BEATRIZ NSG 4068 WEEK 1 DISCUSSON

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Miami Dade College, Miami *

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4068

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Nursing

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Nov 24, 2024

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docx

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Uploaded by MajorProton10371

1 Envisioning Yourself as an Advocate for Nurses and Health Policy Topic 1 From the chapter "The Changing United States Health Care System" in your course textbook, use either the story of Wald's efforts to improve the health status of impoverished immigrant communities or the story of how advanced practice registered nurses have struggled with their legitimacy within the health care delivery system, compare your own experience in nursing.  Have there been challenges you have faced? If so, what strategies did you employ to overcome these challenges?  How do you envision your career moving forward in advocating for your patients? Your community? Yourself? Dealing with people who have trouble being accountable has been difficult for me as a nurse. Since they are not held responsible for their actions, they make the barest of sacrifices in order to exist. Accountability is a crucial component of nursing, in my opinion. This essential component of nursing practice applies to all contexts and levels of practice. It always behaves morally, no matter who is around. People honor their commitments when they are held accountable. Individuals establish credibility for themselves and the organization by holding each other and themselves responsible. The nursing profession has been regarded as having the greatest degree of trust for a number of years running (Harper & Bindon, 2020) . Throughout the whole healthcare process, we need to maintain this degree of patient confidence in our field. This means that we must take responsibility for our practices, the workplace, and patient safety.

2 As members of a profession, registered nurses are accountable for whatever they do while carrying out their responsibilities. Individual accountability is being emphasized in nursing practice. Accountability-deficient organizations have no shortage of rationalizations and explanations for why they can't accomplish their goals. Nursing personnel can think that "almost" is enough because nobody will see the imperfections. Or, worse still, they think it would be better to spend time and energy trying to manipulate the system since objectives are arbitrary or unachievable. Many nurses may be fearful of accountability due of the expectations that accompany it. Three components comprise accountability: penalties, transparency, and devotion. Since nurses are unable to read minds, directives must be written in a straightforward, precise, and understandable way (Keepnews, 2019) . Clarity, in my opinion, requires reason. If I understand why something is expected of me, I'm more likely to commit to meeting it. In this case, commitment is necessary; receiving an order is insufficient. We must choose to commit in order to follow the directive. In addition to accountability, there are consequences for behaving properly or breaking our promises. We regularly have to deal with growing workloads, more complex patient assignments, and higher nurse-to-patient ratios, and organizational demands. I take full responsibility for my actions, decisions, and conduct is something that we as nurses need to be able to say with assurance (Rubio-Navarro et al., 2020) . I'm prepared to own up to my mistakes and learn from them. I see it as my responsibility to advocate for a change in the culture of my healthcare setting. My goal is to create a culture where everyone is held accountable for their actions and fulfills their commitments, even if this calls for disciplinary action. My coworkers should be dependable individuals that I can rely on in return. References

3 Harper, M. G., & Bindon, S. L. (2020). Envisioning the future of nursing professional development. Journal for Nurses in Professional Development , 36 (1), 39- 40. https://doi.org/10.1097/nnd.0000000000000591 Keepnews, D. M. (2019). Protecting nurses’ role as patient advocate. Policy, Politics, & Nursing Practice , 11 (1), 3-4. https://doi.org/10.1177/1527154410372695 Rubio-Navarro, A., Jose Garcia-Capilla, D., Jose Torralba-Madrid, M., & Rutty, J. (2020). Accountability issues in an English emergency department: A nursing perspective. International Emergency Nursing , 51 , 100881. https://doi.org/10.1016/j.ienj.2020.100881

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