Nursing Surgical Nursing Reconstruction

Question: Describe about the Nursing for Surgical Nursing Reconstruction. Answer: Nursing Reflection Using Driscolls Reflective Cycle Nursing is regarded as an ever-changing and complex profession and excellence is achieved through best practices, standards and ethics. Nurses are endowed with greater responsibilities for creating a healthier working environment, become leaders in their respective specialty and improve the care quality. The nursing practice principles describe the expectations of the healthcare stakeholders from the nursing profession (Polit and Beck 2013). The aspects of approach, attitude and behavior forms underpin of good care. In Australia, the midwives and nurses are required to be registered with the NMBA (Nursing and Midwifery Board of Australia) and are required to meet the set professional standards for practicing nursing in the country (Nursing and Midwifery Board of Australia 2016). Several standards have been laid down by the board of which the standards for practice or the competency standards will be discussed in this assignment. This assignment is a nursing reflection from one of my first placement scenario that will be discussed using Driscolls reflective cycle. The nursing skills will be described with this recognized framework for demonstrating my abilities to reflect on the various nursing skills. What This is an episode that happened during the first week of my placement practice in a surgical ward. The Driscolls model of reflection supported me in reviewing my experiences with its evaluation and analysis for helping me to make necessary changes to my future nursing practice. The reason for my return to this event is because I noticed there were so many standards that were not followed by the registered nurses in the surgical ward that led me to a very challenging act of patient care and had a significant impact on my professional knowledge and skills. A reconstruction of the event helped me to develop my knowledge and add significant values to my experiences. On the day of the event, my mentor and I were looking after a bay in the surgical ward that had eight patients. To comply with the code of conduct of the Nursing and Midwifery Council, the name of the hospital and the related registered nurse has not been mentioned to maintain confidentiality. The registered nurses are required to follow the NMBA guidelines for quality patient care and during my experience, I observed that my mentor, being a registered nurse, did not follow the guidelines for the standards of practice. Breaching of the guidelines was on several occasions like not wearing gloves while taking out IV cannula, not wearing face and eye protection during the IV catheter procedures and devices used for the purpose did not have safety features to minimize blood splatter and leakage during removal and insertion of the cannula (Odell 2015). These sights confronted me with intense professional challenges as although I knew that the standards of practice being violated by my men tor, yet I could not oppose the event as he was my guide for the placement and I could not offend him. This was a situation of a dilemma, confusion and scare considering the consequences on the patient of such an unsafe, inappropriate and irresponsible nursing practice. This also challenged my personal understandings while undertaking my first PEP. So What The analysis of my feelings can be described by stating that prior to the commencement of the placement, I was confident of my learning and experiences but after the incident, I was a bit shaken as what I witnessed was not only a breach of the act but also had a deep impact on my professional practices. Although I a negative experience, I did not lose confidence and faith on my learning of the standards of practice and went on to provide quality patient care when I was asked to do so by my mentor. He asked me to bed bath a patient and I took help of a healthcare assistant to complete the act in the most appropriate manner. According to the standards for practice, I was expected to engage in a professional and therapeutic relationship with the patient which I established to comfort her and make the process painless (O'Connell, Gardner and Coyer 2014). I was very anxious to carry out the activity as I had never been in direct contact with the patients before as I was never in a care en vironment prior to this. Although I had the learning experiences of the requirements of the personal qualities and promotion of autonomy and dignity that is required for assisting the patients with personal care in the University lectures, this was my first opportunity to put them into practice and gain the relevant experiences. Since I could not oppose my mentor with the fear of offending him, I decided to indicate him of his irresponsibility through my implementation of standards of practice in patient care. I had put on a gloves and face mask to reduce the risks of infection at the surgical site and increase patient benefit. My mentor noticed this and upon asking me the reason for the precautions, I informed him about the standards of practice and the healthcare associated infections due to lack of precautions. This gave me immense pleasure and peace as I successfully opposed against what was wrong. Now What From this incident, I have learned about the standards for practice and their appropriate implementation in patient care. The beginning of the placement was not good enough in terms of experience however, it ended with some good learning. My mentor realized his mistake and was thankful to me for abiding the guidelines that instigated him to follow them as well. This made me understand that the standards for practice should not be compromised under any circumstances and any discrepancies found should be taken care of. This will not only improve the patient care but also glorify the profession of nursing. Apart from this, I also had a profound experience in isolation nursing as it was a new experience for me. I had learned more about infection control and prevention in surgical wards and the importance of wearing gloves, apron and face protection prior to the commencement of the procedures. Appropriate disposal procedure of the wearable protective gears to prevent the spread of contami nation was also something that was significant (Sutherland-Fraser, Osborne and Bryant 2016). I learned that alcohol gel is also ineffective to eliminate spores in surgical wards for the control and prevention of infections (Masters 2015). These learning are of remarkable importance considering my future clinical practice to provide quality patient care without any breaching of the standards for practice laid down by NMBA. Whether it is for the inserting and removing of IV cannula or providing bed bath to the patient, precautions have to be taken to prevent harm to the patient by all the individuals involved in the nursing profession. There are two key areas of my practice that I can improve in future for providing standard patient care. The first area is the provision of responsive, appropriate, safe and quality nursing practice for achieving the agreed outcomes and goals of nursing needs of the patients. For this, I will adopt the strategy of practicing my profession and take the set precautions to provide patient care, especially in the specialty wards where the chances of contamination are high (Moorhead 2013). I will report and identify the actual and potential risks related to the issues if practices are found to be below the standards. The second area will be critical thinking and analysis of the nursing practice. For this, I will use, analyze and access the best available evidence for nursing practice to provide safe and quality care to the patients without any compromise (Mariano 2013). From my placement experience, I will shape my future practice by using ethical frameworks. References Mariano, C., 2013. Holistic nursing: Scope and standards of practice.Dossey, Barbara M.; Keegan, Lynn, compiladores. Holistic Nursing. A Handbook for Practice. Burlington: American Holistic Nurses Association,64. Masters, K., 2015.Role development in professional nursing practice. Jones Bartlett Publishers. Moorhead, S., 2013.Nursing Outcomes Classification (NOC), Measurement of Health Outcomes, 5: Nursing Outcomes Classification (NOC). Elsevier Health Sciences. Nursingmidwiferyboard.gov.au. (2016).Nursing and Midwifery Board of Australia - Professional Codes Guidelines. [online] Available at: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements.aspx [Accessed 20 Sep. 2016]. O'Connell, J., Gardner, G. and Coyer, F., 2014. Beyond competencies: using a capability framework in developing practice standards for advanced practice nursing.Journal of advanced nursing,70(12), pp.2728-2735. Odell, M., 2015. Detection and management of the deteriorating ward patient: an evaluation of nursing practice.Journal of clinical nursing,24(1-2), pp.173-182. Polit, D.F. and Beck, C.T., 2013.Essentials of nursing research: Appraising evidence for nursing practice. Lippincott Williams Wilkins. Sutherland-Fraser, S., Osborne, S. and Bryant, K., 2016. Perioperative Nursing.Perioperative Nursing: An Introduction, 2nd Edition, pp.1-29.