Reflection on Registered Nursing Practice †Free Samples for Students

Question: Discuss about the Reflection on Registered Nursing Practice. Answer: Think critically and analyses nursing Practice- Sub-clause 1.3 During my placement in the vascular surgical ward had to provide care and support to an Indigenous individual, who had undergone the vascular surgery. During my education I had learned that cultural competence and culturally safe care is very significant for providing quality care to the indigenous population (Berman et al, 2014). As a registered nurse I have applied critical thinking and analyse that cultural competence is the significant way through which health disparities and inequalities can be removed (Bainbridge et al, 2014). Form my registered nurse practice I have learnt that I should respect every culture for improving the quality of care and patient satisfaction. I used my critical thinking skills for providing evidence based and patient centred care to the patient as the registered nurse practice is based on providing evidenced based care (Biles and Campus, 2012). Evidence based practice has become the synonym of the Registered nurse practice that allows the RN to work according to the best available evidences that can be underpinned for clinical decision making (Registered nurse standards for practice, 2016). Hoffmann, Bennett and Del Mar (2013) examined that evidence based practice allows registered nurses to promote better well being of the patient. I also recognized that role of family is also very significant while providing care to the indigenous patients. Recognizing the family strength and respecting their culture and experience improves their trust in the health care services (Bainbridge et al, 2014). As a registered nurse I demonstrated the appropriate skills of responding to needs of the patient in a culturally competent manner, and my practice was based on patient centred approach that puts the patients at the centre of care and respects their needs and desires. For developing respect for every culture and to integrate cultural competence in my practice, I developed the evidence based knowledge for cultural safety, cultural awareness and cultural respect (Biles and Campus, 2012). My practice has been based on eliminating the gap between the health care services and the indigenous people. Engages in therapeutic and professional Relationships- Sub-clause-2.2 Registered nurses are required to build therapeutic and professional relationships with the patient in order to deliver quality care and to help patient in achieving better quality of life. The therapeutic and professional relationships are considered as the zone of helpfulness (Berman et al, 2014). The patient under my care was facing the problem of acute pain due o his vascular surgery and was unable to rest. Patient was uncomfortable and was not expressing his problems clearly and was not ready to take the medication for pain management. Thats when I engaged with him in the therapeutic and professional relationship with the patient. I communicated with him in a kind and compassionate manner, and also considered his culture values and belief (Registered nurse standards for practice, 2016). The therapeutic relationships are different from the personal relationships (Greenberg, 2014). The therapeutic relations are the purposeful formed for the engagement of the registered nurse with the patient by using their skills and knowledge. During the therapeutic relationships, the registered nurse also ensures that rights and dignity of the patient is maintained and valued during the communication (Aggar et al, 2017). According to registered nurse practice, it is important to apply the professionals values in practice. Communicating with the patient in a dignified, respectful and culturally competent manner is important for building therapeutic relationships with patients (Registered nurse standards for practice, 2016). This also helps to develop mutual trust and respect in the nurse-patient relationship. Therapeutic and professional relationship with patient is also important for promoting patients well-being and reducing negative outcomes (Lyneham and Levett-Jones, 2016). With effective and respectful communication I develop the trusting relationship with the patient in the vascular surgery ward. I believe that I fully met the chosen standard because patient started communicating his pains and problems and started trusting me. He also started respecting the recommendations I made for his care and interventions. Maintain the Capability for practice-Sub-Clause 3.4 The registered nurses have to ensure that they are capable of the practice, by ensuring safe, responsible and accountable care to the patients. Since, RNs are responsible for personal growth as well as for the professional growth and development of others (Registered nurse standards for practice, 2016); I focused on delegating and supervision of care to the enrolled nurses in a safe and competent manner. The duty of providing sponge cleaning and changing patients cloth was delegated to the enrolled nurse working under my supervision. I informed the enrolled nurse about all the patient information, current care plan and future objective before delegating her with the duty (Ashley, 2013). I believe that this was the correct way of professional practice and I applied the standard into my practice in a correct manner. According to the standard of practice for the registered nurse, RN is responsible for their personal actions, as well as responsible and accountable for the actions of other to whom the duty has been delegated (Registered nurse standards for practice, 2016). Therefore, I monitored, analyzed and evaluated the way by which enrolled nurse interacted with the student. I believe that I was able to meet the standard fully, as I was able to accept the accountability for decisions, actions, behaviours and responsibilities for my own actions and actions of the enrolled nurse. I also provided the support and education to the patient for enabling them to make informed decision about their health. According to the studies registered nurses are in correct position to realise that patients are responsible for ringing change in their life (Rasj Wrk et al, 2015). I fulfilled my roles and responsibilities with complete care. I ensured that enrolled nurses under my supervision should be engaged in life-long learning and development. I also ensured that I should responds in a timely manner whenever there is a concern about the practice of any health care professional. I engage myself in my development as well as development of others. Bibliography Aggar, C., Bloomfield, J., Thomas, T.H. and Gordon, C.J., 2017. Australias first transition to professional practice in primary care program for graduate registered nurses: a pilot study.BMC nursing,16(1), p.14. Ashley, S. 2013. Clarifying the roles, responsibilities and accountabilities ofNursing Professionals and Aboriginal and Torres Strait Islander Health Practitioners in primary care, including general practice. Accessed May 26, 2017. www.ants.org.au/ants/pluginfile.../20130620_doc_rolesandresponsibilitiesv1.pdf Bainbridge, R., McCalman, J., Clifford, A. and Tsey, K., 2014. Cultural competency in the delivery of health services for Indigenous people.Pat. Berman, A., Snyder, S.J., Kozier, B., Erb, G.L., Levett-Jones, T., Dwyer, T., Hales, M., Harvey, N., Moxham, L., Park, T. and Parker, B., 2014.Kozier Erb's Fundamentals ofNursing Australian Edition(Vol. 3). Pearson Higher Education AU. Biles, J. and Campus, A., 2012. Australian Indigenous Cultural competence and nursing. Accessed May 26, 2017. https://fyhe.com.au/past_papers/papers13/7G.pdf Edmonds, L., Cashin, A. and Heartfield, M., 2016. Comparison of Australian specialty nurse standards with registered nurse standards.International nursing review. Greenberg, L., 2014. The therapeutic relationship in emotion-focused therapy.Psychotherapy,51(3), p.350. Hoffmann, T., Bennett, S. and Del Mar, C., 2013.Evidence-based practice across the health professions. Elsevier Health Sciences. Lyneham, J. and Levett-Jones, T., 2016. Insights into Registered Nurses' professional values through the eyes of graduating students.Nurse education in practice,17, pp.86-90. Rasj Wrk, G., Trnkvist, L., Hasselstrm, J., Wndell, P.E. and Josefsson, K., 2015. Nurse?led empowerment strategies for patients with hypertension: a questionnaire survey.International nursing review,62(2), pp.187-195. Registered nurse standards for practice. 2016. Nursing and Midwifery Boardof Australia. Accessed Accessed May 26, 2017. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx