The Assessment Of Rural Nursing

Nurses worldwide are renown for their immense passion to care, and it is certainly not a profession embarked upon without serious consideration and commitment. Nursing in Australia is a highly regulated and regarded profession, offering enriching work environments with the latest technology at hand. In comparison, nursing in a developing country, such as Malawi, is extremely challenging. Malawi’s population of just over fifteen million people is amongst the poorest in the world and has the lowest number of nurses in the South African Developed Community (Maluwa, Andre, Ndebele & Chilemba, 2012). There are many factors compounding the severe nursing shortage in Milawi. The profession suffers from poor remuneration, and has been critically

I define my philosophy of nursing within the three nursing domains of person, health, and environment. My goal is to communicate the importance of nursing as a knowledge-based career, depending not only on the nurse fulfilling her role but also on the patient’s compliance. A patient must learn to provide self-care at home in the same capacity as the nurse would provide care in the clinical setting. I discuss various subjects within nursing. I explain why I want to be a nurse, what I believe a nurse’s role is, the different domains of nursing, and where I believe nursing will be in the future. My philosophy demonstrates the interdependence of the nursing domains. You cannot fully evaluate a person without evaluating their health,

Nursing process is a systematic process that involves a continuous cycle of five interrelated phases: holistic assessment of a client, nursing diagnoses, nursing care planning, implementation, and evaluation (Wilkinson et al. 2015). It enables nurses to assess the person’s health status and health care needs, to create plans to meet the identified needs, and to provide and evaluate individualised nursing interventions according to the person’s needs (Luxford 2015). The holistic assessment is the first step of the nursing process that includes the collection of subjective and objective data related to the physical, psychological, social, developmental, cultural, and spiritual status of a client (Wilkinson et al. 2015). This comprehensive approach to nursing assessment is essential because it allows nurses to comprehend not only clients’ health status, but also their routines and needs in order to incorporate their life-styles into the care interventions (Luxford 2015). It ultimately enables nurses to provide appropriate quality person-centred care rather than nurse-initiated care (Luxford 2015). Responsibility for holistic nursing assessment is supported by the Registered nurse standards for practice (2016), ‘Standard 4.1: The registered nurse conducts assessments that are holistic as well as culturally appropriate’ (Nursing and Midwifery Board of Australia [NMBA] 2016, p. 4). This essay will discuss the elements and the importance of holistic assessment in nursing.

©Copyright 2010 This work is copyright February 2010. Copyright is held jointly by the Australian Nursing and Midwifery Council and the Nursing Council of New Zealand. ISBN 978-0-9807515-7-4 This work is copyright. It may be reproduced in whole or in part for study or training purposes subject to an inclusion of an acknowledgement of the source and is available electronically at www.anmc.org.au. It may not be reproduced for commercial use or sale. Reproduction for purposes other than those indicated above requires a licence or written permission, which may be obtained from the Australian

“Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles” (ICN 2010)

This assignment will reflect on and critically analyse my personal and professional development in the domain of care management over the last three years. It will additionally outline how I plan to continue to develop in this domain once I have qualified as a registered nurse. My development so far will be analysed from the perspective of the skills, knowledge and values required of a registered nurse. Through this reflection I hope to confirm that my practice meets the standards for entry onto the nursing register as outlined by the nursing and midwifery council ((NMC) 2008).

Introduces and defines the topic, as well as describes its importance to professional nursing. Depth and detail are fair. (19–20 points)

Nursing revolves, not merely about looking after patients, but creating awareness in the society about self care nursing and prevention strategies and to communicate with their patients in a holistic manner, so as to satisfy their physical, mental and spiritual health needs. Various nursing theorists have repeatedly

Mary considers “Competencies for registered nurses” is affecting her career the most. It helps her to maintain the high standards as a nurse. This document has been implemented by Nursing Council of New Zealand (NCNZ) to ensure the on-going education and compliance with standards for nursing care. It consists of four main parts. They are competences in professional responsibility, management of nursing care, interpersonal relationships and interprofessional care and quality improvement. It requires ability to show knowledge and judgment, and being responsible for own actions and decisions, while assuring safety of the patients, their independence and quality of life and health. Also it requires competences in client assessment and managing the care. The clients care should be sensitive to his/her needs. It is supported by nursing knowledge and evidence based research. Besides to comply with “Competences for registered nurses” the patient care should be cultural sensitive (Nursing Council of New Zealand, 2007). Every 3

The general condition of the homes in Rockport is diverse. Many of the homes are multi-million dollar structures while others are dilapidated and in need of serious repair. People seen in the downtown area are walking but away from that area, most people are travelling in cars. Some people are travelling on bicycles or golf carts in designated areas. Three areas of public housing are noted but there are no visible signs of public transportation. Numerous campaign signs are visible throughout the entire community. One adult day care and two child day centers are noted during the survey. Two grade schools, one middle school, two private church schools, and one high school are seen during the survey.

ReferencesAlexander, M. F., Fawcett, J. M., & Runciman, P. J. (Eds.). (2004). Nursing practice hospital and home - The adult (2nd ed.). Edinburgh: Churchill Livingstone.

Despite technological and medical advances today, chronic disease and resultant co-morbidities are prevalent in the Australian Healthcare System. As a result, patients, especially in the acute care setting, have more complex care needs. The management and care of patients with these complex care needs present a challenge for the contemporary nursing professional. Positive patient outcomes will be dependent on a number of factors, such as the assessment of the patient’s condition, the identification of potential risks for the patient, the planning of appropriate care and the management of the subsequent interventions that may be required.

Since its establishment as a profession more than a century ago, Nursing has been a source for numerous debates related to its course, methods and development of nursing knowledge. Many nursing definitions and theories have evolved over time. Furthermore it is in a constant process of being redefined.

Australian Nursing and Midwifery Council 2005, National Competency Standards for the Registered Nurse, Australian Nursing and Midwifery Council, Victoria, viewed 4 November 2011,

The salient point in Henderson’s definition is describing the duty of a nurse as one that cares or assists an individual whether sick or well in obtaining a state of health in order to live an independent lifestyle (paraphrased). Henderson also described the independent and dependent role of nurses and the importance of a collaborative work with the other members of the multi-disciplinary health care team especially the doctors (Henderson, 1966). The Royal College of Nursing, on the other hand, described nursing as the utilization of clinical judgement in extending the care necessary for the people to maintain and achieve an optimum state of life throughout their lifetime (RCN, 2003). Other significant definitions of nursing were those given by the World Health Organization (WHO) and the American Nurses Association (ANA).