The current Health care setting has been experienced in tremendous shortage of nursing workforce in comparison to the rising demands of patients as well as their diverse needs (Calma et al., 2019). Australia has been experiencing an increased emergency of patient needs due to healthcare shortages. The worldwide recognition regarding the significance of healthcare partners as well as their roles in the care system needs to be incorporated for successful inpatient care delivery (Peet et al., 2019). This is because irrespective of numerous guiding principles of clinical governance that State how Health care professionals contribute to the safety and quality of healthcare, very little is actually known about what the professionals perceive as significant for the clinical governance. Adhering to the current requirement of quality care for the patient under the nursing role and practices, this assignment focuses on discussing nursing responsibilities for quality Health care in the context of Australia (Veenstra et al., 2017). The paper also synthesized nursing and midwifery course in standards for supporting the discussions related to the role of healthcare professionals both in the Australian and global context. Nurses are the key personnel in healthcare delivery who play a critical role in the coordination and provision of care and henceforth understanding the full scope of the responsibilities as well as focusing on key aspects of professionalism and collaboration is important for nursing retention and effective contribution towards successful care delivery to the patient.
Nursing professionals are increasingly moving into the primary Health care facility in Australia with the increase in the general practice at a dramatic rate. The role of nurses varies in complexity and they’re often accomplished with very significant and little support (Nahidi et al., 2022). It is however very difficult for nursing professionals to within an advanced role having a general practice setting in Australia due to the lack of a universal approach in the Australian general practice management and legislative structures surrounding the nursing practice. Research studies review that general practice nurses who are currently working at an advanced level are majorly expected to obtain post-graduate qualifications in operating with the level of clinical skills with the extension of domains regarding educational Research and leadership (Oldland et al., 2020). The overall opportunities for nurses in advance are affected by restrictive organizational governance as well as a lack of support if cultures and situations of the bully. Australian healthcare system highlights among the major barriers in the nursing profession towards effective approach and quality facility that is inclusive of lack of organization and management and collaborative practice together with the absence of acceptance and understanding, flat organization structures and lack of proper autonomy and creativity followed by authoritative leadership practices which are harmful to the entire working environment of nursing professionals (De Cieri et al., 2019).
Professionalism has been one of the cornerstones of safe healthcare practices however nurses in Australia often lack professionalism in their ongoing practice due to the lack of knowledge and skills. Research studies reveal that the domain of healthcare qualities inclusive of clinical leadership and governance, management of the environment, safety promotion, evidence-based practices together with medical technical compliance, person center care, and positive interpersonal behavior (Forsdike et al., 2018). The domains of healthcare quality in their working professional proper quality and care as well as evidence-based practice approach. The overall skill set involves the responsibility of partnering with families and patients for facilitating quality care delivery including the decision-making of families and patient as well ascending walls with patience followed by partnering in care by effective communication.
Clinical governance is majorly the organization and approach for continuous improvement in healthcare quality of individuals were involved in the care of the patient. Understanding the role of nursing professionals in clinical governance, it can be understood that the intention of clinical governance has always been to safeguard the high standards of care by the development of an environment in which excellence in clinical care. The current context of Australia focuses on the significance of ownership in active participation and execution of professionalism by sharing responsibility for quality improvement (Edmonson et al., 2017). Nursing professionals ensure a working environment that allows creativity as well as freedom for expressing an opinion. Teamwork for nursing professionals referred to the overall collaborative approach among the professionals contributing to high-quality patient care through mutual learning and rising knowledge and skills within the team. Research studies reveal that the quality of healthcare by nursing professionals increases when nursing leaders stimulate the entire system of communication regarding healthcare quality including effective communication information about the patient data and consultation with other eminent health professionals.
Another significant factor in the role of nurses as well as the responsibility is effective patient involvement. Research studies review those good outcomes and satisfactory outcomes for the patient can only be achieved by involvement of the patient in the nursing care approach and conducting an agreement among the nurses and patients while the delivery of care and also while taking proper decisions about their Health care facilities (Meyers et al., 2017). Lack of taking consent from the patient or involving the patient the satisfaction and the high number of medical errors and patient complaints which intern hampers good relationships and therapeutic communication together with challenges in nursing expertise and career.
Another significant factor under the roles and responsibilities of nursing professionals in Australia is clinical leadership and governance for the provision of proper management and leadership within the clinical unit. Informal opportunities for education as well as nursing students contribute to the coordination of role that helps nursing professionals in proper patient management as well as the demonstration of a leadership role by taking charge of a voice of being a role model. Significant Focus group activities in the evidence base practice identifying communication and implementation of nursing standards and evidence also fall under the roles and responsibilities of Australian registered nurses.
The nursing and midwifery board of Australia focuses on the role of the registered nurse as an evidence-based person-centered approach with purity and preventive as well as supportive palliative elements. The Australian community has which mixture of linguistic and cultural diversity where registered nurses recognize the significance of culture and history towards well-being and health by engaging in professional and therapeutic relationships within the family. Registered nurse standards for practice for nursing professionals together with NMBA standards and quotes as well as guidelines inform the development regarding the practice and scope as well as aspiration of the nursing professionals (Nursing and Midwifery Board of Australia – Registered nurse standards for practice. Nursingmidwiferyboard.gov.au. 2022).
Adhering to significant roles and responsibilities, it can be stated that the codes and standard set up by the nursing and midwifery board of Australia clearly connects with the major responsibilities of registered nurses (“Nursing and Midwifery Board of Australia – Registered nurse standards for practice”, 2022)
Standard 3 of NMBA connects with the nursing role and capacities for practice by ensuring ongoing knowledge and skills for carrying out nursing duties and engaging in constant professional development. Standard 6 focuses on the ability of nursing professionals to provide appropriate and safe nursing care through comprehensive and systematic assessment as well as a practice within the scope (“Nursing and Midwifery Board of Australia – Registered nurse standards for practice”, 2022). Connecting to the nursing professional role is the responsibility and role of teamwork in sharing information as well as coordinating efforts for creating a focus care plan in the delivery of quality patient care. These factors contribute to the key aspect of collaboration and mutual respect followed by a sense of adaptation and leadership. Maintaining the capacity for practice is another sign of the role of the registered nurse that helps in the consideration and response regarding the will be and health of others in a quality manner (Huisman et al., 2020). Also using a lifelong learning approach for continuing professional development and actively engaging with professionalism for the identification and promotion of the integral role of nursing practice falls under the standard of maintaining the practice capability.
Finally, the development of the plan for the nursing profession under standard 5 ensures nursing professionals are responsible for the communication and planning of the practice of nursing with relevant information and evidence which is documented and communicated (Pizzirani et al., 2020). Uses of assessment data, as well as best available evidence for the plan development followed by coordination of resources in an effective and efficient way for plant actions, help nursing professionals to document and evaluate as well as modify the plan for facilitating the agreed outcomes.
Conclusion
Strong leadership, as well as excellent teamwork, are some of the mean virtues of healthcare professional that needs to be evaluated and understood in the nursing context of the Australian setting. Nurses are the backbone of the healthcare industry and have the professional mandate for measuring and monitoring as well as ensuring appropriate healthcare in the quality of improving patient satisfaction. Nurses a directly responsible for assessing and monetary patients and performing an immediate intervention for reducing any medical complications. The main role and responsibility of the nursing professionals adhering to the NMBA really focus on the importance of practice that is not restricted towards the provision of direct clinical care, but on effective service delivery under the professional skill and relationship.
References
Calma, K. R. B., Halcomb, E., & Stephens, M. (2019). The impact of curriculum on nursing students’ attitudes, perceptions and preparedness to work in primary health care: An integrative review. Nurse Education in Practice, 39, 1-10. https://doi.org/10.1016/j.nepr.2019.07.006
De Cieri, H., Shea, T., Cooper, B., & Oldenburg, B. (2019). Effects of work?related stressors and mindfulness on mental and physical health among Australian nurses and healthcare workers. Journal of Nursing Scholarship, 51(5), 580-589. https://doi.org/10.1111/jnu.12502
Edmonson, C., McCarthy, C., Trent-Adams, S., McCain, C., & Marshall, J. (2017). Emerging global health issues: A nurse’s role. Online Journal of Issues in Nursing, 22(1). https://doi.org/10.3912/OJIN.Vol22No01Man02
Forsdike, K., Murphy, T. A., & Hegarty, K. (2018). Supporting primary care nurses to work at an advanced level through changing practices’ organisational governance. Australian journal of primary health, 24(2), 171-176. https://doi.org/10.1071/PY17120
Huisman, B. A., Geijteman, E. C., Dees, M. K., Schonewille, N. N., Wieles, M., van Zuylen, L., … & van der Heide, A. (2020). Role of nurses in medication management at the end of life: a qualitative interview study. BMC Palliative Care, 19(1), 1-11. https://doi.org/10.1186/s12904-020-00574-5
Meyers, D., LeRoy, L., Bailit, M., Schaefer, J., Wagner, E., & Zhan, C. (2018). Workforce configurations to provide high-quality, comprehensive primary care: a mixed-method exploration of staffing for four types of primary care practices. Journal of general internal medicine, 33(10), 1774-1779. https://doi.org/10.1007/s11606-018-4530-7
Nahidi, S., Sotomayor-Castillo, C., Li, C., Currey, J., Elliott, R., & Shaban, R. Z. (2022). Australian critical care nurses’ knowledge, preparedness, and experiences of managing SARS-COV-2 and COVID-19 pandemic. Australian Critical Care, 35(1), 22-27. https://doi.org/10.1016/j.aucc.2021.04.008
Nursing and Midwifery Board of Australia – Registered nurse standards for practice. Nursingmidwiferyboard.gov.au. (2022). Retrieved 29 March 2022, from https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards/registered-nurse-standards-for-practice.aspx.
Oldland, E., Botti, M., Hutchinson, A. M., & Redley, B. (2020). A framework of nurses’ responsibilities for quality healthcare—Exploration of content validity. Collegian, 27(2), 150-163. https://doi.org/10.1016/j.colegn.2019.07.007
Peet, J., Theobald, K., & Douglas, C. (2019). Strengthening nursing surveillance in general wards: A practice development approach. Journal of clinical nursing, 28(15-16), 2924-2933. https://doi.org/10.1111/jocn.14890
Pizzirani, B., O’Donnell, R., Skouteris, H., Crump, B., & Teede, H. (2020). Clinical leadership development in Australian healthcare: a systematic review. Internal Medicine Journal, 50(12), 1451-1456. https://doi.org/10.1111/imj.14713
Veenstra, G. L., Ahaus, K., Welker, G. A., Heineman, E., van der Laan, M. J., & Muntinghe, F. L. (2017). Rethinking clinical governance: healthcare professionals’ views: a Delphi study. BMJ open, 7(1), e012591.
https://dx.doi.org/10.1136/bmjopen-2016-012591
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