Understanding NSQHS Standards And Patient Care Experiences

Industry Reflection National Safety & Quality Standards

Selecting two of the NSQHS standards please respond to the following question:

Explain to the panel your understanding of two of the NSQHS standards and discuss relevant clinical nursing experiences from your clinical practicum, providing justification for each based on these patient care experiences.

Standard 6: Provide safe, appropriate and responsive quality nursing practice

The Australian Health Practitioner Regulation Agency (AHPRA) regulates Australia’s registered nurses, students along with midwives to protect the public as part of the national registration and accreditation scheme (In text citation). The selected standards are standard 2. Engages in therapeutic and professional relationships along with standard 6. Provide safe, appropriate and responsive quality nursing practice. These standards are important to registered nurses because they help them in delivering the best quality of care along with interacting with patients to obtain more information from them so that the objectives of a health facility which is safety to patients can be accomplished (Cashin et al., 2015).

Registered nurses provide safe, appropriate and responsive quality nursing practice and are accountable to the public, clients, and professionals. With the help of technology they appropriately and responsibly improve their nursing practice. It  has been possible through wireless monitoring of patient by integrating sensors and chips into the mattress pads, blankets, and beds to survey and that should reported to measure  the movement, blood pressure, and weight. Also, Registered Nurses wear or carry technology that scans a barcode which sends essential patient medical history and information (Boonen, Rankin, Vosman & Niemeijer, 2018).  To provide the efficient and effective care, they coordinate, distribute and utilize resources that are within their control. Their role encompasses showing characters that uphold the trust of the public in the profession along with exercising reasonable judgment and seeking help appropriately (Endacott et al., 2018). Furthermore, the Registered Nurses intervene, acknowledge and report near misses, and make sure there is no harm incident in their working environments that can put the safety of clients at risk.

 The relevance of this standard is that it provides comprehensive safe and quality practice to attain the purposed objectives and outcome that are responsive to the individual’s nursing requirements. Healthcare firms monitor the experiences of patients so that they can assess and develop the care quality (West, Eckert, Steward & Pasmore, 2014). My experience in my practice was challenging since I was expected to offer the best by identifying the factors within the working environment that are of influence. Furthermore, the role of a Registered Nurse is to prevent illnesses and promote health. I assumed the responsibility of ambassadors of wellness and believed that Registered Nurses play a vital role in caring for the well as well as for the sick. The standard utilizes measures that can reduce the client's distress and assist them in identifying strategies to cope with any changes in the health status (Andersson, Frank, Willman, Sandman & Hansebo, 2015). The registered nurses practice within their range of exercise and also by important nursing along with health standards, guidelines, legislation, and regulations. The standard is relevant since it raises concerns and reports in case there are errors with a possibility to harm a client or nursing practices which are below the expected standards (Endacott et al., 2018).

Standard 2: Engage in therapeutic and professional relationships

This issue will analyse how Registered Nurses engage in therapeutic and professional relationships. Registered nurses use a patient-centered to establish relationship with patients although retaining the professional therapeutic relationship with a community patient care can be difficult as it engages not just the patient but also the family. The relationship between the registered nurses and their patients is develop via sympathy, trust, and respect and it needs the proper use of command (Moreno-Poyato et al., 2016). Considering the psychological, physical, cultural and spiritual needs of patients the standard requires appropriate use of control to act to make decisions in the best interest of the patient. This nurse-patient relationship is conducted within bounds that dissociate healing and skilled characters from non-remedial and non-trained characters (Ware, 2017).  

 The relevance of this standard between patients and nurses is that Registered nurses show understanding and empathy at the same time maintaining the appropriate distance of emotions to remain professional and objective (Heggestad, Nortvedt, Christiansen & Konow-Lund, 2016). A nurse should stay professional and non-judgemental during the association by doing special operations for their clients. Also, they show trust which is essential in retaining a professional therapeutic relationship in that a patient will believe their nurse to have the appropriate attitude and skills along with the knowledge to handle their nursing responsibility effectively (Chambers & Ryder, 2016).  Furthermore, registered nurses are in privileged positions to make decisions on behalf of the patients. This power may include the access to personal data of clients and should always be utilized for the benefit of a client but not to take advantage of the vulnerability of the patient. When the standard is practised the nurses will be able to feel the pains of the patient and will make sure the patient acquires the best services. (Stuart, 2014).

Facilitation of therapeutic nurse-patient relationship is vital in nursing as nurses and their co-workers are exposed to emotional impacts of physical illnesses and therefore the standard institutes a set of therapeutic communication skills between nurses and their co-workers to deal with emotional patient challenges like active listening together with constructive verbal and non-verbal effective mechanisms (Moreno-Poyato et al., 2016). Also, the standard actively fosters a culture of safety and learning that encompasses involving health professionals to share knowledge and practice that reinforces patient-centered care. This actively enhances an individual's engagement as a partner in the health care team to improve their health status.(Tobiano et al., 2015).The relationship between nurses and their colleagues contribute much to the safety of patients. When nurses get breaks and leave their patient under the attention of other nurses it prevents them from fatigue which results to a decline in the safety of patients (Read, 2014). 

Facilitation of Therapeutic Nurse-Patient Relationship

  The sufficient time nurses get for resting along with renewal prevents the adverse health repercussions since the nurse will not be tired. Moreover, before a nurse could administer drugs to the patient they consult with other nurses and double checks the medication to ensure that the patient is not at peril of medication errors.  The discussion regarding patient’s health will cause exchange of information among the nurses and it will help the nurses to take proper care about that patient as it is not possible that only one nurse is involved in care of a particular patient. In different shifts, different nurses are involved in the care of a patient. As discussed above, proper bonding between the nurses will ultimately increase the quality of the patient care and the this discussion is a major part of the nursing communication.  However, by discussing among themselves, they can reduce the medication error and the rate of patient satisfaction will also increase (Zineldin, Zineldin  & Vasicheva, 2014).

Finally, the therapeutic and professional relationship is demonstrated among the multidisciplinary team whereby they participate in a collaborative practice. Here, they exhibit a staff leadership and demonstrate a comprehensive understanding of the responsibilities of every healthcare staff to enhance the patient-centred care (West, Eckert, Steward & Pasmore, 2014). Multidisciplinary staff conveys many advantages to the nurses along with the patient. When multidisciplinary team is involved there is more efficient use of resources and improved job satisfaction for staff members together with enhanced health results and improved patient satisfaction. In health care sector the multidisciplinary team and the collaboration of the teams is very much effective and can show positive outcome regarding patient satisfaction. Globalization of the treatment and the need of specialists in various sector of treatment create the need of multidisciplinary teams in the treatment procedure nowadays and the main focus of the health care provider is to develop a proper patient centred care. This type of care is only be gained by placing the patient at the centre of the treatment and decision making is also done after discussing with the patient. This direct involvement will enhance the patient satisfaction. In addition to this, as patients are directly involved in the medication process, the actual need of the patients can also be understood as the patient is directly communicating with the health care professionals. An effective patient centred care helps the health care professionals and the nurses to construct an ideal team that can provide a quality care to the patients. To achieve a proper multidisciplinary team environment, the members of the multidisciplinary teams are also encouraged to achieve the team goal of providing a proper patient centred care. They also should be motivated by various strategies and plan in order to achieve the goals and also to overcome the barriers related to achieve the goals. It can be said that, only a proper multidisciplinary team can achieve the goal of providing an ideal patient centred care and can enhance the patient satisfaction (Nancarrow et al., 2013).

Therapeutic and Professional Relationship in the Multidisciplinary Team

With invention of various modern technologies, it is quite evident that, nurses also should use modern technologies to give improve services to the patient care. In addition to this, by using mdern technologies, nursing personnel can also improve the quality of the nursing care  and will be more better than that of the current one provided by them. For example it can be said that, bu using a blood pressure measuring machine of modern technology, it will be a very easy for the nurses to check the blood pressure of a particular patient and it is also less time consuming. This will help in betterment of the future nursing by increasing the patient satisfaction Not only that, using of modern technology in health care will reduce the errors of the nurses and this will ultimately increase the patient satisfaction. .On the other hand the involvement of therapeutic and professional relationship will encourage  the concept of family centered care and patient centered care. In the previous model, involvement of the family in the treatment plan will increase the satisfaction of the patient’s family and this can help in increasing the improvement of the patient’s condition. And involvement of the patient in the treatment care plan can enhance the collaboration of the patient with the health care personnel. This will help in better understanding of the patient’s need and nurses will provide more specific care according to the need of the patient. The involvement of the therapeutic and professional relationship in nursing care will help the nursing care in future.

Conclusion

The nursing standards are essential because they protect patients along with the health professionals. This has been possible through the establishment of therapeutic relationship where patients trust the nurses and they confide in them hence receiving the best treatments. Also, the health professionals prove their trust to the patients by not disclosing their confidential details to other professionals which strengthens the relationship and results to a positive medical outcome. Therefore, once these standards have been utilized the health facility’s objectives will have been achieved. (Reference need)

References

Andersson, Å., Frank, C., Willman, A. M. L., Sandman, P. O., & Hansebo, G. (2015). Adverse events in nursing: a retrospective study of reports of patient and relative experiences. International nursing review, 62(3), 377-385. doi.org/10.1111/inr.12192

Boonen, M., Rankin, J., Vosman, F., & Niemeijer, A. (2018). Nurses’ knowledge and deliberations crucial to Barcoded Medication Administration technology in a Dutch hospital: Discovering nurses’ agency inside ruling. Health, 1363459318800155.

Cashin, A., Buckley, T., Donoghue, J., Heartfield, M., Bryce, J., Cox, D., ... & Dunn, S. V. (2015). Development of the nurse practitioner standards for practice Australia. Policy, Politics, & Nursing Practice, 16(1-2), 27-37. doi.org/10.1177/1527154415584233

Chambers, C., & Ryder, E. (2016). Compassion and caring in nursing. Routledge. Retrieved from: https://www.taylorfrancis.com/books/9781138030992

Endacott, R., O'connor, M., Williams, A., Wood, P., McKenna, L., Griffiths, D., ... & Cross, W. (2018). Roles and functions of enrolled nurses in Australia: Perspectives of enrolled nurses and registered nurses. Journal of clinical nursing, 27(5-6), e913-e920.

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Stuart, G. W. (2014). Principles and Practice of Psychiatric Nursing-E-Book. Elsevier Health Sciences. Retrieved from : https://books.google.co.in/books?hl=en&lr=&id=ivALBAAAQBAJ&oi=fnd&pg=PP1&dq=confidentiality+in+++Australian+nursing+practice&ots=pEI5LpnXm1&sig=kuyyUhmlU4FBGN2p8RwJeYSQxpk&redir_esc=y#v=onepage&q&f=false

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West, M. A., Eckert, R., Steward, K., & Pasmore, W. A. (2014). Developing collective leadership for health care. London: King's Fund. Retrieved from : https://www.ctrtraining.co.uk/documents/DevelopingCollectiveLeadership-KingsFundMay2014.pdf

Wilson, J. L. (2016). An exploration of bullying behaviors in nursing: A review of the literature. British journal of nursing, 25(6), 303-306. doi.org/10.12968/bjon.2016.25.6.303

Zineldin, M., Zineldin, J., & Vasicheva, V. (2014). Approaches for reducing medical errors and increasing patient safety: TRM, quality and 5 Qs method. The TQM Journal, 26(1), 63-74. doi.org/10.1108/TQM-03-2012-0029