Public Expectations Of Nurses And Professional Boundaries Essay

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

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)

A nurse is given an opportunity to help patients, either if its by helping them through a very serious sickness or just helping a patient get to the bathroom on time, or a time when happiness is overfilling the room and a child is being born. Registered nurses provide a wide variety of patient care services (Mitchell, p.12). A Nurse must always know where to begin and where to stop, as any other career in the health field there is always something that cannot be done by everyone but only the certified person, a nurse must always remain inside her scope of practice to prevent any misunderstandings. A nurse must also follow a code of ethics , the code of ethics of the American Association of Medical Assistants states that a nurse should at all times render service with full respect and dignity of humanity, respect confidential information obtained by a patients file, uphold the honor and high principles the profession and accept its discipline, and last but not least always want to improve her services to better serve the health and well being of the community. (Mitchell, p.65).

Being a nurse is not just a profession, it is a privilege and an honor. With it being a profession where there is an opportunity to touch many patients’ lives, there must be regulations, laws, and codes that nurses must abide by. There are certain professional traits that a nurse must possess to make them not only a good nurse but a great nurse. There are various nursing theories that a nurse can base their practice upon and many historical figures of the past that guide the nurses of today and of the future.

“Autonomous nursing practice as defined as full command of expert knowledge and allowing for accountability and authority in decision making” (Creasia & Friberg, 2011, pg. 47). A doctor will more likely see a nurse as a professional once they show competence and autonomy, which in turn, will provide a positive nurse-physician relationship due to the trust built between professionals. A physician must be able to trust a nurse’s judgment and assessment skills to be able to provide a collaborative care for the patient. The wheel of professionalism is designed to compare nurses' professional behavior with other professions, which places university-based education as central to professionalism, which then leads to a strong code of ethics, professional recognition and continuing education to maintain nursing competence (Yam, 2004). As a nurse achieves a status of professionalism, a nurse will view oneself as an equal partner in the health care team, which in turn will boost confidence and support for a more proactive and confident nurse.

When nurses are held to a professional standard, staffing becomes safer and more efficient. The professional standard created by the American Nurses Association Code of Ethics (ANACEN) for Nurses is commonly used. The standard is made up of nine points that ensure patients will receive the highest quality of care. The purpose of the standard is to determine whether nurses have the assets, abilities, responsibility, and expertise to make judgments concerning professional practice and optimum care for patients and families (Clevenger, et al. 2005). The goal of safe staffing is to provide optimal care for patients and the patients’ families, so facilities should invest in nurses with a high degree of professionalism who can

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.

Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as

As healthcare providers, maintaining a patient’s confidentiality, human dignity and privacy is expected at all times. Nurses are faced with maintaining patient confidentiality on a daily basis. The Coded of Ethics for Nurses is the framework of nonnegotiable ethical standards and obligations that all nurses are to uphold. Nurses are to be accountable for their actions and are expected to advocate and strive to protect the rights, health and safety of patients (American Nurses Association, 2011).

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

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;

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).