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Sunday, February 24, 2019

Nursing Mission Statement Essay

It is my purpose to provide safe and accurate treat c be by educating persevering role roles and their families to levy optimal wellness. It is my finis to assist longanimouss in their journey to self-c ar by advocating for their health and independence. This breast feeding mission conveyment impart explain the functional differences between the Idaho Board of breast feeding (BRN) and a everywherelord nurse organization (PNO) this entrust include scrutinyples of how the American Nurses affiliation (ANA) furnish from The breast feeding Code of Ethics influence care for pr pieceice as well as establish my workal nursing traits described in the Code of Ethics (ANA, 2001).I will detect and explain Dorothea Orems Grand Nursing surmise the Self- like Deficit Model that has influenced my passe-part come on portion as a registered shield and dissertate how Florence Nightingales contributions to the handicraft tolerate impacted nursing recitation today (Habel, n. d). Finally, I will discuss how beneficence and respect for self-reliance were safeguarded while caring for an weighty patient in the clinic where I practice. A. Functional DifferencesState Boards of Nursing are g everywherenment agencies tasked with the regulation of nursing practice. They were created to protect the creations health and welfare and are responsible for ensuring the safe practice of nursing. State Boards are responsible for issuing and maintaining flirt withs licenses. They ensure practicing nurses are commensurate and practice within the scope of their licenses (ANA, 2012). The Idaho State Board of Nursing interprets and enforces the state nurse practice act. Each state has a Nurse coiffure Act which are laws defining the qualifications and scope of nursing practice in their state. They are responsible for taking transaction against those nurses who practice outside their licenses or have exhibited unsafe nursing practice (ANA, 2012). They assist in the accr editation summons for approval of nursing education programs (ANA, 2012).The superior nursingorganization, the American Nurses railroad tie (ANA) was developed for nurses by nurses in tack to stoolher to further advance nursing as a profession. It allows nurses to collaborate and share in their beaver practices it provides a code of ethics to hold the nursing profession in graduate(prenominal) standards (Matthews, 2012). What is the difference between the regulatory Idaho State Board and the ANA? The Idaho Nurse pull Act is comprised of statutes to provide the public with quality health compassionate, ensuring that I am qualified and honest to practice nursing. Nurses like me must maintain legitimate nursing licenses and practice within the scope of that license according to the nurse practice act of Idaho (ANA, 2012). The ANA supports me in the advancement of my education, promotes my rights in the workplace and lobby government and regulatory agencies on health perplexit y issues that affect both nurses and the public (Matthews, 2014). B. Nursing Code ExamplesThe preps of the Code of Ethics for Nurses was initiated by the ANAs board to hold nursing to a higher standard of premeditation (ANA, 2001). I will maintain two examples of these provisions that influence my line of achievement in nursing. provision three states The nurse promotes, upholds for, and strives to protect the health, safety, and rights of the patient (ANA, 2001). As a nurse I feel it is my commerce to advocate for my patients peculiarly when they are nave to alimony and services that could interrupt their health, rights and safety. I soon work as a clinical nurse for the Veterans Health Administration (VHA) in a small, rurally secluded town. It is significant that the Veterans I finagle for in the clinic get the care they need level though the large medical center is 250 miles a management.The majority of our Veterans are over the age of 60. Traveling long distances f or care and long wait periods are simply not a viable option for them. I assist my provider and the VHA to work together to get the Veterans necessary lab or x-ray testing, annual eye exams and listening silver screenings evokered locally in a timely manner. The next provision I am influenced by is Provision seven which states The nurse participates in the advancement of the profession through and through contributions to practice, education, administration, and association development (ANA, 2001). I participate on the Standard Operating Procedures mission at the Veterans Medical Center where I work.I serve as a member on the committee to toy five outlying Community Based Outreach Clinics that exist inthe small communities in two states. It is my responsibility to speak with the nursing leaders in the other clinics to ensure their procedure standards are written documents establish on the exclusive needs of the clinics rather than the medical center. I am excessively resp onsible for collecting and typographying for National Patient Safety Goals in our clinic. Goals the VHA works to achieve include standards of care like identifying patients with two identifiers prior(prenominal) to practice of medicine administration, nursing procedures and collection of blood work. C. Professional TraitsThe ANA lists several professional traits in the Code of Ethics, in this next section we will discuss the four professional traits I bring to an interdisciplinary aggroup open in Provisions three, four and eight. Provision three lists two traits I bring to every patient feel, covert and confidentiality (ANA, 2001). In order for me to advocate for my patients it is important that I am able to safeguard their privacy and confidentiality. I work to ensure patients physical, auditory and written privacy with the Advanced Nurse Practitioner and the LPN in our clinic. During any mental test that requires a patient to un queue up they are provided a safe exam room with a lock on the door. When a door is closed(a) to an exam room we knock before entering.We also intent tele-health in our clinic and have created signage for the outside of the door that lets throng in the clinic know in that respect is an appointment in progress and not to enter. We use this signage for any encounter a patient has with members of the interdisciplinary team who include elementary care providers, dieticians, psychiatrists and other specialty providers. Pt confidentiality is also protected in our clinic by ensuring the conversations between patients and providers cannot be heard by passerbys when exploitation tele-health technology. Confidentiality of patients own(prenominal) education is kept by shredding documents containing their information email correspondence concerning patients are encrypted to ensure only intended members of the team get the needed information securely. A strong personal and profession trait I possess is accountability.Provision fou r discusses the importance of the nurse accepting accountability and responsibility in nursing judgment and action as well as delegation (ANA, 2001). When caring for a patient I am accountable and responsible for any harm or potential harm that I may cause.If I administered a medication incorrectly I am responsible for the mis ram and must report it to the primary care provider and the patient. I am responsible for penetrating what nursing tasks may be carried out by the LPN or clerk in my clinic. This is based on what the state practice act allows as well as my judgment for how extend to they are in that assigned task. I also must you judgment while carrying out orders from mid-levels and doctors. It is my responsibility to carry out tasks I am comfortable and competent doing and voicing any concerns I may have with the rest of the team.Provision eight states collaborates with other health professionals and the pubic (ANA, 2001). As part of an interdisciplinary team it is impera tive that I collaborate with other members so the patient can receive safe and appropriate care. There are propagation when a patient may have an adverse reaction or allergy to a particular medication prescribed by the primary provider. It is my responsibility to report these issues to the provider in order to rectify the role and have the patient stop the medication cavictimization harm. roughlytimes the apothecary may be consulted by the primary care provider to insure an alternate medication for the patient to take. In collaborating with each other we finish the issue together and work to become a solution that is best for our patient.D. Nursing Theory ResourceThe possible action I around identify with in my professional career is Dorothea Orems Self-Care Deficit Model Self-Care, Self-Care-Deficit, and Nursing Systems (Habel, n.d.). A client does not seek my professional advice, instruction or care unless there is a need or concern. D1. Nursing Theory in PracticeOrems ge neral theory of Self-Care, Self-Care Deficits, and Nursing Systems states that when an individual becomes ill for any reason and is futile to care for themselves they have a self-care deficit that requires nursing interventions. Self-care refers to the daily, independent cares an individual performs they are developed over time and have a purpose. The theory provides the patient with nursing interventions based on the nurses assessment of self-care (Habel, n.d). The interventions may provide complete care by the nurse, partial care that both the patient and the nurse complete together, or it may be a matter of educating the patient how theycan give self-care. The ultimate goal of the nursing interventions is patient self-direction in order to maximize the patients personal level of care to hone the patients growth and cure health and eudaemonia (Habel, n.d.).This theory correlates with my professional practice on a daily basis in the VA outpatient clinic where I work. Any patien t over the age of 70 is screened annually for self-care deficits. A functional, physical and mental screening is performed to asses any self care deficits my patients may have. The patients are asked about their daily routines like dressing themselves, using a telephone, managing finances and grocery shopping. The individual is rated on a outgo from 0-4 where zero is the ability to perform independently to four, which is needs total assistance. When a self-care deficit is found I intervene. If they are not able to dress themselves they sometimes have a better half or caregiver to do it for them at piazza at the clinic I would assist them completely. If the patient lives merely and it is found they have a complete self-care deficit and lack a support system I put in a referral for fundament health nursing. I may discuss the option, along with the primary care provider, of a long term care facility for the patient.If a patient can perform some self-care, but the caregiver or spo use needs assistance in day to day cares of the patient I may refer the patient to the social worker to help them find nursing care or respite care at home. Sometimes the patient is unable to operate a telephone because they are unable to hear so I refer them to get a hearing screening and may get them a hearing impaired telephone. I also screen every 6 months for post-traumatic stress disorder (PTSD) and opinion since the Veterans may have participated in combat or experienced some other traumatic insult that they require assistance dealing with mentally. If they screen positive for PTSD or depression then I refer them to the social worker to assist the individual with their mental health.The majority of my practice involves educating patients and their families about a diseases and disorders such as high blood pressure, diabetes, breast failure, fleshiness and many other illnesses. This self-care deficit requires education to reach the goal of self-care by the individual. I use written hand outs and instructions to indoctrinate individuals how to manage their disease whether it is how to monitor their blood pressure at home or what foods are good sources of nutrition. Patients come to the VA clinic because they have a prefatorial need for care. Thenursing system in Orems theory describes nursing interventions from wholly compensatory which is total, dependent care partially compensatory, when the patient can view some self-care needs with some degree of nursing intervention and at long last the nurse acts in a supportive teaching role (Habel, n.d.) altogether of these nursing interventions are aimed at patient autonomy so the individual can meet the goals to maintain or improve health and restore self-careE. Nursing ContributionsWhen I think of historical nursing figures there is forever one who comes to mind above any others. Florence Nightingale is possibly the most famous and recognized for ever-changing nursing from domesticated home care of the ill to a respected profession. Florence Nightingale was a pioneer for man advocacy. Although Nightingale did not specifically define advocacy in nursing, she wrote letter of correspondence, government documents and books that describe instances of her advocacy. She believed that all people deserved the same opportunities no matter what religion, sex or ethnicity she was a strong proponent of equal human rights (Selanders, 2012). Florence Nightingale advocated for nursing by creating standards of care and educating nurses to improve health care for patients. She collected information and used statistics while caring for patients to promote their health.Her analysis of patient care led to an improved patient environment, changing it from unsanitary to a more sanitary environment which promoted health and well-being (Selanders, 2012). Her leadership in the profession led to establishing her own school of nursing in England which in turn prompted schools in America. This leadership p aved the way for nurses to become leaders in a respected profession (Selanders, 2012). immediately Florence Nightingales vision for the professional nurse continues. Nightingales beginnings in statistical analyses of patients and their environments is carried on in nursing practice today. My free-and-easy nursing practice involves the use of evidence-based practice to improve patient care and well-being (Selanders, 2012).Research in health is accomplished by nurses in order to find better ways for me to care for my patients. For instance, we know that people may be susceptible to high blood pressure and we use evidence-basedpractice to screen for, prevent and treat it. I monitor my patients blood pressure at every visit. If during the screening they have risk factor such as obesity or ingest I educate them on proper nutrition and smoking cessation. I work together with the primary care provider and pharmacists to teach patients how to take their medications properly and how to mo nitor their blood pressure at home. Nightingales work in educating nurses continues with my own education as I turn out to gain the knowledge to improve myself and my practice of nursing. I work on advancing my nursing by continuing my education to develop my leadership skills and professional growth. F. PrinciplesIn this section I will discuss how I have safeguarded principles of beneficence and the respect for autonomy. The principle of beneficence is an ethical duty to be compassionate in my care of patients and to promote autonomy through positive actions of kindness (Cherry, 2011). A patient of mine has been struggling with obesity for the past two years. He has lost 60 pounds and gained 40 pounds back. I set up a one-on-one appointment with patient to discuss what actions he may take to get back to a healthier weight. Instead of placing blame on the patient and telling him what he is doing wrong, I focus on the things he is doing right. He continues to walk over a mile a day , but he admits he has not been theme in his food journal.Together we worked to create short term goals, goals the patient felt he could attain in the following weeks. When the patient returned he had increased his walking distance and had started writing in his food diary again. It is my ethical responsibility to have respect for patient autonomy. Autonomy is the personal freedom of a patient and their right to decide what choices to make in their health care. In the example above the patient came to me for help and guidance because he had gained weight. Instead of telling the patient what he should do to get back to a healthier weight we discussed options together.I provided him autonomy by asking what choices he could make to attain his weight loss goal. We discussed what better food choices he could make and how he could increase his physical employment in order to reach his goal. The patient was able to maintain his autonomy and make the choices he thought were necessary to l ose weight. When the patient returned to the clinic he had reached his goal to increase hisphysical activity and lost 2 pounds. G. endpointThis paper has been about my professional journey to create a professional mission statement. The Idaho State Board protects the public by issuing and maintaining my nursing license and the American Nurses Association advocates for the advancement of nursing and patient well-being. I am an advocate for the protection of patient safety and rights and participate in committees at my workplace to advance my profession. Safety, confidentiality, accountability and collaboration with the interdisciplinary team are some of the professional traits I use to care for my patients. I have shown how Orems theory of Self-Care has been integrated into my practice and explained how Florence Nightingales contributions to professional nursing have been applied in my modern nursing practice. Finally, I have explained how I used beneficence and respect for autonomy in caring for an obese patient in my clinic.ReferencesAmerican Nurses Association (2001). Code of Ethics for Nurses with Interpretive Statements. Retrieved from http//nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics.pdf American Nurses Association (2012). Frequently asked questions. Retrieved from http//www.nursingworld.org/mainmenucategories/tools/state-boards-of-nursing-faq.pdf Cherry, B., & Jacobs, S. (2011). contemporary nursing Issues, trends & management (5th ed.). Memphis, TN Elsevier. Habel, M. (n.d.). Nursing theory At the heart of practice. Retrieved from https//lms.nurse.com/Aspx/CourseObjective.aspx?TopicID=5892 Matthews, J (2012). Role of Professional Organizations in Advocating forthe Nursing Profession. OJIN The Online daybook of Issues in Nursing Vol. 17, No. 1, Manuscript 3.doi10.3912/OJIN.Vol17No01Man03. Selanders, L.C., Crane, P. C. (2012). The Voice of Florence Nightingale on Advocacy OJIN The Online Journal of Issues in Nursing Vol. 17. doi 10.3912/OJIN.Vol17No01Man01.

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