Analysis of Registered Nurse Standards for Practice

Nursing practice especially in terms of registered nurse (RN) practice should address the aspects of person-centered care along with evidence based practice in order to include the elements of preventative, curative, formative, supportive, restorative and palliative in the delivery of care to the patients. The delivery of care by the RN requires maintenance of therapeutic as well as professional relationships not only with the individual patients but also with their families, along with groups and communities. In this paper the major focus will be on the two standards of Registered nurse standards for practice that is implemented by the AHPRA nurses while providing health care to the clients.

The first standard is that the RN “Thinks critically and analyses nursing practice” and the second standard mentions that the RN “Engages in therapeutic and professional relationships”. Using the Gibbs’ Reflective Cycle the reflection of the situation will be presented where the above mentioned RN standards of nursing had been implemented.

Description

While I was allocated as a student nurse and was placed in the oncology ward, there an elderly patient was admitted suffering from stomach cancer. She belonged to the Aboriginal community. On the arrival we found that this patient had some difficulty in hearing and proper verbal communication. Therefore it occurred to me that an important part of providing care to the patient was to calm the patient through proper communication and show compassion in order to attend to her needs. At this time I implemented the RN standards which required me to think critically and analyze the nursing practice along with engaging in a therapeutic and professional relationship with the client.

The feelings regarding this whole incident was that I understood that I need to quite mindful while delivering care to this patient as she had certain communication problem and also because of the fact that she belonged to the indigenous community which according to the standard requires that the RN nurse should “respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures”. In terms of therapeutic communication there was also a need to “communicate effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights”.

As I was providing care to the patient by following the first standard I critically analyzed the condition of the patient by using the best available evidences in order to provide safe quality practice to her. I used my experiences in terms of knowledge, feelings, actions and beliefs so that I could be able to shape the practice according to it. I also documented the prevailing condition of the patient along with the nursing plan and treatment that was provided to her along with the other required details. In terms of the second standard which involved maintaining of therapeutic and professional relationships with the client, I successfully established a relationship with the patient keeping a boundary between the personal and professional relationship. Although she had difficulty in communication, I tried to use some hand signs and gestures so that effective communication can be carried out in a way that the dignity of the patient is not harm. I tried to make her comfortable and tried to developed her trust towards me and other staff.

Analysis

The RN standards of nursing care that we have focused upon are the first and the second standard which includes that:

Standard 1: Thinks critically and analyses nursing practice. The registered nurse:

• ets the opportunity to analyze and use the best open verification, that joins ask about disclosures, for secured, quality practice
• makes rehearse through reflection on experiences, learning, exercises, assessments and feelings to recognize how to shape hone
• respects all social orders and experiences, which consolidates responding to the activity of family and system that help the quality of Aboriginal and Torres Strait Islander society and people of various social orders
• consents to establishment, controls, methodologies, rules and diverse models or essentials vital to the setting of preparing when choosing
• uses moral structures when choosing
• takes care of correct, expansive and promising documentation of examinations, masterminding, fundamental authority, exercises and appraisals,
• adds to quality change and material research.

Standard 2: Engages in therapeutic and professional relationships. The registered nurse:

• develops, keeps up and completes associations in a way that isolates the points of confinement among expert and individual associations
• passes on suitably, and is respectful of a man's poise, culture, characteristics, feelings and rights
• sees that people are the experts in the experience of their life
• offers assistance and aides people to resources for overhaul prosperity related decisions
• supporters in light of a legitimate concern for people in a way that respects the person's freedom and genuine point of confinement
• uses arrangement, supervision, coordination, direction and referrals in master associations with achieve upgraded prosperity results
• viably empowers a culture of security and finding that joins interfacing with prosperity specialists and others, to share data and practice that sponsorships individual centered thought
• participates in or conceivably leads synergistic practice,
• reports notifiable lead of prosperity specialists, prosperity workers and others.

In accordance to the above mentioned standards it is required that people with such conditions must be provided with a holistic care approach which involves patient centered care. Regarding correspondence it should join both verbal and non-verbal types of correspondence. It is required by the nursing proficient to make eye contact, look and tune in, assign more opportunity for the patient and furthermore be intelligent and communicative. Another aspect of this involves that since the patient belongs to the Aboriginal community there is a need to show cultural competency during the delivery care. It is required that the professionals show respect for their culture, their beliefs and traditions while providing care. It also should be kept in mind that the RN is able to recognize that these individuals are the specialists in the experience of their life.

Conclusion

From this experience, I will be more careful in future with respect to the significance of being emphatic and apply demonstrable skill practically. In this current circumstance being an understudy I was not able to execute the part of counsel and referrals in expert connections to accomplish enhanced wellbeing results as there was lack of team work in the ward therefore I will be more careful regarding this from next time. The insights that I have gained from these standards will help me to provide best service in future through the proper implication of these standards. Additionally I will be able to develop strong working relationships with the other healthcare professionals present so that through a multidisciplinary team approach care can be provided to the client, in order to increase the levels of team cohesiveness and the quality of patient care.

In the future, I aim to be more proactive in dealing with a situation regardless of my role within the team or level of experience; this includes dealing with a stressed service user, ensuring that information is passed on to the relevant staff and intervening when I believe that is a risk to a service user’s health or mental wellbeing. From next time I will ensure that I have met all the factors of the RN standards so that I do not fail to provide a holistic care to the patient. I likewise mean to reliably and certainly execute the standards and qualities that are set out by the guidelines like regarding the pride and good wholeness of each individual without conditions or confinement.