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Registered nurse (RN) practice requires addressing the aspects of person-centred care along with evidence-based practice by implementing the elements of preventative, curative, formative, supportive, restorative and palliative for providing quality care to the clients. 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 (Australian Health Practitioner Regulation Agency, 2018). The first standard chosen is that the RN “Engages in therapeutic and professional relationships” and the second standard mentions that the RN “Develops a plan fornursing practice”. Using the Gibbs’ Reflective Cycle the reflection of the situation will be presented where the above-mentioned RN standards of nursing had been implemented (Howatson-Jones, 2016).
1. Description- While I was working as in the surgical ward, I had to care for the patient who was 72 years old and had just undergone abdominal surgery. He was an Aboriginal and Torres Strait islander as I inferred from his personal details. Being in surgery, the patient was in lot of pain and required regular dressing of his wound. Most of the time he was under sedation, which was administered in order to manage his pain. Therefore it was quite crucial to develop a proper nursing plan in order to effectively manage his condition and deliver quality care. This required the implementation of the RN standards of practice that guided me to use the available assessment data and evidence to develop the best nursing plan.
2. Feelings- The patient is in a very critical condition even after the surgery because of the persistence of the severe pain at the surgery site, therefore my feelings regarding the whole incident was that I need to very careful while delivering hence a proper nursing care plan was an absolute necessity at this point. As the fifth standard of the RN standards of practices puts forward that the RN “uses assessment data and best available evidence to develop a plan” , “plans and negotiates how practice will be evaluated and the time frame of engagement, and coordinates resources effectively and efficiently for planned actions”, I tried to imply the same in my practice in order to manage the prevailing condition of the patient. On the other hand, in accordance to the second standard there was also a need to “communicate effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights”, which I also tried to follow.
3. Evaluation-As I was providing care to the patient by following the fifth 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 and evaluated the plan of nursing of the patient along with the modifications made and treatment that was provided to him 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 he had difficulty in communication since most of time he was under sedation and had difficulty in verbal communication, I tried to use some hand sings and gestures so that effective communication can be carried out in a way that the dignity of the patient is maintained (National League for Nursing, 2017).
4. Analysis-The RN standards of nursing care that we have focused upon are the first and the second standard which includes that:
The registered nurse:
1 builds up, maintains and finishes up connections in a way that separates the limits among expert and individual connections
2 onveys viably, and is deferential of a person’s dignity, culture, qualities, convictions and rights
3 perceives that individuals are the specialists in the experience of their life
4 offers help and guides individuals to assets to upgrade wellbeing related choices
5 advocates in the interest of individuals in a way that regards the individual's independence and legitimate limit
6 utilizes appointment, supervision, coordination, counsel and referrals in expert connections to accomplish enhanced wellbeing results
7 effectively encourages a culture of network security and discovering that incorporates connecting with wellbeing experts and others, to share information and practice that backings individual focused consideration
8 takes part in or potentially leads synergistic practice, and
9 reports notifiable lead of wellbeing experts, wellbeing laborers and others (Nursing and Midwifery Board of Australia - Professional standards, 2018).
The registered nurse:
1 uses data from assessment and the evidences that is best available to develop a plan
2 constructs nursing practice with collaboration plans until the options priorities, contingencies along with the goals, actions, outcomes and timeframes are agreed with the relevant persons
3 carries out documentation as well as evaluation and also modifies the plans in accordance to facilitation of the agreed outcomes
4 carries out the planning and negotiation of the how practice will be evaluated and the time frame of engagement, and
5 coordinates resources effectively and efficiently for planned actions (Nursing and Midwifery Board of Australia - Professional standards, 2018).
In accordance to the above-mentioned standards the condition of the patient requires a holistic care approach including patient centered care. In terms of communication it should incorporate both verbal and non-verbal forms of communication. One important aspect of nursing is to make eye contact, look and listen, allocate more time for the patient and additionally be interactive 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. Maintenance of dignity, culture as well as the values and beliefs is quite necessary so that proper therapeutic and professional relationship can be provided to the people who belong to the Aboriginal and Torres Strait Islanders (Melnyk et al., 2014).
From this experience, I will be more mindful in future regarding the importance of being assertive and exert professionalism in practice. In terms of this, I should also have acted sooner in order to collaboratively and construct the nursing care plans. The insights that I have gained from these standards will help me to provide best service sin 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.
Action Plan-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 the next time I will be more assertive regarding the working with a team of other professionals in order to ensure the fact that the well-being of the client is maintained effectively.
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