Professionalism in Adult Nursing Assignment Sample

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Introduction

Professionalism in Adult Nursing context encompasses with ensuring high-quality care to patients, upholding values of accountability while maintaining respect and integrity. Nursing profession underpins profound contribution in modern healthcare practices (Mlambo, Silén and McGrath, 2021). Complex dynamics of modern healthcare leading to everchanging role of adult nurses in societal spheres. Multiple evidence-based researches compounds with signifying role of nurses whilst lacking in gratitude zones, this proves that adult nurses perform varied roles adhering with professional domains even without getting appreciation (Pursio et al, 2021). As per World Health Organisation [WHO], nursing elucidated as a critical care role across all settings (WHO, 2023). Adult nurses are specialised in providing care to patient aged 18 and above in varied setting entails with wider dependency levels. When it comes to professionalism, adult health nursing upholds the notion of professional code of conducts and protocols. The Nursing and Midwifery Council [NMC] sets the professional guidelines for adult nurses that requires to complied in providing patient care. For those seeking extra assistance in articulating these complex ideas, assignment writing help can offer valuable support to ensure clarity and academic integrity.

In accordance with NMC, adult nurses should practice autonomously as they are accountable for safe, person-centred, compassionate and evidence-based nursing (NMC, 2018). It is pivotal for nurses to show professionalism and integrity escorted by ethical and legal frameworks. Modern healthcare revolves around inclusion of all people irrespective of undertaking caste, gender, religious-based discrimination (Vabo, Slettebø and Fossum, 2022). The inclusivity within healthcare depicts that professional adult nurse must adopt a non-judgemental approach while providing care to patient and subsequently, holistic care should be provided (Hurley et al, 2022). NMC codes requires to be implied by adult nurses in their specifications and accordingly, practices should be performed. In present essay, varying roles and accompanying domains will be analysed and discussed in relation to NMC code standards. Specific emphasis would be made on adult nursing profession. Moreover, adult nurses in throughout essay will be referred as nurses. 

Prioritise People

NMC Code emphasise on the significance of prioritising people in the pursuit of care procedure (NMC, 2018). Depending on the complexity and dynamic of case, nurses are entitled to look upon the preferences and requirements of patient and accordingly, subsequent decision requires to be taken (Unsworth, Melling and Porteous, 2021). This section of NMC compounds with maintaining the dignity of individuals; dignity proves to be a complex yet important in component adult nursing context (NMC, 2018). While dealing with mental health patient, dignity combined with security escorted via wellbeing, respect towards cultural beliefs and safeguarding procedure. NMC further articulates that dignity is more than security and respect, it encompasses with empowerment, autonomy and consistent communication with patient (Ross et al, 2021). In order to assure dignity throughout care and support services, nurses are accountable for maintaining confidentiality of patient; privacy proves to be a pivotal element in developing therapeutic alliance with patient. Lacking in this area results in breach of ethics and this influences nurse-patient relationship (NMC, 2018). For achieving “Treat people as individuals and uphold their dignity” nurses need to focus on treating patient with respect, kindness and compassion (Holt and Gallagher, 2024). No aggression should be shown towards patient and it is essential to ensure that fundamentals of care delivered appropriately.

Professionalism in Adult Nursing Assignment Sample

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Avoiding assumptions and recognising diversity is crucial as it signifies about diversity in adult nursing practice. Fundamental of care is a broader concept that complies with maintaining hygienic and clean conditions along with looking upon physical handling, bowel care and nutritious requirement of patient (Tobin, 2023). Furthermore, nurses are liable for listening to individuals and responding to concerns and preferences. Working in partnership is essential for safeguarding patient and delivering high quality care to them. Involving patient in decision making results in empowering them and they become able to take decision with regards to treatment procedure (NMC, 2018). Stress and anxious situation influence patient health outcomes therefore, nurses are accountable for witnessing whether patient are in anxious or distressful situation and accordingly, politely and compassionately response should be given (Harper-Ovstebo and Mair, 2024). Moreover, nurses should focus on ensuring that social, psychological and physical needs of patient must be assessed, significant attention requires to be implied on promoting wellbeing and meeting healthcare needs throughout different stages of life (Bifarin and Stonehouse, 2021). Holistic care approach focuses on each of the aspect such as; physical, mental, social and psychological wellbeing of patients and therefore, nurses are accountable for undertaking this approach so that consistent support can be ensured to patient.

For vulnerable patient, nurses should act as an advocate and these individuals should be protected from discriminatory attitude within setting. In case, an individual refuse to take treatment then, in such situation decision of patient must be respected (Bifarin and Stonehouse, 2021). However, within this patient should be advocate about consequences so that evidence-based decision making can be undertaken. Nurses should take decision by considering the interest of patient which significantly means that best interest of people at all time must be determined during decision-making process (NMC, 2018). Subsequently, a balancing approach requires to be prioritised while involving patient in communication procedure and patient must be inform about each aspect related to their diagnosis and treatment options (Ross et al, 2021). The informed consent process and documentation are crucial before considering any decision, all the relevant laws related to mental capacity accounts for subjective element within adult nursing practice (NMC, 2018). This supports in considering best interest of patient and further inform about requirement of Best Interest Assessor [BIA] in case patient lacks mental capabilities. In case, nurse have conscientious objection towards a particular procedure then, a qualified colleague takes all the accountabilities regarding person care (NMC, 2018). However, it is important to inform timely so that actions can be taken in appropriate time sphere.

As an adult nurse, it is the duty of owing privacy and confidentiality and no disclosure of patient’s personal information should be done. Section 251 of the NHS Act 2006 provides temporary permit for using patient medical information without their consent (NHS, 2020). Necessary information can be shared with healthcare professional and other agencies only in such situation when there is threat to patient safety or public protection overriding the need of confidentiality. These are the contextual components comprised with “Prioritise People” NMC code.

Practise effectively

This section of code emphasises on pivotal components that enhances nursing practice and ensures quality care services to patient. In accordance with this code an effective and safe method must be adopted for protecting patient wellbeing, this is upholding the notion of moral obligation essential for protecting patients (Rowe, 2022). It is essential for nurses to practice in line with the best available evidence as it ensures that evidence-based practices are undertaken for delivering care services. This further make sure that information and advice provided to patient is best on clinical evidence, hence, this requires having comprehensive knowledge and skills by nurses so that safe and effective practices can be performed. Nurse-patient communication signifies about the extent of relationship developed between nurse and patient, professionalism in adult nursing comprehend with adopting nurse-patient communication (Höglander et al, 2023). This complies with active listening, observing patient’s body language, behaviour and expression instead of only speaking. Nurses should use appropriate terms so that patient can understand the context, reasonable steps should be taken for meeting communication and language requirements of individuals (NMC, 2018). Furthermore, it is pivotal for nurses to use varied verbal and non-verbal communication techniques along with considering cultural sensitivities, it supports in meeting patient’s personal and health requirements.

Communication is not limited to discussing about diagnosis or treatment domains, it aligns with empowering patient and consistent discussion are required to be taken in this context as well. For enhancing the efficiency of own practices, respecting expertise, skills and contributions of colleagues is essential (Collings-Hughes et al, 2022). Working with other professionals and establishing coordination helps adult nurse to wider their knowledge and significantly enhances their practices. Furthermore, this code articulates that nurse should be supportive towards colleagues who faces health or performances complexities (NMC, 2018). This support should never be compromised as it reflects about own values and practices (Toumová et al, 2021). The skills, knowledge and experience should be shared with colleagues for ensuring greater benefits to people who are receiving care. This aligns with providing constructive, honest and realistic feedback along with reflecting on own practice for improving practices.

The different perceptions and point of views of colleagues should be respected and professional behaviour requires to be followed (NMC, 2018). Moreover, students and colleagues learning must be supported for developing professional competencies in them (Peter and Sharma, 2022). Adult nurses are accountable for keeping clear and accurate records with regards to their practices, it determines about the effectiveness of nurse practices and patient recovery process. Adult nurses are accountable for their own decision along with delegating tasks and duties to different people. In accordance with NMC code nurses are entitled to delegate task and duties on the basis of person’s scope and competence (NMC, 2018). The delegation requires to be done while following the protocols of monitoring and supervision; nurses must observe and monitors the tasks so that effective outcomes can be gained and subsequently, patient’s well-being could be improved. These are the important components which should be performed as these entails with professional competencies of “Practise effectively”.

Preserve Safety

It is pivotal for adult nurses to involve care practitioner within investment procedure; this is significantly important for preserving the safety of patients. It is the accountability of nurse that they must emphasis on patient and public safety (Ugiagbe, 2023). The work requires to be recognised within the limits of competence and subsequently, signs of normal and worsening mental and physical health should be identified. In case of emergency, immediate referral to another practitioner must be made; topmost priority should be given to preserving patient safety so their health outcomes could be enhanced. In case of there is any practice that goes beyond limits of nurse competence then, guidance from experienced professionals must be taken (NMC, 2018). It is important to undertake necessary training before commencing or starting a new role (Daveyand and Aveyard, 2022). Adult nurses should focus on their own personal safety along with looking upon the safety of people. “Preserve Safety” code emphasis on taking an immediate action if someone experienced harm for any of the reason (NMC, 2018). Consistent support to the person should be given who suffered from harm. These events should be documented in formal manner for taking further actions within ensuring patient safety.

Adult nurses emphasise on offering help in emergencies within setting or anywhere else. However, it is important to act under the limits of competence and knowledge, whilst focusing on own safety and others (Alexis et al, 2022). In case, there is risk to patient safety and public protection then in such case nurses must immediately act without delay. NMC emphasis on keeping patient and public safety at the forefront and therefore, nurses should priorities this element (Tobin, 2023). The concerns must be raised immediately, the first line authority must be made aware about the issues or apprehensions faced by nurses at the setting (NMC, 2018). Nurses must protect anyone who belongs from management, it is important to preserve safety in each case (Peate, 2023). When the person is vulnerable and at higher risk then, immediate concern should raise for protection. In such situation, nurses are accountable for protecting and safeguarding people from harm, neglect and abuse. The information should be share with someone who are at the risk of harm while following the laws adhering with disclosing of information.

Adult nurses should prescribe, supply and administer medicines within the competence of their knowledge, guidance and laws (Stafylarakis, 2022). This assures that evidence- based prescription has been done (NMC, 2018). While providing advice to patient it is important to follow appropriate guidelines regarding controlled drugs. However, nurses should avoid prescription for own and anyone with whom a close personal relationship has developed. Prescription does not come within scope of practice for everyone (Attenborough, 2021). Adult nurses who have completed further qualification in prescribing can prescribe medicines. The likelihood of errors and mistakes should be reduced so that chances of harm could be decreased. Account of current evidence and knowledge should be maintained for reducing errors and their impact; specific focus requires to be implemented on human factors.

Mandatory personal precautions should be taken for avoiding potential risk to individuals receiving care and colleagues (Hallett et al, 2023). The foremost responsibility within role of nurse centres around the improvement of health, safety of the patient and public should be prioritised and when nurses need to perform a new role then priorly training should be attained so that appropriate actions could be taken and effective outcomes could be gained (Whaley et al, 2023). Hence, priority has been given to the safety of patient and all the steps are guiding in such direction that is upholding the notion of patient safety.

Promote professionalism and trust

Nurses uphold the reputation of their profession and for this its is important to keep and uphold all the values which have been set out in the code. Furthermore, nurses are accountable for maintaining honesty and integrity so that people can be treated in fair manner without undertaking any kind of discrimination, harassment or bullying (Smith, 2023). Moreover, specific emphasis requires to be made on the ways in which behaviour can create drastic impact on patients. The laws of the country in which nurses are practicing must be kept at the forefront. People should treat in such way that does not lead to take advantage of their vulnerability or cause distress to them (NMC, 2018). Professional boundaries with the people in setting should be develop for gaining effective clinical outcomes (Woodland, Foster and Robertshaw, 2022). It is essential for nurses that they do not express their personal belief in such way that can result in hurting the sentiments of other people. The level of health should be maintained which is important for carrying out professional role. All forms of the spoken, digital and written communication should be used in responsive manner along with respecting the right of privacy.

Upholding the position as a registered nurse, midwife and nursing associate is important. Nurses should never ask for accept loan from anyone at the setting, practice must be performed with honesty and integrity with respect to financial dealings (Jackson, 2021). In case, any advertisement, published material or publication has been developed for own professional service then it requires to be ensured that mentioned information is authentic ethical and responsible (NMC, 2018). Own identity should never be used for promoting causes that are not relevant to health. Cooperation with the media is essential only when it is authentic and protecting the confidentiality of individuals receiving care (Warrender et al, 2024). All the registration requirements should be fulfilled and this can be done through carrying out consistent professional development activities and keeping prescribed hours of practice. The knowledge and skills should remain up to date, participation in regular learning and professional developmental activities requires to be taken. It is important to develop competence and improving performance.

Cooperation with all types of investigation and audit must be ensured. There is varied audit related to training and registration records is undertaken and, in such time, nurses should be cooperative with team. NMC pin must be given when any reasonable request regarding it is made. Someone’s complaint should never impact the extent of care provided to them; complaint requires to be taken as feedback accordingly, changed needs to be implied. Further, complaints can be used as an opportunity for reflection and subsequently, practices at the setting could be improved (Warrender et al, 2024). In accordance with this code adult nurses role entails with identification of priorities, managing time, staff and resources (NMC, 2018). The primary motive is to keeping the needs and requirement of the patient at the first place (Forbes, 2021). Furthermore, staff members should be encouraged and supported while considering own knowledge, skills and competence. This results in promoting safe practices at the setting and further enhances patient outcomes (Menzies et al, 2022). Nurses are accountable for performing leadership traits and qualities for assuring that individual’s wellbeing have been protected and improving their experience within healthcare setting. Moreover, nurses are accountable to ensure that social media feed should be curated to assure that nothing has been opposed to NMC code. The standard should be followed and public safety should be prioritised; it determines about the professionalism among nurses.

Conclusion

Conclusively; this can be depicted that role of nurses remains complex and it is everchanging; demand of patient increasing to greater extent leading to change in the role of adult nurses. Consistent discussion throughout the essay articulates that there are varied essential domains and role that requires to be achieved by all nurses as these are outlined in the NMC code. Adut nurse should abide by four standards and those are- prioritise people, practise effectively, preserve safety and promote professionalism with trust. From the discussion it has been evident that a nurse needs to be a good communicator and services should be provided in unbiased way. Needs of the patient should be kept at the first priority and subsequently, patient-centred care should be given to them. The approach of holistic care is essential for providing consistent and complete support to patient. The role of nurse is just not limited to supporting patient, it is everchanging and consequently, nurses are liable for supporting people within the limit of own knowledge, skills and competency. In case, there is potential harm to vulnerable people then they must be protected to greater extent.

The role of nurse is wider; it complies with professionalism; adult nurses need to uphold their reputation while performing professional practice. Training should be attained by nurses for gaining consistent development and skills. In each stage, nurse need to go beyond their role for ensuring safety to patient and public. Thus, there is no doubt in stating that adult nurses are performing wider role in different context, they are acting as a pillar withing clinical setting, whilst, there is lack of appreciation has been received by them. There is need to recognise the role of nurses and consequently, they must be encouraged, this results in improving their morals to greater extent.

References

Books and Journals

• Alexis, O., Cooke, J., Shimumbi, L. and Worsley, A., 2022. The role of the nurse advocate in health and social care. Mediterranean Nursing and Midwifery, 2(3), pp.140-146.
• Attenborough, J., 2021. A century of professional regulation: what does it mean for nurses today?. Nursing Times, 117(9), pp.18-21.
• Bifarin, O. and Stonehouse, D., 2021. Autonomy and capacity: the ethical and legal considerations. British Journal of Healthcare Assistants, 15(11), pp.545-549.
• Collings-Hughes, D., Townsend, R. and Williams, B., 2022. Professional codes of conduct: A scoping review. Nursing ethics, 29(1), pp.19-34.
• Davey, K. and Aveyard, H., 2022. Nurses’ perceptions of their role in antimicrobial stewardship within the hospital environment. An integrative literature review. Journal of Clinical Nursing, 31(21-22), pp.3011-3020.
• Forbes, L., 2021. The definition of a nurse. Journal of Health Visiting, 9(9), pp.392-394.
• Hallett, C., Barrett, T., Brown, H., Lacny, A. and Williams, J., 2023. The role of mental health nurses in planetary health. International Journal of Mental Health Nursing, 32(6), pp.1496-1502.
• Harper-Ovstebo, B. and Mair, J., 2024. Professional approaches to care. In A Textbook of Community Nursing (pp. 79-100). Routledge.
• Höglander, J., Holmström, I.K., Lövenmark, A., Van Dulmen, S., Eide, H. and Sundler, A.J., 2023. Registered nurse–patient communication research: An integrative review for future directions in nursing research. Journal of advanced nursing, 79(2), pp.539-562.
• Holt, J. and Gallagher, A., 2024. Cultivating character for care. Nursing ethics, 31(1), pp.3-6.
• Hurley, J., Lakeman, R., Linsley, P., Ramsay, M. and Mckenna‐Lawson, S., 2022. Utilizing the mental health nursing workforce: A scoping review of mental health nursing clinical roles and identities. International Journal of Mental Health Nursing, 31(4), pp.796-822.
• Jackson, A., 2021. NMC STANDARDS OF PROFICIENCY FOR NURSING ASSOCIATES. Health Promotion for Nursing Associates, p.27.
• Menzies, J., Little, A., Owen, S., Emms, K. and Brand, S., 2022. Engaging student nurses in research 2: Clinical academic placements. Nursing Times, 118(9).
• Mlambo, M., Silén, C. and McGrath, C., 2021. Lifelong learning and nurses’ continuing professional development, a metasynthesis of the literature. BMC nursing, 20, pp.1-13.
• Peate, I., 2023. The registered nursing associate: an overview. British Journal of Nursing, 32(6), pp.292-296.
• Peter, R. and Sharma, S.K., 2022. National nursing and midwifery commission bill: Hopes and challenges. Journal of Medical Evidence, 3(1), pp.55-59.
• Pursio, K., Kankkunen, P., Sanner‐Stiehr, E. and Kvist, T., 2021. Professional autonomy in nursing: An integrative review. Journal of nursing management, 29(6), pp.1565-1577.
• Ross, L., Holt, J., Kuven, B.M., Ørskov, B. and Paal, P., 2021. Educational Context, Evidence and Exploration of Professional Fields of Nursing and Midwifery. In Enhancing Nurses’ and Midwives’ Competence in Providing Spiritual Care: Through Innovative Education and Compassionate Care (pp. 39-56). Cham: Springer International Publishing.
• Rowe, G., 2022. PRACTISING VALUES AND ETHICS IN HEALTH AND CARE SETTINGS. The Handbook for Nursing Associates and Assistant Practitioners, p.82.
• Smith, L., 2023. Regulation and the scope of practice of the RNA role. British Journal of Nursing, 32(8), pp.368-370.
• Stafylarakis, E., 2022. NMC STANDARDS OF PROFICIENCY FOR NURSING ASSOCIATES. Assessing and Managing the Acutely Ill Patient for Nursing Associates, p.101.
• Tobin, S., 2023. NMC STANDARDS OF PROFICIENCY FOR NURSING ASSOCIATES. UNDERSTANDING LEADERSHIP, p.140.
• Tobin, S., 2023. NMC STANDARDS OF PROFICIENCY FOR NURSING ASSOCIATES. UNDERSTANDING LEADERSHIP, p.140.
• Toumová, K., Havierniková, L., Kimmerová, J., Hellerová, V., Tóthová, V. and Chloubová, I., 2021. The importance of ethical codes in nursing care. KONTAKT-Journal of Nursing & Social Sciences related to Health & Illness, 23(2).
• Ugiagbe, I.M., 2023. The Nursing and Midwifery Council's (NMC) role in integrating internationally educated nurses (IENs) in the UK health care. In Researching Racism in Nursing (pp. 87-106). Routledge.
• Unsworth, J., Melling, A. and Porteous, D., 2021. Development and Evaluation of the Validity and Reliability of the Leading and Managing Care Pre-Registration Nursing Student Assessment Tool. SAGE Open Nursing, 7, p.23779608211000259.
• Vabo, G., Slettebø, Å. and Fossum, M., 2022. Nursing students’ professional identity development: an integrative review. Nordic Journal of Nursing Research, 42(2), pp.62-75.
• Warrender, D., Connell, C., Jones, E., Monteux, S., Colwell, L., Laker, C. and Cromar‐Hayes, M., 2024. Mental health deserves better: Resisting the dilution of specialist pre‐registration mental health nurse education in the United Kingdom. International journal of mental health nursing, 33(1), pp.202-212.
• Whaley, V., Hay, J. and Knight, K.H., 2023. Preparing nurse educators for NMC standards for student supervision and assessment: the impact 4 years on. British Journal of Nursing, 32(3), pp.130-135.
• Woodland, J., Foster, K. and Robertshaw, D., 2022. Nursing in the 21st century: results of a pilot survey on attitudes towards nurses and nursing. British Journal of Nursing, 31(4), pp.230-238.

Online

• NHS, 2020. Online. Available through: < https://www.legislation.gov.uk/ukpga/2006/41/contents
• NMC, 2018. Online. Available through: < https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/nmc-code.pdf>
• WHO, 2023. Online. https://www.who.int/health-topics/nursing