Our rapidly changing social structure has resulted insignificant advances in medical knowledge.
With this increasing knowledge, itis inevitable that the delegation of new responsibilities will eventually leadto nurses obtaining new roles and responsibilities. However, due to thesemedical and technological advancements, people are leading a longer life due toless sickness. Therefore, the ageing population can be seen as one of thebiggest challenges facing the 21st century nurse. (Musallem 1969) By 2039, it is estimated thatthe number of people aged 85 and over in Wales will increase by 127%. This increasewill result in increasing numbers of age related conditions. (PHWO 2018) Consequently,nurses are having to recognise that nursing is no longer seen as the short-termtreatment of patients, but as a profession that treats long-term healthproblems, increases dependence and maximises potential wellbeing.
(Long et al 2002)The role of the nurse has evolved and expanded considerablyin response to the changing delivery of healthcare and introduction of newtheories, models and frameworks. (Roper et al 1980). Florence Nightingale initiated the earlydevelopment of the nurse in the 1800’s by using observation and practicalexperience to reform nursing. She was the first woman to use statisticalinformation and therefore laid down the foundations for evidence based care andnursing as a profession.
(Roux & Halstead 2009). Mrs Bedford Fenwickcontributed to Nightingale’s work by publicising the need for nurse registration.She created the British Nurses Association in 1887 to ensure that nurses wereto have no less than 3 years hospital training. (Witz & Annandale 1994) Theseprominent figures in nursing history have therefore created criteria needed forprofessionalism. This is shown today as the use of the title ‘registered nurse’is protected by the law.
Students must undertake the education required andachieve the necessary qualifications needed to be a professional nurse. (RCN2014) This assignment will explore how professional bodies such as the Nursingand Midwifery Council (NMC) use frameworks such as the 4 Themes of The Code (NMC2015) to influence and monitor nurses, professionally, legally and ethically. The NMC exists to protect the public by ensuring that allnurses and midwives adhere to the values and principles presented in the codein any given situation. (NMC 2015) Prioritise PeoplePrioritising people is paramount within nursing.
The codehighlights the importance of recognising diversity, personal choice and toavoid making assumptions. (NMC 2015) In an increasingly cultural diversepopulation, nurses must be able to adapt nursing care to fit with those who mayhave different cultural values and beliefs and so without the awareness ofdiversity within healthcare, the patients safety can jeopardized. (Jeffreys 2008) Although theNHS Constitution (Department of Health 2013) offers a comprehensive service toall ‘irrespective of gender, race, disability, age, sexual orientation,religion, belief, gender reassignment, pregnancy and maternity or marital orcivil partnership status,’ stigmatisation and failure to provide non-discriminatorycare still occurs. By being non-judgemental the nurse follows the moral andethical principle of justice and treating patients in an equitable way. The Equality Act(2010), which has combined previous anti-discriminatory laws within a singleAct, aims to legally protect all from discrimination in the workplace orelsewhere.The nurse can be described as the client advocate as therole has developed gradually, from the traditional view of curing patients, tothat of caring. (Winslow 1984) Health care is being transformed from a diseasemodel of care to one that focuses on human flourishing.
The Patient Protectionand Affordable Care Act (PPAC 2010) made clear that health professionals mustwork together to treat the patient holistically and so nurses must workautonomously and collaboratively to ensure sustainable public health. (Dossey &Keegan 2013) Upholding patients’ dignity is a critical element ofprioritising people. The Fundamentals of Care (2003) state that all humansshould have the basic human rights to ‘dignity, privacy and informed choice.’ The Human Rights Act …The Francis report is anexample of when these act and guidelines are not adhered to and dignity wasclearly not upheld.
Findings showed the appalling standards of care found atMid Staffordshire NHS Foundation Trust as well as the inability of staff to beempathic and compassionate. (Francis Report 2013)