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Professionalism in Nursing Practice

Info: 2943 words (12 pages) Nursing Essay
Published: 30th Apr 2020

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The Australian Nursing and Midwifery Council is an autonomous and independent accrediting body for Midwifery and Nursing under the national accreditation as well as registration scheme. The Australian Nursing and Midwifery Council first published the national competency principles and standards for the Registered Nurses in 2006. In 2010, the standards were adopted by the national accreditation and registration scheme (Bryce, Foley & Reeves, 2018). In 2016, the standards were changed to Registered Nurse standards for practice and the changes were made in the ongoing professional development, Nursing practice regency, as well as the professional arrangements on insurance indemnity to ensure present competency in the Nursing profession (Anderson, 2018). The Australian Nursing and Midwifery Council outlined seven key practice standards for Nurses to offer the framework for evaluating practices of Registered Nurses in conjunction with the Nursing and Midwifery Board of Australia (NMBA) standards, professional guidelines and codes. This paper will analyze the case study and apply the NMBA standards of practice and the therapeutic relationship in its analysis.

Section A:

NMBA performs functions as stipulated by the health practitioner regulation national law which is present in each territory and state. The NMBA manages and controls Nursing and Midwifery practice in Australia and one of their core roles is to safeguard the public, especially those who interact with the Nurses and Midwives (Bryce, Foley & Reeves, 2018). The NMBA usually protect the public by developing standards for registration for Nurses and Midwives, professional Codes, standards and guidelines for practice which together create requirements for safe and professional practice of Midwives as well as Nurses in the country. Moreover, the Australian Nursing and Midwifery Council reinforced accountability and responsibility in healthcare delivery and efficient work practice as a way of protecting the patients and the general public (Development Begins on New Midwifery Standards for Practice, 2016). In Australia Midwives and Nurses must be Registered with the NMBA and meet the professional standards to practice nursing in the country (New Midwifery Standards for Practice, 2018). These professional standards describe and inform the behavior and practice of Midwives and Nurses and entail: Codes of ethics, standards for practice as well as Codes of Conduct. This paper will critically discus the NMBA standards for practice for a Registered Nurse as well as the therapeutic relationship between a Nurse and a patient.

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All registered Nurses working in Australia must meet the state and territory standards defined and stipulated by the NMBA. There are various NMBA standards of practice for registration in the country. These standards include thinking critically as well as analyzing Nursing practice. In this standard, it is expected of a Registered Nurse to apply various thinking strategies as well as the best evidence in coming up with decisions. Moreover, a Registered Nurse should think critically when providing quality and safe nursing practice within evidence-based and person-centered frameworks. In the case study Mary has not observed and practiced this standard since she has left her patients, she has not practiced safe and quality nursing to them and has not promoted therapeutic relationships between the patients and herself. In the second standard of nursing practice, it is expected that Nurses engage in professional and therapeutic relationship. Registered nurses’ practices are anchored on significantly and purposefully engaging in professional and therapeutic relationships. This entails collegial generosity in relation to respect and mutual respect in professional relationship. A Registered Nurse has to establish caring and sustaining relationships in a manner which differentiates the boundaries between personal as well as professional relationship (National School Nurse Standards for Practice, 2018). In this case study, Mary has not engaged in professional and therapeutic relationship between her and her patients.

Mary has not acted professionally towards her patients. For instance, she has left their bed sheets unattended and wet which can exacerbate their health conditions. Mary has not been taking time to build therapeutic relationship with her patients since she is spending most of her time in the nurses’ station instead of taking care of her patients. Having  residential care promotes person-centered care which is very vital in nursing care. Mary has not promoted person-centered care to her patients, and this has affected her patients as well as caused concern to her colleagues. To rectify the situation Mary could have practiced nursing standards since she is a Registered Nurse. Mary could have developed a plan to take care of her patients by effectively and efficiently communicating to her patients and colleagues in case she had a problem. She should have followed nursing ethics which require Nurses and Midwives to conduct themselves in a manner that respects the right, safety and dignity of the public especially their patients.

Section B:

According to Code of ethics for Nurses, it is expected of Nurses to commit to supervising, teaching and evaluating other Nurses and students and to develop and establish the nursing workforce in all the contexts of nursing practice. Evaluating other Nurses and students is a vital part of ensuring that the greatest standard of nursing practice is realized across the nursing profession (Anderson, 2018). In evaluating the performance and competence of students or colleagues, Nurses must be fair, objective, honest without bias as well as constructive. They should not put individuals at harm or risk by inadequate and inaccurate evaluation and offer justifiable and accurate information on time. They should also entail all vital information when providing writing reports or references about their colleagues. In the case study, Mary’s colleagues are right to report her to their manager since she has violated the NMBA standards of practice as well as the Code of ethics for Nursing (Johnstone, 2015). Her colleagues have justifiable and accurate information to warrant them to report her to their manager. For instance, there is evidence that shows and indicates that Mary left her patients uncared and unattended.

Their bed sheets are wet and dirty which are putting their lives at harm of contracting other diseases or exacerbating their current health status. Mary’s colleagues are also justified to report her to their manager since by doing that they are making sure that they are maintaining the highest standard of nursing practice which according to the case study was not being practiced by Mary. According to the NMBA guidelines for supervision on Midwifery and Nursing, it is expected of Nurses and Midwives to ensure that Nurses and their colleagues practice nursing care which is responsive of the needs of clients (New RN Standards for Practice Released, 2016). The NMBA developed a supervision guideline for Midwives and Nurses under the section 39 of the national law of health practitioner regulation law, which is in force in every territory as well as each state (New RN Standards for Practice Released, 2016). The objectives of the supervision guidelines were to offer a resource for individuals supervising midwives as well as nurse who are being supervised, decision makers in the notification and registration matters leading to arrangements of supervisions (NMBA update, 2015).

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The supervision stipulated: levels of supervision, definitions of supervision, supervision principles, responsibilities of those being supervised and the requirements for reporting. In the case study, Mary’s colleagues have met every requirement which is needed for supervision and reporting of cases that jeopardizing their clients. Through reporting Mary to her manager, her colleagues have ensured that her neglected clients will receive quality and safe care. It should be noted that patient including Mary’s clients, have a right to receive and expect competent, evidence-based and safe nursing care all the time. This entails when nursing care is offered by Midwives or Nurses under the arrangements of supervision. Effective and efficient supervision offers assurance to the patients and the public that a Nurse’s practice is competent, safe and healthy and does not place the patient at risk of harm. From the perspective of regulations of NMBA the supervision stipulates the principles which are core to effective and safe supervision of a Midwife or Nurse. In the sixth NMBA nursing practice, it is stipulated that nurses should provide responsive, appropriate, safe quality nursing practice (Keast, 2016).

Registered Nurses should provide as well as may delegate ethical and quality practice which are goal oriented. The standard of practice is anchored on the systematic and comprehensive evaluation, as well as the best evidence to realize agreed and planned results. A Registered Nurse is expected to offer appropriate timely direction as well as supervision, ensuring that delegated nursing practice is correct and safe. According to the regulations in this standard of practice, Mary’s colleagues were right and justified to report her to her manager as they were offering appropriate timely direction and supervision ensuring Mary’s practice were correct and safe.


Professionalism in the nursing profession in Australia entails responsibility for influencing standards of nursing profession practice. The significance of the nursing profession entails practicing the effective Codes of Conduct, standards of nursing practice, entailing the illustration of performing of professional behaviors within the profession of nursing and midwifery making sure that as a Nurse or Midwife, the nursing profession undertakes high standards of safe and quality care in relation to the clients as well as consideration of their backgrounds. In the case study Mary has seriously violated the standards and principles of NMBA and does not qualify to be a Registered Nurse. Her colleagues are justified in reporting her to her manager as stipulated in the NMBA supervision guidelines.



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