Delivery in day(s): 3
Workplace Learning Environment OZ Assignments
1. Practices Of Care That Could Be Improved In The Clinical Placement
Care facilities are guided by many principles and practices that the doctors and nurses with the carers team have to follow, to provide them with a better quality treatment and service with proper care. But with the set rules and guidelines some of the other factors that guide the carer in their clinical placement are the oral hygiene, infection control techniques, cultural safety etc. The clinical experience that I gained from the aged care facility and other ward areas diagnose the need for improving the care building for the patients and old age people for serving them in an improved manner. The area of improvement has assessed by me while serving in the placement is majorly communication and the other is personal hygiene (Khalaila, 2014). For treating and caring the patients especially the old age, children and disabled people, communication plays an important role in acknowledging the need, requirements of the people. Effective communication procedure will help me and the other carers to assess the mental and physical ability and condition of the people in the care facility.
Communication tends to be an initial approach and way to make the nurses and doctors understand the patient’s problems and understand their treatment procedures accordingly. In a care facility for children and old age people communication helps to improve connection and effectively develop a relationship with them. This will help me as a carer to serve the patients well and provide them with a homely feel. An effective communication will make the care facilities and carers to develop a sense of understanding the ethical dilemmas and concerns of the patients and their family's during their treatment for guiding them with the proper solution according to their immediate prevailing environment. Communication should also be improved for understanding the different languages and sings and symbols of the disabled or mentally ill person (Billett, 2016). An effective communication will help the carers in improving their facilities and services by way of eliminating the barriers of communication such as systematic barrier, psychological barriers etc.
Personal hygiene is one of the important aspects as experienced by me during the placement in making the care facilities to serve the patient in a clean and sanitized environment. This affects the patient's i.e. old age people and children to connect with the other person both mentally and physically. Personal hygiene factors such as hand washing and sanitization, clean feet, covering mouth and nose with mask etc. guide the carers to effectively maintain and improve the health of the patients on the nursing and home care facilities. The personal hygiene factors in social care facilities assess the patients and carers to safeguard the people from bacteria and various infectious diseases and viruses. Personal hygiene provides an anatomy for the clients, nurses and the carers to provide medical guidance and support in a healthy and hygienic environment (Hinkin and Cutter, 2014). This will also help the patients and carers to assist themselves in their routine tasks and perform the medicare facilities in a hygienic way. A hygienic environment provides the carers and their respective patients and resident in the aged care facility to live a healthy life with securing themselves from any transmitted and infectious diseases and illness and also makes a safe environment for the other people in the care home or facility from transmitting any disease or virus.
3b. Obligations As A Nurse In Making An Ethical Decision In Relation To The Provision Of Substandard Care
Nurses are highly obliged to perform their duties under the said guidelines of the provision of substandard care. There is various basic code of conduct that the nurse has to follow before deciding their role or make any prior decision regarding any assistance to the patients. Such as, the obligation of the nurse to communicate client about the consent to be filled before any personal care can be provided. This obligation creates an ethical dilemma for the nurses and constraints them from making ethical relation with the patients as guided by the provision of substandard care (Sinclair, et al. 2016). Altogether the consent given by the client or patient gives the nurses all the aspects of care information and permission to help the patient. In the workplace, nurses have to guide their working and decision making by way of ethical substandard care provisions. Code of ethics guides the nurses fundamentally to effectively serve their professions. Decision making in such a profession where the role is very complex as it serves and cares for the patients, old age people, and children and take care for their health is tends to be ethically obliged for effectively serving them. Thus the decision making is heartthrob impacted by the ethics and other code of conduct.
Communicating about the rules and regulation and other terms and conditions to the patients and clients are an important concern for the nurses to make their decision and to ethically build relations. Some of the factors that are considered to impact the decision making of the nurses and their ethical relation are religion, culture, values and beliefs and the upbringing and training etc. The substandard and code of conduct guides the nurses to build their ethical relation by being in discipline and follow the obliged duty and responsibilities. Some of the provision that guides the nurses towards their ethical decision making are; accountable towards the individual and client; responsible and obligation for maintaining a healthy environment and regularly practising and educating oneself etc (Day and McCarthy, 2017). The ethical situation influence nurses morality for effective decision making towards the patient's advocacy and put them in a challenging dilemma during their nursing practice. The level of risk and complex situation that arises during the practices of nurse made it difficult for them to take an ethical decision in regards to patients health and critical health; as they have to follow the substandard norms and practices. The moral factors that may guide or on the other hand deviate the nurses are feelings of anger, frustration, and dissatisfaction, along with poor performance that results in forming the inability to follow moral values and do the “right thing” due to external constraints (Vryonides, et al. 2015). So for successfully promote ethics-driven decision making in respect to the patient advocacy among nurses, substandard care is to be followed effectively.
1.Billett, S., 2016. Learning through health care work: premises, contributions and practices. Medical education, 50(1), pp.124-131.
2.Khalaila, R., 2014. Simulation in nursing education: an evaluation of students' outcomes at their first clinical practice combined with simulations. Nurse education today, 34(2), pp.252-258.
3.Hinkin, J. and Cutter, J., 2014. How do university education and clinical experience influence pre-registration nursing students' infection control practice? A descriptive, cross-sectional survey. Nurse education today, 34(2), pp.196-201.
4.Vryonides, S., Papastavrou, E., Charalambous, A., Andreou, P. and Merkouris, A., 2015. The ethical dimension of nursing care rationing: a thematic synthesis of qualitative studies. Nursing ethics, 22(8), pp.881-900.
5.Sinclair, J., Papps, E. and Marshall, B., 2016. Nursing students' experiences of ethical issues in clinical practice: A New Zealand study. Nurse education in practice, 17, pp.1-7.
6.Day, M.R. and McCarthy, J., 2017. A SELF-NEGLECTING CASE DILEMMA: APPLYING AN ETHICAL DECISION-MAKING TOOL. Self-Neglect in Older Adults: A Global, Evidence-Based Resource for Nurses and Other Healthcare Providers, p.349.?