Thisessay will focus on scenario 5.
It will discuss the illustrated inherenttensions in values and evidence shared decision-making and professionalidentity in nursing. This will include confronting inappropriate behaviour constructively, dehumanising patients by labeling them and the use ofprofessional barriers and setting an expectation for interactions. It will alsooutline the comment on the ideas of the peers in relation to suggestions forconflict resolution within professional, patient and carer interactions.The scenario outlined the attitude of the practice nursetowards a patient. There are no respect, compassion and kindness shown towardthe patient (Nursing and Midwifery Council, 2015, 2.1).
Cuthbert andQuallington (2008) state that nurses should respect every person as a valuedand unique human being. According to the Nursing and Midwifery Council (NMC), nurseshave a duty to promote the welfare of their patient and ensure that all theirneeds are met (NMC, 2015, 3.1). This did not happen in the scenario as thenurse just routinely performed wound dressing and did not bother to ask herselfwhy the patient kept removing the dressing. The scenario nurse is dehumanisingthe patient by unprofessionally labeling her the word “menace”. Hemingway et al.
(2012) state that the focus of humanising nursing care should be theirpatient’s welfare and that they should put them at the heart of care. Thismeans that nurses should not be judgmental and focuses on providing optimumquality of care and not dehumanise them. They should provide a person-centredcare where they consider their patient’s perspective (Mc Cormick and Mc Cance,2010).The Standards for pre-registration nursing education (NMC,2010) suggest nurses need to act for a wholesome, not irrational and free fromthe premise, also regards individual decision and recognises divergence. Thestudent nurse can challenge the practice nurse and provide a truthful comment(Nursing and Midwifery Council, 2015, 9.1).
The student can ask about the patient’scurrent care plan for the wound dressing and can suggest to maybe look into anotherdressing and review it again on the next visit if that dressing is not causing thepatient to itch.The peer group of second-yearstudents has several remarks on the behaviour of the practice nurse towards thepatient. They commented that the practice nurse did not show empathy andthoughtfulness (Nursing and Midwifery Council, 2015, 20.3). They also suggestedthat the practice nurse should have reviewed the current dressings use and madesure that the patient’s GP is aware of the current problem. Within theStandards (NMC, 2010), nurses must act to protect their patients, be liable andobligated to promote safety, consider patient’s distinct necessities andinclination and to deliver care in the best evidence available.In conclusion, nurses shoulddemonstrate essential perspectives of what it means to be human and not see thepatient as an object that does not have feelings (Nursing and Midwifery Council,2015).
They should “act with honesty andintegrity at all times, treat people fairly and without discrimination,bullying or harassment” (Nursing and Midwifery Council, 2015, 20.2). Studentnurses have a shared accountability to advance the optimum level of care oftheir patients (Royal College of Nursing, 2017) and to make their patient feelvalued and listened to.