Professional Accountability

Posted on: 16th May 2023

Question

REQUIREMENTS

A. Identify a nursing theory that has influenced your values and goals.

1. Explain how nurses apply the identified theory from part A to implement excellent nursing practices.

2. Discuss how the identified theory from part A fits your professional practice.

B. Identify the contributions of two historical nursing figures in the nineteenth or twentieth century.

1. Compare the differences in contributions of the two historical figures identified in part B.

2. Describe how the contributions of the two historical figures influence your professional nursing practice.

C. Explain the functional differences between the State Board of Nursing and the American Nurses Association (ANA).

1. Define the roles of these two organizations.

2. Explain how these two organizations influence your nursing practice.

3. Explain the requirements for professional license renewal in your state.

a. Discuss the consequences of failure to maintain license requirements in your state.

4. Compare the differences between registered nursing license requirements in a compact state versus a non-compact state.

D. Discuss the functional differences between the Food and Drug Administration and the Center for Medicare and Medicaid Services (see the web links below).

1. Discuss how the two regulatory agencies influence your professional nursing practice.

a. Describe your role as a patient advocate in promoting safety when a patient has requested to use an alternative therapy.

E. Discuss the purposes of the Nurse Practice Act in your state and its impact on your professional practice.

1. Discuss the scope of practice for a RN in your state. (New Jersey)

2. Discuss how your state defines delegation for the RN. (New Jersey)

F. Apply each of the following roles to your professional practice:

• a scientist

• a detective

• a manager of the healing environment

G. Identify two provisions from the American Nurses Association (ANA) Code of Ethics (see web link below).

1. Analyze how the two provisions identified in part G influence your professional nursing practice.

2. Describe a nursing error that may occur in a clinical practice (e.g., clinical setting, skills lab, or simulation).

a. Explain how the ANA provisions identified in part G can be applied to the error discussed in part G2.

H. Identify four leadership qualities or traits that represent excellence in nursing.

1. Discuss the significance of the four leadership qualities identified in part H in the nurse’s role as each of the following:

• a leader at the bedside

• within a nursing team or interdisciplinary team

2. Identify how your work environment impacts the following:

• nursing leadership

• decision making

• professional development

I. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

J. Demonstrate professional communication in the content and presentation of your submission.

https://www.cms.gov/

https://ovidsp-dc2-ovid-com.wgu.idm.oclc.org/ovid-a/ovidweb.cgi?QS2=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

https://www.fda.gov/

please use source from

Barbara Cherry, Susan R. Jacob([2019]). Contemporary Nursing (8th Edition). Elsevier Health Sciences (US). https://wgu.vitalsource.com/books/9780323554206

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Solution

Professional Accountability

The Nursing Theory that has altered my goals

The nursing idea that has had a significant impact on my values and objectives in nursing is the Lydia Hall care cure core theory. The model comprises three circles cure, the care, and the core, each circle taking a specific symbolic meaning (Alesandra, 2017). The core refers to the patient, while the cure refers to the medical and nursing interventions provided by the nurses to help the patient. The care refers to the nurturing activities provided by the nurses to aid in patient recovery. The core or the center of the theory Is the patient. All the activities within the other two circles are mainly to ensure the maximum and perfect patient outcome. The theory has changed my values and goals because the patient’s welfare comes first (Alesandra, 2017). Growing up, I always looked forward to helping the sick, and the incorporation of the theory is a perfect step toward my whole career.

Application of the care cure core theory in the execution of the nursing practices.

The theory’s core is the patient who receives the care from the nurses and other practitioners. Therefore, the nurses are obliged to provide care to the patients (Alesandra, 2017). The nurses and other healthcare professionals share the cure circle through pharmacological and cognitive interventions. The actions are meant for the general good and to alleviate the patients from their pathological conditions. The care circle refers to the “motherly” nurturing treatment of the nurses and medical practitioners (Alesandra, 2017). The activities included here are mainly meant to increase patient comfort and improve patient adherence to help achieve the patient’s needs.

How the care cure core theory fits in the professional Nursing Practice

One of the significant components of the professional nursing practice is improving the patient’s condition and alleviating their illnesses. The care cure core theory has the patient as the theory’s core. The theory is divided into three circles (care, core, and cure) (Alesandra, 2017). The core and cure theory are all the servants to the core (patient). Since patient care is the core of the professional nursing practice, the care cure core nursing theory fits into the professional nursing services.

The contributions of two historical nursing figures in the nineteenth or twentieth century.

Florence Nightingale. Florence Nightingale founded seral hospitals like the St Thomas hospital that she mainly founded to help train the nurses for perfect execution of the nurses’ roles (Joyce, 2021). She was also the founder of the polar area diagram that has been massively embraced in modern nursing to highlight and elaborate on how sanitation affects mortality.

Margaret Sanger. Margaret sanger is remembered for her immense effort in founding birth control. The previous centuries had uncontrolled birth rates, and the population was intensely increasing. Margaret’s efforts helped to popularize contraception and the birth control clinic in the U.S. (Joyce, 2021). Additionally, Margaret also played a critical role in legalizing contraceptives in the United States.

The Difference In the contributions of Florence Nightingale and Margaret Sanger

Florence Nightingale mainly pioneered the establishment of medical centers to train nurses in medical competence and aim to improve the care and treatment according to the patients. Florence also helped in the designation of the polar area diagram that has been used to determine how sanitation relates to the death rates (Joyce, 2021). Margaret Sanger, on the other hand, developed birth control. The reason for the foundation by Margaret Sanger was to control the global demography.

The Influence of Florence Nightingale and Margaret Sanger in my Professional Nursing Practice.

Margaret Sanger invented birth control. Some of my patients have massively embraced birth control as a family planning strategy rather than abstinence in my professional nursing practice. The present demographical data is an insinuation that the population is massively increasing, and the strategy forms an effective strategy for managing the population (Joyce, 2021). Birth control is also applicable for patients with reproductive system complications.

Florence nightingale mainly pioneered the establishment of the medical facilities to train the nursing personnel to execute their roles geared toward patient care. I have received massive treatment in several nursing expertise to ensure that the long-term achievement of the patient improvement is achieved (Joyce, 2021). The contribution has also opened my eyes to encouraging my fellow professionals on the significance of training.

Functional differences between the State Board of Nursing and the American Nurses Association (ANA).

The State Board of Nursing is the regulatory body that grants and enforces nursing care licensure standards in the states. The body also qualifies the nurses, provides the nursing scope, and handles the disciplinary matters regarding violations of the codes of conduct (Cherry et al., 2019). The State Board of Nursing is in charge of evaluating licensure applications, issuance of nursing permits, and renewing nursing licenses. It also imposes fines and penalties for violations.

The American Association of Nurses is a nursing organization that focuses on the well-being of nurses. The organization is also on the frontline in promoting equal care for all (Cherry et al., 2019). Some of the special roles of the American Nurses Association are; the promotion of high nursing practice standards, presenting an effective working environment for the nurses, and advocating the health concerns that affect the function and execution of the nursing roles.

The roles of the American Nurses Association

The American Nurses Association promotes high nursing practice standards, provides an effective working environment for nurses, and advocates health issues that impact the performance and execution of nursing tasks.

State Board of Nursing Roles

The State Board of Nursing evaluates the licensure applications, provides licenses to the nurses, licenses renewal the nurses, and disciplinary measures.

State Board of Nursing influence in my profession

The State Board of Nursing is primarily responsible for issuing my operating license, allowing me to renew it after it expires, and establishing ethical guidelines for my career path. The American Nurses Association is mainly charged with providing a conducive working environment while executing our duties (Cherry et al., 2019). The conducive environment considers reduced harassment, provides the working standards, and reduces the health issues that can curb me in my professional service.

Professional license renewal requirements in New Jersey.

According to the New Jersey Board of Nursing, 30 contact hours after the approved CE.  30 participation hours in accepted professional activities, and 320 hours of the confirmed nursing employment period.

Consequences of failure to maintain license requirements in my state.

A license is a legal document that presents my professionalism and working standards. Failure to maintain the licensing requirements results in the withdrawal and withholding of the licenses for the already working practitioners (Cherry et al., 2019). Failure to meet the requirement for the nurses yet to join work will make them ineligible for the license.

Differences between registered nursing license requirements in a compact state versus a non-compact state.

For the compact nursing licensing state, the nurses have the nurses to have the licenses for multiple states. With the compact licensure, the nurses can effectively operate in more than one state (Cherry et al., 2019). The non-compact licensure, on the hand, provides the licensure regulations that allow the nurses to operate in a single state.

Functional differences between the Food and Drug Administration and the Center for Medicare and Medicaid Services

The Food and Drug Administration is the regulatory agency in charge of protecting public health by ensuring the safety of veterinary rigs and other potentially hazardous biological components. The body promotes health by regulating of supply of food and compounds containing radiation (U.S. Food and Drug Administration, 2021). The role of the Food Drug Administration is to market and manufacture tobacco products to control the sale of tobacco to minors. The body is also responsible for promoting food security by promoting medication to respond to emerging health complications.

The Center for Medicare and Medicaid Services is a monitoring agency in charge of the Medicaid administration’s healthcare programs and children’s health insurance plans (U.S. Food and Drug Administration, 2021). Some of the specialized roles of the organization are the provision of medical services to more than 100 people and the facilitation of Health Insurance Systems for children.

Two regulatory agencies influence your professional nursing practice.

The Food Drug Administration. The body is in charge of identifying any harmful substances that may be contained in food and drug substances with a long-term effect on health promotion (U.S. Food and Drug Administration, 2021). The regulation activity of the organization ensures that the food products are safer for consumption, and maintaining nutritional status is the result, which is one of the reasons I work.

The Center for Medicare and Medicaid Services.

The body ensures the management of the healthcare programs in Medicaid administration and the health insurance programs for children. Additionally, the body promotes universal health through health insurance programs (U.S. Food and Drug Administration, 2021). Therefore, the organization helps achieve patient outcomes, which is my mandate while working.

My role as a patient advocate is to promote safety when a patient has requested to use an alternative therapy.

Autonomy is an ethical concern in health. Autonomy states that the patient has the right to decide on what treatment to be accorded, provided it does not harm them. As an advocate for promoting patient safety, when a patient requests an alternative therapy, I will first analyze the safety of the alternative therapy before subjection of the patient (Cherry et al., 2019). By so doing, I will be sure that the patient is equally safe in the alternative therapy.

The purposes of the Nurse Practice Act (New Jersey)

The primary function of the Nurse-Patient Act is to safeguard patients receiving nursing care. Competent nursing practice is deeply rooted in well-written laws that provide the regulatory guidelines while working. Therefore, the Nursing Practice Act provides the regulatory measures and the codes of conduct for my work (Cherry et al., 2019). In my professional work, the Nurse Practice Act ensures that the overall objective of promoting patient health is achieved by providing regulatory measures.

R.N. scope of practice for an in New Jersey

The scope of the Registered Nurses in the provision of medical aid aims to diagnose and treat human complications and issues and alleviate their pain due to health promotion (Cherry et al., 2019). Additionally, the registered nurses provide teaching and awareness services to the general public and promote patient health.

How my state defines delegation (New Jersey)

Delegation is the assignment of duties and the needed activities related to patient care to the responsible personnel while being accountable for the effects of the assigned activities (Cherry et al., 2019). According to the registered nurse’s policy guidelines, the registered nurses must not delegate tasks related to clinical judgments.

Application of terms in my professional practice practice

Scientist

Scientists have been involved in the designation of new modes of handling issues. Nursing sometimes involves the invention of new management strategies for different conditions.

Detective

Nursing is an investigation of different responses to several conditions and drugs. The investigation to identify the favorable response validates the detective role.

Manager of the healing environment

In the clinical setting, several medical wastes are released. Therefore, the nurses must conserve and manage the waste (Cherry et al., 2019). The term “healing environment” refers to the management and preservation of nature.

American Nurses Association Code of Ethics Provisions

Promoting high nursing standards, offering a smooth working environment for nurses, and dealing with health problems that limit the performance and execution of nursing duties.

Effects of American Nurses Association Code of Ethics on professional practice

ANA provides the regulatory standards that I require in my daily role execution. With the provision, I am aware of the dos and the don’ts in my Practice (Cherry et al., 2019). On the other hand, a healthy working environment ensures that I am not mistreated or harassed during the execution o my roles.

The nursing error that may occur in a clinical practice

A poor collaboration among the members of a healthcare team is a frequent error discovered in a clinical setting. The error mainly occurs due to limited understanding among the healthcare providers and other members charged with providing care (Cherry et al., 2019). Other causes of the error can be poor leadership skills executed by the leaders.

How the ANA provisions can affect can be applied in error.

ANA provides the regulatory strategies for the nurses. The regulatory standards can help promote collaboration since collaboration is one of the core principles of perfect execution of the professional nursing practice.

Excellence leadership traits in nursing.

Innovativeness. Nurses need to see beyond what is their eyes. Innovativeness makes it easier for the nurses to solve a problem that occurs within the clinical setup.

Active listening skills. Nursing is an interactive profession, and the patient, at times, the patient wants to be heard. Effective listening skills are an excellent skill that can ensure excellence in nursing.

Strong communicators. Excellent nurses are, no doubt, good communicators. Therefore, strong communication and communication skills are a perfect and excellent strategy for excellence in nursing.

Integrity. Every successful leader promise that integrity is critical in the excellent execution of duties. Integrity is, therefore, a perfect trait in nursing.

The significance of the leadership trait as a;

Leader at the bedside. At the bedside, the patients are, in most instances, overwhelmed by their condition (Cherry et al., 2019). In such instances, excellent listening skills and proper communication strategies are practical to promote compassion and empathy to assure the patient that their situation is shared.

Within the nursing team

Integrity is a perfect strategy that ensures trust among the team members during the execution of the organizational and nursing roles.  

Impacts on Work Environment

Nursing Leadership

An influential and collaborative environment promotes practical leadership skills. In contrast, a poor and uncollaborative environment leads to poor decision-making abilities and thus poor leadership.

Decision making. An inventive and innovative working environment promotes proper decision-making skills. However, an environment that is not innovative will likely inhibit proper decision-making skills.

Professional development. An uncompetitive environment leads to poor professional development due to poor skills that the other team members can borrow. 

References

Alessandra Revilla. (2017, September 16). Lydia Hall: Care, Cure, Core Nursing Theory. Nurseslabs. https://nurseslabs.com/lydia-e-halls-care-cure-core-theory/#:~:text=The%20three%20circles%20are%20the

Barbara Cherry, Susan R. Jacob([2019]). Contemporary Nursing (8th Edition). Elsevier Health Sciences (U.S.). https://wgu.vitalsource.com/books/9780323554206

Joyce. (2021, November 19). Top 10 Famous Nurses That Revolutionized Healthcare | Ameritech. Joyce. https://www.joyce.edu/blog/famous-historical-nurses/

U.S. Food and Drug Administration. (2021). U.S. Food and Drug Administration Home Page. Fda.gov. https://www.fda.gov/

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