory, one of the first written about the nursing process, was written to help establish nursing as an independent function in providing health care for a patient. Through this independent nursing function, Orlando developed her theory on the concept of the nurse-patient interaction. During that interaction the nurse recognizes a patient behavior as an “… immediate need for help” (George, 2011, p. 165). This “immediate” need must be correctly identified by the nurse, so the nurse may provide care to relieve the need for help experienced by the patient. Orlando’s creation of the nursing process discipline helped to further establish