Intro Using a case study which was highlighted in a report presented by the Parliamentary and Health Service Ombudsman (2011), I will be identifying and reflecting on issues raised in the complaint concerning the quality of care for elderly people given by the NHS. Throughout this assignment, I will be using a wide variety of research sources in order to evaluate my own personal and professional developments in accordance to the Nursing and Midwifery Council (NMC) Code (2015). The NMC sets out professional standards and guidelines that nurses and midwives should adhere to in order to practice and maintain a high quality of care to patients. Within this assignment, I will be using Bortons’ (1970) framework as a structure to my reflection on issues identified in the case study. This useful reflective model consists of three main components; ‘What’, ‘So what’ and finally ‘Now what’. Bortons’ model is highly recommended by Jasper (2003) as a useful model, particularly for student nurses, as it allows beginner practitioners to reflect on their practice in an analytical manner. In order to protect the identity of the patient’s case in which I will be utilising, for the purposes of this assignment the patient will be referred to as Mrs H. What Mrs H was a highly intelligent woman who was able to live independently in her home until the age of 88. Due to being partially blind and deaf, Mrs H relied on using British Sign Language and deaf-blind manual to communicate. Her next of kin
This is the fifth article in a nine-part series describing the Principles of Nursing Practice developed by the Royal College of Nursing (RCN) in collaboration with patient and service organisations, the Department of Health, the Nursing and Midwifery Council, nurses and other healthcare
The purpose of this essay is to reflect on my personal role in the inter-professional team and the delivery of healthcare that I have encountered during my duty as a health care assistant in one of the hospitals here in England. In accordance with the NMC (2002) Code of professional conduct, confidentiality shall be maintained and all names have been changed to protect identity. The purpose of reflection as stated by John's (1995) is to promote desirable practice through the practitioner's understanding and learning about his/her lived experiences. I have decided to reflect upon an incident with the nurse in charge in one of my shifts and in order to structure my reflection I
The Principles of Nursing Practice were introduced by the Royal college of Nursing (RCN) with the input from the Department of Health, the Nursing Midwifery Council, service users and user organisations. They indicate to the public what they should expect from nursing practice, no matter if they are a colleague, service user, or the relatives or carers of the service users. The Principles explain what makes up the safe and effective nursing care, and encounter the aspects of behaviour, attitude and approach that underlie good quality care. They are important to health professionals, in delivering safe care because they indicate how to follow the principles, to be able to assist you in reflecting on your practice and development as a
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).
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
As a student nurse, I ascertain that the main principle in nursing is the care of my patients, to treat them as individuals and respect their dignity. I feel that it is fundamental to provide a high standard of practice and care at all times. To be open, honest and to work with integrity. The four main principles of the code that I will be working to are outlined by the Nursing and Midwifery Council (NMC) (Guidance on professional conduct for students of Nursing and Midwifery, 2012).
This report will evaluate the roles and responsibilities of a midwife. “Midwifery encompasses care of women during pregnancy, labour, and the postpartum period, as well as care of the new-born.”(WHO, 2015) This is a recent definition and clearly points out that a midwife has many roles and responsibilities. The NMC Codes of Conduct will be evaluated with specific emphasis on recent changes within healthcare. These changes took place as a result of the tragedies at Mid-Staffordshire Hospital in 2005-2009 and are the outcome of the Francis report in order to improve care given to patients.
This unit develops understanding of the values and principles that underpin the practice of all those who work in health and social care. The essay consider theories and policies that underpin health and social care practice and explore formal and informal mechanisms required to promote good practice by individuals in the workforce, including strategies that can influence the performance of others. The first part of this essay will consider how principles of support are implemented by using Overton house residential care home to evaluate and explain how principles of support are applied. Key concepts such as person-centred approach and dilemmas and conflicts arising from the
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
After the research on NICE and the technology appraisals had been conducted I needed to focus on how the quality of care provided by the NHS is affected by the decisions made by NICE. I started researching the Cancer Drugs Fund and trying to obtain some data from their web page on the NHS website, along with other cancer treatment websites such as Macmillan Cancer Support and Cancer Research UK. The Macmillan Cancer Support website provided me with an interesting paper produced that presented the lower survival rates of lung cancer in the UK, compared to other European countries such as Norway. This spurred me onto to do some more research into the survival rates of cancer patients in the UK compared other EU countries, hoping to use it as a barometer of the quality of care provided by the NHS.
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;
NMC (2008) The Code: Standards of conduct, performance and ethics for nurses and midwives. London: Nursing and Midwifery Council
In this reflective essay, I am going to use Driscoll’s model of reflection (1994) to describe, evaluate and analyse my experience within the community setting. I decided on this model, as it allows me to explore my feelings, thoughts and emotions. I decided to reflect upon an antenatal follow up 40-week appointment, surrounding the significance of both communication and consent. Inside the Nursing and Midwifery council’s (NMC, 2015) The Code, it states all Midwives must ‘communicate clearly’ and ‘make sure you get properly informed consent’. Following the rights of confidentiality (NMC, 2015), names of individuals and practice areas will remain anonymous.
This essay will look at what reflection in nursing looks like, why we use reflection as a tool, what are the outcomes of reflecting, how we reflect effectively and what skills are needed. Then, using an experience within practice, a reflective model will be used to analyse a critical incident relating to consent. In accordance with the confidentiality measure within ‘The code’ (NMC, 2015) and to abide by the Data Protection Act 1998, no information will be provided which could allude to the identity of anyone within the critical incident, thus pseudonyms will be used where appropriate.
The purpose of this paper is to discuss how to improve the care of the elderly. In greater detail, I will be discussing fall and fall-risk programs. Fall programs are an essential key when it comes to caring for the elderly. Prevention is the first essential step in the prevention of falls. Falls among the elderly are a common problem, which may result in serious physical, psychological, and financial problems for the patient who has fallen, their family, and care-giving staff (Burland, Martens, Brownell, Doupe, & Fuchs, 2013). As we age, even the simplest accident or fall can prove to be a life threatening ordeal.