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Implementation of Registered Nursing Standards And Practices In Australia



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Making derogatory, disrespectful comments about a lecturer is the worst display of bad-behaviour of a student. In today’s society, a healthy relationship between a lecturer and a student is of utmost necessity. If there is an absence of respect, then a bridge is created between the professor and the student. Every country has its own rules and regulations of laws that protect the rights of its citizens. In order to take steps or actions, one has to maintain some laws so that the commandments of the addressed entity are not violated. This essay would take into consideration the second case study which would describe the immediate actions taken by a friend when the individual is subjected to a derogatory, disrespectful Facebook post addressed towards their lecturer.

Facebook, or social media, these days is used for several purposes. Some people use it as a form of recreation or some use it as a platform to spread information about the society or the world around us. There are a handful of people who use it as a platform for negative publicity. There are several cases that can be attributed to this issue. One can be a public entity and use it as a platform to make a negative statement to another public figure. However, as Facebook provides a platform to general masses, people use it as a social media tool to spread positive, and at times, negative messages. In this case, the first action of the fellow student who tries to help the other student who made a disrespectful statement is to delete the post from Facebook altogether immediately after coming across it. Moreover, there is also another criteria that needs to be kept  in mind while handling this case. The individual is a classmate and it needs to be ensured that the student is not negatively impacted following the aftermath of this incident.  In this case, it is quite plausible that before I came across this post, any other classmate or lecturer have come across the post and taken a screenshot of it, only to be delivered to the addressed lecturer. In any case, however, I would inform the student to take down the post and contact the lecturer beforehand prior to the situation getting out of control.

Subsequently, I would advise the student to talk to the lecturer on a personal level explaining the reason in a polite manner. As a classmate and a friend, I would also ensure that I explain the situation to the lecturer as well and what went down in that Facebook post. In addition to this, I would also recommend my classmate to apologise to the professor on a personal level and make sure that this type of incident does not repeat itself.

Registered Nurse or RN is an evidence-based and person-centred that implements elements of curation, prevention, formation, support, palliation and restoration elements. The work of RN in collaboration with professional and therapeutic relationships with individuals along with groups, families and communities is highly commendable. These individuals may be healthy and may possess a diverse range of abilities. In other cases, they may be suffering from mental or physical health issues or health challenges. These challenges may comprise of physical, developmental, psychiatric and/or disabilities that can be considered to be intellectual.

As professionals of regulated health, RNs are held accountable and responsible for the Board of Nursing and Midwifery in Australia. These are considered to be the nationally registered standards for practice with respect to Nursing. Referring to Drury et al. (2014), in combination with the standards of the NMBA guidelines, codes and standards, these nurse standards that are registered for practice should be evident in ongoing practice, and the development of practice scopes and aspirations needs to be informed on RNs. As a professional endeavour, RN practice needs continuous analysis and thinking with respect to thoughtful maintenance and development. In order to be engaged with this profession, there is a need of RNs to continuously develop and maintain their professionalism in order to improve their professional practice. The coordination and determination of an RN would result in quality and safe nursing. This practice involves a comprehensive evaluation, formulation of a plan, evaluation and implementation of outcomes. As an aspect of practice, RNs are accountable and are hold responsible for the delegation and supervision of nursing activity to nurses who are enrolled and others.

The Standards for Registered Nursing Practice comprises of 7 standards. They involve the critical and analytical thinking during the nursing practice. As per Endacott et al. (2018), it also includes the engagement of a nurse in professional and therapeutic relationships. Moreover, it also provides the maintenance of capabilities to practice alongside the comprehensive conduction of assessments. Along with developing a plan for nursing practice, it also takes into consideration the provision of appropriate, safe and responsive qualities to practice in nursing. Finally, it also assesses the results for informing practice regarding nursing.

The first standard of RN standard practices involves analysing and critical thinking of nursing practice. A wide range of strategies of thinking is implemented in RNs and the best evidence that is feasible is used to make decisions and provide quality and safe practices of nursing within evidence-based and person-centred frameworks.

As per Ossenberg, Henderson & Dalton (2015), a registered nurse analyses, accesses and utilises the best feasible evidence that also involve research findings to inculcate quality and safe practice. This practice standard also empowers the development of practice via reflecting on knowledge, experiences, feelings, actions and beliefs to recognise how the shaping of practice takes place. It also treats every culture and experience respectfully by inclusion of a response to the roles of community and a family that highlight the health of Torres and Aboriginal Strait Islander people alongside people from other religions and culture. Along with this, the first standard of RN practice also complies with the regulations, legislations, guidelines, policies and other requirements or standards that are relevant with respect to practice while making decisions (O’connell, Gardner & Coyer, 2014). This framework standard also implements ethical frameworks while taking decisions. It can maintain comprehensive, precise and timely documentation of planning, assessment and decision-making evaluations and actions alongside contributing to the improvement in quality and relevant research.

The second standard of RN practice involves the engagement in professional and therapeutic relationships. This practice relies on a purposeful engagement of effective professional and therapeutic relationships. According to Cashin et al. (2015), this comprise of collegial generosity in terms of mutual respect and trust in professional relationships. The registered nurse sustains, establishes and concluded relationships in ways that differentiates the boundaries between personal and professional relationships. It involves effective communications and respectfully treats a person’s culture, beliefs, dignity, values and rights. This standard recognises that people are experts when it comes to their own life-experiences. It also fosters actively the culture of learning and safety that involves engaging with other health-professionals in order to gain experience on life safety and health.

As per the guidelines of RN standards, the third standard involves the consideration and response in a manner that is considered to be timely for the well-being and health of self and others with respect to the capabilities of practice. It also takes into consideration the education and information that would be necessary to provide education and information to improve the control on health on behalf of people. It implements a lifelong learning policy to continue the development in profession of everyone and others along with the accountability for actions, decisions, responsibilities and behaviours inherent to their role and for others actions regarding whom they have delegated duties (Ralph, Birks & Chapman, 2015). It also incorporates the habit of seeking and responding to practice feedbacks and reviews alongside active engagement with the profession. Finally, it also promotes and identifies the integral necessity of nursing profession and practice to influence better outcomes of health for people.

The fourth standard of RN practice deals with a comprehensive conduction of assessments. Registered Nursing involves the accurate conduction of systematic and comprehensive evaluations. Alongside this, data and information analysis along with communication outcomes are needed to be jotted down as the fundamentals for practice. A registered nurse is in charge of evaluations that are considered to be holistic alongside being culturally appropriate. It implements a diverse range of evaluation techniques to collect systematically accurate and relevant data to inform practice. It also works in collaboration in order to determine factors that are influential or potentially influence the well-being and health of populations and people for determining priorities for referral and/or for action alongside carrying an assessment of the feasible resources to carry out planning.

The fifth standard of RN involves the development of a plan for practising nursing. RN is necessary for the communication and planning of nursing practice. In partnerships, agreed plans are formulated. According to Birks et al. (2016), they are dependent on the appraisal carried out by RNs on the fields of relevant information, comprehension and evidence that is communicated and documented. As per the fifth standard, a registered nurse should use the evaluated information and combine it with the best possible evidence for the formulation of a plan. It also incorporates collaborative nursing plans for practice until options priorities, contingencies, goals, outcomes, actions and time frames are agreed upon by the relevant personnel. It negotiates and plans how practices would be evaluated alongside the timeframe of the management. This standard also evaluates documents and alters plans as per the facilitation of the outcomes that were agreed upon (Dellefield et al. 2015). It causes the effective coordination of resources along with the composition of efficient planned actions.

The sixth standard of RN provides appropriate, safe and responsive practices of quality nursing. They also may provide quality, delegate and ethical actions that are goal-directed. These are based upon systematic and comprehensive evaluation alongside the implementation of the best evidence available to obtain agreed and planned outcomes. Referring to Roche et al. (2015), a registered nurse provides quality, safe and comprehensive practices to obtain agreed outcomes and goals that are responsive to the needs of nursing for people. It practices within the scope of their practice along with the appropriate delegation of various aspects regarding the practice of enrolled nurses and others, as per the enrolment of scope of nurse’s practice or other’s non-clinical and clinical roles. It also delivers impactful supervision and timely direction to make sure that the delegated practice is correct and safe. It complies entirely with relevant guidelines, policies, legislation and regulation, standards and utilises the necessary processes for identification and reporting of actual and potential risk related issues of system and where practice may take place below the standards of expectancy.

According the 7th and last standard of RN practices and policies, evaluation of outcomes is necessary to improve the practices related to nursing. As per Edmonds, Cashin & Heartfield (2016), it takes responsibility regarding the assessment of practice that is dependent on agreed goals, priorities, outcomes and plans and results in the revision of practices accordingly. As per the 7th standard, a Registered Nurse should evaluate and supervise the progress towards the expected outcomes and goals. Based on the evaluation, this standard revises its plans and it documents, determines and communicates further goals, priorities and outcomes with the relevant personnel.

According to the given case-study, the ethical laws dictate that the student apologises to the lecturer for the disrespectful and derogatory social media post. However, it is totally up to the lecturer on whether or not his apologies would be accepted. If not, the lecturer can suspend him temporarily or rusticate him from the institution. Defamatory social media posts not only evoke hatred and put the addressed individuals in problematic situations; it can also cause several negative issues to the poster as well. If it is a disrespectful or derogatory remark made by an individual directed to a certain individual or entity without any conclusive evidence, then the accused may as much as take this incident to the jury with allegations of defamation. So, prior to posting any hateful negative remark on an individual or entity, conclusive evidence needs to be gathered to support the post.

Birks, M., Davis, J., Smithson, J., & Cant, R. (2016). Registered nurse scope of practice in Australia: an integrative review of the literature. Contemporary nurse, 52(5), 522-543.

References

Cashin, A., Buckley, T., Donoghue, J., Heartfield, M., Bryce, J., Cox, D., … & Dunn, S. V. (2015). Development of the nurse practitioner standards for practice Australia. Policy, Politics, & Nursing Practice, 16(1-2), 27-37.

Dellefield, M. E., Castle, N. G., McGilton, K. S., & Spilsbury, K. (2015). The relationship between registered nurses and nursing home quality: An integrative review (2008-2014). Nursing Economics, 33(2), 95.

Drury, V., Craigie, M., Francis, K., Aoun, S., & Hegney, D. G. (2014). Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: Phase 2 results. Journal of Nursing Management, 22(4), 519-531.

Edmonds, L., Cashin, A., & Heartfield, M. (2016). Comparison of Australian specialty nurse standards with registered nurse standards. International nursing review, 63(2), 162-179.

Endacott, R., O’connor, M., Williams, A., Wood, P., McKenna, L., Griffiths, D., … & Cross, W. (2018). Roles and functions of enrolled nurses in Australia: Perspectives of enrolled nurses and registered nurses. Journal of clinical nursing, 27(5-6), 913-920.

O’connell, J., Gardner, G., & Coyer, F. (2014). Beyond competencies: using a capability framework in developing practice standards for advanced practice nursing. Journal of advanced nursing, 70(12), 2728-2735.

Ossenberg, C., Henderson, A., & Dalton, M. (2015). Determining attainment of nursing standards: the use of behavioural cues to enhance clarity and transparency in student clinical assessment. Nurse education today, 35(1), 12-15.

Ralph, N., Birks, M., & Chapman, Y. (2015). The accreditation of nursing education in Australia. Collegian, 22(1), 3-7.

Roche, M. A., Duffield, C. M., Homer, C., Buchan, J., & Dimitrelis, S. (2015). The rate and cost of nurse turnover in Australia. Collegian, 22(4), 353-358.

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