Development of Self as a Nurse and Practice

Question: Discuss about the Development of Self as a Nurse and Practice. Answer: Introduction In order to maintain the quality of the nursing practices, the nurses of different healthcare institutions need to follow the code of ethics. The code of nursing ethics seems to importance for indicating the nurses about necessary decisions and actions with which they can handle a critical situation (Zahedi et al. 2013). These ethics indicates the nurses to handle their every patient equally and properly, regardless to the gender, class and type of the diseases. In this assignment, the ethical duties of the nurses have been described, depending upon the case study of Mr. Jones that helps to understand the self-development of a patient. Analysis From the case study of Mr. Jones, I have been observed that the patient is a patient of unmanaged diabetes and also has a tendency of alcoholism which has increased after the death of his wife after a long conjugal life. It affects him psychology in such a way that he again starts taking alcohol and ultimately is taken to the hospital with acute abdominal pain with vomiting tendency. The medication procedure of Mr. Jones is basically dependent upon pain relieving medicines, especially Morphine with a limited dose. The assigned nurse of Mr. Jones tries to give relieve to her patient by increasing the dose of Morphine after treating him in other occasions. In order to increase the dose, the nurse indulges in verbal argument with the physician who is concerned with the side effects of the dose of Morphine on the body of Mr. Jones as he is an aged man of fifty nine. According to me, the nurse was trying to decrease the level of pain of her patient, as per the ethics of nurses for which she approached the physician to increase the dose. Ethically there is no fault in the behaviour of the nurse, because she fights for the providing advanced care to her patient, which tends to create an authentic bond between the patient and the nurse. According to Douglas et al. (2014), the four major steps of caring in the nursing profession includes showing concern about care, taking care about something, giving proper care and receive the care. On the contrary, from the viewpoint of Kangasniemi, Pakkanen and Korhonen (2015), the four important care providing measures includes sense of responsibility, attentiveness towards the needs of the patient, sense of competency and the responses of the care receiver. The nurse in this case, fulfills these four factors by being responsible and attentive towards the need of Mr. Jones who feels massive abdominal pain. I thin k, this nurse do have the sense of competence towards the professional responsibility as a nurse which I also need to possess if I want to improve my career as a nurse. Like the nurse, I also need to be attentive towards the needs of my assigned patient along with doing the required actions in order to provide the patient physical relief. The conflicts between the professional nurses with the physicians are very common in the healthcare sector. However, if the nurse tries to implement her own idea and understanding in the medication procedure of the patient by going against the opinion of the doctor, she needs to be assured about the impact of her decision on the health of the patient because she cannot be the responsible one for the death of the patient. However, in my opinion, Mr. Jones specially needs mental assistance from a lovable person on whom he can trust and who can give him proper support and care. If I was the assigned nurse for Mr. Jones, I would have rely on the counseling sessions which can drive away the loneliness of the patient to some extent which can also turn his attention away from his physical ailment. Conclusion In this way, the self development of the nurse who learns from the case study of Mr. Jones has been illustrated vividly. By analyzing the case study, the nurse has learnt that the health security of the patient seems to be the first most things which the medical professionals need to consider. The nurses do have the right to take quick decisions in accordance with the importance of the situation but before that they need to assure the measure from their superiors because if it cause harm to the health of the patient, the nurse will be the responsible one. Therefore, it is important to perform the professional responsibilities with dignity and guidance from the superiors at the workplace. References Douglas, M.K., Rosenkoetter, M., Pacquiao, D.F., Callister, L.C., Hattar-Pollara, M., Lauderdale, J., Milstead, J., Nardi, D. and Purnell, L., 2014. Guidelines for implementing culturally competent nursing care.Journal of Transcultural Nursing,25(2), pp.109-121 Kangasniemi, M., Pakkanen, P. and Korhonen, A., 2015. Professional ethics in nursing: an integrative review.Journal of advanced nursing,71(8), pp.1744-1757 Zahedi, F., Sanjari, M., Aala, M., Peymani, M., Aramesh, K., Parsapour, A., Maddah, S.B., Cheraghi, M.A., Mirzabeigi, G.H., Larijani, B. and Dastgerdi, M.V., 2013. The code of ethics for nurses.Iranian journal of public health,42(1), p.1