Tuesday, June 4, 2019
Explaining the Nursing NMC Code of Conduct
Explaining the Nursing NMC Code of Conduct(A.) A rule of conduct is a set of customary principles and expectancy that ar considered binding on anybody who is member of a definite group.Nursing and obstetrics practice in the United Kingdom are bound by a set of precepts and standard that set the least requirements for anyone wishing to practice nursing or midwifery within England, Scotland, Wales, Northern Ireland and Island. There is a to a greater extent supercharge set of ethical and behavioural pattern that all contain and midwife working in the United Kingdom must follow (NMC 2008).This is maybe the close important of the pattern set by the regulatory body for nurses and midwives as it comprises the ethical and moral codes that they are expected to obey. The code applies to anyone in the register stock- simmer d admit the importance and contain for codes of practice and conduct goes beyond nurses and midwives and their everyday contact with patients.Even when non on duty , they must still stick to the principles and values comprising the code, oddly as they directly connected to the women and people that they get been in their attending. An example of this is respecting your knob confidentiality.There are no much difference in the NMC code of conduct United Kingdom and that of Nigeria. In the aspect of treating people equally with verboten prejudice and discrimination, all humans are equal and must be inured kindly and with respect.Confidentiality is another important grammatical constituent of the code of conduct which states that sharing of information is not right except in the courtship where the person is at risk of harm or in compliance with a court case.In writing of inform take on one must ensure that the client is of legal sequence which is 18years in Nigeria. In a situation where the client is under remote, the parent or next of kin ratifys the certain consent on his or her behalf.A nurse should maintain boundaries in a master copy by not accepting gift, favours because it might be interpreted as an assay to gain special preference.A nurse should avoid careless, malpractice and abuse while providing care to client.Clients do have a right to know about their conditions.A nurse should be accountable to the public at all time by helping to protect the public against harmful dangers and agents.As a nurse one must be ready to implement global health initiatives and participate in national and international conferences.(B.) Be aware that the rules of obtaining consent pay equally to those who have mental illness. Under mental health act it is very important that clients are checked under statutory powers, knowing the conditions and safeguards unavoidable for giving care and preaching without consent.(C.) An area of the code that I am interested in is the area of informed consent. In Nigeria a clients legal age that allows him or her to sign informed consent is 18 years and above but in a situation where th e client is under aged, the guardian or next of kin arsehole sign the informed consent on his or her behalf. While in the United Kingdom, if the client is (a minor) under the age of 16,it becomes a complex case because it is believed that they are not matured enough to have a superior power of discernment and reasoning to make decision. This is a more similar case with that of Nigeria. Buts the difference is that, in Nigeria even if the client is 16 or 17 years and with parental responsibility the client will still not be given the opportunity to sign an inform consent. However the explicit wish of a minor should be thought about by an investigator, there are gillick competent minors that are able of consenting in their own right to treatment procedures, given that, in the view of the professional concerned, they had gotten the nature of the treatment she is going to have and its potential advantage and disadvantage and were adequately mature intellectually and emotionally to make a judgement.In laid-back indoctrinates in the United Kingdom, consent is important to the appropriateness of treatment and school nurses must have a sound consent before he or she can lawfully go on with treatment for a child. For children who are very young who do not have the power to make consent for treatment, the school nurse will depend confidently on the consent of someone acting on the power of a person with parental responsibility.As a child rows with age the law permits them to make consent to treatment decisions where they have the power to do so. School nurses can go on with treatment plan and advice if the child is seen or considered to be gillick competent.Right to consent is not subject to individual will or judgement without restriction set at puberty it is a must by the school nurse who must be comfortable that the child is old enough to fully understand the consequences of the detail decision they are making. The more complicated the decision, the greater the ma turity and intelligence submited to reach ability, as there will be a freshet for the child to understand.School nurses will need to be comfortable with the child to fully estimate the difficult issues that call for to be considered before they can safely go on that the child has power to consent to treatment.In a case were the child is asking for treatment and counselling in relation to internal activity such as contraceptive, then the nurse must also be sure that they are acting to protect the child and they meet the need of the sexual offences Act 2003.This is best achieved by recording the treatment and counselling given in line with Lord Frasers guidance in Gillick V tungsten Norfolk and Wisbech AHA (1986)School nurses must keep their patients medical needs confidentially. This duty is draw from their legal, pertaining to and professional sense of duty and requires that as a rule they will not open patient information.However, the need to share information with others is v ital to help deliver necessary care and protection of patients. While not proper divine revelation is never welcomed, always using the duty of agency as an excuse never to share information can lead in poor care and even bad report. School nurses must look at each case on its merits. Whenever needed the consent of the patient should be gotten before disclosure.divine revelation of patient information without consent is allowed in the public interest or where regarded by law and it is important that school nurses carefully balance the overall need for confidentiality against the needs and welfare of the patient that might need the information to be shared with necessary source.(D.) The sufficiency of informed consent is a vital part to consider when caring for patients.Weisz Melton (1995) describes informed consent as one of the most debateable issue in health care. This debate becomes even more important in adolescents health care. Informed consent is a technical issue and often d oes build legal and ethical concerns for the adolescent, parents or legal guardian(s) of the adolescents (Sturman, 2005)The legal and ethical connections associated with informed consent are very complicated and present challenges for those finding treatment and those delivering care (Anderson, 2005) an example was when a 16 year old girl walked into the infirmary where I worked as a registered nurse in Nigeria and said she was pregnant and wanted to terminate the pregnancy. She was asked to go and call her parents or guardian to come and sign an informed consent for her before any form of pregnancy termination will be done. She walked up to me thinking probably I could help her out as a young nurse but rather I recognised my responsibility and up held the code of conduct which states that clients who are under aged not above 18 years should be with a next of kin or parents to sign an informed consent.(E.) If it was in the United Kingdom, I would have acted differently because once a child gets to the age of 16 he or she is believed in law to be capable to give consent for themselves for their own medical, dental or surgical procedures. Meaning the young girl would be treated as an adult. Although it is still best practice to advice capable children to involve their parents in decision making. Where confidentiality is involved i must keep her privacy, unless I can justify disclosure on the grounds that I suspect she would likely hurt consequential harm. I would however ask her to involve her parents, unless I see it was not in her best interest to do so.(F.) The four Nursing and midwifery council domains are Competent midwifery practice, Professional and ethical practice, developing others and self and realizing quality care through appraisal and research. As a registered nurse I took personal responsibility for my actions, those I forgot to do and been accountable for any action I take. I could make sound decision while handling the case of my young client i n respect of my personal professional development practice within the range of view of my personal professional capability and drawn-out this scope as needed.Working with minors, a registered nurse should have capability and confident in giving the basic aspect of care. This gives the client and parents more confidence. This confidence and capability strengthens the foundation by ability and practical skills in the area of child growth, communicating with minors and their family members.This self awareness for nurses working with minors needs to be able to give support, educate them and help them understand what they should do and why, to make decisions about treatment choice and to be able to assist themselves meaningfully to their own care. A registered nurse must recognize their emotions, quality of feeling at a particular time and drives. They need to understand how these emotions produce military force on others and their performance. This self awareness requires strict inqui ry into their personal thoughts and experiences. It required carefully weighed analysis of their feelings and how these emotions drive ideas and behaviours.We humans always have automatic reactions to certain interpersonal stimuli. This reverse movement may result from deep-seated suppositions that have taken root over time. Best example of an automatic reaction can be seen when watching group of cows going out to pasture. For unknown reasons, the cows always follow the same path. Humans also create symbolical cow paths in their rejoinder to certain situations, thoughts and emotions. The registered nurse needs to know his or her cow paths in other to raise their self-ability and have self-reliance in situations fraught with the various emotional responses found in health care.REFERENCE LISTChristina, M. (2009). Midwifery regulations in the United Kingdom. In Diane, F and Margaret, C Myles text edition for Midwives. 15th ed. London Churchill Livingstone Elsevier. P83.DOH. (2010). Se eking consent working with children. useable http//www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/dh/en/documents/digitalasset/dh_4067204.pdf. Last accessed 16th may 2011.Janet, F. (2010). Evolution of clinical nurse specialist case and practice in the United State. In Janet, F and Brenda, L Foundations of clinical nurse specialist practice. New York Springers publishing company. P18NMC, UK. (2008). The code Standards of conduct, performance and ethics for nurses and midwives. Available http//www.nmc-uk.org/Documents/Standards/The-code-A4-20100406.pdf. Last accessed 10th May 2011.NMC, Nigeria. (2005). Code of professional conduct. Available http//www.nmcnigeria.org/standards.php. Last accessed 10th May 2011.Nick.B (2009). Legal and ethical issues relating to medicinal products. In John, G and PFDArcy The textual matter of Pharmaceutical Medicine. 6th ed. London BMJ Publishing Group Limited. P354.NMC, UK. (2004). Standards of proficiency for pre-registration nursing educatio n. Available http//www.nmc-uk.org/Documents/Standards/nmcStandardsofProficiencyForPre_RegistrationNursingEducation.pdf. Last accessed 16th May 2011.NMC, UK. (2006). Allegations Warwick, Diana 78A3956E. Available http//www.nmc-uk.org/Hearings/Hearings-and-outcomes/May-2011/Charges-WarwickDiana/. Last accessed 14th May 2011.NMC, UK. (2010). Feedback about the guardians. Available http//www.nmc-uk.org/General-public/Older-people-and-their-carers/Feedback-about-the-guidance-/. Last accessed 12th May 2011.NMC, UK. (2008). Advice for nurses working with children and young people. Available http//www.nmc-uk.org/Nurses-and-midwives/Advice-by-topic/A/Advice/Advice-on-working-with-children-and-young-people/. Last accessed 16th May 2011.Roberson, AJ. (2007). Adolescent informed consent ethics, law and theory to guide policy and nursing research. Journal of Nursing Law. 11 (4), P191-P192. (Accessed 14th May 2011)Griffith, R. (2008). Consent and childrenthe law for children. British journal of s chool nursing. 3 (6), p284.Mark ,A. (2008). School nurses and consentduty of confidence. British journal of school nursing. 3 (8), 380.
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