Professionalism in Nursing

It is important to integrate the concept professionalism into your nursing career because it allows you to flourish personally as a nurse but more importantly allows the patient to receive the care they deserve. Throughout the course of one’s nursing career there will be many slips and falls. Mistakes will happen but we as nurses are able to reflect and learn from them in a

February 2010 This is a companion document to the Codes of Ethics and Professional Conduct for Nurses

And all of them continue to develop with wide-ranging nursing research. We will continue our analysis using professional nursing practice in New Zealand. In modern days all nurses have to obtain the bachelor of nursing degree to become a registered nurse. So universities and polytechnics are the main providers of nursing degree. They are closely supervised by the Nursing Council of New Zealand (NCNZ) to ensure the compliance with the requirements of competencies for registered nurses. In New Zealand before you can practice you have to obtain the registration from NCNZ through passing the states final and being fit to practice. Fit to practice means you have to be of a good character, speak good English, and have to acquire the necessary knowledge (NCNZ, n.d.). Also nurses have to provide selfless service and think about the nursing profession when they represent themselves in the society. As any other profession nursing has to abide to the code of ethics. It consists of set of values which applies to nurse- client relationship, nurse-colleague, nurse-organization and nurse-society relationships. They all include autonomy, beneficence, non-maleficence, justice, confidentiality, veracity, fidelity, guardianship of the environment and its resources, being professional in the context with the above relationships (New Zealand Nurses Organization, 2010). So as we found out nursing has got all necessary features of the profession. Professional nursing practice has got four

There are many ways of forming a relationship and gaining the trust and respect of the patient and I had to work out the different things that make a good therapeutic relationship. According to Hinchliff et al (2003) there are a number of important elements that make a good therapeutic relationship, but it is important to make clear that a therapeutic relationship is a formal relationship between a medical professional and patient. The Nursing and Midwifery Council (2008) maintains that at all times nursing staff must maintain appropriate professional boundaries in the relationships they have with patients and clients.

Nurses must display a knowledge of skills by portraying a functional ability to assess, treat, and prevent illness in the clinical setting. “The nurses are obliged to gain specialized knowledge, skills and training through the rigorous study of biological, physical and behavioral sciences and then use this knowledge to diagnose and treat patients suffering from different ailments. The patients treated must be under the supervision of skilled medical practitioners and the nurse must be equally directed by the expert medical practitioner. The prevention and management of illnesses, injury and ailments also forms some of the major tasks that have to be carried out by nurses. Politeness in expression, compassion for patients and proper uniform are also some of the main parts of professionalism in nursing.” (professonalism in nursing http://www.buzzle.com/articles/professionalism-in-nursing.html)

Nursing is an occupation in which professionalism (or lack thereof) can have a significant effect on not only patients and their health, but the nurse’s relationships with colleagues, patients’ families and even their community. A nurse must exemplify professionalism, especially in an environment that creates increased risk for loss of life or further injury. There are many aspects that are involved with professionalism in nursing, and many expectations set up on the nurse.

Nurse and patient relationships are referred to therapeutic relationships, they are a person-centred approach to care (Berman Et al 2012). For a therapeutic relationship to be effective in meeting the client/patient goals the nurse needs to ‘earn the person’s trust and respect.’ Berman Et al (2012) suggests that the trust and respect of a patient can be earned through ‘sound nursing knowledge and use of effective communication.’ This is reflected in the Nursing and Midwifery Board of Australia’s competency standards. These national standards that are regulated and followed by all nurses, they are updated regularly to remain contemporary and

Professionalism is a very important key in the nursing profession. It is what paints a good image for a business or, in this case, an organization, people will most likely choose the professional organization over the unprofessional, because with the nurses that are professional they have great quality in customer service. Examples being, nurses that are professional aren’t rude or disruptive, they handle business in a kindly manner, following directions and policies etc. Unprofessionalism in nursing practice continues to hinder the expansion of the field. There are many things that nurses do that are highly unprofessional at the workplace. A few major unprofessional mistakes nurses tend to do is, bullying, breaking HIPPA, and behavior. To me, these are the biggest mistakes that really pop out at me.

As a nurse, communication is an essential and important factor to building a therapeutic relationship between a nurse and patient as it is the difference between average and excellent nursing care, as it helps maintain a good quality of life and allows nurses’ and patients to interact and provide comfort when needed. The importance of good communication can become apparent with patients especially when they are in the hospital, as it helps the nurses build a positive relationship with patients and helps overcome barriers including physical, psychological and social. A therapeutic relationship is built on many factors which include both verbal and non-verbal communication which helps maintains the relationship and strengthens it due to the positive impact it has not only on the patient’s experience but also the nurse’s.

A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.

Everywhere you go and in everything you do, professionalism comes in to account in some way or another. Professionalism has been defined as, “a strict adherence to courtesy, honesty and responsibility when dealing with individuals or other companies in the business environment” (Clarke, 2015). When it comes to the career of nursing, professionalism is taken to a whole other level. Not only does professionalism come in to account with your business professionals and peers, but you have patients with whom professionalism is highly practiced as well. Professionalism in nursing means that you are able to handle all the responsibilities given to you in an efficient and proper way. It means that when you are given an order that needs to be carried out by a doctor or a patient who needs your help, you adhere to what is being expected of you in a timely manner. Physicians put trust into nurses in order to carry out orders that are needed to save patients’ lives. If you’re not looked at as professional and responsible, it is going to be very hard to have a successful career. Responsibility is what nursing is all about. Professionalism in nursing means that along with taking on big responsibilities, you have discipline. Discipline in nursing is crucial to being successful. Not only to keep your patients safe, but so that you personally are on the ball and looked at by others as professional, therefore, making you a great nurse. Professionalism means that you have the

The public expects nurses to have high standards of professional behaviour. For nurses, this involves a high degree of knowledge, suitable behaviour, well developed skills and a desire to improve their skills. A high degree of knowledge for nurses means to have gained a recognised degree and the right to practice. For example, New Zealand nurses must be registered with the Nursing Council of New Zealand. We need to be cautious about what behaviour we reveal in our professional and personal life. An example would be social networking, posting anything that may offend someone’s privacy and dignity (Social media and Electronic communication, 2002). Professional behaviour requires nurses to act in accordance with the Code of Conduct and ensure our actions are ethical, as we are responsible for the quality of health care offered to the public (Nursing Council of New Zealand, 2012). Accurate knowledge, good skills and positive attitudes are key to well-developed professional behaviour. Being open to peoples’ professional advice and learning from it, is an important part of professional behaviour (Milton, 2008).

In a highly respected profession such as nursing, professionalism is an important element to staying employed and setting one’s self apart from the rest of the applicants when competing for a potential job. By definition professionalism are the qualities and traits that describe a professional. While knowledge is crucial in any profession, according to an article published by the University of Kansas (2012), “all medical professionals must strive to retain those humanistic qualities integrity, respect, and compassion that constitute the essence of professionalism.” Whether you work in a hospital or administration these three qualities encompass the core of nursing and exemplify what it means to be a professional.

A professional nurse is one who puts the needs and importance of patient care above all others. While striving for professionalism, nurses need compassion, patience, empathy, strong moral and ethics, accountability and the commitment to always act in the best interest of their patients. Nurses are held accountable for providing quality, safe, and effective nursing care (Hood, 2014). A professional nurse has the responsibility to continually improve and implement nursing standards while maintaining integrity by involving themselves in various tasks. Regular involvement in reading professional literature and sharing of evidence- based research with other healthcare personal helps increase knowledge and skills. This nursing ability can be used to encourage the actions of others in the healthcare team resulting in improved patient care. Nurses should encourage each other to become involved in hospital committees, provide an environment to encourage the discussions of ethical dilemmas, promote professional growth of nurses to voice their concerns and share viewpoints to address issues. “A professional nurse should expect to commit to a life of continuous learning growth and development”. (Hood, 2014, pp. 29). Nurses choose this profession to help others. As professional nurses we must maintain our ethics, values, characteristics, and commitment to drive our profession forward (CCN, 2015). Nurses must be autonomous, accountable, and be able to delegate to unlicensed assistive personnel. Being autonomous as a nurse means having control over their practice (Hood, 2014). It allows a nurse to take risks while being held accountable for ones’ actions (Hood, 2014).

Nightingale said, “The very first requirement in a hospital is that it should do the sick no harm”. The history of nursing initially begins with Florence Nightingale. Before her era nurses had a tarnished reputation (Glasper, 2017). They were poorly educated and incompetent people. Nurses such as Mrs. Bedford Fenwick wanted to change the image of nursing. They did this by leading a campaign for professionalism. Which led to the culminated Nurse Bill receiving is royal assent in December 1919 (Glasper, 2017). July 27, 1921 was the official opening of the nursing register, there are currently 688,927 nurses registered with the Nursing Midwifery Council (NMC) (Glasper, 2017). The NMC code has four themes of professionalism, “Prioritizing