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A reflective account of an incident in practice related

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Introduction

A reflective account of an incident in practice related to the code of professional conduct This reflection identifies what I have learnt about the second shared value from the NMC code of professional conduct: "You must respect the patient/client as an individual, ensuring that you promote and protect their interests and dignity irrespective of cultural and religious beliefs" (NMC 2004). I will make reference to one incident that I have experienced in practice using the reflective framework adapted from Gibbs (1988). Confidentiality will be maintained at all times. During my placement I helped to care for a long term oncology patient, admitted with his family in which mum was incredibly competent in caring for her child, as well as being happy and respondent towards the nursing staff on arrival. The family were settled into a room with another family of the same religion, but immediately they closed the curtains surrounding their bed. The curtains remained closed for the remainder of the day, and the behaviour was attributed to the anxieties of the family for their child. ...read more.

Middle

The lack of respect of the client as an individual meant that care was being compromised: "A client who experiences nursing care that fails to be reasonably congruent with his beliefs and values will show signs of cultural conflict, non-compliance or stress to ethical or moral concern" (Leininger 1997 p.2-3). After speaking to mum about her anxieties I felt reassured in my ability to communicate effectively to diffuse the situation, and happy that I was able to subsequently make a difference in the care I was now able to give. The simple acknowledgement of the family's distress meant that I gained the understanding and compliance of mum and was now able to promote justice, and respect the client as an individual. If I could change the experience in any way I would have liked the confidence to gain more insight about my families cultural preferences on admission, therefore avoiding stereotyping them into one particular religion, causing the subsequent withdrawal of the family that compromised care. ...read more.

Conclusion

From this I have realised that it is incredibly important to establish a good rapport with my clients in order to give individualised holistic care, adhering to the code of professional conduct. In the future I aim to apply the knowledge that I have acquired to provide more competent, individualised care using in depth assessments on admission, allowing me to become more sensitive to cultural diversity. "The best way to avoid stereotyping is to view each patient as an individual and to find out cultural preferences using a culture assessment tool to discover and document them for other members of the health care team" (Lippincott 2005 p1). I am encouraged by the number of tools proposed, one example being the ACCESS model (Narayansamy 1999) which promotes sensitivity towards patient's individual cultural/religious and spiritual needs. Reflection within the code of professional conduct has helped me to apply my knowledge and a skill in practice to the competencies set out by the code of conduct, and has allowed me to identify gaps in my knowledge. It is incredibly important to promote clients as individuals in order to give competent care. Not respecting clients cultural values compromises care and takes away client autonomy. ...read more.

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