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Examine and critically analyze this example to demonstrate how four of the seven standards for professional practice have been meet.
Standard 1: Thinks critically and analyses nursing practice
Standard 1 of the ‘Professional standards for Australian Nursing and Midwifery Board mainly guides nurses in their profession to think critically and analyse their practices in order to provide the best care to patients. Often patients come to the cardiac department centre with acute pain in their chest. It becomes extremely important for the nurse on duty to critically analyse the source of the pain (Birks et al. 2016, pg 530). Chest pain may occur from simpler reasons like indigestion, muscle strain or some innocuous reason. However, it may also be due to more serious and potential causes which include life-threatening diseases like acute myocardial infraction. It becomes extremely important for the nurse to maintain the standard of nursing practice in Australia which states that a nurse should critically analyse the patient and his symptoms in order to provide the correct intervention (Scanlon et al. 2016, pg. 135). As in here, the patient was complaining of chest pain, and the nurse should firstly undertake the vital sign analysis, which should be followed by PQRST pain assessment. This will give the idea to proceed with an intervention. Analysing the pain, quality, radiation, severity as well as the time by asking proper questions for proper analysis, the patient can reach a conclusion about what kind of intervention will be helpful for the patient. Often critically analysing the patient results in helping the nurse to understand that whether any of the symptoms are getting neglected or not (Halcomb et al. 2017, pg. 57). If the nurse decides an intervention for the patient with any factors which is not likely to be true for the patient, then the patient may suffer from wrong treatment and hence may be threatening for him. Therefore, the nurse should be very careful and critically analyse the patient’s condition cautiously to provide the best treatment (O'Connell et al. 2014, pg 2732). However, while finalising the intervention, the nurse should also take care to involve the family and the patient and discuss with them the intervention by clearly defining the causal factors for the intervention chosen.
Nursing interventions have the ability to maintain and develop an excellent relationship with patients. Nursing practice will dispel the patient’s uncertainty and fear. In addition, it will offer patients hope in return and confidence. Moreover, it offers the patient a definite peace of mind when a nurse could solve the patient care associated queries. Patients appreciate the nursing intervention during the sharing of vital information and knowledge to the patient, which permits the patient to take their own decision. Nursing practices play an important role in prioritisation to ensure correct diagnosis, management and intervention. Structured nursing intervention such as clear communication among family members and patients can handle the compulsive patient during diagnosis and management. The practice of listening and talking to the patients will solve the care problems. The nurse intervention was found to be important for patients during driving regulations, risk management, medical tests, symptoms management and routine medication (McCarthy et al. 2013, pg. 43).
Standard 2: Engages in therapeutic and professional relationships
Engaging in therapeutic and professional relationships is another standard called the Standard 2 of the 'Professional standards for Australian Nursing and Midwifery Board' that should be followed by the nurse on duty. While the patient has visited nurse with a severe ache in his cardiac region, besides maintenance of the personal relationship with the patient; nurse also needs to follow the standard clinical procedure for patient recovery (Kleinpell et al. 2016, pg 9). The nurse should also maintain dignity and respect of the person so that patient feels that their choices and values are considered and paid importance to. The nurse should also help in the maintenance of a culture which involves discussions and supports from other health professionals and participating in collaborative approaches and practice notifying each other. The nurse should also help the patients with suggestions that would direct the resources that will help in the optimisation of health-related decisions (Scanlol et al. 2016 pg. 242). In this case of the person suffering from cardiac problems, once the nurse recognises the real reason behind it, the nurse needs to perform tasks maintaining Standard 2 of the guidelines. After recognising that the person is suffering from myocardial infarction, for example, the nurse should make the patient aware of the disorder that the patient is suffering from. Here the nurse, after informing the patient of their disorder, need to ask for patient permission to provide them with the intervention of taking glyceryl tri-nitrate which act as coronary vasodilators. This is done to maintain dignity, autonomy and respect of the patient. After prescribing for morphine to relieve the patients’ pain, the nurse should inform senior staff in order to assure anything else should be done or not (Melnyk et al. 2014, pg 10). Collaborative practices tend to provide a better outcome negating any ill effects on the patient. Like a professional nurse should also document the vital signs, note down the result of the PQRST pain assessment, order diagnostic tests and others. This type of professionalism is to be maintained to avoid any legal complications.
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