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Discuss about the Professional Code and Guideline for Nurses.

Code of Conduct for Nurses

Code, policy, ethics, and standards are essential for the nursing and midwifery profession since it acts as a guide to safe practice when undertaking their role (Ross, Barr, & Stevens, 2013). Nursing and Midwifery Board of Australia NMBA is vital when it comes to regulating and guiding the nursing profession within the country (Crettenden, et al., 2014) NMBA is an association that was established by the parliament to safeguard the public community by ensuring that all nurses and midwives offer care of high quality to the patients. NMBA body has come up with the standards for practice, conducts and advice for nurses as well as midwives (Katsikitis, et al., 2013). Moreover, it also investigates any allegation of misconduct from nurses and deregisters those who are unfit for practice. Through the help of the video, this paper will discuss how the nurse who was on duty breached ICN code of ethics, code of conduct for Nurses, social media policy, and Register Nurses standard for practice when handling Mr. Stanley who was the patient at the hospital. Additionally, this paper will also discuss the correct nursing practice that the health healthcare providers in each incident could have observed while attending to the patients  

The code provides a strong foundation for safe practice as well as guidance on vital issues like harassment cultural safety and bullying. Therefore, midwives and nurses are required to meet the standards which are set by the code established by the NMBA (González?de et al., 2015). The code describes different principles of behavior that helps in guiding safe practice by outlining the conduct expected from the nurses as well as the entire community (Levati, 2014). From the video, it is noticed that the health care provider who was handling Mr. Stanley was so uncaring. The patient is heard saying that he has been uncared for over an extended period. During the conversation with the health care provider, Mr. Stanley claims that the nurse has not been around for two days. The nurse was also heard saying that she took sometimes with an old patient who was suffering from prostate cancer and was visiting the hospital for the second time. Therefore, this means that the nurse spends a lot of time with the outside her workstation leaving Mr. Stanley unattended to for an extended period. Thus, the nurse breached the professional behavior code that is vital in ensuring that safe practice, as well as outlines that are expected of the nurses by their colleague and the entire community, is followed. From the video, it can be concluded that the nurse failed to apply the correct code of conduct established by NMBA. Her behavior failed to meet the expectation of the client and the code of conduct. The nurse was supposed to apply person-centered as well as making decisions to ensure that Mr. Stanley received quality and safe care (McNamara, 2012). The nurse was expected to attend to the patients instead of talking to the old patient who has prostate cancer and visiting the hospital for the second time. Additionally, the nurse was supposed to actively address their indifference with the patient due to lack of care when she away for two days. Furthermore, he was supposed to treat the patient with respect and ensure that she has maximum involvement with Mr. Stanley for care and safety purposes.

ICN Code of Ethics

ICN Code of Ethics plays an essential role in guiding nurses in their daily choices and decision aimed towards ensuring the safety and care of the patient. The ICN Code of Ethics guide and supports the nurses towards refusal to be part of any activity which is capable of conflicting with caring and healing of the patient (Pollock, 2012). From the video, it is evidenced that the nurse went against the ICN Code of Ethics. The nurse is heard saying that she always share the information of the patient he is taking acre off to her mother. According to the nurse, her mother often loves to know about the health status of the patient that her daughter is taking off within the healthcare setting. By revealing the health status of Mr. Stanley to her parent, the nurse went against the ICN Code of Ethics that calls for respect for the patient right which includes right to dignity (Basevi, Reid,  & Godbold, 2014). Revealing to Mr. Stanley that she always share clients information to her mother could interfere with the healing of the patient. Due to her absenteeism for two days and reveal the patient information to her parents, the nurse failed to create a conducive and ethical environment of mutual trust and confidence that can play I vital role in ensuring quick recovery of Mr. Stanley. The correct practice that the nurse handling Mr. Stanley ought to have observed is non-maleficence which refers to doing no harm either intentional or unintentional (Zahedi, et al., 2013). The nurse was supposed to maintain client safety, preservation of his right such as autonomy, dignity, and confidentiality while providing safe, competent and high-quality nursing care. Additionally, the nurse would have acted with fairness to the patient when it comes to distribution of healthcare services. From the Video, Mr. Stanley seems worried and not satisfied with the healthcare services that he is received in the hospital. Therefore, he tries to convince the nurse who is taking care of him with money so that the nurse checks on him regularly. Fairness and equal distribution of healthcare among all the patients is the correct practice that the nurse must adopt. There must be fairness and equitable distribution of care services to all patients.

The use of social media such as Facebook, Twitter Instagram among others is expanding rapidly. Organizations, as well as individuals, are quickly embracing various user-created platforms like personal websites, blogs, social network and microblogs for activities such as advertisement and education activities. Whether online activities are limited to a particular group of people or if the public can see it, healthcare providers are required to ensure that they maintain and uphold professional standards as well as being aware of consequences of their deeds (Barry, & Hardiker, 2012). Therefore, healthcare providers are expected to be mindful when circulating patient information on the social media may end up being in the public domain and stay there for an extended period regardless of the motive irrespective of the purpose during the time of posting (Kubheka, 2017).  Therefore, the nurse breached the social media policy by taking a picture with Mr. Stanley while on the hospital bed. From the video, the nurse is being heard saying that her mother is a big fan of social media hence she is going to post the picture on her Facebook page so that her mother could be in a position to see and like the picture. According to section 133 of the NMBA on social media policy, the law bar nurses from communicating on social media through posting of their client picture since it goes against the patient right to privacy as well as confidentiality (Basevi, et al., 2014). Nurses taking picture with the client is allowed since it helps make the patient feel loved and appreciated. Therefore this can help fasten the recovery process for the patient. Thus taking the picture with Mr. Stanley and not posting it on social media is the best nursing practice that the healthcare provider should have observed. Additionally, the nurse should have sought the consent of the patient and his family if they will be okay when the picture of Mr. Stanley is posted on the social media while in the hospital bed. Finally, should have read the social media policy and understand them before posting Mr. Stanley picture on the social media.

Social Media Policy

Register Nurses Standard for Practice applies to all nurses within the entire field of their practice. The standards are supposed to be employed in conjunction with the guidelines, codes, and ethics for nursing and midwifery practiced.  According to Register Nurses Standard for Practice, healthcare professionals are expected to engage only an in therapeutic and professional relationship that aims toward quick recovery of the patient (Gunningberg, et al., 2015). However, from the video, it is evidenced that the nurse handling Mr. Stanley breached this practiced. The nurse is heard engaging her favorite patient with stories other sick patients within the hospital. Additionally, the nurse also informs the client that her mother likes to know what is going on in the hospital concerning the health of various patients. In the video, the nurse is also heard telling Mr. Stanley that some male colleague was jealous since she was in love with the patient.  Therefore, this means that the relationship that the nurse was having with the patient went over the professional boundary to a personal one.  All this are against the Standard for Practice expected from a registered nurse. Additionally, the nurse failed to reports the conducts of her colleague who she claimed was jealous of her relationship with Mr. Stanley making. Therefore, this made her colleague be in bad-temper with her hence she was going to have a long day. According to The standard of Practice for registered nurses, the best nursing practice that she should apply is reporting the misconduct of her colleague to the top management of the hospital (Melnyk, Gallagher?Ford, Long,  & Fineout?Overholt, 2014). Additionally, should have established and sustained her relationship with the client in a manner that distinguishes boundaries between professional as well as personal association. She ought not to have had a love relationship with the patients since it breaches dignity, values, rights and cultural safety and competency with the hospital settings (Heuss, Froehlich, & Beglinger, 2012).

Conclusion

Nurses play a vital role in care provision as well as promoting an environment in which human values, rights, spiritual belief customs and family are respected. Nurses face various Code, policy, ethics, and standards in their professional practice aimed at ensuring that there are provisions of adequate and quality healthcare.  According to the recent research, there has been a great need for the nurse to enhance their code, ethics, and standards of practice within the healthcare settings. With the emergences of technological advances, nurses need to be cognizant of their ethics, standard and conduct when handling different patients. Therefore, they should ensure that their behaviors advocate for equity, social justice, and quality healthcare. Acting professionally among the nurses will enable them to create a positive working environment thereby maintaining safe equitable and social condition which enhances their relationship with their colleagues and patients.

References

Barry, J., & Hardiker, N. (2012). Advancing nursing practice through social media: a global perspective. OJIN: The Online Journal of Issues in Nursing, 17(3).
Basevi, R., Reid, D., & Godbold, R. (2014). Ethical guidelines and the use of social media and text messaging in health care: a review of literature. NZJ Physiother, 42(2), 68-80.
Crettenden, I. F., McCarty, M. V., Fenech, B. J., Heywood, T., Taitz, M. C., & Tudman, S. (2014). How evidence-based workforce planning in Australia is informing policy development in the retention and distribution of the health workforce. Human Resources for Health, 12(1), 7.
González?de Paz, L., Kostov, B., Sisó?Almirall, A., & Zabalegui?Yárnoz, A. (2012). A Rasch analysis of nurses’ ethical sensitivity to the norms of the code of conduct. Journal of clinical nursing, 21(19pt20), 2747-2760.
Gunningberg, L., Mårtensson, G., Mamhidir, A. G., Florin, J., Athlin, Å. M., & Bååth, C. (2015). Pressure ulcer knowledge of registered nurses, assistant nurses and student nurses: a descriptive, comparative multicentre study in Sweden. International wound journal, 12(4), 462-468.
Heuss, L. T., Froehlich, F., & Beglinger, C. (2012). Nonanesthesiologist-administered propofol sedation: from the exception to standard practice. Sedation and monitoring trends over 20 years. Endoscopy, 44(05), 504-511.
Katsikitis, M., McAllister, M., Sharman, R., Raith, L., Faithfull-Byrne, A., & Priaulx, R. (2013). Continuing professional development in nursing in Australia: Current awareness, practice and future directions. Contemporary nurse, 45(1), 33-45.
Kubheka, B. (2017). Ethical and legal perspectives on use of social media by health professionals in South Africa. South African Medical Journal, 107(5), 386-389.
Levati, S. (2014). Professional conduct among registered nurses in the use of online social networking sites. Journal of advanced nursing, 70(10), 2284-2292.
McNamara, S. A. (2012). Incivility in nursing: Unsafe nurse, unsafe patients. AORN journal, 95(4), 535-540.
Melnyk, B. M., Gallagher?Ford, L., Long, L. E., & Fineout?Overholt, E. (2014). The establishment of evidence?based practice competencies for practicing registered nurses and advanced practice nurses in real?world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence?Based Nursing, 11(1), 5-15.
Pollock, K. (2012). Procedure versus process: ethical paradigms and the conduct of qualitative research. BMC medical ethics, 13(1), 25.
Ross, K., Barr, J., & Stevens, J. (2013). Mandatory continuing professional development requirements: what does this mean for Australian nurses. BMC nursing, 12(1), 9.
Zahedi, F., Sanjari, M., Aala, M., Peymani, M., Aramesh, K., Parsapour, A., ... & Dastgerdi, M. V. (2013). The code of ethics for nurses. Iranian journal of public health, 42(Supple1), 1.
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