This means they can collect data from patients in an interview for the purpose of deriving a nurse diagnosis. A Registered Nurse is also allowed to teach, administer, supervise, delegate, and evaluate nurse practice within their field. The Registered Nurse Implement Strategies is to provide patient/client participation in health promotion, maintenance, and restoration. They are to provide nursing care without discrimination on diagnosis, age, sex, race, creed, or color. Registered Nurse is to also respect and safeguard the property of patient/client and employer.
The nurse must execute this process through selection, performance, management and evaluation of nursing actions. The nurse is responsible for assessing the health status of the patients. The RN is a provider for health counseling and teaching patients. The nurse is responsible for administering medications, treatments, and other health regimens that are ordered by a licensed provider. With the practice of the scope of RN, there are also standards that every RN needs to follow.
As the “most medically trained,” Ms. W plays a significant role as a member of the interdisciplinary team. Not only should she assess and provide care to the client but she needs to appropriately delegate to the other medical professionals at the clinic. Delegating involves assigning tasks, both physical (assessment) and mental (teaching) that are within the team members’ scope of practice. Ms. W must at this point, be educated and able to recall the “roles,” or legal definition of each members’ job title. After appropriately delegating, Ms. W must then supervise that all duties are done in the right manner and within scope.
In order for a nurse to deliver patient focused care, they must first develop an effective nurse-patient relationship with the service users that they care for. This is important in order to ensure that the highest quality of care is provided to the patient. As, according to Sheldon (2009), a nurse-patient relationship is based upon the commitment of a nurse to work alongside their patient’s, in order to deliver personal and effective care which meets the identified health needs. Patient focused care involves the patient and nurse working together as a partnership and places the patient and their relatives central to decision making in regards to the planning, implementation and assessment of care. An equal nurse-patient relationship is important in order to ensure that safe, effective and personal health care is delivered and that the patients’ needs are appropriately met (The Health Foundation, 2012).
Individuals cannot be thought of exclusively without the consideration of their families and communities that surround them. The person comes to define him/herself by the way one views oneself in interaction with their social group. A nurse’s care must extend beyond the patient and must involve the patients entire support network. The nurse must be mindful of the person’s subjective experiences about wellness, beliefs, values and personal preferences and should involve the person in decisions affecting his/her treatment and recovery. Therefore the person has a more proactive role and is in control of their own wellbeing and their choices are considered and respected by the nurse.
In nursing, it allows a nurse to instruct a competent co-worker or health-care member to perform specific duties in his or her place. If done properly, delegation will allow work to be done more proficiently by the health-care team, but it will also allow patients to benefit from the expertise of various staff members. In relation to nursing delegation, there are two main legislations that govern it: The Regulated Health Profession Act, 1991 (RHPA) and The Nursing Act, 1991. The RHPA “sets out two elements: a scope of practice statement, and a series of controlled or authorized acts for each profession” (CNO, 2013a, p. 3). A controlled act is defined “as acts that could cause harm if performed by those who do not have the knowledge, skill and judgment to perform them” (CNO, 2013a, p.4).
Dignity is an important part of achieving person-centred care as, stated above by the RCN, patients need to feel like they are being listened to and made to feel like any decisions regarding their care are their choice. This can only be achieved through the nurse having dignity and respect for the patient. In order to treat someone with dignity it is vital to treat them as valued individuals and of worth (RCN 2009). The Code of Professional Conduct needs to be adhered to in order to care for a patient in a dignified manner and this can range from covering a patient to protect humility to taking the time to talk and to treat the patient in a private area where they feel completely comfortable (National Health Service 2009). Nurses also need to be aware that dignity can have many meanings to many people and cultures which should be taken into consideration when treating patients from different cultural backgrounds.
Although the first years of a baccalaureate program are similar to that of an associate degree program, additional in-depth coursework such as social sciences, nursing research, public and community health, nursing management, leadership and critical thinking are required, thus enhancing a BSN’s professional development, knowledge base and scope of practice. A BSN program focuses on treating patients as individuals by incorporating the metaparadigm theories of nursing, allowing for a higher level of preparation to care for more complex patients. A BSN is trained and prepared to treat each patient holistically; assessing, evaluating and analyzing all needs (physical, emotional, environmental) of the patient. Although an associate-level degree nurse has some limited knowledge of theory and conceptual models, their training primarily focuses on technical skill and task orientation. The ADN has a disadvantage when it comes to the concepts of health, environment, person and nursing as well as evidenced based practice.
Professional Roles & Values--Task 3 It is imperative that the FNP recognize her role to better meet the needs of the client. The nurse should meet with the FNP to explain the resources that are available at the clinic (ie: other staff members) During the meeting with the FNP the nurse should have policies on hand that have specifics of what the FNP should do in certain situations (ie: when to refer the patient to the high-risk clinic). The FNP needs to understand that while she is concerned about the patient it is her obligation to ensure the patient receives safe, quality care. When delegating the nurse is still accountable and responsible for the nursing practice. The nurse should ensure that when they delegate the person they are delegating to is competent enough for the task.