Duty Statement of a Registered Nurse

Nursing is one of the most intimate health care professions. They are connected to their patients as soon as they are admitted into their care right through until they are discharged into someone else’s care. With this, nurses have a strict professional identity and scope of practice to prevent a nurse from over stepping their professional boundaries. A nurses’ duty of care does go beyond the average healthcare professional but still does not impair the

developing a rapport with ones patients and that a little compassion and understanding can mean the world to a

Since the early 1900’s nurses have been trying to improve and individualise patient care. In the 1970s this became more structured when the nursing process was introduced by the general nursing council (GNC), (Lloyd, Hancock & Campbell, 2007) .By doing this their intentions were to try and understand the patient in order to give them the best care possible (Cronin & Anderson, 2003). Through the nursing process philosophy care plans were written for patients. It was understood that this relationship would ensure the patient received the best care possible to suit them individually. This would consist of not just the patient as a physical being but their spiritual emotional and holistic being also (Cutler, 2010). The

This assignment will explore and critically evaluate the role of the registered nurse in the development of a plan of care that is patient centred. This will involve examining and critically analysing the chosen nursing model in a holistic assessment of the patient and the use of the nursing framework ASPIRE (Barrett, Wilson and Wollands, 2012).

This assignment will reflect on the effectiveness of my clinical and interpersonal skills in relation to my position as a nurse in a busy critical care unit. It will primarily focus on one particular patient and the care they received by myself in their immediate post operative period. In accordance with the NMC’s code of professional conduct names will not be used to protect the patient’s confidentiality. NMC (2008).

First of all, I recognized that I was dealing with humans, and not just dealing with a disease process and application of the nursing process in the aspect of restoring patient health. I was dealing with emotions, and families, and cultural beliefs that influenced individual’s aspects of care. I started to see that health did not just incorporate healing the disease, but also recognized the importance of making sure patient’s felt that their

The importance of empathy in any helping profession, medical or social, cannot be overstated. The workers that exemplified it in their practice did the best that they could with their limited resources.

I try to keep open communication with my patients and their families; I try to include the

Patients seek medical attention for preventative measures, as well as, diagnostic measures. Patients must have a trusting rapport with their collaborative medical team, as the nurses and the doctors are the people who they trust their lives with. Patients do not always present to hospitals, urgent cares, walk-in clinics, or even doctor’s offices only when they are sick; patients visit to ensure their good health will continue, treatment regimens are of benefit, changes that may be needed in regimen. When someone thinks of a patient they may think of some of these characteristics: illness, disease, hospital, medications, health, and prevention.

As Nurses, we often ask ourselves what more can we do than is currently being done to improve the health of our clients not only in an individual sense but as a community. We are required by the scope and standards of nursing to ask ourselves this type of question by virtue of our profession and indeed is a baccalaureate nurse essential as well. We are in a unique position as nurses to have the most interaction with the community of patients we serve, and we often see the issues that affect the communities we serve more readily. One such issue that is undeniably

In this article, Gallagher writes about the importance of nursing care on patients’ experiences. Nurses make up the largest group of healthcare professionals and will have the most impact on the patients they care for. There is evidence that backs up this hypothesis, and proves that positive nursing care is related to a decrease in death rate incidences within 30 days. The goal of this article is to educate nurses on the importance they carry, and provide evidence to impact the care they provide.

The first stage of this framework is coming to know the client, which requires the nurse to understand that the personal meaning of health and healing is individualized and the context of this area is highly subjective. Gillespie and Paterson (2009) state that “clinical decision-making processes are triggered by recognition of a cue from a patient” (p. 167). In the case of this patient, the decision was based off a cue; a change

My own health comes first; it is an example to others and must be reflected and tended to daily. Awareness is the first step in healing or change. My health includes striving for awareness of others and myself. It is important to remember that everyone is doing the best they can at any given moment. People can only do so much with the understanding, awareness, and knowledge they possess. Pattern reorganization can be uncomfortable and healing can be painful. We are all in a state of continual learning. Frustrations may be outwardly projected when disequilibrium is present. It is a nurse’s job to be mindful of this and continue providing supportive, quality

As a competent registered nurse, my career goal is to become a healthcare quality improvement leader, a position that would enhance my commitment in promoting patient safety. I not only believe in enhancing the capacity of other care providers, but also in improving the quality of the healing environment for the benefit of both patients and their care providers. This means not only promoting collaboration with the multidisciplinary teams, but also building the necessary healing partnerships with our patients. To enhance the quality of the healing environment, I aspire to continue analyzing researches for evidence based practices and advocating for their actualization. I will continue focusing my time and energy in encouraging other nurses to improve their skills through formal education, so they can empower themselves as advocates of quality improvement for the benefit of their patients and coworkers.

Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.