Manawatū-Navneet ~_291295_0 (3)

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Dav Sr. Public School *

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MISC

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Nursing

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Nov 24, 2024

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Student ID: 21351568 Page 1 of 11 Title: Development of the profession of nursing: Historical to contemporary Submitted by: Navneet Kaur Student ID: 21351568
Student ID: 21351568 Page 2 of 11 Background history of Florence (Rizzo, 2020) : Florence Nightingale (1820-1910) was the first nursing theorist, founder of modern nursing. She was also known as ‘’ The lady with the lamp' ‘, had given an Environment theory in her famous book ''Notes on nursing: what it is, what it is not''. She went to a Christian school for women in Germany where she learned useful lessons. She put efforts into developing a new environment for caring for patient's wellbeing and safety in women’s hospital in Londo n (1853). In 1854, during the Crimean War, wounded soldiers were left untreated in a poor environment at an Army hospital. However, Minister of state appointed Florence as lead nurse to look after to all those soldiers. She developed the hospital s environment from her own funds by working on drainage system, providing better food and care, cleanliness to beddings and bought medical equipment. She died on 13 August 1910. May 12 is celebrated as international nurses’ day in remembrance of Florence on her birthday. Florence key observations were (Notes on Nursing., n.d.): 1. Nightingale's concept of environment was focused on nursing care and her suggestions that nurses need not to know all about the disease process differentiating between nursing and medicine. 2. Nightingale believed that nursing was not only limited to administration of a drug molecule but also providing fresh air: light, cleanliness, warmth, quiet and adequate nutritious food to the sick people. 3. She linked client overall health to environmental factors like their hygiene, and sanitary conditions consequently improved health of patients. 2.1 2.2 2.3
Student ID: 21351568 Page 3 of 11 4. Florence visionary principles includes: a. Practice: It involves the clinical practice of nurses. b. Research: She believed in analysis of collected to use it for the improvement of exiting practice. C. Education: She also consider spreading awareness is the best tool to take precaution and improving exiting disease. 5. Nightingale taught us that the pivotal assessment is not merely pilling up the information for the sake of saving life and increasing health and comfort. Environment theory of Florence (Nightingale, 1860, p12-156): 1. Ventilation and warming: To Keep the air he breathes as pure as the external air, without chilling him context from Notes on nursing (Nightingale, 1860). It refers to air should be properly ventilated from adjacent room through which the air enters inside to the patient's room. Furthermore, warm clothes, hot bottles keep patient warmth. 2. Light and Noise: Nightingale believes to heal up the patient sunlight plays key role in their recovery also there should be minimal disturbance due to noise levels as it can keep them restless. 3. Cleanliness of rooms/walls: Rooms should thoroughly be cleaned not only its floors but also its walls, furniture, and carpet. 4. Health of houses: To keep healthy homes five points should be considered: a) Pure air b) Pure water c) Efficient drainage d) Cleanliness e) Dark house. 3.1
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Student ID: 21351568 Page 4 of 11 5. Bed and Bedding: The bed should not be too high unapproachable. Iron bedsteads is ideal for patient care, and not placed in dark area. 6. Personal cleanliness: Maintaining proper cleaning of body by bathing or applying antiseptic, hands should be properly cleaned before meal. 7. Variety: It can be achieved by varying the surrounding it may have on daily routine such as same person to look after, things around him should be changed over the time frequently side by side observing the recovery of patient's health. 8. Taking food: Providing patients nutritious food. 9. Chattering Hopes and Advice: Chatting with the patients as well as giving regular hope and advice to make patient confident to recover gradually. 10. Observing the sick person: Keep an eye on the recovery and the condition of patient. Application of nightingale's theory in practice: Nursing education: Educating nurses today world-wide with her concepts. Nursing Practice: Practising nursing care using her approach to the patient. Nursing Research: Developing safe environment for the patient s health by collecting data. Nursing As per most of the nursing theories, environmental adaptation remains the basis of holistic nursing care. 4.1
Student ID: 21351568 Page 5 of 11 Human Rights as the name suggests that laws which were formed in favor of protecting the privacy of an individual. Purpose: Human Right Act 1993 is a New Zealand right that protect public from discriminating in the public and their private life with their appearance providing all an equal opportunity to live without any fear ("Your human rights," n.d.). No-one can discriminate someone on the following grounds ("Your human rights," n.d.): 1. Based on age, sex (gender) or sexual orientation. 2. Marital or relationship status. 3. Possessing a family or not. 4. Either in a relationship or related to a certain person. 5. Related to religious or ethical beliefs. 6. To your color, race, ethnicity, or country of origin. 7. Having any kind of disability, impairment, or illness. 8. On political opinions. 9. On employment status someone holds. Prohibited discrimination on following basis areas of public life ("Your human rights," n.d.): 1. Employment 2. Education 3. Access to public places 4. Provision of goods and services 5. Discrimination in housing society is an unlawful activity. As a nurse in New Zealand uses this Act to protect the life of a patient: 1. Treating the gender equally without thinking of their appearance: color, age, employment, family background. 2. It is the duty of a nurse to make them aware of patients’ rights. 5.1 5.2 5.3
Student ID: 21351568 Page 6 of 11 3. Treating patients on behalf case studies like mentally ill person without ignoring their rights. 4. Respecting all patients and making them feel comfortable to recover quickly. 5. Keeping professionalism to every patient by not leaking any confidential information to anyone. Code of Conduct for Nurses 2012 is the set of standards used by all nurses, Nursing Counsil, health consumer to verify the behavior practices of nurses. Failure to follow this may lead to disciplinary investigation (Nursing Council of New Zealand, 2012). There are eight principles under this code of conduct (Nursing Council of New Zealand, 2012, p4-p37): 1. PRINCIPLE 1: Values underpinning professional conduct. A) Respecting health consumers’ values, establishing trust that involves touch, emotional support, taking and giving information, and maintaining integrity by acting on set of principles and values. 2. PRINCIPLE 2: Respect the cultural needs and values of health consumers. A) Respecting health consumers’ beliefs, opinion and values and providing support and representation from those who understand their language, culture, and preferences. B) Work in partnership with Māori health consumers and their whanau/family to achieve positive health outcomes and improve health status. 3. PRINCIPLE 3: Collaborate with health-care consumers to promote and safeguard their health and wellbeing. A) Help health consumers understand what they want and need by providing honest and accurate information that they can use to make decisions and ask questions. 6.1 6.2
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Student ID: 21351568 Page 7 of 11 4. PRINCIPLE 4: Maintain health consumer trust by providing safe and competent care. A) Carefully evaluate the health of consumers, plan, implement and evaluate their care. B) Be available to health consumers and colleagues when on duty. 5. PRINCIPLE 5: Respect health consumers' privacy and confidentiality. A) It is essential to safeguard the confidentiality of health consumers' personal data and to treat it as confidential information obtained during the relationship between a nurse and a health consumer and to utilize it solely for professional purposes. 6. PRINCIPLE 6: Work respectful ly with colleagues to best meet healthy consumers’ needs. A) Respect your colleagues, work with them professionally, collaboratively, and cooperatively, and understand that others have the right to have different points of view. 7. PRINCIPLE 7: Act with integrity to justify health consumers' trust. A) Be honest and forthright when talking to health care customers. B) It is important to maintain professional boundaries in the utilization of social media platforms. It is recommended to maintain a separation between one's personal and professional life. 8. PRINCIPLE 8. Maintain public trust and confidence in the nursing profession. A) If you believe the practice environment is negatively impacting the health and well-being of health consumers, document and report your concerns to your seniors. This Code guides nurses today how to follow certain principles in safety and wellbeing of health consumer.
Student ID: 21351568 Page 8 of 11 Professional Boundaries The nurse must be aware of professional and personal limits in professional nursing practice. It is the prime responsibility of a nurse to make health consumer understand the boundaries between two by making appropriate professional relation with clear intent of medicinal care with positive outcome (Nursing Council of New Zealand, 2012). Some possible areas where boundaries can be breached (Nursing Council of New Zealand, 2011): Accepting gifts or bequests Financial transactions or acting as a representative. Intimate or personal relationships Sexual relationships Gifts (Nursing Council of New Zealand, 2012, p. 24) Accepting and giving a gift is a complex process. It is not appropriate to receive gifts without knowing the purpose of giving it. Therefore, it is recommended not to accept it however this does not mean hurting health consumers’ emotion. Moreover, the gift should be declined in more polite way makin g them understand nurses’ restrictions. In several cases, the gift can be accepted understanding and respecting consumers’ cultural values. Gifts those are given to whole team members may be accepted. Bequests (Nursing Council of New Zealand, 2012, p. 26) Some health consumers’ who have formed good re lationships with nurses over the time because of healthcare services they have received. They sometime offer bequest which must be declined in clear and polite way explaining the future disputes it may arise such cases should be reported to seniors by nurses. 8.1
Student ID: 21351568 Page 9 of 11 Financial transactions or acting as a representative. Any financial transaction which may give profit to nurse in form of gift-money, material benefit should be avoided. And nurse should decline to act as representative on behalf of health consumer in lending or crediting any money. Preventing Boundary Transgressions (Nursing Council of New Zealand, 2012, p. 15) 1. Maintaining nurse-health consumer professional relationships and making them understand when their request is beyond the professional relation. 2. Defining boundaries by seeking advice from cultural experts. 3. Reporting to seniors or managers if healthy consumer behavior is inappropriate. 4. Nurses should not interfere in any personal relationship of a health consumer. 5. Ensure the care plans do not have any direct or indirect role in building up a negative relation between a nurse and a health consumer. Pre-existing relationships (Nursing Council of New Zealand, 2012, p. 9-28) Pre-existing relationships refers to if health consumer is known to nurse by means of close relationship such as: friend, family, neighbour in these circumstances, nurse should explain professional nursing practice to health consumer who are in relation to nurse. The nurse should also inform this to other members of his or her team. 1. Caring for close friends or family: The care plan is documented if the nurse who is known to health consumer providing nursing care. 2. Working in Small, Rural or Remote Communities: In rural areas where nurses are known by small groups then the professional nursing care practice should be defined from personal to professional competent care to health consumer. 3. Self-disclosure: It happens when a nurse shares personal information with a health consumer. This information may be used for recovering patients. However, detailed
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Student ID: 21351568 Page 10 of 11 personal information should not be given to the health consumer. Several principles need to keep in mind before disclosing personal information: i) Nurse need not to disclose his or her personal information however self-disclosure may be provided only to support health consumer’s health. 4. Excessive disclosure by the health consumer: If frequent disclosures are given by the health consumer, then nurse needs to know the difficulties arise by counselling rather than making personal relationship with the nurse. 5. Signs of Intimate, Personal or Sexual Boundary Transgressions: If a nurse sexually attracted to health consumer, then it is nurse’s responsibility not to act based on these feelings. i) Thinking about healthy consumer and changing dressing style. ii) Value one health consumer than others. iii) Providing personal contact details. 6. Sexualised Behaviour: Touching more than usual and a sexual interaction. Nurses must report to concerning authority about any misbehaviour by health consumer and follow guidelines on professional boundaries. Reference: 1. History.com Editors, (2009, November 9). Florence Nightingale. https://www.history.com/topics/womens-history/florence-nightingale-1 https://online.flippingbook.com/view/359830702/2/ 2. Nightingale, F. (1860). Notes on nursing. Binker North. 3. Nightingale, F. (1969). Notes on nursing: what it is, and what it is not. Dover. 4. Notes on Nursing. (n.d.). Digital.library.upenn.edu. https://digital.library.upenn.edu/women/nightingale/nursing/nursing.html#I 10.1 10.2
Student ID: 21351568 Page 11 of 11 5. Nursing Council of New Zealand (2011). 6. Nursing Council of New Zealand. (2012). Code of Conduct for Nurses. Nursing Council of New Zealand. 7. Nursing Council of New Zealand. (2012). Guidelines: Professional boundaries: A nurse's guide to the importance of appropriate professional boundaries. 8. Your human rights. (n.d.). Live & Work New Zealand https://www.live-work.immigration.govt.nz/live-in-new-zealand/safety/your-human-right s Powered by TCPDF (www.tcpdf.org)
Index of comments 2.1 Begin with an introduction outlining the topics that will follow. 2.2 The essay requires sentences an paragraph structure. 2.3 This needs further development in order to be clearly expressed. 3.1 More detail required 4.1 How does this relate to contemporary nursing? More detail is required here. 5.1 + date 5.2 Re-write in complete sentences and paragraphs. 5.3 It is difficult to assess your understanding with bullet points. 6.1 Again, write in sentences and use paragraphs. 6.2 There is little means to gauge your understanding in this formatting. 8.1 See my previous comments. 10.1 New page for references. 10.2 Please seek guidance from APA 7th edituon for correct referencing technique Powered by TCPDF (www.tcpdf.org)
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