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KERRY BROWNE 21683549 ACADEMIC TUTOR Moria Sugden INTAKE YEAR 2006 EBL GROUP PFX106 MODULE CODE NCPG1005 WORD COUNT 2410 SUMITTED 25/05/07 This essay will be looking at the three strands of Professional Studies, Evidence Based Practice (EBP), Philosophy of Care and Management of Care. It will discuss the factors which will help develop the promotion of EBP, showing why using these methods are better for the client to ensure it is appropriate to their individual needs. Roach's 5 C's will be discussed as to how relevant they are to nursing care is provided, looking mainly at spirituality and holism. In the closing part of this essay it will look at the different levels of care, Primary, Secondary and Tertiary Care, while identifying systematic processes and legal frameworks which will control the management of care. Evidence based practice can have a range of meanings. Some authors highlight the role of research evidence in clinical decisions, making others have a much wider viewpoint that encompasses the view of both patients and clinicians in informing clinical decisions. Sackett et al (1996) describes it as: "The conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patients". (Fitzpatrick 2007) Trinder and Reynolds (2000) argued that "developments in the accessibility of a range of information sources to inform nursing procedure surfaced at a time when life expectancy was increasing in the developed world." This meant that health care professionals had to respond to the needs of society in providing well informed health care delivery.
This ensures the protection of both the patient and the nurse, however the nurse should then ensure that she becomes competent through education, training and evidence based practice. As part of the NMC, section 6, also states you must keep your knowledge and skills up to date, you also must possess the knowledge, skills and abilities required lawful, safe and effective in your practice without direct supervision. We also have a responsibility once we have qualified to facilitate students of the health profession to develop their competence. Confidence is defined as the quality which fosters trusting relationships. (Tschudin 1992) Most nurses would agree that at the basis of caring lies a trusting relationship without that the whole ethics of caring is lost. Confidence is reciprocal; both parties in a relationship need to trust one another, but when one of the parties is in a professional position, then the other needs to be really sure that the professional can be trusted. As part of the NMC we are required to protect all confidential information. Conscience - can be defined as a state of moral awareness; a compass directing ones behaviour according to the moral fitness of things. (Tschudin 1992) Conscience is at the basis of ethical behaviour. Roach (1987) has a number of aphorisms - like - statements which help to explain the concept. Conscience is an intentional response, deliberate, meaningful and rational. It is also the caring person attitude to the moral nature of things. Conscience is also the call of care and manifests itself as care. Professional caring is reflected in a mature conscience.
Nursing staff should provide holistic care and use Roach's 5 C's in order to achieve this. A good knowledge of current policies and procedures is a must in nursing. They are set in place to ensure that nurses provide competent therapeutic care. The strands discussed in this essay are very important, as a good knowledge of it will enable a nurse to be able to practice to her best ability taking into account a holistic and therapeutic approach. REFERENCE Alexander, F., Fawcett, J and Runciman P (2006) Nursing Practice, Hospital and Home 3rd edition Churchill Livingston London Brown, J and Libberton, P., (2007) Principles of Professional Studies in Nursing, Pelgrave Macmillan Oxford Burnard, P and Chapman, C., (2006) Professional and Ethical Studies in Nursing, 3rd edition, Bailliere Tindall Oxford Clinical Governance, (2007) Wikipedia, available at: http://www.en.wikipedia.org/wiki/clinicalgovernance (Accessed 16th April 2007) Department of Health, (2007) Choosing Health, available at: http://doh.gov.ph (Accessed 11th April 2007) Department of Health, (2007) what is Clinical Governance? Available at http://www.cgsupport.nhs.uk Ewles, L and Simnett, I., (2003) Promoting Health, A Practical Guide. 5th edition, Bailliere Tindall Oxford Fitzpatrick, J., (2007) Finding the Research for Evidence Based Practice. Parts 1 & 2, Nursing Times, Vol 103 No 17 & 18 pp 32-33 Fox, M.., (1979) Spirituality Named Compassion. Minnesota: Winston Press Hunt, J., (2007) An examination of Two models of Professional Nurse Caring, available at: http://www.ciap.health.nsw.gov.au (Accessed 25th April) Kenworthy, N., Snowley, G and Gilling, C., Eds, (2002) Common Foundations in Nursing, 3rd Edition, Churchill Livingston London Richards, A and Edwards, S (2006) A Nurse's Survival Guide to the Ward Elsevier Churchill Livingstone London Tschudin, V., (1992) Ethics in Nursing the Caring Relationship, 2nd Edition, Butterworth Heinemann Oxford 1 klb306
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