Advanced Profession Practice
This essay will turn to the issue of going an accountable professional practician. I will discourse the issues around accountable professional pattern as I see them and research what these mean for my nursing pattern, I will so reason with the chief points I have raised and deductions for my hereafter pattern.
Merely what is an Accountable Professional Practitioner? Possibly it would be best to analyze what answerability means within the health care puting. The NMC Code ( 2008 ) states that “you are personally accountable for actions and skips in your pattern and must ever be able to warrant your decisions.” Although this definition is utile it lacks a certain lucidity of by what is meant by the term answerability as it gives a general overview without being specific, Savage and Moore ( 2004 ) travel on to reason this that deficiency of lucidity can take to indistinctive positions that confuse those working in the wellness attention field and it is this deficiency of preciseness that can take to nurses professional behavior being called into inquiry ( NMC 2002 ) .
Possibly for the professional practician what is utile is to analyze what makes you accountable instead than what is accountable, by this I mean how you become an accountable professional practioner, what are the requirements required for this. One could reason that possibly this all begins with critical thought and contemplation, Brittner and Gravlin ( 2009 ) argue that critical thought is indispensable in today ‘s nursing pattern and can help in doing indispensable picks about patient attention and clinical exigencies ( St.Cyr & A ; All 2009, Toofany 2008, Cirocco 2007 ) . Bing a late qualified nurse this is n’t ever an easy undertaking to make, because I frequently lack the accomplishments and cognition that would let me to do complex determinations, this is non unusual though as St.Cyr & A ; All ( 2009 ) highlighted that freshly qualified nurses can miss some critical thought accomplishments for patient attention, a utile tool that I have discovered that can enable me to develop my critical thought abilities are mind maps, as these can increase my cognition and apprehension of a state of affairs by associating constructs, subjects and thoughts ( Toofany 2008 ) and can help me in detecting a deeper apprehension of the issues and indentify larning demands and positive behaviors to help my development ( St.Cyr and All 2009 ) . To this terminal I do use mind maps as a manner of associating theory and cognition to derive a better overview of the patient or the clinical state of affairs, it highlights my spreads in cognition or so rises my consciousness of what I already know.
To travel this a phase farther by so using these critical thought accomplishments to reflection I can get down to critically reflect on my pattern. By going a critical reflector I am helping my self-awareness ( Horton-Deutsch & A ; Sherwood 2008 ) and developing a deeper apprehension of the issues associating to patient attention, my ain actions and the grounds I choose them ( Cirocco 2007, Redmond 2004 ) disputing my ain actions ( Forneris & A ; Peden-McAlpine 2009 ) and foregrounding any learning demands I may wish to follow up on to help my development as an accountable practioner by associating theory into pattern ( Rolfe & A ; Gardner 2006, Rolfe et al 2001 ) .
The best illustration of this I can give to day of the month was when I was involved in a clinical exigency with a patient merely after a twosome of months of making, who despite every effort made died really all of a sudden, I was left with tonss of confusion, choler and disturbance over the incident and more significantly with the inquiry of could I have done more? Through a procedure of critical contemplation both written so verbally with my wise man I realised that we could hold done nil more, that I acted in a really professional mode throughout the incident and afterwards with the support I offered the household and co-workers, but I needed to travel through that procedure in order to do sense of the state of affairs and highlight possible acquisition aims for me including developing get bying schemes that would enable me to get by with a sudden decease. When a state of affairs really similar occurred once more a few months ago I was able to take a more active function and recover from it much quicker cognizing I did all that I could to assist the patient and back uping the household and some co-workers after the incident. Benner ( 1984 ) states that this type of actions are that of an advanced novice working towards going a competent nurse whereby by being involved in similar experiences I was able to do sense of a meaningful state of affairs. By get downing to recognize forms of behaviors and events I am get downing to develop my expertness through increasing my experiential acquisition cognition ( Benner 1984, Rolfe et al 2001 ) . It is by doing meaningful sense of these experiences though a procedure of critical contemplation that have aided and will go on to better my decision-making accomplishments and self-awareness ( Horton-Deutsch & A ; Sherwood 2008, Avis & A ; Freshwater 2006 ) . It besides empowers me to go on to take part in go oning instruction maintaining and developing professional competencies ( Griffitts 2002 ) by placing acquisition demands through spreads in my cognition.
In going an accountable professional practioner this procedure of contemplation can be a choice criterion whereby I take duty for my ain public presentation and present best quality attention ( Johns 2004 ) . This links into clinical administration whereby I have to guarantee I am prepared to accept answerability and effects for any decision-making opinions that comes with any new function development ( Cronin & A ; Rawlings-Anderson 2004 ) . Through the system of clinical administration I can supervise through self-evaluation and feedback the quality of attention and service I offer to my patients, households and co-workers guaranting that it is both effectual and safe ( NHS QIS 2005, Pickering & A ; Thompson 2004 ) .
There is besides the issue of liberty and answerability. This for me has been to day of the month the biggest battle in going an accountable professional, liberty can be demonstrated through patient attention by utilizing the procedures of critical thought, contemplation and your bing cognition base ( Keys 2009 ) nevertheless this can go frustrating when you take on independent duty but are limited by fortunes and sometimes co-workers to use your preparation and experience ( Laperriere 2008 ) . As a mature pupil who came into nursing as a 2nd calling I find myself frequently perturbed by co-workers who frequently quote that I am a freshly qualified member of staff and it will take clip to develop accomplishments particularly around issues of patient and household communicating without cognizing my background. It has be shown that freshly qualified mature nurses can utilize old life experiences to help in a job work outing attack ( Stuttard 2008 ) and as many of the accomplishments I have developed over the old ages are movable, I would reason that by holding these movable accomplishments I can offer a wider scope of accomplishments and flexibleness to my nursing experiences ( Shirey 2009 ) that can help my self-awareness and autonomy ( Postler-Slattery & A ; Foley 2003 ) . One of my ways of get bying with these defeats is to develop resiliency.
By going resilient to the negativeness or challenges I receive I am able to actuate myself, Roth et Al ( 2007 ) show that motive within an independent construct and the existent experience of liberty are indispensable for self-development and well-being, by utilizing this independent motive I can utilize it to help my self-awareness of critical thought and contemplation ( Leipold & A ; Greve 2009 ) . This is a position supported by Darbyshire & A ; Fleming ( 2007 ) who province that those who practise liberty are encouraged to be critical minds and autonomous in their acquisition. Of class within the construct of liberty comes the credence of being responsible and being cognizant of your ain restrictions, at all times independent pattern must be practiced safely with the attention of the patients at the head it is non a failing to state I can non make this or take part in a accomplishment that I know really small about ( Richards & A ; Edwards 2003 ) it alternatively foreground how much I value patient attention and regard for those I work with.
Autonomy means ownership ( Lyon 1990 ) and by claiming ownership of my pattern it could be argued I increase patient safety and increase the quality of attention I give my patients ( Weston 2008 ) every bit good as developing my critical thought, cognition and answerability ( Atkins 2006 ) .
With the above in head I find myself inquiring the inquiry of what else can back up me in developing into an accountable professional practician? Surely the procedures of contemplation and critical thought can assist but what I personally find of great usage is to use the support systems I have around me, I surely acknowledge how fortunate I am with holding the sum of support systems in topographic point to back up me compared with some of my fellow co-workers as a consequence of the Early Clinical Career Fellowship. Presently I have three chief formal systems in topographic point a wise man, clinical manager and engagement in action larning sets, these systems although really different from each other all have one thing in common and that is to help my development, in add-on to these systems I besides have the informal support of my equals and direction.
My wise man can help me in accommodating to my new environment and offer the support from their ain experiences to enable my acquisition, they are motivated to back up and promote me ( Wagner & A ; Seymour 2007 ) to develop and seek out new accomplishments with support until I am confident plenty to set about these on my ain, in add-on to this they provide me with feedback on my advancement and can propose options ways of working, they act as my function theoretical account and instructor ( Morton-Cooper & A ; Palmer 2000 ) . They can besides supply me with a safe topographic point to take sensitive issues and dispute my positions ( May 2003 )
Engagement in action larning sets allows me to be supported and challenged by a group of my equals, it allows me to critically reflect and research issues to a deeper degree to help my understanding and development and use any new cognition I have learned to pattern, it can increase my motive to larn and promote my critical thought into associating theory into pattern. ( Haan & A ; Ridder 2006, Rayner et al 2002 )
In add-on to the above I besides have my clinical manager. This is a really experient nurse who can back up, wise man, usher and train me. She provides a higher grade of disputing to my pattern promoting my critical thought and brooding accomplishments and as she is detached from my clinical country is able to offer observations and inquiring of my actions from a impersonal position ( Titchen 2003, Wright & A ; Titchen 2003 ) . This all encourages and challenges me into going an accountable professional practician.
In decision this essay has raised several points about leads you to go accountable instead than what is accountable. It is a complex dynamic composition of non one component but several that all interconnect about as if it were a jigsaw mystifier. No one component is more of import that the other as they are all necessary to assist me in my development as an accountable professional practician. As my cognition, understanding and experiences as a nurse additions so excessively will my answerability, this in itself will supply new challenges as I prepare myself for these new duties and self-development What is clear for me and has been highlighted as a consequence of set abouting the essay is how my pattern of an accountable professional practician can be used as a choice criterion of attention and mensurating tool to guarantee that my pattern is safe and effectual for all of those I work with and as O’Rourke ( 2006 ) states that this criterion of attention can merely be improved on based on my apprehension of functions, liberty and answerability and that can merely be understood one time I develop my critical thought, brooding accomplishments and utilizing my support systems that have been put in topographic point for me.
I believe that throughout my calling as a nurse even as I work towards going an adept nurse ( Benner 1984 ) , I will ever be working towards going an Accountable Professional Practitioner as I will ever be critically brooding, larning new accomplishments, developing my independent pattern and necessitating support so to that terminal I do n’t believe I will of all time be a to the full accountable professional practician but I am accountable for the accomplishments, cognition and duty and degree I am at. This brings a unusual feeling of comfort instead than fear as I believe this will guarantee nursing continues to germinate and develop and I will be at that place in the thick of it all.