Nursing Practice standards






Nursing Practice standards



 Nursing Practice standards

            Nursing practices standards are essential for self-regulating nursing professional. Medical experts affirm that, nursing practice standards outline acceptable necessities that enhance quality care of patients and clients (Schroeder, 1991). It is borne in mind; nursing practice standards are developed to promote nursing professional and offer guidelines for nurse educators to set objectives of educational programs. In this context, an advanced Nurse professional must put into consideration the nursing practice standards. Nursing practice standards provide guidelines that assist nurses in decision making, inform the public what they should expect from nursing professional, and educates nurses to articulate practice outlooks of the professional. This stands out that, every registered nurse should align with standards of nursing professional along with legislative requirements. Hence, the aim of this paper is to discuss a social reform-legal right that impacts the practice of nursing. In doing this, the essay will outlay knowledge of values that are critical to the professional behavior of the Nurse.

Social aspects that impact the practice of nursing

According to Rumbold (1999), in social reforms, nurses work as citizens or individuals through political action that enhance social change.  Here, it is the responsibility of the nursing association to educate nurses on shaping health care globally particularly in legislation and health care policy that affects quality, accessibility, and health care cost. In this context, the professional association maintains alertness and actions that enhances effectiveness of health professional. It is considered that, health delivery extends to social-cultural issues such as homelessness, infringement of human rights, illness stigma, and hunger hostility.  Nurses should bring social changes in the society through taking actions that ensures that human rights are protected. In nursing professional, the following should be considered; respect for human dignity, exceptionality of every person despite of economic or social status, the nature of health problems, and personal tributes. This stands out that; there should be respect to human dignity where nurses depict values and needs of clients and patients. Nursing practice stands advocate the need of establishing relationships to clients or patients with respect of human values and needs without favoritism or prejudice. Rights and dignity of human beings should be imposed irrespective of disability, disease, propinquity to death, or functional status.  In promoting welfare, safety, and health for all people, a nurse should not only be aware of patient’s health needs but, eradicate health concerns such as environmental pollution, world hunger, violation of human rights, inadequate heath care services, and inequitable distribution of health care and nursing resources.

Research indicates that, nursing profession has indispensable elements of accountability that protects legal and human rights of patients (Schroeder, 1991). In this case, the nurse is the pivot foe effective health care delivery enabling patients to recover through the process of healing.  Therefore, a registered nurse should work towards establishment of patient’s satisfaction taking into account what enhance health.  At this point, code of ethics highlight that, nurses should advocate, promote, and endeavor to protect health, rights, and patients. In doing this, the nurse should be accountable and responsible for individual nursing practices that determine appropriate delegation of tasks and drugs prescription to provide optimum care of patients.

Social reforms highlight that; the patient should be handled with dignity because in doing the patient health is regarded. With this regard, social rights of nursing practice persist that the nurse should maintain and improve patient’s health by enhancing suitable conducive environment that enhance provision f quality health care (Rumbold, 1999). In this context, the nurse work in partnership with other public and health professionals in promoting health needs.

Conclusively, social reforms insist on respecting the dignity, worth, and rights of patients irrespective of their health problems. It borne n mind; every patient should not be sidelined because of the nature of the heath problem but, rather should be provided with supportive care until. It’s noteworthy, the measures to, which nurses deliver care determines the well-being of patients in emotional, physical, spiritual, and social. No wonder, nursing care should meet the comprehensive needs of patients with a continuum care. Additionally, respect should extend to all people that the nurse interacts. Nurses should maintain caring and compassionate relationships with their colleagues for effective nursing practice, which eventually enhances team work. In this case, the nurse’s core commitment to patients should be taking care of patients. With no doubt; addressing patient interest necessitate recognition of patient’s needs for a well-being. Effective nursing can only be accomplished when nurses take care of patients with in mind that, health should extend beyond health related issues. In other words, it should enhance effective interaction that improves the patient’s condition socially, emotionally, and spiritually.

Legal aspects that impact the practice of nursing

As per Schoen (2000) effective nursing care is accomplished when nurses work diligently for the excellent outcomes of nursing care.  In this context, nurses are core determinants of excellent nursing care.  To maintain high standards of legal rights that impact nursing, one should consider the following key principles when providing patient’s care. These include administering medication properly, examine and report deterioration, communicate effectively, delegate responsibly, document medical record accurately, recognize and follow facility procedures, and using equipment appropriately.  According to Rumbold (1999), knowing the appropriate drugs to administer to patients is a significant element in the nursing practice standards.  In this case, when administering drugs, the nurse is required to compile to the following rights of medication administration; the accurate patient, medication, dose, time, and delivery method.  Administering medication appropriately is a vital element in legal aspects in ensuring that appropriate dosage is provided for patients. It is articulated that, a wrong drug prescription may harm or kill a patient hence; the nurse should prescribe a drug that compiles to medical administration rights.

In most lawsuits, nurses have been charged over failure to observe or identify changes in patient’s condition (Schroeder, 1991). Legal aspects demands monitoring and reporting deterioration in nursing process whereby, the nurse should evaluate patient’s stipulation and communicate the efficacy of the treatment. In this case, legal rights demands nurses to monitor worsening symptoms and signs that suggests the need to modify the care plan.  Besides monitoring the patient conditions, legal rights obligate nurses to communicate with patients and contemporaries during patient care. To Masters (2009), communication is paramount when transferring patient to another nurse or doctor, educating or speaking with patient on her illness, and relating with the patient’s visitors or family. Through effective communication, nurses highlight reasons for patient admission, provide a concise medical history, explain the patient’s present condition, and discuss the appropriate care for the patient. This enables the patient’s family or visitors to articulate the patient current condition, improvement, and plan of care.

As a registered nurse, one should delegate responsibly through suitable skills and competencies to congregate the patient’s care.  Medical experts argue that, to designate safely, the nurse should establish a work plan especially when delegating the patient to another caregiver (Rumbold, 1999). This implies that, when the nurse refer the patient to a another caregiver he or she should ensure that caregiver is the right person, supervision, the right circumstances where patients conditions should be appropriate for such delegation, and suitable supervision that improves the patient’s condition.

It borne in mind; legal rights emphasize on accurate patient medical documentation. For effectiveness monitoring of the patient, state laws and policy require a medical record for continuity health care. Law experts argue that, medical record document provides evidence that ensures that legal standard of health care is met (Schroeder, 1991). The basic rule of safe documentation ensures that the patient is handled appropriately without negative impression of health care. For instance, if a patient complains of awkward symptoms after drug prescription, the court has to evaluate whether nurses were responsible for the tragedy or not. In this case, medical record can be used as evidence to prove whether the nurse is guilty over the offence or not. If yes, the court litigate the nurse for bleaching nursing practice standards that depict an outlook of giving out appropriate medical care to patients.

As a registered nurse, legal reforms require proper usage of equipment to grant patient’s care. Studies outline that, a patient is harmed when medical equipment is misused (White, 2005). For that reason, it is obligatory for the nurse to adequately understand the equipment intending to use for patient’s condition. When equipments are used inappropriate, the patient may dies and eventually, the family may sue the hospital for willingly bleaching the legal rights of nursing practice stands. In reality, in most cases, registered nurses may have inadequate knowledge of equipment, in such a scenario, adequate training of proper handling of equipment is paramount.

Legal experts affirm that, by adhering to the above principles of nursing practices, nurses avoid legal problems as they compile to the standard of nursing care (Schoen, 2000). In facts, abiding to the above principles saves lives, enhance expertise, and maintain high standard of nursing practice. Legal rights of nursing practice are designed to multiple individuals; nursing students, nurses, people acquiring and receiving nursing care, and the community.  It is noteworthy that, the legal rights are substantial in promoting, upholding, and protecting the rights of nursing professional.


            As discussed in the paper, nursing practices standards are indispensable for effective nursing professional. An advanced Nurse professional should be adequate with knowledge that impact nursing practice. In this case, this essay has highlighted both social and legal reforms that impact nursing practices. According to Nursing World code of ethics (2010), social reforms are paramount since they direct nurses to maintain alertness and actions for effective health professional.  In addition, legal reforms are accomplished when nurses work diligently for the excellent outcomes of nursing care. In this case, there legal rights that direct nurses to deliver health care effectively. Hence, this paper has discussed social reform-legal right that impacts the practice of nursing.










Masters, K. ( 2009). Role Development in Professional Nursing Practice. New York: Jones &       Bartlett Publishers

Nursing World code of ethics. (2010). Code of Ethics for Nurses with interpretive statements.        Retrieved from:               ses/Code-of-Ethics.aspx

Rumbold, G. (1999). Ethics in nursing practice. London: Elsevier Health Sciences Publisher

Schoen, D.C. (2000). Adult orthopedic nursing. London: Lippincott Williams & Wilkins    Publisher.

Schroeder, P.S. (1991). Approaches to nursing standards. London: Jones & Bartlett Learning

White, L. (2005). Foundations of nursing. New York: Cengage Learning Publisher




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