Diploma of Nursing for Accountability - myassignmenthelp.com

Question: Discuss about theDiploma of Nursing for Responsibility andAccountability. Answer: Scenario In the given context, the nurse failed to act in compliance with the established professional code of conduct. She did not act within the scope of practice and even failed to use critical thinking and analysis skills effectively, as she did not resorted to perform her duties ethically and reflectively as stated in the professional code of conduct for nurses. She has been found to deviate from her ethical virtues, as she did not seek any approval from any medical personnel prior to administration of the prescription only drugs to the patient. She did not even conform to the informed decision making principles. She even made false entries pertaining with the medical records of the patient that may be considered as a gross violation of the professional code of conduct. Therefore, it is evident that ethical management of data and culture of safety was compromised immensely in this particular situation. In todays times, contemporary nursing practice is emphasized for the nurses to abide by the nursing standards comprising of the laws, procedures and policies so that optimal healthcare delivery may be streamlined. However, as per the given scenario the nurse made serious deviations of these standards. Lack of responsibility and accountability for her actions was evident. She failed to collaborate and communicate with her colleagues and seniors in the healthcare team in course of planning suitable care for the patient. Information and reporting of care services to the appropriate authority was also missing in this case that further implied deviations from the safety and quality guidelines as laid out by concerned bodies, threatening the lives of the healthcare service recipients. Nursing practice is governed by certain legislations and professional regulations that may be further evaluated in the given context. Health Practitioner Regulation National Law Act 2009 advocates for a national registration and accreditation scheme targeted to the health practitioners. Further, as per the professional standards, the nurses are to communicate and use documentation for the purpose of informing and reporting care. This standard was not followed in the given case as the nurse knowingly administered prescription only drug to the patient without properly communicating with the persons in authority. Further, the nurse made false entries thereby delineating from the virtue of accurately documenting the health-related data of patient. In order to prevent future such incidents, the nurse must go through certain types of professional development. Understanding about the professional standards and professional boundaries is essential on her part to avoid repetition of similar mistakes. Training has the potential to inform her about such necessities in addition to warning about the consequences that might follow due to breach of the established codes of practice and legislations. Value of correctly documenting the medical records must also be directed for her in addition to disseminating knowledge regarding administration of medications after formal approval and consent from the competent authority, through abidance with Registration Standard in Continuous Professional Development. A number of gross violations and breach of professional standards and ethical guidelines occurred in the given case that might have had serious repercussions due to posing of serious threat to the quality of healthcare delivered. First unauthorized administration of medications on the part of the nurse has challenged the health-related outcomes in the patient. Serious adverse outcomes might have taken place due to lack of medical supervision in advocating drugs unlawfully. Further, tampering of medical record may be stated as a serious offence in which the health of the patient may be severely threatened. Lack of knowledge on the part of the medical practitioner about the tampering of medical record might culminate in preparing a faulty treatment plan that in turn might jeopardize the purpose of provision of safe and quality healthcare service to the distressed patient. However, reflective practice may be promoted through continuous professional development as offered through clinica l placement setting in addition to arranging for proper training for the nursing practitioners. HLTEN514B Article The purpose of the study was to examine the association between critical thinking and confidence in decision-making among new graduate nurses through utilization of correlational methods. The sampling size for the study was chosen as 83. Chosen population for the research was new graduate nurses hailing from 11 different universities and entering into two areas of health services in Australia, one belonging to the major metropolitan area and another comprising of major area health service who demonstrated a wide array of undergraduate preparation. SPSS software was utilized for data analysis whereby descriptive statistics was performed for the demographic as well as raw data. Frequency distributions were plotted for critical thinking ability (WGCTA) scores and confidence in decision-making ability scores alongside computation of mean and standard deviation for these two parameters. Association between critical thinking scores and confidence in decision-making scores was adjudged through correlation analysis. The study has used the correlational research design. Data collection meant for the study has utilized two different instruments, both of which were essentially demographic questionnaire. One tool used for the study was the Watson and Glaser Critical Thinking Assessment tool, while the other was the Confidence in decision-making scale. As part of the research process, consent was sought from the participants to conduct the study, prior to completion of the questionnaire that consisted of demographic information in one and questions targeted to nursing practice that held potential of the nurses perceptions about themselves. Purpose of the research alongside provision of support as and when required was rendered to the participants. Precautions were taken to maintain the confidentiality of data and all data retrieved was saved as anonymous and participants had the liberty of withdrawing from the study as per their discretion without providing any justification. The different tools used for the study are the Watson and Glaser Critical Thinking Assessment tool and the Confidence in decision-making scale. The study being conducted at two areas of health service makes it difficult for generalizing the interpretations to other settings. Moreover, selection of convenience sampling for the study might affect the study outcomes. Clinical implications for the study may be cited as: Necessity for professional development courses Enhancement in nursing awareness to understand better the significance of nursing culture Improvement in open questioning attitude for fostering decision-making in healthcare service for the patients