HSNS207 Power Point Group 2 update.pptx.

Slides

1. NURSING FOUNDATION IN THE AUSTRALIAN CONTEXT Sydney Presentation Group 2 Sulochana Prajapati (220262498) Tiffany Carias (220257534) Ravneet Kaur (220262241) Ashik Surani (220249134)

2. Ethical Decision in Nursing Kopchek (2020) suggested that ethical nursing decision comprises of Safety Ethical and competent care Respecting informed decision making Privacy Dignity Justice Promotion of health and well being Accountability Compassion care

3. Nurses individual principles and moral theories, their values, cognitive development and codes of ethics influences their ethical decision making process (Berman et al., 2020). They further suggested that in order to enhance nurses ethical practice, they need to be able to reflect their own values, be familiar with their code of ethics and be able to understand the health care professionals values. In the context of code of ethics, NMBA has outline four different elements (Nursing and Midwifery Board of Australia, 2021). They are : Nurses and people Nurse and practice Nurses and coworkers Nurses and the profession Ethical practice requirements

4. Ethical considerations in Mr. Alvaro’s care Respect choice, decision and autonomy Create culturally safe environment Involving family in care Maintain confidentiality Care with compassion, respect and integrity Advocate Current and evidence based practice Respectful and collaborative relationship Guide and advocate student nurse

5. Legal Practice requirements Legal : Registered Nurse should register in Australian Health Practitioner Regulation Agency (APHRA) so that they can work legally and meet NMBA registration standards. Breaches of service standards, legislation, rights, policies and procedures Specific legal obligations and responsibilities. Current legal principles and protecting them from liability. Decision made by RN should be legal, with professional standard, health outcomes for clients

6. Legal considerations in Mr. Alvaro’s Care

7. REGISTERED NURSE STANDARDS FOR PRACTICE Some main standard that impact professional values and behavior of Mr. Alvaro are: Think critically Therapeutic engagement. Maintaining the capability for practice Providing safe and responsive care.

8. NURSING STUDENTS IN AUSTRALIA ARE SUBJECT TO LEGAL OBLIGATIONS In Australia, all nurses are required to abide by the laws established by the nursing and midwifery board of Australia's Code of Conduct for Nurses (NMBA, 2018) Nevertheless, a student nurse's legal obligations and responsibility differ from those of a licenced nurse with regard to : Safe and efficient procedures. Inappropriate behaviour should be avoided and reported. Reporting and documentation requirements.

9. PROFESSIONAL RESPONSIBILITIES AND ACCOUNTABILITY OF NURSING IN AUSTRALIA Provide quality care Task delegation Policy and procedures Maintain confidentiality Alignment of care to organizational policy To advocate patient

10. ETHICAL RESPONSIBILITIES AND ACCOUNTABILITY OF STUDENT NURSE IN AUSTRALIA To get consent To maintain privacy and confidentiality Shared Patient Decision-Making Treating with equality

11. Communication Communication is a way to transmit the data and information. The success of each patient's tailored nursing care depends on effective communication between nurses and patients. In addition to a nurse's physical capabilities, effective communication also depends on their education and experience.

12. Communication Instruments and Situation Illustration (AIDET) A Acknowledge Good Morning, Mr. Alvaro. How are you? Hello, Mrs Lucinda. How are you doing? (use open body language, smile, and make an eye contact). I Introduce My name is Ravneet Kaur. I am a student nurse and will be supporting your for today. D Duration Mr Alvaro, I will be looking after you from 9:30 AM to 3:30 PM today, we are waiting for doctor to review your sputum result and will let to know next phase. E Explanation If you need any help please feel free to call me. I will let you know when doctor review the result. T Thank you Thank you, I appreciate your patience and understanding.

13. Communication Instruments and Situation Case (ISBAR) I Introduction My name is Ravneet Kaur, I am a understudy nature within the restorative ward CNS at Farmdale Hospital. I working with RN G Grant. The client is Mr. Mateo Alvaro, a 48 years ancient male. His wife Mrs Lucinda is his career. S Situation He has SOB (Shortness of Breath) and productive cough which has green colour sputum. B Background He saw GP 3 days ago and has done a chest x-ray and a bacterial pneumonia test. He has temperature and was coughing since last week. He also has lost 10 Kg. He was brought to ED today at 0300 hr and was lethargic and SOB on presentation. He is alert. On auscultation harsh crackle in his right lower lobes was heard. Waiting for his sputum result. A Assessments His vital observation are BP: 134/86 mmHg, HR: 102bpm, T: 38.9C, SpO2: 92% on room air, pain 4/10 at chest when coughing, Urinalysis: +Leukocytes, Blood sugar level: 6mmol/L, Weight: 76kg, Height waist: 178cm, Waist circumference: 90cm. R Recommendations To inform RN Grant about Alvaro unstable observation. Increasing the frequency of observation at least every 10-15 mins until his observation are stable. Consult with nurse in charge/manager whether a clinical review should be done. Do an A-G assessment and document it.

14. CONCLUSION All registered nurses who are in practice are required to abide by the NMBA’s code of ethics and conduct. Nurses are expected to show respect for their patients, their profession and their practice in their work. When a student nurse is performing, the registered nurse or the assessor should always be there to guide them. When dealing with patients, excellent communication is crucial to a successful outcome.

15. REFERENCE Aldrich R, Duggan A, Lane K, et al. ISBAR revisited: Identifying and Solving Barriers to effective clinical handover in inter-hospital transfer: Final Project Report on Pilot Study. Newcastle Hunt New Engl Heal. 2009 p. 1–23. Berman, A., Frandsen, G., Snyder, S., Levett -Jones, T., Burston , A., Dwyer, T., Hales, M., Harvey, N., Moxham, L., & Langtree, T. (2020). Kozier & Erb’s Fundamentals of nursing: Concepts, process and practice (5th ed.). Melbourne, Australia: Pearson Australia Carvalho, Reeves, M., & Orford, J. (2011). Fundamental aspects of legal, ethical and professional issues in nursing (2nd ed.). Quay Books. Cashin, Heartfield , M., Bryce, J., Devey , L., Buckley, T., Cox, D., Kerdo , E., Kelly, J., Thoms , D., & Fisher, M. (2017). Standards for practice for registered nurses in Australia. Collegian (Royal College of Nursing, Australia), 24(3), 255–266. https://doi.org/10.1016/j.colegn.2016.03.002 Fakhr-Movahedi A, Negarandeh R, Salsali M. Exploring Nurse-Patient Communication Strategies.  Hayat Journal of Faculty of Nursing &Midwifery.  2012;18(4):28–46.

16. https://www.proquest.com/docview/2383049921?parentSessionId=NAJvUJZ%2FO7Sd1YwShrMaEYV C3eos 9UCeoKla5RdJOrA%3D&pq-origsite= primo&accountid =17227 Kopchek , L. (2020). How do palliative care registered nurses apply concepts of ethical decision making when caring for patients who request medical assistance in dying? An interpretive descriptive quality study. [ProQuest Dissertations, University of Windsor]. Kourkouta , L. , & Papathanassiou, L. V. (Feb. 2014). Communication in Nursing Practice. Vol 26(1):p65- 6721.  Teutsch C. Patient-doctor communication.  Med Clin North Am.  2003;87:1115–1145. Murphy, Jamie, (2020)Transitions to Professional Nursing Practice - 2nd Edition. Open SUNY. Nursing and Midwifery Board Australia. (2020). Professional codes and guidelines. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Policies.aspx