PROFESSIONAL ROLES AND VALUES C304 PAPER

PROFESSIONAL ROLES AND VALUES C304 PAPER

PROFESSIONAL ROLES AND VALUES C304 PAPER

Professional Roles And Values

Section A

Dorothea Orem’s self-care deficit nursing theory is a widely used theory in nursing practice. The theory holds that patients are willing to cater to their needs, and nurses bridge the gap where they cannot meet their needs (Fernandes et al., 2019). Thus, nurses perform a comprehensive patient assessment to determine a patient’s needs, which inform the nursing interventions. Nursing interventions thus defer depending on individual patients’ needs. Using the theory ensures that nurses provide only the necessary services to the patients without indulging in activities the patient can do for themselves. In addition, the theory involves the patient in their care and thus promotes cooperation and better health outcomes. Professional Roles and Values C304 Paper

PROFESSIONAL ROLES AND VALUES C304 PAPER

The self-care deficit theory is much applicable to nursing practice because the nursing profession is patient centered. Nurses provide care to the patients to ensure they regain their normal healthy state. Allowing patients to perform activities can promote self-reliance and rehabilitation (Fernandes et al., 2019). Patient education, an integral part of the theory, ensures patient empowerment which improves patient satisfaction. In addition, nurses’ workload is common; restricting practice to what the patient needs relieves the burden and promotes job satisfaction. The theory is widely used in informing the nursing process and care interventions in nursing practice.

Professional Roles and Values C304 Paper Section B

Abraham Maslow and Clinton Aldeifer are famous historical due to their contribution to nursing practice after proposing Maslow’s hierarchy of needs and (ERG) theory, respectively (Fallatah & Syed, 2018). The two recognized that patients have other needs besides healthcare needs that seek gratification. Maslow divided the needs into five levels (physiological, safety and security, social belonging, esteem, and self-actualization needs) while Aldeifer divided them into three (existence, relatedness, and growth needs). Maslow postulated that patients’ needs are activated in levels, while Aldeifer postulated that needs from different levels could be activated simultaneously (Fallatah & Syed, 2018 Professional Roles and Values C304 Paper). Alderfer also noted that frustration and regression to lower-level needs arise when a need is not satisfied.

The two theorists are vital to informing nursing practice. They highlight the importance of holistic care and not just the healthcare needs of the patients (Fallatah & Syed, 2018). They provide a framework for assessing individual patients’ needs and allow nurses to assist patients to achieve their needs. Assisting patients to achieve their holistic needs enhances their satisfaction, collaboration, and healthcare outcomes.

Section C

The state board of nursing is a governmental licensing and regulatory body that focuses on setting standards of nursing practice, licensing nurses, defining nurses’ scope of practice, and handling disciplinary cases when standards’ violations occur. American Nurses Association is a national organization for nurses that focuses on nurses’ and the nursing profession’s interests. The state board of nursing focuses on the patient’s welfare while ANA focuses on the nurses’ welfare.

The state board of nursing provides clear guidelines on nurses’ conduct to ensure patient safety. They also conduct licensure exams to ensure only qualified nurses are licensed to deliver patient care. The board also determines the education of nurse practitioners and registered nurses. It thus ensures continuity of education and updates nurses’ current and evidence-based practices. ANA empowers nurses and enables them to fulfill their obligation to society despite the challenging ethical issues in healthcare settings (Ziebarth & Solari, 2020 Professional Roles and Values C304 Paper). ANA also empowers nurses in various other areas to improve the quality of healthcare they deliver.

Nurses must periodically renew their practice licenses as a requirement from the state. The state requires nurses to have completed 25 hours of board-approved continuing education forums every two years, a one-hour forum on HIV/AIDS, two hours of medical errors, and a one-hour forum on domestic violence. Florida State requires nurses to Failure to maintain license requirements in the states attracts heavy financial fines and possible withdrawal of the license from the nurse.

As a nurse in a compact state, one may hold only one compact license and many other non-compact single-state licenses. In contrast, a nurse in a non-compact state can hold many licenses from any state, but all licenses will be single-state licenses.

Section D

The food and Drug Administration (FDA) and the Center for Medicare and Medicaid Services (CMS) share fundamental interests. However, they differ in that the FDA controls marketing and medical product use while CMS regulates reimbursements for healthcare products and healthcare insurance coverage to vulnerable groups. The two institutions’ guidelines showcase the safe medications for use in patients and safe practices care. They also guide the nurses’ role as patient advocates. The nurse’s role in the case of alternative medicine is to confirm the approval of the medicine by the FDA and before administering it. The nurse as a patient advocate should not deny patients approved treatment alternatives.

Section E

The nursing practice act is a state-specific act that protects the public (patients) by regulating nursing practice by setting standards, licensing procedures, and taking disciplinary measures (Huynh & Haddad, 2020). The act ensures that nurses provide the best quality and safe care by following the rules and regulations. The NPA defines the RN scope of practice that entails observing, diagnosing, planning, intervening, and evaluating patient care. The NPA regulates nursing actions in all the stages of the nursing process. The Florida State defines delegation in RN practice as transference of authority and responsibility to a competent individual to perform specific procedures by a registered nurse. It also calls for the following delegation rights. Professional Roles and Values C304 Paper

Section F

A nurse plays the role of a scientist by engaging in healthcare research and informing evidence-based practices. A nurse plays the role of detective through diagnosis and planning patient care. The nurse also identifies potential threats to patient safety and acts promptly. As a manager of the healing environment, the nurse identifies factors affecting the health state of a patient and adjusts them accordingly. Thus, the nurse plays the role of a scientist, detective, and manager of the healing environment.

Section G

The identified ANA nursing provisions include: “The nurse promotes, advocates for, and protects the rights, health, and safety of the patient” (Educate Simplify, n.d.). This provision ensures the nurses maintain human dignity, provide safe and quality care to all patients, and ensure that practice standards are followed. The second provision is “The nurse’s primary commitment is to the patient, whether an individual, family, group, community or population” (Educate Simplify, n.d. Professional Roles and Values C304 Paper). The nurse should ensure they provide patient-centered care with attention to patient needs, maintain patient privacy, and have clear-cut boundaries.

One significant error is medication errors such as administration of medications errors: administration of wrong drugs to a patient. The error might result from names of patients that look alike or LASA (look-alike sound-alike) drugs. This error negatively affects patient safety and is against the nurses’ ethical conduct.

As mentioned earlier, ANA aims to empower nurses to ensure quality practice. The provisions may help to remind the nurse of their role and responsibility in patient safety and quality care delivery (Educate Simplify, n.d.). In addition, they may be used to enhance reporting of the error and laying effective strategies such as separating LASA drugs and labeling them to ensure the error does not occur again. ANA provisions empower nurses to improve their practice and professional development.

Section H

Effective communication, confidence, time management, and emotional intelligence are the four essential qualities of a nursing leader (Cummings et al., 2020 Professional Roles and Values C304 Paper). The nurse leader at the bedside ensures they provide clear and complete information about the patient. They confidently address their needs and handle their needs without reacting inappropriately emotionally. They also ensure they optimize the time they spend with clients to ensure they cater to all clients.

Interprofessional teams require timely and accurate information to inform their decision-making processes. The nurses must also accommodate individual differences among team members without reacting inappropriately or negatively to psychological effects. The nursing leadership qualities are thus integral for the nurse leader at the bedside and in professional teams.

Nursing practice in the work environment requires working in teams which promotes leadership even at the lowest level. These teams have collaborative efforts in decision-making which showcases the importance of consultation. In addition, it calls for every nurse’s input improving their individual’s decision-making skills. The teams contain nurses with different qualifications, such as assistant nurses, registered nurses, and nurse practitioners. Interaction with these members enhances professional development. The organization also holds training programs for continuing education for all nurses and thus promote professional development. The hospital management also encourages professional advancement through promoting those who advance their professions and increasing their salaries. Thus, the hospital environment promotes professional development.

PROFESSIONAL ROLES AND VALUES C304 PAPER References

Cummings, G. G., Lee, S., Tate, K., Penconek, T., Micaroni, S. P., Paananen, T., & Chatterjee, G. E. (2020). The essentials of nursing leadership: A systematic review of factors and educational interventions influencing nursing leadership. International Journal Of Nursing Studies, 103842. https://doi.org/10.1016/j.ijnurstu.2020.103842

Educate Simplify (n.d.) ANA Code of Ethics: What are the 9 Provisions of Nursing? Retrieved 3rd October 2021, from https://educatesimplify.com/news/ana-code-of-ethics-9-provisions-nursing/

Fernandes, S., Silva, A., Barbas, L., Ferreira, R., Fonseca, C., & Fernandes, M. A. (2019, September). Theoretical contributions from Orem to self-care in rehabilitation nursing. In International Workshop on Gerontechnology (pp. 163-173). Springer, Cham. https://doi.org/10.007/978-3-030-41494-8_16  

Fallatah, R. H. M., & Syed, J. (2018). A critical review of Maslow’s hierarchy of needs. employee motivation in Saudi Arabia, 19-59. DOI: 10.1007/978-3-319-67741-5_2

Huynh, A. P., & Haddad, L. M. (2020). Nursing Practice Act. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK559012/

Ziebarth, D. J., & Solari-Twadell, P. A. (2020). American nurses association, regional, state, and denominational faith community nursing organizations. In Faith Community Nursing (pp. 253-259). Springer, Cham. DOI: 10.1007/978-3-030-16126-2_18. Professional Roles and Values C304 Paper

PROFESSIONAL ROLES AND VALUES C304

COMPETENCIES

740.1.4 : Professional Accountability

The graduate analyzes the responsibilities and accountability of the professional nurse.

740.1.5 : Self Advocacy of the Nurse

The graduate integrates strategies of self-awareness and self-care into professional practice to ensure personal health and well-being. Professional Roles and Values C304 Paper

740.1.7 : Roles of the Nurse

The graduate analyzes the roles of the nurse as a scientist, a detective, and a manager of the healing environment. Professional Roles and Values C304 Paper

740.1.10 : The Nursing Profession

The graduate applies historical and contemporary nursing theories and models to define their professional nursing practice.

740.1.13 : The Professional Nurse 

The graduate integrates knowledge, skills, and attitudes of the nursing profession into personal and professional interactions and ethical decision making.

740.1.15 : Healthcare Work Environment

The graduate evaluates how the vision, values, mission, and philosophy of an organization align with an individual’s professional values, beliefs, and approaches to inter-professional collegiality.

INTRODUCTION

The purpose of this task is to explore how nursing ethics, self-advocacy, and professional accountability can be applied in clinical practice. Using the provided case scenario, you will be required to think about how ethical concepts can be used to make clinical decisions and explore the differences in personal and professional beliefs. You will develop personalized stress management plans that rely on the use of adaptive coping strategies to ensure personal health and well-being. Professional Roles and Values C304 Paper

SCENARIO

You have been working as a nurse in the adult oncology unit for the past year. You have developed a close relationship with many of your patients, but Mr. Newcomb has a special place in your heart. He has been diagnosed with stage 4 pancreatic cancer and has undergone aggressive chemotherapy. Each day his wife has come to the unit to be with her husband. They have been married for over 40 years and share a deep love.

Mr. and Mrs. Newcomb have made the decision to no longer continue with treatment and have decided that hospice care is needed. Over the past few days, you have watched Mr. Newcomb’s health decline, and you can tell from your experience that he does not have much time left to live. Mr. Newcomb has been very open about discussing his death, and you have had the opportunity to learn about his life and the legacy he will leave behind. Professional Roles and Values C304 Paper

While you are completing your rounds, you stop in Mr. Newcomb’s room to see how he is doing. You ask, “Is there anything else I can do for you?” Mr. Newcomb has rarely asked for anything, but today he has one request. Mr. Newcomb states, “Before I die, I would like to see my mistress one more time. Mrs. Newcomb is always here. Do you think you could tell her that I will be busy for a few hours tomorrow so I can make arrangements to see my mistress one more time?”

Reflect on the following questions before you begin working on this task:

  •   What would you do in this scenario?
  •   How can your knowledge of ethical principles be utilized to determine your response to Mr. Newcomb?
  •   How would this affect you as a nurse and direct provider of care for Mr. Newcomb?

Professional Roles and Values C304 Paper REQUIREMENTS

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide. Professional Roles and Values C304 Paper

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

  1.  Summarize how the principles of beneficence, non-maleficence, autonomy, and justice apply to the scenario by doing the following:
  2.  Describe how you would respond to Mr. Newcomb’s request.
  3.  Evaluate how you applied the principles of beneficence, non-maleficence, autonomy, and justice to the scenario.
  4.  Examine how personal beliefs and values influenced your response to the scenario.
  5.  Describe threestrategies to promote self-care.
  6.  Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
  7.  Demonstrate professional communication in the content and presentation of your submission.

File Restrictions

File name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( )
File size limit: 200 MB

RUBRIC

A1: RESPONSE TO SCENARIO

NOT EVIDENT

A description is not provided, or the description makes no reference to how the candidate would respond to Mr. Newcomb’s request. Professional Roles and Values C304 Paper

APPROACHING COMPETENCE

The description of how the candidate would respond to Mr. Newcomb’s request is irrelevant.

COMPETENT

The description of how the candidate would respond to Mr. Newcomb’s request is relevant.

A2: APPLICATION OF PATIENT PRINCIPLES

NOT EVIDENT

An evaluation is not provided, or the evaluation makes no reference to how the candidate applied the given principles to the scenario.

APPROACHING COMPETENCE

The evaluation inaccurately addresses how the candidate applied the given principles to the scenario or is not supported. Professional Roles and Values C304 Paper

COMPETENT

The evaluation accurately addresses how the candidate applied the given principles to the scenario and is supported.

A3: PERSONAL BELIEFS AND VALUES

NOT EVIDENT

An examination is not provided, or the examination makes no reference to how personal beliefs and values influenced the candidate’s response to the clinical scenario.

APPROACHING COMPETENCE

The examination of how personal beliefs and values influenced the candidate’s response to the clinical scenario is irrelevant or not supported.

COMPETENT

The examination of how personal beliefs and values influenced the candidate’s response to the clinical scenario is relevant and supported. Professional Roles and Values C304 Paper

A4: PROMOTING SELF-CARE STRATEGIES

NOT EVIDENT

A description is not provided, or the description makes no reference to three strategies to promote self-care.

APPROACHING COMPETENCE

The description of three strategies to promote self-care is irrelevant.

COMPETENT

The description of three strategies to promote self-care is relevant.

B: SOURCES

NOT EVIDENT

The submission does not include both in-text citations and a reference list for sources that are quoted, paraphrased, or summarized. Professional Roles and Values C304 Paper

APPROACHING COMPETENCE

The submission includes in-text citations for sources that are quoted, paraphrased, or summarized, and a reference list; however, the citations and/or reference list is incomplete or inaccurate.

COMPETENT

The submission includes in-text citations for sources that are properly quoted, paraphrased, or summarized and a reference list that accurately identifies the author, date, title, and source location as available.

C: PROFESSIONAL COMMUNICATION

NOT EVIDENT

Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic. Professional Roles and Values C304 Paper

APPROACHING COMPETENCE

Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective. Professional Roles and Values C304 Paper

COMPETENT

Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.