Clinical nursing provide direct care and the holistic healthcare needs of the person, including measures to restore emotional, spiritual, social wellbeing and helps the patient and family set goals and meet those goals.
As a manager, the nurse coordinates the activities of other health professionals. The nurse uses critical thinking skills throughout the nursing process to provide effective care. The nurse implement skilled clinical judgment to be exercised within the context of interdisciplinary and multidisciplinary approaches to patient care.
As a teacher or patient educator, the nurse explains to the patient and family concepts, facts about health and demonstrates procedures such as self-management, self-care activities and skill learning. The activities may be unplanned or planned. It should be match the person's capabilities and need.
The nurse researcher investigates problem to improve nursing care and to further define and expand the scope of nursing practice. These are four aspects of research initiating research, consuming research, practicing based on research and reflecting on practice.
Counselor help people to feel better and able to self-reliant. Explore more options for patient and identify her situation assist her to make decision, demonstrates respect for regardless of race, culture, religion, age, Encourage them to communicate with and built u trust for
counselor.
Advocate represent a patient, when they are unable or unwilling to do, the nurse acting as a patient advocate to ensure the most suitable healthcare for the patient. that can potentially decrease communication errors and provide for increased patient safety.
For the effective nurse requires to understand in scientific knowledge, aesthetic knowledge, personal knowledge and ethical knowledge. also autonomy, collaborative and critical thinking, are essential element in professional nursing.
Nursing knowledge and research findings have rapidly expanded. The scientific knowledge base for professional practice is developed through scholarly inquiry of nursing and biomedical research literature. Nurses use the critical thinking to integrate scientific knowledge to apply on clinical situation. Assessment identification of a problem, planning to intervence, intervention and evaluation are steps to make the decision in clinical. nurses make thousands of decisions every day, autonomy is a important part in nursing role. Autonomous nursing care is the ability of a nurse to assess and provide nursing actions as appropriate for patient care based on competence, professional expertise, and knowledge. The nurse is expected to practice autonomously, consistent with professional standards. The nurse also collaborates with the activities of other members of the healthcare team to provide comprehensive nursing care.
All about the knowledge and competency standards have been developed by Australian nursing and midwifery council. The registered nurse are regarded as responsible and accountable for all decisions and actions taken in relation to patient care.
REFERENCES
Crisp, J.,& Taylor C. (2006). Potter & Perry's fundamentals of nursing(2ndEd.) Marrickville: Elsevier
Geldard D & Geldard K. (2001). Basic personal counselling (4 ed).Sydney: Prentice HallRogers
Dawes, M. Davies, P. Gray, A. et al. (2005). Evidence-based Practice: A Primer for Health Care Professionals (2nd ed.). Edinburgh: Elsevier.
Courtney, M. (2005). Evidence for Nursing Practice. Sydney: Elsevier.
Bain, J.D., Ballantyne, R., Mills, C. & Lester, N. C. (2002). Reflecting on practice: student teachers' perspectives.Flaxton, Qld.: Post Pressed
Volp, K.(2006). Let‟s talk Nursing, Part 3: Re-claiming caring. The Queensland Nurse, Sept/Oct, p. 6-7
