The definition and scope of practice in nursing have evolved through time. In order to safeguard the public health and to regulate the profession, the Nursing and Midwifery Council was created. Furthermore, the NMC Code of Conduct, popularly known as “the Code” enumerates regulations as the baseline of good nursing and midwifery practice, and serves as a primary tool in protecting the health and wellbeing of the public (NMC, 2008). This essay will elucidate three issues expressed in the code and exemplifies how one could adhere to these as a Registered Nurse. Moreover, it provides an overview on how a Registered Nurse could raise and escalate concerns in addition to legislations that protect them when doing so.
“Make the care of people your first concern, treating them as individuals and respecting their dignity” (NMC, p.2 2008)
Treat People as Individuals
In 2008, the Royal College of Nursing (RCN), published its definition of dignity, which is related to how people see their worth and how they act and behave towards that perceived value. This encompasses the profession’s focus on the individual person. Therefore, a registered nurse must not consider each person as a “case” or identify them as a disease process. Rather, individual needs should also be taken into account. Being able to offer choices, determine the course of their treatment, providing meaningful independent activities, and spending one-on-one time with the patient are just some of the activities that a nurse
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).
Nurses actively preserve the dignity of people through practiced kindness and respect for the vulnerability and powerlessness of people in their care… This vulnerability creates a power differential in the relationship between nurses and persons in their care that must be recognised and managed.7 A diagram representing a continuum of professional behaviour provides a picture of therapeutic versus non-therapeutic behaviour in the relationship between the nurse and the persons in their care.8
There are, however, barriers to maintaining a patient’s dignity. In a survey of over two thousand nurses’, carried out by the RCN (2008), it was found that nurses’ come across several boundaries in relation to maintaining a patient’s dignity. These boundaries were identified as pressures on bed spaces, shortages of staff and a purpose or target centred culture (RCN, 2008). The caring environment can have a huge impact on dignity, it has the ability to maintain a person’s dignity or degrade and devalue them (Gallagher, 2004). Torjuul and Sorlie (2006) acknowledge that overcrowding and mixed-sex accommodation are barriers to maintaining patients’ dignity and privacy. A caring environment that is spacious, clean, with good facilities promotes dignified care (Baillie et al., 2009).
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
dignity of the patient are essential components of caring. Caring in nursing is there to meet 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).
The NMC has a code of professional conduct, standard for conduct, performance and ethics, the code clearly states the need for nurses, midwives as well as special community public health nurses to maintain their professional knowledge and competence in order to deliver care based on current evidence, best practice and where applicable (NMC 2004, p.10). Hence, nursing profession is regulated by the NMC which has
In this Assignment, we will be looking at and discussing how the Nursing Midwifery Council’s Code (NMC) can guide the provision of person centred nursing care. What is the NMC’s Code? NMC Code is a list of professional requirements that which the nurses and midwives needs to adhere in order to practice in United Kingdom. This Code also helps the nurses and midwives to maintain their professional standards throughout their career. The Code is divided into four important sections. The sections are Prioritise people, Practise effectively and Preserve safety and Promote professionalism and trust (NMC 2015).
In this assignment we will be discussing how the Nursing and Midwifery Council NMC (2015) guides nurses in the direction of good practice. Why we have the code? Who the code is for? How to implement the code in our daily lives as practitioners. The NMC (2015) is a set of guidelines which nurses and midwives must adhere to in order to provide the best care possible to their patients. The NMC (2015) is split into four main sections:
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).
As an individual’s ethics will play a large part in their practice, there are specific guidelines and legislation that exist to ensure that nurses, as well as other health professionals, practice in a way that is ethical (Avery, 2013). These laws further exists to attempt to simplify the ethical issues that sometimes present in nursing practice and to attempt to guide one’s actions. The Nursing and Midwifery Board of Australia (NMBA) provides guidance to nurses by providing a number of professional codes and guidelines (Avery, 2013). The NMBA has developed a code of ethics for nurses comprising of eight codes (Avery, 2013). These are as follows; 1) Nurses value quality nursing care for all people; 2) Nurses value respect and kindness for self and others;
The nursing scope of practice is highly dependent on experience and the people we serve. Nursing are at the forefront of healthcare. We have to collaborate with other healthcare disciplines, so advance knowledge is needed to deliver quality care. With technology advancing at a fast pace, advance degrees are needed to keep up with complex health care situations. We have to evolve as nurses, along with society’s health needs, and technology. The more education you attain, the more you are enhancing your knowledge to improve patient outcomes while improving your critical thinking skills. With an advanced degree, more research can be done into safety and strategies to prevent errors and how to improve overall patient care. With advance technology,
The purpose of this essay is to examine an interaction from my clinical placement, which has required me to demonstrate professional conduct (NMC 2015). Professionalism is ‘achieving excellence in patient-focused care; to practise with awareness, competence and compassion to high ethical and clinical standards with up-to-date knowledge’ (Brown and Gobbi 2007:5). Therefore it is vital that nurses, student nurses and all other NHS workers conduct themselves professionally as this will lead to them adhering to the patients’ needs effectively, resulting in a higher standard of care being provided. Nurses are governed by the Nursing and Midwifery council (NMC), who sets out codes, rules and regulations. This code is the foundation of good
When the code published by nursing and midwife council provides standards of performance for nurses and midwifes, one of its key role is to safeguard the health and wellbeing of public. Even though this code of conduct seems relatively straight forward, it is very difficult in implementing those in practise. Sutcliff which is very significant vies shared by Hannah Sutcliff and ii agree with Sutcliff it on this matter because the patient and nurse relationship is very complex and it can be incredibly difficult to measure this
It provides guidance and advice to help nurses and midwives keep their skills and knowledge up to date and uphold their professional standards. It has fair and transparent processes to investigate and deal with nurses and midwives who fall short of their professional standards. The governing body