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Assessment 1: Explores The Professional And Personal Influences On The Role Of The Nurse

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Introduction: Explores The Professional And Personal Influences On The Role Of The Nurse

While nursing is considered one of the most trusted professions by using professional value and ethics, these values refer to the nursing principles of human dignity along with integrity as well as altruism and justice (Hu et al. 2022). The following essay is intended to address the case study of Mrs Mary Rogers and aims at addressing the personal and professional values of the nursing profession. This is followed by addressing forms of communication between the care providers and receivers while focusing on legal and regulatory requirements as well as the strategic planning to recover the identified challenges.


Debate how personal and professional values can impact on the provision of holistic care to patients and service users

The primary concept of providing holistic care refers to meeting the requirements of physical, mental along with spiritual and social needs which have significant impact on the overall health. It also helps to focus on the nurse's behaviour that associates with the acknowledgement of interdependency while focusing on the patient's treatment as well as their thoughts, emotion, culture, opinions and many more (Berman and Chutka, 2016). These factors are effective in contributing towards the betterment of patients along with speedy recovery, satisfaction and happiness. On the other hand, the fundamental areas of providing holistic care by nursing staff in regards to the patient and service users refer to the healthcare professionals' attitude and their beliefs (Goodair and Reeves, 2022). It helps the professionals to maintain respect along with relative openness as well as equality and mutuality which are responsible for the improvement of the overall health outcome.

While providing services, the concept of holistic care helps with the identification of the patient and their environment in terms of respecting their roles in the treatment process (Morton and Thurman, 2023). This factor is capable of associating nursing staff to monitor the overall services along with maintaining the encouragement towards self-care. This requires leading towards therapeutic consultation along with self-discipline, dignity as well as hope, social growth, vigour, vitality and self-autonomy (Toney-Butler and Thayer, 2022). The attitude of nursing staff helps with educating patients on self-care as well as the independence management of daily activities while using the concept of holistic care. This factor is capable of helping staff and patients to identify their roles and regulations while achieving significant outcomes by improving the overall quality of life (Hartweg and Metcalfe, 2022). In the following context, while identifying the case of Mrs Rogers, it can be stated that after the operational procedures, she has been suffering from melena and vomiting dark brown fluids while accessing follow up service from the surgery and operation. As per the opinion of Tohmola et al. (2022), it can be stated that nursing attitude is an effective component that helps with making a difference on patient feeling while helping them to open up and develop shared bonds between the care providers and receivers. This is impactful here in the case study, as the effective attitude of the nursing associate of the district nurse helps the patient to open up and share her health issues. This also makes the patients feel compassionate and encouraged to have a positive attitude which helps with the overall patient recovery (Kielo-Viljamaa et al. 2022). This is applicable for the following context as the Mrs is living with her dementia patient husband and searching for companions for communicating and emotional support. Here, supporting this context, Gutenbrunner et al. (2022) have managed to address the role of nursing associate's positive attitude with the aim of providing altruistic care aspects along with compassionate care for health customers while holding an empathetic and optimistic nature help the patient to trust her and open up on the health issue, she has been suffering in the post discharge situation for medical help.

On the other hand, while addressing the nursing staff values in healthcare, it can be stated that nursing values are the significant principles that help them to ensure their ethical and quality work. As per the statement of Antón-Solanas et al. (2022), it can be stated that professional values are considered standard in nursing that helps them to take actions which are considered acceptable by professional groups and individuals and are implied in order to evaluate the overall integrity of the employment. The role of professional values in patient care is considered an effective factor that helps to reinforce individuals' professional identity as well as performance which can be influenced by family, culture, environment along with religion and ethnicity. In the following case study, the professional value of nursing associates has helped her to increase the overall quality of patient care alongside managing their occupational satisfaction as well as retaining the commitment to the organisation. However, it also considers a source of promoting their ethical competencies in the clinical setting while dealing with ethical concern for the patient (Nezamdoust et al. 2022). This step is considerably crucial here as it requires the nursing associate to overcome her district nurse or supervisor in order to report on Mrs Rogers' situation of facing melena or chance of developing gastric ulcer as well as internal bleeding. As for the opinion of Boggs (2022), it can be stated that nurses' knowledge of professional values and ethical standards help to influence their behaviour which also signifies the primary component of nursing care and it also addresses the awareness of professional values which cannot be used in order to shape their ethical thinking and relying on personal experience. This factor justified the statement of the district nurse while preventing the nursing associate from overcoming her role of assessing the wound and reporting for the patient's potential issues.

However, as per the regulation of NMC code 2018, the nursing staff, associates and midwives are accountable to exposing ethical conduct of medical practices alongside having obligation to seek service in case of directing their association (Nmc.org.uk, 2023a). This is effective for the given case study as under the regulation of NMC code the nursing associate is required to be ready to respond to the call of seat and should be mindful in terms of maintaining the course of professional duties. It also includes the code of not neglecting the patient and responding to any request for emergency (Nmc.org.uk, 2018). However, in the following case study, the nursing associate is capable of consulting for patient benefits alongside referring patients to the specialist by adding a case summary of the patient as well as communicating the opinion in terms of writing to the physicians. This will help Mrs Roger to get her proper treatment for potential gastrointestinal disease.

Apart from that, while addressing the personal value of nursing staff while managing patient care, it helps them to respect the dignity of the patient as well as improving the development of care given and receivers relationship that helps with a free communication and considering the patient emotion while providing care aspects (Tusaie and Fitzpatrick, 2022). On the other hand, nursing staff's own setup ethics and morals have significant influence on their action as well as decision making skills which also help them to pass the overall consequence of their actions during care approaches. For the following case study, the ethical and moral values of nursing associate creating a dilemma to overcome hard district nurse and supervisor while applying good judgement to make the decisions of referring to Mrs Rodger for her health issues irrespective of breaking professional boundaries. This factor also has also influenced the leadership context of nursing associates while managing the professional success and fulfilment of the patient care (Nmc.org.uk, 2018). Therefore, it could be stated that even though the holistic care approach is primarily focusing on the nurses' behaviour as well as attitude and ethical context; it also helps them to make decisions for patients in emergency situations by following the regulation to maintain the utmost care of needy individuals and prioritising healthy outcomes.

Examine how effective communication can develop appropriate relationships with patients/service users and the interdisciplinary team

The role of effective communication helps with maximising the inclusion of both verbal and nonverbal forms while increasing the ability to connect with an understanding the patient state of mind as well as emotion (Fogg et al. 2022). Communication skills are considered the foundation for the positive patient and care provided relationship which leads to the greater patient's satisfaction alongside patient health outcome and compliance in healthcare setting. As per the statement of Minogue et al. (2022), effective communication is considered a key to establish desired nurse patient relationship which helps to display empathy and opposite management of patient care to improve the overall treatment and managing positive patient outcome. Besides, the patient’s satisfaction with their healthcare experiences are dependable or communication skills which can be provided by their caregivers. Nursing associates also play a crucial role as the member of an interdisciplinary team with the help of collaborating, informing and communicating effectively with other nurses as well as a range of healthcare professionals and lay carers. It also helps to demonstrate their ability while applying information and available patient data and sharing within the interdisciplinary team (Brassel et al. 2023). On the other hand, in therapeutic communication the care providers are accountable to maintain active listening which helps them to develop their relationship with their patient and maintain a comfortable environment to improve the treatment and the outcome (Fogg et al. 2022). Besides, communicating with healthy members to share those thoughts and ideas which help to improve the overall quality of work. This is followed by effective communication and collaborative work between the care providers and interdisciplinary team members such as physicians and other healthcare professionals for reducing potential medical error as well as improving the enhancement of patient safety and clinical performance.

For the following case study, the interdisciplinary team members such as district nurse and associate nursing staff are present while maintaining communication as well as exchanging ideas and discussing treatment and collaboration on patient care for Mrs Roger. In this context, Preaux et al. (2023) have managed to address the role of communication skills for the connected staff while improving the overall patient care and work life and developing proper care and sharing opinion in regards to the patient improvement and treatment. By supporting this context, Cecon et al. (2022) have managed to address the importance of communication in nursing in between team members that helps with boosting the employee morale alongside staff engagement as well as per activity and satisfaction while improving the overall care. For the following context, while the communication between the patient and nursing associate is maintained, the communication between the district nurse and associate has become confrontational with the presence of aggressive challenges and defensive behaviour in regards to the patient's situation. Here, as per the NMC 2018, it can be stated that the nursing associates are accountable to work in the based interest of people around putting their first and maintaining the provision of nursing care on the basis of person-centred as well as safe and compassionate approaches (Nmc.org.uk, 2018). This helps the nursing associate of the case study to act professionally by using their knowledge and experience while making evidence-based decisions and solving issues rightfully. However, it also addresses the recognition of work within the limit of the competency for associates while being responsible for their actions. For the following case study, the nursing staff has the right of communication in ensuring patient care by informing the physicians in regards to the patient needs priorities as well as valuing the patient's concern. The guideline also provides them the right of using appropriate materials while making reasonable adjustment and communication to provide appropriate support for the patients understanding and identifying health conditions for better treatment (Bibi et al. 2022). Therefore, it can be stated that the nurse associate is required to use this right of communication and adjustment while informing superiors in order to make changes for Mrs Roger's treatment process. Besides, a nursing associate is accountable to recognise and accommodate in payments of patient health conditions while managing communication with interdisciplinary teams and supporting the use of personal aids for responding to patient's questions and medical needs (Kelly et al. 2022). This is followed by the right of the nursing associates to defend themselves in case of addressing proper medical records to manage the overall treatment process and make decisions (Dignityincare.org.uk, 2023). This factor is effective in the following context to help the nursing associate while associating Mrs Roger to access proper treatment for her melena, vomiting and potential medical condition in regards to GI tract by communicating with the district nurse along with other members of the interdisciplinary team to seek help.

Critically analyse the roles and responsibilities of the nurse in adhering to legal, regulatory and governance requirements

The primary role and responsibilities of nursing staff in terms of managing legal and ethical aspects of care approaches refer to the maintenance of privacy of patients and protecting the right of the patient while making decisions and accessing information in regards to their treatment process (Kadivar et al. 2017). Nursing staff and associates alongside midwives consist of legal responsibilities in the form of providing safe and effective nursing care and maintaining the health of the community and employing authoritative aspects for the betterment of the patient's condition (Shore et al. 2022). The "Act of parliament" is commonly referred legislation in terms of addressing the legal power of the nursing staff. As per the identification of "legal liability in the nursing context" in the UK, the standard of care focuses on the nursing practice and identifies their service in policy statements while meeting the requirements to reduce the negligence in patient care (Hcpc-uk.org, 2023). On the other hand, the act of "Duty of Care", the professionals are expected to deliver safe care alongside reducing the potential of affecting by personal attribution such as level of experience (Hcpc-uk.org, 2023). For the following case study, this "legal duty of care" is applicable for the district nurse while using their level up experience in terms of denying to associate Mrs Roger for her present health condition. However, failure to maintain this context is considered negligence in healthcare. In case of the conflict of "duty of care with the supervisors' instruction", the nursing staff are instructed to prioritise their safety and raise concern advice by contacting the higher authorities in regards to meet the medical need of the patients (Rcn.org.uk, 2023). This is applicable in the following case study which requires the nursing association to prioritise the personal safety and patient condition by raising her concern with higher authority as well as recording the overall concern in case of using local policy to associate Mrs Roger for getting her treatment. Besides the legal context also consists of "NMC code paragraph 15" on professional duty while "acting in emergency within limit of knowledge and competencies" a long side arranging emergency care for patients under the "indemnity scheme" (Rcn.org.uk, 2023).

On the other hand, as per the NMC code of 2008, the ethical responsibility of nursing staff in regards to England, Wales, Scotland, Northern Ireland and Islands while safeguarding health and welding of patients alongside maintaining and delivering high quality health care services (Nmc.org.uk, 2023b). Besides, the ethical regulations of nursing approaches referred to the development of bond and respecting dignity while being open and honest alongside managing the high maintenance of practice and care. This is considered to be significant in the following context while privatisation Mrs Rogers is concerned by the nursing associate in terms of protecting and promoting her health and well-being. It also justified the account ability of nursing associates for taking actions and omissions in the practice while making decisions in favour of patient condition and acting lawfully to comply with the code by maintaining ethical standards (Hcpc-uk.org, 2023).

Evaluate strategies that can be used in order to deal with the emotional demands of working within the nursing profession

Nursing profession is one of the most stressful jobs which impact physical and psychological events and in long term causes negative results in the performance of nursing staff and ultimately the health care organisations while maintaining patient care (Avilés et al. 2022). The emotional demons in regards to the nursing profession refers to continuous showcase of care and compassion along with looking after patients in a stressful and demanding environment by constantly showing patience and kindness. The primary strategies which are effective to manage the emotional demands of nursing refer to situational controlling of conditions which associates nursing employees to control their job stressful situation as well as the primary factors that contribute towards creating stressful conditions in the working environment (Sapeta et al. 2022). This can impact the setting up of framework while managing professional duties, routine administrative procedure and interaction with interdisciplinary teams while working on a situation control strategy. These strategies revolved around immediate action in order to control the acute conditions of patients alongside monitoring the immediate action of controlling professional errors as well as informing physicians and other members of the interdisciplinary team, performing physician's order and maintaining transparency (Maresca et al. 2022). In addition, maintaining patient attendance and ensuring the control of the working condition as well as time management by incline policy and judiciary in order to manage the overall working environment while reducing the chance of stressful conditions. This also includes preventive monitoring of the situation and seeking help from the hierarchy as well as self-controlling while managing the emotional demands and stressful job conditions in nursing (Batista et al. 2022). These strategies are applicable in the following context while addressing the stress level of nursing associates in order to control the professional activities and involving other members of interdisciplinary teams with the aim of providing proper care for the identified patient.


In terms of concluding the following essay, it can be stated that the case study of Mrs Roger has successfully addressed the rules and responsibility of a nursing associate while privatising the treatment of the patient while managing regulatory action to improve the overall health context. This essay also discussed the role of "NMC code 2018 and NMC code 2008" while justifying personal and professional values of nursing staff in order to maintain the provision of holistic care to the patient and service user alongside and heading legal and governing patient requirements to improve the overall outcome respectively. Besides, this essay has successfully pointed out the role of effective communication and strategic planning while dealing with emotional demands of nursing associates to maintain the overall patient care.


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