This study purposes to analyse related literature that should back up consideration as well as discussion of applicable key governance assemblies like International, national, as well as local policy, The Australian Safety and Quality Framework for Health Care (ASQFHC), Clinical Frameworks, standards for Clinical practice, and standards for Nursing practice – these are influential practice for the registered nurse (RN) in the context of Australia.
Key governance structures which are applicable to the RN practice in Australia are international policies of nursing, national policies regarding nursing and local policies of the nursing, The ASQFHC, clinical frameworks, clinical practice standards plus nursing practice standards (De Laune, et al., 2019). These all structures are governing structures which have considerable influence on the RN practice in Australia (De Laune, et al., 2019).
International Code of Ethics for the Registered Nurses provide ethical guidance to nurses. These ethics are linked to roles and responsibilities, plus duties, along with behaviours and professional judgement of the nurses (Jarvelainen, Cooper, & Jones, 2018). This ethical guidance is also related to the relationship of the nurses with their patients as well as other people who receive nursing care and nursing services along with the relationship with the co – workers and allied professionals (Martyn, & Paliadelis, 2019). Therefore, it can be stated that the ICN code of ethics for the nurses are beneficial plus helpful as well for them (Jarvelainen, Cooper, & Jones, 2018). Under the ICN code of ethics for the registered nurses, they have four fundamental duties which are as follows: (a) promotion of health, (b) prevention of illness, (c) restoration of health and (d) alleviation of suffering (Martyn, & Paliadelis, 2019). As it is a well – known fact that the need of nursing is universal (Jarvelainen, Cooper, & Jones, 2018). Inherent in the nursing practice is therefore considered as respect towards human rights as well as cultural rights (Bogossian, & Craven, 2021). The right to life, right to choose, right to be treated with dignity and respect, – all of these are associated with the nursing practice (Jarvelainen, Cooper, & Jones, 2018). The ICN code of ethics for the RN helps in fulfilling these duties of the registered nurse (Bogossian, & Craven, 2021).
The ASQFHC demonstrates vision for high plus safe quality of care for the Australian people in order to set out the required actions for achieving the action (Cashin, et al., 2017). This framework specifies three specific principles related to the nursing practice which are as follows: (1) the practice must be consumer – centred, (Federation, 2019) (2) the practice must be driven by the information and (3) the practice must be organised for safety (Wilson, et al., 2019). This framework is for those who are related with the healthcare service such as clinicians, registered nurses, staffs etc so that they can provide a safety and high – quality care to the clients and family members as well (Ossenberg, Mitchell, & Henderson, 2020). This framework can be used in order to increase the health literacy and maintain and ethical as well as professional relationship with patients as well as their relatives (Wilson, et al., 2019). Because, only then a shared decision – making process regarding care of a patient is possible to make (Ossenberg, Mitchell, & Henderson, 2020). Also, this framework enables the nurses and other care providers in providing care which is dutiful, respectful as well as sensitive to different cultures of the patients (Wilson, et al., 2019). The continuity of the care is also made possible with the help of this framework (Ossenberg, Mitchell, & Henderson, 2020).
The clinical frameworks on the RN practice in Australia is there in order to back up safe professional practice through guiding the assessment plus the decision – making process (Harrison, et al., 2020). This framework is named as the national framework for development of decision – making process by the RN (Birks, et al., 2018). According to this decision – making framework, nurses get support for their decision – making practice and particularly about their scope of delegation as well as practice (Aggar, et al., 2018). As per this framework, nurses need to identify the need as well as the benefit (Liu, & Aungsuroch, 2018). They are also required to reflect on the scope of practice as well as the nursing practice standards (Heywood, & Laurence, 2018). According to this framework, nurses are also required to consider the context of the practice as well as the governance, and identification of the risk (Chun Tie, Birks, & Mills, 2018). Therefore, it can be stated that the framework for the nursing practice helps them in selecting an appropriate and competent person in performing the activities (Chun Tie, Birks, & Mills, 2018). Nurses have these roles to perform and the framework help them in fulfilling their duties (Chun Tie, Birks, & Mills, 2018). With the help of this framework, nurses are required to plan and perform the activity so that they can provide the necessary care to their patients (Chun Tie, Birks, & Mills, 2018).
Registered nursing practice is a person – centred plus an evidence – based approach which contains the preventive, formative, restorative, curative, supportive and palliative elements (Nursing and Midwifery Board of Australia, 2022). Registered nurses are used to work in therapeutic as well as professional relationship with their patients and their family members as well (NMBA, 2022). Further, the Australian culture is a rich mixture of linguistic and cultural diversity and the clinical standards of practice for the registered nursing practice in Australia guide them is fulfilling their roles (NMBA, 2022). There are all together seven standards which guide the registered nurses throughout their practice (NMBA, 2022). These seven standards can be mentioned as follows: (1) the first standard is – thinking critically plus analysing nursing practice, (2) the second standard is – engaging in therapeutic as well as associations which are professional, (3) the third standard is – maintenance of the practice capability, (4) the fourth standard is – conduction of comprehensive assessments, (5) the fifth standard is – development of a plan which is for the nursing practice, (6) the sixth standard is – providing safe, responsive plus appropriate quality nursing practice, (7) the seventh standard is – evaluation of outcomes for informing the nursing practice (NMBA, 2022). These all standards are connected with each other besides has been demonstrated in the below illustration (NMBA, 2022).
Figure 1 showing the interconnection between the seven standards of practice for RN in Australia
Source – (NMBA, 2022)
Each one of these seven standards have the criteria which specify how the standard is demonstrated (NMBA, 2022). These criteria can be interpreted in context of practice of registered nurse (NMBA, 2022). Standards for registered nurse practice are therefore applicable for all the registered nurses across the all areas of practice in the country (NMBA, 2022). But in order to avail that, the nurses are required to read these applicable standards, as well as the codes plus guidelines as well (NMBA, 2022).
The nursing practice standards on the RN practice in Australia have been set by the NMBA which is the Nursing and Midwifery Board if Australia (NMBA, 2022). This regulatory body governs the nursing practice along with the midwifery practice across the country (NMBA, 2022). One of the main influences of this board is to oversee the nursing practices for protecting the public (NMBA, 2022). The NMBA is an independent authority which supervise the practitioner registration, development of the professional standards, codes plus guidelines (NMBA, 2022). Thus, NMBAs nursing practice standards influence the RN practice in all the areas of nursing practice all over the country (NMBA, 2022). The Australian nursing standards impacts professionalism, along with regulation, training plus education of the nurses’ work force so that high – quality, safe as well as secure care must be provided to the patients (NMBA, 2022). Also, role of these standards is to guide the nursing practice so that the RN can advance a therapeutic along with professional relationship with patients plus their family members as well (NMBA, 2022).
Conclusion
From this above discussion, it can be concluded that there are international, national and local standards, codes and guidelines for the practice of nursing. Registered nurses have to adhere to these standards of practice in order to provide high – quality as well as safe care to the patients along with their family members. Registered nurses have to also develop therapeutic and professional relationship with their patients as well as their family members. The standard of practice for registered nurse help RNs in this scope as well. Also, it is required to be noted that the nursing practice is inspired by the national standards of the nursing practice which is therefore proved to be beneficial for nurses and the health care profession of the people of Australia.
References
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Birks, M., Smithson, J., Lindsay, D., & Davis, J. (2018). How registered nurses determine their scope of practice: a cross-sectional study. Contemporary nurse, 54(6), 578-591.
Bogossian, F., & Craven, D. (2021). A review of the requirements for interprofessional education and interprofessional collaboration in accreditation and practice standards for health professionals in Australia. Journal of interprofessional care, 35(5), 691-700.
Cashin, A., Heartfield, M., Bryce, J., Devey, L., Buckley, T., Cox, D., … & Fisher, M. (2017). Standards for practice for registered nurses in Australia. Collegian, 24(3), 255-266.
Chun Tie, Y., Birks, M., & Mills, J. (2018). The experiences of internationally qualified registered nurses working in the Australian healthcare system: An integrative literature review. Journal of Transcultural Nursing, 29(3), 274-284.
DeLaune, S. C., McTier, L., Tollefson, J., Lawrence, J., & Ladner, P. K. (2019). Fundamentals of Nursing: Australia & NZ Edition 2e. Cengage AU.
Federation, M. (2019). National school nursing standards for practice: registered nurse.
Harrison, H., Birks, M., Franklin, R., & Mills, J. (2020). An assessment continuum: How healthcare professionals define and determine practice readiness of newly graduated registered nurses. Collegian, 27(2), 198-206.
Heywood, T., & Laurence, C. (2018). An overview of the general practice nurse workforce in Australia, 2012–15. Australian journal of primary health, 24(3), 227-232.
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Wilson, N. J., Lewis, P., O’Reilly, K., Wiese, M., Lin, Z., Devine, L., … & Goddard, L. (2019). Reframing the role, identity and standards for practice for registered nurses working in the specialty area of intellectual and developmental disability in Australia: The NDIS and beyond. Collegian, 26(1), 132-139.
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