Nursing Practice and Profession

Nurses who argon sensitive to the legal dimensions of shape argon careful to develop a strong sense of both ethical and legal responsibility. cap sufficient charge is a nurses best legal safeguard. When working to develop ethical and legal accountabilities, nurses must manage that both deficiencies and or excesses of responsible caring are problematic. Although it is reasonable to hold oneself accountable for promoting the human easy being of the patients, nurses can err by setting unrealistic standards of responsiveness and responsibility for themselves. Prudence is unendingly requirement to balance responsible self care with care for others. Inexperienced nurses might feel all in all responsible for effecting patient outcomes beyond their control and become frustrated and sad when unable to produce the desired outcome Conversations about what is reasonable to hold ourselves and others accountable for are always helpful.Each employing institution or office staff providing nursing service has an obligation to establish a process for reporting and handling practices by individualististic or by wellness care systems that jeopardizes a patients health or safety. The American Nurses Association code of Ethics obligates nurses to report professional conduct that is incompetent, unethical or unhingedegal. For nurses, incompetent practice in measured by nursing standards, unethical practice is evaluated in light of the professional codes of ethics, speckle illegal practice is identified in terms of violation of federal legislations and laws.Nurses must respect the accountability and responsibility inherent in their roles. They brook the moral obligations in the provision of nursing care, hence they work with other health care providers in providing comprehensive health care, recognizing the perspective and expertise of each member. Nurses have a moral right to ref drill to participate in procedures that whitethorn violate their own ad hominem moral co nscience since they are entitled to conscientious objection. They must keep all schooling obtained in a professional capacity confidential and employ professional judgment in sharing this specifyation on a need to know basis.Nurses are expected to protect individuals under their care against drop of privacy by confining their verbal communications only to appropriate personnel settings, and to professional purposes. They are obliged to adhere to practice that limits main course to personal records to appropriate personnel. They must value the promotion of a social as well as economic environment that supports and sustains health and well-being. It includes the involvement in the undercover work of ill effects of the environment on the health of the patient as well as the ill effects of human activities to the natural environment.They must acknowledge that the social environment in which the patient inhabits has an stir on health. Nurses must respect the rights of individuals to make informed choices in relation to their care. They have this responsibility to inform individuals about the care available to them, and the choice to accept or reject that care. If the person is non able to speak for themselves, nurses must ensure the availability of someone to represent them. It is vital to respect the decisions made concerning the individuals care. Standards of care are one measure of quality. Quality nursing care provides care by qualified individuals.Likewise, the individual needs, values, and culture of the patient relative to the provision of nursing care is important to be respected and considered hence it should not be compromised for reasons of ethnicity, gender, spiritual values, disability, age, economic, social or health status, or any other grounds. notice for an individuals needs includes recognition of the individuals place in a family and the community. It is due to this reason that others should be included in the provision of care, most sign ificantly the family members. Respect for needs, beliefs and values includes culturally sensitive care, and the need for comfort, dignity, privacy and alleviation of pain and anxiety as untold as possible.Evidence-based practice (EBP) is a problem solving approach to clinical practice that integrates the conscientious handling of best evidence in combination with a clinicians expertise as well as patient preferences and values to make decisions about the type of care that is provided (Melnyk, 2004). Quality of care outcomes refers to accuracy and relevance demonstrated by the decisions concerning the need for medical and surgical intervention. Evidence of appropriateness in healthcare is necessary to improve health outcomes, balance costs, provide guidance to physicians and meet the need of the new informed health consumer. Appropriateness is unlike effectiveness since the later refers to the degree in which an intervention achieves the objectives set (Muir Gray, 1997). One mea suring rod of appropriateness is that of necessity.As technology and improved methods of care has advanced, access to appropriate interventions should likewise improve. Today some interventions are still limited such as magnetic resonance imaging (MRI) in rural communities and since access to this technology is limited, a criterion of necessity is used to determine who is able to access and how quickly. Therefore although use of MRI may be appropriate in diagnostics, it may be underused. Advancements in technology, interventions and clinical look into will provide updated evidence which in turn would affect ratings of appropriateness (Muir Gray, 1997).Clinical guideline statements are veritable from evidence to assist healthcare practitioners in making appropriate health interventions (Woolf, Grol, Hutchinson, Eccles & Grimshaw, 1999). The clinical guideline may be a general statement or concise instruction on which diagnostic try out to order or how best to treat a specific cond ition. The purpose of clinical guidelines is as a tool for making decisions that will result in more consistent and efficient care. Guidelines are not rules nor are they mandatory. The benefits of clinical guidelines include Improved health outcomes Increased beneficial/appropriate care torso of care Improved patient information Ability to positively influence policy Provide guidance to health care practitionersReferencesAgency of Healthcare Research and Quality. (n.d.). Outcomes research fact sheet. Online.Available http//www.ahcpr.gov/clinic/outfact.htmBrook, R.H. (1994). Appropriateness The next frontier. Online. Availablehttp//www.bmj.com/cgi/ meat/ integral/308/6923/218?ijkey=t7GNbMJu0NIhAFitch, K., Bernstien, S. J., Aguilar, M. D., Burand, B., LaCalle, J. R., Lazaro, P. van het Loo,McDonnell, J., Vader, J. P., & Kahan, J. P. (2001). The RAND/UCLA appropriatenessmethod users manual. Online. Availablehttp//www.rand.org/publications/MR/MR1269?John A. Hartford Foundation. (n.d.) . Online. Available http//www.jhartfound.org/Muir Gray, J.A. (1997). Evidence-based healthcare How to make health policy and managementdecisions, New York Churchill Livingstone.Woolf, S. H., Grol, R., Hutchinson, A., Eccles, M., & Grimshaw, J. (1999). Clinical guidelinesPotential benefits, limitations and harms of clinical guidelines. Online. Availablehttp//www.bmj.com/cgi/content/full/318/7182/527?