Question:
Legal Considerations of Scenario Task
“Consider any legislation or legal concepts that might have an effect on Sandra’s Scenario?”
These points could be the focal point of your essay.
Consentof a minor
InformedConsent
Dutyof CareNegligence
Negligence towards parents
Confidentiality
Documentation
Communication
Privacy
Guardianship2.
Development Competence Task
“What is competence, as it relates to professional practice, and how do you develop competence?”
So the question is in two parts. First, “What is competence as it pertains to professional practice?”
This is essentially a nursing competency definition. Check out the NMBA Competency standard
The second is “How do you develop competence?”
Discuss the process by which competence is built as a nurse in this section
Now think about the NMBA and your current practice scope. How do you get there?
It is possible to approach the problem by looking at one of these frameworks: SOLO’s Taxonomy (or Dreyfus’ Model of Skill Acquisition) or Benner’s Novice-to-Expert
Consider what strategies could be used to achieve these goals.3.
Professional Reflection:
“Why Professional Reflection is important not only for an individual, but also to develop a profession.”
In this question, you will be asked to reflect about what you have experienced through the process of professional reflective.
But you should also reflect on how important reflective practice is to the development of the entire nursing profession.
Answer to Question: NURS3046 Nursing Project
1: Legal considerations
Sandra’s health and legal situation will be affected in the following case study.
Nurses face an ethical dilemma on a daily basis.
They have to balance medical care with the duty of preserving life and promoting recovery. In addition, nurses have to take into account moral considerations like the informed consent of parents when the patient is minor.
Other legal considerations that may apply to parents include communication, guardianship or duty of caring and negligence.
Informed consent can be an ethical way to practice nursing.
Sandra’s surgery was not approved by her parents because she had a malignant tumor in her eye. Her parents also refused to consent to Sandra using blood products.
She stated that she knows the risks of withholding blood products and told the multi-disciplinary team that they would be doing whatever was best for her.
Sandra is minor and her consent cannot legally be taken into consideration. However, Sandra’s parents have their consent and will take legal guardianship.
Informed consent is ethically about the patient’s autonomy. It is when the patient understands and can freely accept the treatment procedure.
Sandra, even though she is a minor, understood the risks associated with the procedure and required blood products.
As part of duty, the nurse must get consent from her parents.
Multi-disciplinary team faces ethical dilemma between duty to care and legal considerations such as guardianship, informed consent, and negligence regarding parents (2).
Nurses can increase informed consent in these cases by patient teaching.
In calm settings, nurses should help the patient understand the treatment process and obtain their informed permission (3).
Sandra’s parents will need to be examined for paternalism. They should also be convinced that they are giving their informed consent.
Sandra’s parents should be made aware of any planned medical and nursing treatments for their child.
Sandra’s parents can be educated by continuance of methods through quality assurance. In this way, parents can consent and any negligence can be avoided.
Nurses face many challenges in patient-teaching.
Her parents need to communicate clearly in order for their child to give informed consent.
This would prevent medical errors and ensure patient safety. It also improves health outcomes.
Sandra’s parents could inform Sandra about Sandra needing blood products or medical treatment. This would allow Sandra to be guided and promote recovery through duty.
In this case, the informed consent and legal dilemmas faced by nurses are highlighted.
There is conflict between the medical care that preserves lives and promotes recovery. The nurses also have moral considerations, where they need to consider the informed consent from the parents if the patient is minor.
Sandra is minor and her consent cannot therefore be considered. The consent of her parents, who have legal guardianship, is valid.
Sandra’s parents can provide informed consent through effective communication and help to solve the ethical problem.
2: Competency Task
Competency in nursing means that you have the demonstrated strong capabilities, skills, and professionalism to successfully perform the nursing practice.
Competency in professional practice is the ability to engage in direct nursing care and practice as a nurse (5).
Competence also helps to develop excellence and influence professionalism in the health care system.
Communication in therapeutic relationships, for example, is crucial and an essential skill in the field of nursing.
It can be developed using the NMBA Competency Guidelines that allows the nurse to develop communication skills in the therapeutic relationship.
The following essay focuses on competency in nursing as well as the methods to build communication competence in the nursing practice.
Nursing and Midwifery Board of Australia’s (NMBA) has developed the understanding and definition of communication in therapeutic relationship competency within the nursing profession.
It provides guidance in the delivery of competent and safe nursing practice.
The competency standards are an integral element of the framework that assesses the performance of nurses. They work in accordance to the Australian nursing competency.
The competency as defined in NMBA is related therapeutic and cooperative care.
NMBA states in this skill that nurses have the responsibility of establishing, maintaining and closing professional relationships with individuals. This also assists them in understanding their role in the multidisciplinary healthcare team.
It helps them facilitate the provision of therapeutic and medical care. They also need to be able communicate clearly using appropriate language, both written and verbal, with interpreters when necessary.
You can also use open-ended or closed-ended questions to help you develop this skill.
To ensure that the information is pertinent, communication must be logical, clear, complete, concise and clearly written.
This is the competency of nurses to provide inter-disciplinary care under the standards of collaborative and therapy care in NMBA (7).
Other than the NMBA standards which allow for communication skills among registered nurses, there is another approach that helps nurses develop competency in their practice.
Dreyfus’ Model of Skill Acquisition aids in developing competence as a registered nurses in their nursing practices.
This model depicts an individual’s progress through five levels of professional expertise.
Expert, novice, competent, proficient, and advanced beginner are the five stages in a person’s life that help in developing competence.
The novice stage has the nurse following context-free rules. They have no responsibility beyond following the rules.
Once they have gained a lot of practice, their competence will develop when they interact with patients and other members of the healthcare team.
Nursing professionals are able to use intuition to make informed decisions.
Professional competence is gained when the individual is no longer dependent on external knowledge.
This five-step model demonstrates the progression of expert level from rigid rule compliance to intuitive knowledge.
This analysis shows that competence is an essential component in professional nursing practice.
Nursing and Midwifery Board of Australia, (NMBA), provided information about the competency skills required in professional nursing practice.
The competency standards in NMBA serve as a guideline for communication and collaboration in therapeutic and cooperative care.
Dreyfus’ Model of Skill Acquisition aids in the development of this competency as a registered nurses in their nursing practice.
3: Professional Reflection task
Professional reflection is an important aspect of life. It helps one recognize their achievements and allows one to consider where they can improve.
Introspection helps people reflect on their past experiences and learn from them.
It’s a type of research in which a person asks themselves what they have learned and then examines them, looking for ways to improve.
It helps people move from a state of being experienced to one that is more understanding.
This is necessary at both the individual and professional levels.
Reflective practice, at the professional level of work, is crucial as it makes sense and leads to action.
Reflective practice is about questioning assumptions and accepting the ways you do work that will lead to transformation and opportunities for improvement (10)
Nursing and Midwifery Councils (NMC) state that nurses use feedback for learning and reflection as well as to improve their nursing practice.
This gives them validation of their accomplishments (11).
NMC puts a great deal of emphasis on reflective practices that benefit nurses and the overall development and success of the nursing profession.
Gibb’s reflection cycle is one model of reflection that assists in thinking. It allows nurses to reflect back on their experience and make a plan for future actions.
It is a crucial skill that helps nurses manage the professional as well as personal impact of meeting patients’ basic health and wellbeing needs (12).
The following illustration shows how professionals reflect on their experiences and what obstacles they encountered. It also shows how to create an action plan.
In my second year as a nurse, I was working with my mentor. It was recommended that I dress the patient’s injury because he was so busy.
I visited the doctor, examined the patient’s wound, and did so without washing my hands or applying alcohol gel.
I was embarrassed to confront the doctor about the incident and was shocked.
I told my mentor about it and he suggested that we talk to the doctor about hand hygiene.
After reflecting upon this incident, I decided that I should have acted sooner than he did.
However, I was pleased that the doctor accepted my mistake.
During this reflective practice I realized how important it was to talk about hand hygiene and that it is a barrier to patient well-being that must be removed by effective strategies.
To overcome the obstacle and prevent future incidents, I planned and aimed for to increase my assertiveness while working with nurses who will ensure the quality and well-being of patients.
Reflective practice is an important part of professional practice, as can be seen from the above analysis.
This incident was reflectively practiced to help one reflect on their experiences in nursing, and to identify the lessons learned.
Introspection helps us to learn from our mistakes and lessons.
This requires constant questioning of assumptions and accepting the ways of working that could lead to transformation and opportunities for improvement.
According to the Nursing and Midwifery Councils (NMC), nurses benefit from feedback that encourages reflection and learning, and allows them to improve their nursing practices.
NMC helps nurses to reflect on their nursing practice. It also provides support for training and supports them in making changes.
Conclusion
This essay shows that nurses must deal with daily challenges in their professional nursing practice.
The duties of medical care, which preserves life and promotes healing, can be conflicted with moral considerations. As the patient is under 18, the parents must consent to the informed consent.
Patients and their families must consider ethical and legal concerns.
In order to demonstrate and practice the nursing standards, nurses need to be competent in their professional practice.
Dreyfus’ Model of Skill Acquisition aids in the development of competence as a registered nurses in their nurse practice.
As they gain competency, they are able recognize the successes made in their field and can also reflect on where there is room for improvement.
Reflective practice is at the professional level a constant questioning and acceptance about the assumptions that are being made and of the work methods that can be improved.
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