...Professionalism in a Clinical Nursing Setting Professionalism in a Clinical Nursing Setting Customer Inserts His/her Name University Name Introduction: Professionalism holds within its ambit several factors that combine to give it a collective meaning. It is marked by achieving an alignment between one’s attitude and the expectations of his profession. Professionalism is the part and parcel of all major professions of the world and clinical nursing is no exception in this regard. Moreover, professional behaviors are the true manifestation of professional attitudes and hence the importance of professionalism in clinical nursing can not be over emphasized. Cambridge Dictionary defines professionalism as follows: “Having the type of job that is respected because it involves a high level of education and training” OR “Having the qualities that connect you with trained and skilled people, such as effectiveness, skill, organization, and seriousness of manner” (Cambridge Dictionary). Therefore it becomes crystal clear that adhering to defined rules, regulations and procedures is the utmost pre-requisite to professionalism because of which it holds paramount significance for all professions including clinical nursing. Without specific knowledge and skilled training pertinent to a field, the true essence of professionalism can not be materialized. Attributes of Professionalism: There are numerous vital elements of professionalism out of which following are some of the essential attributes...
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...THE PROBLEM AND ITS SETTING Background of the Study Learning in clinical environment involves what Jarvis (2006) defines as action learning, which involves “learning by doing... within a specified social context” (in nursing it is the clinical area). It also involves much more complex learning such as learning of concepts, problem solving, decision making, rule learning, critical thinking. The nursing educators and institutions have an ethical obligation to ensure admission criteria and academic standards that are reasonable and fare, yet effective indicators of students’ success. When an educational institution issues a diploma to one of its students, it is, in effect certifying the society that the student possesses all the knowledge and skills that are required in his chosen discipline. To remain competitive and accountable, it is imperative for nursing programmes to have efficient and reliable admission criteria. Quantitative data and research- base facts are essential for the development, revision and modification of the admission criteria to guide nursing educators to identify and select those students who will successfully complete the nursing programme. It also helps in minimizing the wastage of human and material resources that occur due to student failure and attrition (Dr. Romana Idrees, 2008). Furthermore, the students are exposed to a wide variety of clinical settings—including hospitals, outpatient, community clinics, treatment centers...
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...Nursing Process and Clinical Decision Making Janet NUR/300 Kimberly Tomsai October 12, 2011 Nursing Process and Clinical Decision Making Not all nurses have the same knowledge and experience therefore nurses need to understand clinical judgment, decision making, and the nursing process to administer the best nursing care regardless of personal skill level. Nurses make clinical decisions based on knowledge and experience. A variety of theories and conceptual frameworks have developed to explain the science of nursing and clinical judgment, one of the most notable is that of Patricia Benner. Benner’s theory presents that nurses operate in five stages of clinical judgment from novice to expert (Bias, Hayes, Kozier, & Erb, 2011). The novice is the student nurse who has very little or no knowledge whose main concern is with rules and guidelines to complete tasks. Next is the advanced beginner or the graduate nurse who understands the concepts of nursing but sees difficult situations as more difficult tasks to complete and more rules to learn and often feels overwhelmed frequently consulting with more experienced nurses. For example a new patient arrives to the unit the nurse has not completed the tasks for the patients she already has becomes overwhelmed with how to prioritize and meet each patient’s needs. At the competent stage the nurse no longer functions entirely within a set of rules. Organizational and technical skills have improved the nurse is...
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...Clinical pathways are structured multidisciplinary care plans containing detailed essential steps in the care of patients with specific clinical problems. They are often developed by translating guidelines into local protocols for application in clinical practice (WHO, 2010). The use of clinical pathways is likely to have a favorable impact on patient outcomes, length of hospital stay, hospital costs and professional practice; no adverse consequences were reported with their use. The present study revealed that about two third of the nurse aged from 20- to less than 25 years old and graduated from secondary school of nursing. Most of them didn’t attained any training about pediatric DKA management. This study agrees with Hussein (2014). Who...
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...Research proposal An investigation into nursing skills in recognising clinical deterioration of patients in acute care setting in Saudi Arabia Introduction Acute care nurses are expected to demonstrate skills with regards to early detection of deterioration in patients and seek for emergency support. This is indispensable for delivering safe patient care, and thereby to save lives (Cioffi 2009). Nevertheless, ensuring patient safety in acute care setting is still a challenge in the healthcare system in Saudi Arabia (Aldossary, While & Barriball 2008; Almalki, FitzGerald & Clark 2011). Till date, no systematic approach has been undertaken to ensure that acute care nurses are aware of the emergence of new knowledge as well as technological advances that are necessary for early identification (Aldossary, While & Barriball 2008; Al-Ahmadi 2009; Almalki, FitzGerald & Clark 2011). Early identification with patients who are in need of emergency care can prevent cardiac arrest and lessen morbidity and mortality (Cioffi 2009). This study aims to obtain an in-depth understanding of the current level of competence of acute care nurses in Saudi Arabia in terms of their knowledge, skills and attitudes. The findings will be used to develop an integrative model that can provide acute care nurses with effective education and training so that they can be prepared more effectively to identify clinical deterioration at early stages. Literature review According to Grossman & Wheeler...
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...NURSING LEADERSHIP IN CLINICAL PRACTICE Name: Course: Institution: May 3, 2011 Introduction In nursing management, leadership styles remains significant and crucial for the development of effective nursing service delivery team that is aimed at the satisfaction of the clients needs. Through leadership model there is empowerment by instilling principles of care aimed at improvement of their patient care and hence achievement of institutional objective as so far as nursing service delivery is concerned. The leadership principles provide a leadership background to the staff to enable the develop effective accountability, decision making skills and professionalism in their duty and service delivery. Success in leadership development depends on element of sharing authority accountability and communicating effectively to the subordinate staff and involving them I multiple tasks concerning improvement of the nursing services. Nursing leaders play an important role in innovation and mentoring of the nursing staff by ensuring his leadership has an impact on many and is accepted by his team members. She incorporates her staff through effective communication and discussion of the problems facing the organization and how she or he intends to solve them, she or he listens for the opinion of others before making the final decision .the decision made is then communicated to the staff who are then equipped with the necessary skills...
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...Clinical Situations Position Paper Kelli B. Teems University of West Georgia Professional Nursing Concepts (Nurs 4102) Professor J. Wilder, MSN, NP-C April 7, 2015 Part 4 – Immunity and Health Policy Vaccination has been known to provide immunity to a variety of illnesses, including influenza. To minimize influenza-related deaths, the World Health Organization (WHO) recommends that vulnerable people and health care workers (HCW) be vaccinated against influenza annually (van den Dool, Bont, Hak, Heijne & Wallinga, 2008). A topic of debate between HCWs and healthcare facilities is the discussion over whether annual influenza shots should be mandatory. Multiple studies have been completed to determine if the benefits are substantial enough...
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...performance by utilizing highly reliable services and efficient clinical interventions. EBP has been supported by an electronic clinical procedural resource which helps in standardization of care and annual cost savings (Schoville et al., 2014).This electronic reference tool gives you efficient reference in no time and improves bedside patient care and safety. By using updated evidences the clinical experts save time since there is no need for written policies and procedures. An overview of costs and savings analysis explained an apparent savings of $360,899 annually....
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...Research is a systematic reasoning process that: Select one: a. Confirms existing knowledge and builds new knowledge b. Uses a number of alternative solutions on a trial and error basis c. Is based on tradition and passed to us from previous generations d. Relies on experts to provide us with information Which of the following reasoning processes would be used in research? Select one: a. Primary and secondary patterns of thinking b. Deductive and inductive thought patterns c. Hunches and gut feelings about a situation d. Personal and first hand experiences Nursing research uses the research process to search for, develop, refine and expand a body of knowledge that: Select one: a. Increases the image and autonomy of nurses b. Defines nursing responsibility in the health care system c. Shapes and enhances the practice of nursing d. Decreases the nurses ability to practice in clinical settings Which of the following is a primary source of knowledge? Select one: a. Opinion piece b. Literature review c. Newspaper article d. Research article Which of the following general characteristics defines qualitative research? Select one: a. Small sample sizes and rich descriptive data b. Holistic understanding of people c. Making meaning from life experiences d. All of the above Which of the following have been established to ensure individual researchers adhere to ethical standards? Select one: a. Study procedure protocols b. Ethical journal editing...
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...Today's healthcare environment is increasingly complex, as issues compete for importance. As a consequence of this, nurses frequently face ethical dilemmas. In deciding the best course of action in such dilemmas, nurses can look for guidance to professional standards of conduct, such as those enumerated in the Code of Ethics of the American Nursing Association (ANA). According to Mahlmeister (1996), each nurse should own a copy of the ANA code, as this document can provide guidance on situations that nurses face on an almost daily basis. For example, consider a situation that may result from one hospital trying to institute policies concerning cost containment. In order to keep the cost down, the nurse in charge of a 7 bed unit (without a nurse's assistance) is expected under a restructuring plan to also work a second adult ward if there are fewer than three children on the pediatric unit during the night shift (Mahlmeister, 1996). This split shift leaves these pediatric patients unattended while the nurse is in the adult ward. The ANA Code of Ethics states that it is the nurse's responsibility "to safeguard the client and the public when health care and safety are affected by incompetent, unethical or illegal practice of any person" (Mahlmeister, 1996, p. 130). Even though this nurse was ordered by a manager to leave the pediatric setting, the nurse is personally accountable for his or her actions for any situation that may arise during this absence. Not only is this practice...
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...Today's healthcare environment is increasingly complex, as issues compete for importance. As a consequence of this, nurses frequently face ethical dilemmas. In deciding the best course of action in such dilemmas, nurses can look for guidance to professional standards of conduct, such as those enumerated in the Code of Ethics of the American Nursing Association (ANA). According to Mahlmeister (1996), each nurse should own a copy of the ANA code, as this document can provide guidance on situations that nurses face on an almost daily basis. For example, consider a situation that may result from one hospital trying to institute policies concerning cost containment. In order to keep the cost down, the nurse in charge of a 7 bed unit (without a nurse's assistance) is expected under a restructuring plan to also work a second adult ward if there are fewer than three children on the pediatric unit during the night shift (Mahlmeister, 1996). This split shift leaves these pediatric patients unattended while the nurse is in the adult ward. The ANA Code of Ethics states that it is the nurse's responsibility "to safeguard the client and the public when health care and safety are affected by incompetent, unethical or illegal practice of any person" (Mahlmeister, 1996, p. 130). Even though this nurse was ordered by a manager to leave the pediatric setting, the nurse is personally accountable for his or her actions for any situation that may arise during this absence. Not only is this practice...
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...Today's healthcare environment is increasingly complex, as issues compete for importance. As a consequence of this, nurses frequently face ethical dilemmas. In deciding the best course of action in such dilemmas, nurses can look for guidance to professional standards of conduct, such as those enumerated in the Code of Ethics of the American Nursing Association (ANA). According to Mahlmeister (1996), each nurse should own a copy of the ANA code, as this document can provide guidance on situations that nurses face on an almost daily basis. For example, consider a situation that may result from one hospital trying to institute policies concerning cost containment. In order to keep the cost down, the nurse in charge of a 7 bed unit (without a nurse's assistance) is expected under a restructuring plan to also work a second adult ward if there are fewer than three children on the pediatric unit during the night shift (Mahlmeister, 1996). This split shift leaves these pediatric patients unattended while the nurse is in the adult ward. The ANA Code of Ethics states that it is the nurse's responsibility "to safeguard the client and the public when health care and safety are affected by incompetent, unethical or illegal practice of any person" (Mahlmeister, 1996, p. 130). Even though this nurse was ordered by a manager to leave the pediatric setting, the nurse is personally accountable for his or her actions for any situation that may arise during this absence. Not only is this practice...
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...Reflective Outline and discuss a clinical audit that you have undertook into one aspect of care delivery and reflect upon the experience using Driscoll’s model of structured reflection. Word Count (2197) During the course of this piece of work, it is my intention to outline and discuss a clinical audit that I undertook into one aspect of care delivery and reflect upon the experience using Driscoll’s model of structured reflection (Driscoll, 2000). The audit, which focused upon the completion of prescription cards, was undertaken during my recent clinical practice placement at Holcroft, a twenty four bed mental health residential unit, situated in the North West of England. In addition to providing a summary of the exercise itself, I would also hope to explore the relationship between the clinical audit process and the wider framework for quality improvement in healthcare. The development of regulation and clinical governance systems in the United Kingdom will also be addressed as will the administration of medication as a significant element of nursing practice. Where necessary, use will be made of academic, research and other evidence based material to underscore or augment specific issues or indeed illustrate examples of good clinical practice. The Nursing and Midwifery Council (NMC) standards for conduct, performance and ethics (NMC, 2004) have been diligently applied in the construction of this assignment. Pseudonyms will therefore be used to ensure staff and patient...
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...This week in clinical, I met SON’s competency 2.8 identifies health related concerns of a patient and/or family. I had a 58 yr old female patient that had a splenic abscess and a bacterial infection. As a result of her bacterial infection, a PICC line was inserted and the plan of care is to treat the infection with antibiotics for 6 weeks and surgery will follow for the abscess. I identified and addressed my patients concern by explaining to her that because she had a PICC line inserted I could remove her peripheral IV’s. I removed her IV under the guidance of my clinical instructor and also met SON’s competency 2.6 assesses the patient’s physiological response to illness and to the treatment plan. After removing her IV’s I also flushed my...
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...Clinical Drug Testing in Children Are the drugs that healthcare providers give to children safe? It is difficult to know this without performing various clinical tests involving children. On the other hand, testing some drugs on children may do harm to this young population. This is a very interesting topic, with many ethical dilemmas involved. As a healthcare provider and future parent, it is important to me that the drugs children are taking are providing a therapeutic effect, and not doing any damage to their bodies. To me, pediatric nursing is very interesting. Working with children and their families is something that I look forward to doing. I want to be able to pass my patient’s medications with confidence, knowing that the medications they are taking are known to help them through their illness. Parents also feel that it is important to know that drugs are safe for their children. By doing clinical drug testing in children, the healthcare community can determine the best medications to give, the safe dosage to administer, and also when to not give a medication. Currently, there are few pediatric drug trials in the United States. This has resulted in many potentially harmful or ineffective drug treatments. The healthcare community is forced to use the results obtained from adult drug trials to apply drug therapy to children. This is not truly reliable because children’s bodies metabolize substances different than adults. Children also have different diseases than adults...
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