Nursing is a diverse and dynamic profession, with many layers that influence how care is ultimately delivered. This paper will explore some of these influences, and outline a Professional Nursing Mission Statement, with a keen look at nursing organizations, ethics, accountability, and professional practice. Mishel’s Theory of Uncertainty in Illness will be explained as a support to the mission statement and support of my personal professional practice. Additionally, two personal anecdotes will be shared regarding the ethical principles of respect for autonomy and beneficence.
Functional Difference between Regulatory Agency and Professional Nursing Organization
The major functional ...view middle of the document...
The NJ board also provides accreditation to nursing schools and approves clinical affiliates. (New Jersey Board of Nursing) In general, the boards of nursing for each state has a detailed list of rules and requirements for licensed nurses, to which we are obligated to adhere. These rules, requirements and laws are specific and precise, and non-negotiable. For example, the NJ board of nursing is clear about which tasks may be delegated, and the obligations of the nurse, under the nurse practice act and the law. (New Jersey Board of Nursing
Professional nursing organizations epitomize the standard which nurses are expected to adhere and form the basis of practice. For example, the American Association of Critical Care Nurses state their values, which undergird the mission and vision as the following, “Ethical accountability and integrity in relationships…leadership to enable individuals to make their optimal contribution…excellence and innovation…and collaboration to ensure quality patient-and family-focused care..” (American Assocation of Critical Care Nurses About Us). These statements are not compulsory, nor are they a legal responsibility for the nurse. They are guidelines of expected professional conduct. As a consequence, professional nursing organizations do have ability to lobby for legislation, but do not have any regulatory authority, and also do not exercise any disciplinary action for nurses. (Matthews, 2012)
Nursing Code Provisions Affecting Practice
The American Nurses Association has clearly defined provisions from the code of ethics, which affect my practice on a daily basis. The first is the provision to care for the patient with compassion and respect, recognizing the dignity, worth and special qualities they were born with. (Code of Ethics for Nurses with Interpretive Statements, 2nd Edition, 2015) This provision goes on to elaborate that as a nurse, we treat patients in this way, no matter their socioeconomic status, type of health issues, or personal characteristics. As a registered nurse on a busy cardiothoracic intensive care stepdown unit, we see patients who are very wealthy, and patients who are uninsured with multiple illegal drug issues. I take this first provision very seriously, ensuring I am providing the best care and advocating vigorously for my patients, without any judgment. Additionally, I address each patient with respect, ensure their questions are answered, and the plan of care is updated after collaboration with the physician. To me, this is providing compassionate care that is fair.
The second provision that influences my practice is the provision 4, which states, “The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care.” (Code of Ethics for Nurses with Interpretive Statements, 2nd Edition, 2015) In my professional practice, this is means that I am...