Our decisions must be guided by our conscience, morals, our professional responsibility, our responsibility for dose we care for, and our responsibility to the organization we work for. Critical decision making or critical thinking is the key to ensure high quality patient care, reduce adverse outcomes, and improve patient safety and satisfaction (Benner, Hughes, & Molly, 2008). Works Cited Anderson, L. (2014, February 11). Understanding the Different Scopes of Nursing Practice. Retrieved from NurseTogether Web site: http://www.nursetogether.com/understanding-the-different-scope-of-nursin Benner, P., Hughes, R. G., & Molly, S. (2008).
The ultimate goal of nursing delegation is to provide the most efficient, effective, quality care in the time frame the nurse is given. Delegation in Nursing A Registered Nurse (RN) must know and understand the differences in delegation, authority, responsibility, and accountability before being able to delegate tasks appropriately. According to Kelly-Heidenthal and Marthaler (2005), “Delegation is the transfer of responsibility for the performance of an activity from one individual to another while retaining accountability for the outcome” (p. 6). Authority is the right to act or to command the action of others. Responsibility as defined by Kelly-Heidenthal and Marthaler (2005) “Is the obligation involved when one accepts an assignment” (p. 9).
This assignment will focus on development and awareness of the legal, ethical and professional issues associated with accountability in health care. The theme identified is record keeping. According to NMC, (2009), ‘record keeping is essential part of Nursing, Midwifery and Allied Health professionals’ practice and is necessary to the provision of safe and effective care. Records include anything that makes reference to the care of patient and any record can be called as evidence. NMC, (2009), states that, ‘ good record keeping helps to improve accountability and shows how decisions related to patient care were made’ and the courts of law approach to record keeping tends to be that, “if it is not recorded, it has not been done”.
Importance of Evidence Based Research EBP ensures that researched published material is organized. According to Houser, EBP is defined as “the use of the best scientific evidence, integrated with clinical experience and incorporating patient values and preferences in the practice of professional nursing care” (Houser, 2012, p. 13). EBP improves patient outcomes and increases patient satisfaction. EBP was initiated to help medical professionals make sound decisions based on current literature. EBP prevents inconsistency in practice patterns.
The CNL assesses patient outcomes, assesses the possibility of loss or injury, brings the best practice evidence to the bedside, and improves the overall collaboration of care across the interdisciplinary team (Moore and Leahy, 2012). The CNL assumes a role as a source of support for the interdisciplinary patient care association. The degree of the CNL surfaced around 1999 at Maine Medical Center in an attempt to keep expert nurses at the patient’s bedside (Tabor, Quirk, Wilson, Gallant, Swan, and Manchester, 2008). The acknowledgement of the need for leadership at the point of care was pivotal in producing the CNL role guided by the AACN reports. (Baernholdt and Cottingham, 2011).
Nursing theories are concepts that define and guide nursing practice and nursing research. Guided by theories, nurses purposefully implement the nursing process systematically to deliver effective holistic nursing care efficiently. Nursing theories clarify and separate expert nursing profession from other profession that delivers care. It maintains the boundaries of the nursing profession. Nursing is a caring profession and caring endorses the profession and is central to nursing.
To enable nurses to systematically evaluate evidence for practice hanson et al (2008) suggested the use of critiquing tools which is achieved by using criteria of scientific merit and issues of practicality and feasibility. This research will be evaluated using Caldwell, Henshaw and Taylor’s (2005) critiquing framework as a guide (Appendix 1). Boswell and Cannon (2009) states that nurses must improve their knowledge and base their provision of care on the most current and up-to-date health information available in order to provide such care more effectively. This is achieved using evidence-based practice (EBP). EBP is defined by Polit and Beck (2010) as the use of the best clinical evidence in making patient care decisions.
The report makes sure that nurses carry out their nursing training with greatest proficiency. The IOM report states that nurses ought to use their training and education to the fullest. This is important as it shows if the patient will be stable and in a position to recuperate from the condition the patient is suffering. In the Institute of Medicine 2010, an upgraded education structure for nurses
Running head: PHILOSOPHICAL LOOK AT NURSING Philosophical Look at Nursing Through the Eyes of a Registered Nurse Herolinda Cuca The University of Texas at Arlington School of Nursing In partial fulfillment of the requirements of N3645 Transition to Professional Nursing Jeanean Boyd, MSN, RN Assistant Clinical Instructor April 23, 2012 Online RN-BSN Philosophical Look at Nursing Through the Eyes of a Registered Nurse This paper will outline my personal beliefs on the philosophy of nursing. The primary objectives of a nurse as a healthcare professional are to improve patient outcomes, meet the medical needs of each individual patient, and to prevent the risk of any future diseases. In order to achieve
Professional Nursing Mission Statement This Professional Nursing Mission Statement describes the professionalism a nurse needs to perform excellent care in the health environment. The Mission also demonstrates different aspects of nursing and what nurses are to look forward to now and into the future. A. Functional Differences The Hawaii Board of Nursing was generated to recognize all licensed nurse practicing in the state of Hawaii (HRS Chapter 457 - nurses). These nurses have the legal right to give care in the appropriate settings giving the patients reassurance of safety from the practicing nurse. American Nurses Association was generated to direct a licensed nurse on how to present themselves in an ethical manner.