Posted at 10.01.2018
Since the 1800s when medical first started to be regarded as a legitimate career, instead of a calling, the issue of what constitutes and how to define 'professionalism' in the nursing industry has been vigorously debated. Achieving consensus on the definition of professionalism and what constitutes professional action by nurses permits the industry to give a standard of treatment that is steady and of high quality. Today, there are several key industry, professional and quality assurance bodies which exist to set expectations, guidelines and rules of practice to ensure the greatest standard to service. These organisations guide experts in medical by determining what constitutes professionalism and monitoring the quality of good care and services provided by nursing professionals and their organisations.
It is extensively agreed that there is a strong link between professional competence and behaviours and the grade of treatment and service provided to patient and clients. As mentioned by Dhai " at the heart to be a good health care practitioner, lies professionalism and reliability, setting the typical of just what a patient should expect" (Dhai p 174). In order to understand the true meaning of professionalism and reliability, however, we have to begin by determining the meanings and romance between the two principles 'career' and 'professional'. Whilst there is no singular uniform classification of an occupation, the Australian Competition and Consumer Percentage (ACCC) define it as "A disciplined band of individuals who stick to high ethical specifications and uphold themselves to, and are accepted by, the public as possessing special knowledge and skills in a widely recognised, organised body of learning derived from education and training at a high level, and who are ready to exercise this knowledge and these skills in the interest of others" (Southwick, 1997). Relating to Pinkerton, author of 'The future of professionalism in medical' there are six characteristics that are frequently used to evaluate whether an profession is a profession. They are really: "Education of the practitioner, possessing a code of ethics, getting payment commensurate with the work, being organized to promote a needed service, having autonomy in practice, and being acknowledged by the federal government with licensure" Pinkerton, S. (2001). Medical is therefore an established profession as possible described using all the characteristics listed above.
In quite similar way, a 'professional' can be defined as an individual who is likely to demonstration qualified and skilful behaviours in arrangement with their job. With regards to the health industry, a 'professional' is defined as, "anybody who may have completed a span of research in a field of health. This person is usually licensed by a federal agency or accredited by a professional firm. " (Mosby's Medical Dictionary, 2009). Being professional therefore, can be interpreted as behaving in a way which facilitates the effective procedure of the job.
Taking into account the meanings of 'vocation' and 'professional', 'professionalism' can thus be described as the behaviour, goals or features that characterise an occupation or professional person. Calls for an overview for professionalism and reliability in nursing began back the 19th century with Florence Nightingale who once said that "Medical is an art, and, if it is to be made an art, requires as exclusive a devotion, as hard a preparation, as any painter's or sculptor's work"(Nightingale, 1868). Nightingale needed nursing to be observed as professional and since an occupation that required discipline, ongoing learning and beliefs and at the same time selfless dedication for effective patient attention and a committed action to enthusiasm and love. She established a high standard for herself and for that reason set a higher standard for the future of nursing. She organised similar needs for the medical profession as have Dhai.
Erith-Toth & Spencer explained that "The provision of quality patient treatment is important in all health care corporations" (1991). "Formal explanations of what constitutes quality are numerous" (Ambler Peters, 1991), "as are the strategies used to assess the quality of patient treatment" (Harvey, 1991; MacGuire, 1991). Quality care and attention has already established a great deal of gathered works written about it over the years. Although, significant variants can be found in its interpretation and use of the term. Regarding to Attree, 1993, "quality care continues to be assured, controlled, examined and maintained in medical Service today" (p. 355). On top of that, characterizations and valuation of quality of treatment infrequently consider the reality came across by nurses over a day-to-day basis, in the practice and delivery of quality care. Harteloh analyzed numerous conceptualizations of quality and concluded with an extremely abstract explanation: "Quality is an optimal balance between choices realised and a framework of norms and beliefs. " (Mitchell, P. H. , Robins, L. S. , & Schaad, D, 2005).
In 2010 a report was conducted in the USA by Burhans, L. M. , & Alligood, M. R. with the aim to uncover a knowledge of the meaning of quality in relation to nursing practice. The question asked was 'What is the lived so this means of quality medical care for exercising nurses in america?' The analysis concluded that there were six main themes or livid meanings of what quality of care meant in the words of nursing participants. These were"Advocacy, Caring, Empathy, Intentionality, Admiration, and Responsibility" (Burhans, L. M. , & Alligood, M. R, 2010). These themes stated coincide with how Nightingale saw nursing many years ago and exactly how she stated that "Nursing can be an art" (Nightingale, 1868) and highly respected by training nurses.
There are multiple business, pros and quality firms that set expectations, guidelines and codes of practice in medical. These businesses can be split into three broad categories. The Australian University of Nurses (ACN), the Australian College or university of Midwives (ACM) and the Royal College of Nurses (RCN) as recognised training providers, equip individuals with the necessary skills and competency to practice nursing. As the Australian PHYSICIAN Regulatory Firm (APRAH) ensures and helps the "National Planks in their primary role of guarding the general public manage the subscription processes for health practitioners and students around Australia" (APRAH, 2012). For the purpose of this essay I am going to give an in depth overview of ways APRAH contributes to the nursing profession in a positive way.
AHPRA is the nationwide organisation responsible for implementing the National Subscription and Accreditation Design across Australia, together with National Boards. "This conceptual definition reflects the actual fact that quality is an abstraction and does not exist as a discrete entity. Alternatively it is designed predicated on an interaction among relevant stars who agree with the fact about requirements (the norms and worth) and components (the possibilities)" (Mitchell, Robins, & Schaad, 2005, p. 1).
AHPRA's is governed by medical Practitioner Regulation Country wide Legislation, and each point out and territory follows Legislation relevant to their region (the National Regulation), which arrived to effect on 1 July 2010 (APRAH 2010). It's the first time that 14 health occupations stand regulated by the same national legislation under the Country wide Subscription and Accreditation Design in the history of Australia.
The 14 nationwide planks that APRAH represents will be the "Aboriginal and Torres Strait Islander Health Practice Plank of Australia, China Medicine Panel of Australia, Chiropractic Panel of Australia, Tooth Table of Australia, Medical Mother board of Australia, Medical Rays Practice Mother board of Australia, Medical and Midwifery Board of Australia, Occupational Remedy Panel of Australia, Optometry Board of Australia, Osteopathy Panel of Australia, Pharmacy Panel of Australia, Physiotherapy Plank of Australia, Podiatry Board of Australia, Psychology Mother board of Australia". (APRAH, 2012)
The legislation that the AHPRA uses is the Health Practitioner Regulation Country wide Law (Victoria) Act 2009. The purpose of this Action is to provide for the adoption of the national law to establish a national sign up and accreditation system for health practitioners. (APRAH, 2009). This Act helps nurses and midwives working within Australia to work alongside a code of carry out and ethical suggestions that help guide the practice of nurses. It also helps to legitimately protect and guide nursing practice. The concentration is to give a national enrollment and accreditation scheme for the rules of health practitioners and the sign up of students commencing study or professional medical training in the health profession.
According to APRAH, the purposes of the Act are to "provide basic safety for the public by guaranteeing that only doctors who are suitably trained and qualified to practise in a reliable and moral manner are signed up. Their job is to also accomplish workforce ability to move across Australia by minimizing the administrative burden for health practitioners desperate to move between participating jurisdictions or to practise in more than one participating jurisdiction, whilst facilitating the provision of high quality education and training of doctors" (2010).
The AHPRA is the principle enrollment body for doctors and nurses in Australia. Through setting initial registration criteria, as well as on going professional development criteria, AHPRA can help ensure that all nurses that get signed up are accountable and competent. Country wide enrollment of nurses and midwives helps them if they desire to travel and work across the country by eliminating the necessity for multiple registrations.
They publish nationwide registers of all professionals so information regarding health professionals is available to the public. This enables the public to make informed decisions about who they entrust to are likely involved in their personal health concerns and status. Furthermore, AHPRA provides advice to the ministerial council about the administration of the national enrollment and accreditation scheme for both medical researchers and students starting research. An on-line register also allows employers to check that employees and forthcoming employees are properly registered. They are suffering from a national registration where there is a regular and common set of requirements, across all the several states. AHPRA been employed by hard to build up registration benchmarks, such as extended professional development, professional indemnity insurance and recent practice. They perform audits to ensure these requirements are being attained and that a high quality of treatment is being managed across the country.
To ensure that nurses are keeping that high standard of care and attention the APRAH enforce a policy where it is important nurses continue professional development to be able to maintain their subscription as a nurse. In doing so they ensure that services provided by signed up nurses are current and of a high quality standard, which in turn helps ensure security of the patients. Rules of professional conduct also help maintain safety within the office. In this manner we can see that Dhai's assertion, " at the heart of being a good healthcare practitioner, lies professionalism and reliability, setting the standard of just what a patient should expect" (Dhai p 174), is central to what sort of Australian nursing industry is set up, moderated and governed. To make sure that the nursing career is seen as being professional and high in professionalism means that it's an upmost importance that employee's demonstration competent and skilful behavior at all times. Being professional also means that the employee must react in a way defined and expected by the chosen profession. In addition it is essential that they must adhere to the group of standards, guidelines and rules of practice out by their governing body to make sure that the best quality of attention is achieved for not only themselves, and vital their team and their patients.