Distinguish the roles and responsibilities of a nurse in the selected specialty practice area

Distin" rel="nofollow">inguish the roles and responsibilities of a nurse in" rel="nofollow">in the selected specialty practice area. [LO 1.] In this module we will explore the role of the specialist nurse, in" rel="nofollow">includin" rel="nofollow">ing identifyin" rel="nofollow">ing the special skill set of the specialist nurse in" rel="nofollow">in your elective area. We will identify some of the physical and emotional safety issues related to the specialty and determin" rel="nofollow">ine some strategies you can use to keep yourself safe. We will conclude the module with examin" rel="nofollow">inin" rel="nofollow">ing the legal aspects associated with the specialty, both in" rel="nofollow">in terms of your responsibilities and the responsibilities of the employer. In Australia specialty nursin" rel="nofollow">ing practice is a post graduate qualification. As registered Nurses you can work in" rel="nofollow">in any area of nursin" rel="nofollow">ing, so what defin" rel="nofollow">ines specialty practice? What is the difference between a nurse practitioner and an advanced practice nurse as opposed to someone who has worked in" rel="nofollow">in same clin" rel="nofollow">inical area for 10yrs or someone who has a postgraduate certificate or Diploma in" rel="nofollow">in specialty area. Roles and Responsibility The roles and the responsibility (scope of practice) of the registered nurse are defin" rel="nofollow">ined by the Nursin" rel="nofollow">ing & Midwifery Board of Australia (NMBA) in" rel="nofollow">in consultation with in" rel="nofollow">industry and other governin" rel="nofollow">ing nursin" rel="nofollow">ing bodies. The NNMBA also have defin" rel="nofollow">initions pertain" rel="nofollow">inin" rel="nofollow">ing to nurse practitioners and advanced practice nurses. The followin" rel="nofollow">ing will help you establish a basis for your reflection and enable you to complete the activity http://www.nursin" rel="nofollow">ingmidwiferyboard.gov.au/document/default.aspx?record=WD13%2F10753&dbid=AP&chksum=ke%2FhMxMHGxnQev5BI%2B0ueQ%3D%3D Shields (2013) discusses the role of the nurse in" rel="nofollow">in a reflective personal essay that makes for in" rel="nofollow">interestin" rel="nofollow">ing readin" rel="nofollow">ing on how nursin" rel="nofollow">ing is viewed and where Australian nursin" rel="nofollow">ing fits in" rel="nofollow">in the global scene. It makes for a good in" rel="nofollow">introduction to the elective and to the module. Please read this article: Shields, L. (2013). A personal essay on the role of the nurse. Contemporary Nurse: A Journal for the Australian Nursin" rel="nofollow">ing Profession, 43(2), 213-218 http://ezproxy.acu.edu.au/login" rel="nofollow">in?url=https://search.ebscohost.com/login" rel="nofollow">in.aspx?direct=true&db=ccm&AN=2012257501&site=ehost-live Havin" rel="nofollow">ing read the above articles it is time to explore what you know and understand about the role of the specialty nurse within" rel="nofollow">in your clin" rel="nofollow">inical practice area. consider what you already know is relation to the NMBA standards of practice for registered nurses. If all registered nurses need to meet these standards then what more is expected of someone with specialty experience? To explore the role of the specialist nurse in" rel="nofollow">in the area of your elected specialty: • Fin" rel="nofollow">ind the job description for a clin" rel="nofollow">inical nurse in" rel="nofollow">in your specialty area and read it. • Identify the characteristics of the role that is beyond the generic description of the role of a registered nurse, that is, identify what makes the person a specialist in" rel="nofollow">in the area. • Speak to one of the clin" rel="nofollow">inical nurses and ask him/her how they acquired the knowledge and skills that makes a specialist in" rel="nofollow">in the area. You might ask them about what facilitators and barriers they dealt with in" rel="nofollow">in the course of developin" rel="nofollow">ing their specialty knowledge. Write down some key messages you learned from these conversations. Physical and emotional safety Stayin" rel="nofollow">ing safe physically is important and discussed frequently. Nurses are very aware of issues such as manual handlin" rel="nofollow">ing competencies and workplace health and safety issues, but perhaps not as aware of emotional safety issues. We will explore both in" rel="nofollow">in this section, but place it in" rel="nofollow">in the local context, by examin" rel="nofollow">inin" rel="nofollow">ing the environment you are workin" rel="nofollow">ing in" rel="nofollow">in. To get you thin" rel="nofollow">inkin" rel="nofollow">ing, here is a lin" rel="nofollow">ink to a book chapter on Personal Safety for Nurses (Trin" rel="nofollow">inkoff et al., 2008), in" rel="nofollow">in Hughes(2008) Patient Safety and Quality: an Evidence-Based Handbook for Nurses, AHPRO publication from the U.S. Department of Health and Human Services, on safety. Admittedly it is from an American perspective, but useful nonetheless,: http://archive.ahrq.gov/professionals/clin" rel="nofollow">inicians-providers/resources/nursin" rel="nofollow">ing/resources/nurseshdbk/Trin" rel="nofollow">inkoffA_PSN.pdf The next readin" rel="nofollow">ing is an systematic review lookin" rel="nofollow">ing at stress in" rel="nofollow">in the Australian nursin" rel="nofollow">ing workforce. Lim, J., Bogossian, F., & Ahern, K. (2010). Stress and copin" rel="nofollow">ing in" rel="nofollow">in Australian nurses: a systematic review. International Nursin" rel="nofollow">ing Review, 57(1), 22-31. doi:10.1111/j.1466-7657.2009.00765.x http://ezproxy.acu.edu.au/login" rel="nofollow">in?url=https://search.ebscohost.com/login" rel="nofollow">in.aspx?direct=true&db=ccm&AN=2010556606&site=ehost-live As a way of explorin" rel="nofollow">ing safety issues in" rel="nofollow">in your specialty area: • Take some time to talk to the staff in" rel="nofollow">in your chosen specialty and ask them what safety issue, whether physical or emotional, concerns them the most. • Ask them to identify some of the stressors in" rel="nofollow">in their current environment • Fin" rel="nofollow">ind one primary research article that examin" rel="nofollow">ines this issue, read it and document a brief summary of the fin" rel="nofollow">indin" rel="nofollow">ings. In your summary mention one strategy identified from your readin" rel="nofollow">ing that will help you to keep yourself safe from this risk. Legal Obligations As you will be well aware by now, nursin" rel="nofollow">ing is subject to a number of legal and ethical imperatives. We operate under a nursin" rel="nofollow">ing code of conduct and a specific act of parliament. These codes and laws are designed to protect patients and clients, but also nurses. The profession of the nurse is protected by law, and the title of nurse cannot be used without proper qualification and registration by an accredited authority. But nurses also operate under other legal requirements: mandatory reportin" rel="nofollow">ing of suspected child or elder abuse. Here is a lin" rel="nofollow">ink to the mandatory reportin" rel="nofollow">ing requirements for suspected child abuse in" rel="nofollow">in the different states and as you can see it is not consistent across states either. http://www.aifs.gov.au/cfca/pubs/factsheets/a141787/ And here is another lin" rel="nofollow">ink to an article explorin" rel="nofollow">ing issues of fin" rel="nofollow">inancial abuse of older adults in" rel="nofollow">in residential aged care. Tilse, C., & Wilson, J. (2013). Recognisin" rel="nofollow">ing and respondin" rel="nofollow">ing to fin" rel="nofollow">inancial abuse in" rel="nofollow">in residential aged care. The Journal of Adult Protection, 15(3), 141-152. doi:http://dx.doi.org/10.1108/JAP-11-2012-0025 http://ezproxy.acu.edu.au/login" rel="nofollow">in?url=http://search.proquest.com/docview/1413254911?accountid=8194 There may be specific legal obligations associated with your specialty elective. • Talk to the senior staff (unit manager or clin" rel="nofollow">inical nurses) about legal obligations specifically related to your chosen specialty. It may not necessarily be mandatory reportin" rel="nofollow">ing issues, but be related to other issues. Areas to explore may be confidentiality issues when a person is cognitively impaired or underage, has a positive HIV status and is sexually active, and so on. For this section you can thin" rel="nofollow">ink outside the square about legalities of what nurses can and cannot do. Identify one aspect of your legal obligations related to your specialty and write a short paragraph on how you would ensure you honour your legal obligations while workin" rel="nofollow">ing in" rel="nofollow">in this area. Module one looked at the specific rights and responsibilities of the registered nurse in" rel="nofollow">in a specialty clin" rel="nofollow">inical area, in" rel="nofollow">includin" rel="nofollow">ing from the perspective of keepin" rel="nofollow">ing the nurse and her/his patients/clients physically and emotionally safe. It also raised the issue of legal responsibilities and identified issues specific to the specialty area For your assessment: write a 350 word paragraph on an issue of safety or of legal responsibility that you explored in" rel="nofollow">in some depth, ensurin" rel="nofollow">ing it is specifically related to the specialty area. Onlin" rel="nofollow">ine Module Two Promote the rights of clients and carers and their role in" rel="nofollow">in treamtent plannin" rel="nofollow">ing and recovery [LO6] Herrin" rel="nofollow">ing (2007) asks this question: ‘where are the carers in" rel="nofollow">in healthcare law and ethics?’ This is a thought provokin" rel="nofollow">ing question. Herrin" rel="nofollow">ing makes the poin" rel="nofollow">int that the role of carers is often devalued and their opin" rel="nofollow">inion is not considered, because our healthcare is too focused on the in" rel="nofollow">individual only. Modern healthcare promotes partnerships with patient/clients and their carers, encouragin" rel="nofollow">ing them to take responsibility for their health. The question for us as nurses, therefore, is: ‘how do we support that partnership?’ Activities and Readin" rel="nofollow">ings 'Where are the carers in" rel="nofollow">in the healthcare law and ethics'. It is important to understand that while the holistic approach to health care is preferred it is hard to balance the rights of all parties. What is the nurse's role in" rel="nofollow">in ensurin" rel="nofollow">ing carers and patients/clients have a say and that all opin" rel="nofollow">inions are respected. Sharin" rel="nofollow">ing of in" rel="nofollow">information is fundamental to this consideration. The carers play an important role in" rel="nofollow">in providin" rel="nofollow">ing in" rel="nofollow">information to health care professionals but do they have any rights to be consider in" rel="nofollow">in the decision makin" rel="nofollow">ing of care if there is no legal directive. The patient/client has rights but do the carers have rights as well. Further to this ethical theorie are often at the foundation of nurse's approach to care. Ethics of Care theory claims that moral agents (carers, clients, health care professionals and in" rel="nofollow">institutions) are not separate entities and that the application of universal ethics is not in" rel="nofollow">in appropriate. This theory is based on consensus ethics which in" rel="nofollow">incorporates the views of all in" rel="nofollow">involved in" rel="nofollow">in care (Freegard & Isted, 2012). Read the followin" rel="nofollow">ing articles as a startin" rel="nofollow">ing poin" rel="nofollow">int, there are many similar articles out there that you can source for further readin" rel="nofollow">ing. It might be good idea to brin" rel="nofollow">ing out the ethics text book again" rel="nofollow">in and revise the ethical theories related to this matter. Once you have completed the readin" rel="nofollow">ings undertake the activities to fin" rel="nofollow">ind in" rel="nofollow">information on how the in" rel="nofollow">institution you are workin" rel="nofollow">ing views these issues, then complete the component of the assessment task. READING Herrin" rel="nofollow">ing, J. (2007). Where are the carers in" rel="nofollow">in healthcare law and ethics? Legal Studies, 27(1), 51-73. doi: 10.1111/j.1748-121X.2006.00037.x http://ezproxy.acu.edu.au/login" rel="nofollow">in?url=https://search.ebscohost.com/login" rel="nofollow">in.aspx?direct=true&db=a9h&AN=23894339&site=ehost-live Gold, M., Philip, J., McIver, S., & Komesaroff, P. A. (2009). Between a rock and a hard place: explorin" rel="nofollow">ing the conflict between respectin" rel="nofollow">ing the privacy of patients and in" rel="nofollow">informin" rel="nofollow">ing their carers. Internal Medicin" rel="nofollow">ine Journal, 39(9), 582-587. doi:10.1111/j.1445-5994.2009.02020.x http://ezproxy.acu.edu.au/login" rel="nofollow">in?url=https://search.ebscohost.com/login" rel="nofollow">in.aspx?direct=true&db=mdc&AN=19619218&site=ehost-live ACTIVITY Most health care organisations have a patient charter or similar document that is given to patients or clients in" rel="nofollow">in the care of the organisation, to explain" rel="nofollow">in their rights. • Fin" rel="nofollow">ind this document for your specialty area and read it. • Consider, who is it aimed at and does it in" rel="nofollow">include the rights of the carers as well? • Is the organisational charter proscriptive in" rel="nofollow">in nature allowin" rel="nofollow">ing no room for flexibility based on ethical considerations It would also be worth fin" rel="nofollow">indin" rel="nofollow">ing out if the health care organisation has specific policies to cover the rights of patients/clients and their carers. • Go to the organisation’s policies and procedures manual or web page, and fin" rel="nofollow">ind out what the relevant policies are. • Are there policy for each party or just a general policy that is in" rel="nofollow">inclusive, again" rel="nofollow">in is there flexibility in" rel="nofollow">in the policy Jot down some answers to these poin" rel="nofollow">ints as they will assist you in" rel="nofollow">in completin" rel="nofollow">ing the assessment task 3 component for this module Module two looks specifically at the rights of clients and in" rel="nofollow">in more depth the rights of their carers in" rel="nofollow">in the process of treatment and recovery. It raises some questions about how the nursin" rel="nofollow">ing profession views and deals with the rights of the carers and their need for in" rel="nofollow">information, particularly in" rel="nofollow">in the context of patients/clients who may lack in" rel="nofollow">insight in" rel="nofollow">in their care needs. For your assessment: write a paragraph of 400 words on your understandin" rel="nofollow">ing of the dilemma of providin" rel="nofollow">ing in" rel="nofollow">information to carers while considerin" rel="nofollow">ing the confidentiality concerns relatin" rel="nofollow">ing to the patient/client. Don't forget to consider the ethical implications in" rel="nofollow">in your consideration of the issues. Onlin" rel="nofollow">ine Module Three Reflect on the personal perceptions and meanin" rel="nofollow">ing of health, illness, dyin" rel="nofollow">ing and death as appropriate in" rel="nofollow">in the specialty practice area. [LO7] The perspectives on and understandin" rel="nofollow">ing of health, illness, dyin" rel="nofollow">ing and the experience of someone’s death is a very personal matter and the meanin" rel="nofollow">ing a persona ascribes to it varies from person to person. As nurses it is important for us to understand that different people view these concepts and experiences in" rel="nofollow">in a variety of ways, and some of those ways may surprise or even dismay us. Readin" rel="nofollow">ings and Activities For this module you are asked to explore some of the writin" rel="nofollow">ings in" rel="nofollow">in the public domain" rel="nofollow">in on how people have made meanin" rel="nofollow">ing of their health related issues. Explorin" rel="nofollow">ing how people perceive a variety of issues in" rel="nofollow">in health, illness and dyin" rel="nofollow">ing may help us make meanin" rel="nofollow">ing of it, both in" rel="nofollow">in terms of our own views on these concepts, and in" rel="nofollow">in terms of how the people in" rel="nofollow">in our care or people related to those in" rel="nofollow">in our care, may respond to alterations in" rel="nofollow">in health and experience illness. Reflection is not a new concept, the ancient Greek philosopher Plato in" rel="nofollow">insisted that reflection and ultimately change was important component of our humanity. Reflection is not an artificial technique it is in" rel="nofollow">inherently human and reflection and action are the impetus for change and personal improvement (Daly, Speedy & Jackson, 2014). This bein" rel="nofollow">ing said in" rel="nofollow">in order to reflect fully we must know ourselves well, our drive, ambition and prejudices if we are goin" rel="nofollow">ing to understand others fully. Here are some examples to get you started. https://www.youtube.com/watch?v=PWbO6EgFpzg https://www.youtube.com/watch?v=fb0FwrZH2q4 READING The followin" rel="nofollow">ing article relates to in" rel="nofollow">informal carer, while the article is based in" rel="nofollow">in Europe there is relevance to Australian Health care system with in" rel="nofollow">increasin" rel="nofollow">ing number of community and home services Plank, A., Mazzoni, V., & Cavada, L. (2012). Becomin" rel="nofollow">ing a caregiver: new family carers' experience durin" rel="nofollow">ing the transition from hospital to home. Journal Of Clin" rel="nofollow">inical Nursin" rel="nofollow">ing, 21(13/14), 2072-2082. doi:10.1111/j.1365-2702.2011.04025.x http://ezproxy.acu.edu.au/login" rel="nofollow">in?url=https://search.ebscohost.com/login" rel="nofollow">in.aspx?direct=true&db=ccm&AN=2011567962&site=ehost-live ACTIVITY Fin" rel="nofollow">ind three articles from magazin" rel="nofollow">ines, journals, blogs, onlin" rel="nofollow">ine postin" rel="nofollow">ings (most numerous), where the person writes about the meanin" rel="nofollow">ing an illness has had for them. Preferably this will be from your area of specialty practice however this may prove difficult for some specialties in" rel="nofollow">in this case pick a specialty area that in" rel="nofollow">interests you where there is in" rel="nofollow">information available. Choose one article each from the followin" rel="nofollow">ing perspectives or poin" rel="nofollow">ints of view. • From the perspective of the person bein" rel="nofollow">ing cared for • From the perspective of the person closest to them (partner, parent, child, etc) • From the perspective of a health professional carin" rel="nofollow">ing for such a person Choose one of your readin" rel="nofollow">ings and write a reflection on how that has changed your perspective or given you some in" rel="nofollow">insight in" rel="nofollow">into the meanin" rel="nofollow">ing illness has for a particular person. When writin" rel="nofollow">ing your reflection make sure you consider your own perceptions, morals and ethics. Module three gave you the opportunity to explore how the various people we in" rel="nofollow">interact with in" rel="nofollow">in the health care environment make meanin" rel="nofollow">ing of their illness and of their situation. It has also given you the opportunity to reflect on how you relate to that and to make meanin" rel="nofollow">ing of your own experiences. For your assessment: Review and refin" rel="nofollow">ine your reflection from the activity for this module to a 350 word paragraph. Format: Module 1 350 word paragraph: Issue of safety or of legal responsibility specifically on a surgical ward Module 2 400 word paragraph: understandin" rel="nofollow">ing of the dilemma of providin" rel="nofollow">ing in" rel="nofollow">information to carers while considerin" rel="nofollow">ing the confidentiality concerns relatin" rel="nofollow">ing to the patient/client. Consider ethical implications in" rel="nofollow">in consideration of the issues. Module 3 Reflection from the activity. Refer to Onlin" rel="nofollow">ine module three above. Reference: years 2010 and above only. 1-2 references per paragraph Reference list in" rel="nofollow">in APA format