This standards, personal attitudes provide how the code is

This assignment is going to discuss the
nurse’s role and the advocating for others, whilst identifying the potential
ethical, legal and professional issues associated within it. It is going to explore
how personal development relates to the role of the nurse, as well as how
personal values and beliefs contribute to professional identity. It is going to
discuss values and beliefs underpinning the nature of healthcare practice as
well as expressing current personal knowledge and skills that contribute to a professional
identity. The Nursing and Midwifery Council (NMC, 2015) is structured around
four themes; prioritise people, this is about making sure the best interest of
the patient is at heart.
You make their care and safety your priority and make sure that their dignity
is always promoted. Preserve safety,
this is concerned with making sure that the individual and the public is
protected. You only work within the confines of your competence, working on
your professional duty of candour and raising concerns instantly whenever a
situation that puts patients or public at risk. Practice effectively,
here you evaluate needs and
deliver or advise on treatment to the best of your abilities on the basis of
the finest evidence existing and best practice. This P is also about communicating effectively. The last P
is promoting professionalism and
trust where you maintain the reputation of your profession at all times.
You should demonstrate a personal commitment to the standards of practice and conduct
set out in the Code ( NMC, 2015).
The Nursing and Midwifery Council (NMC, 2015) is the nursing and midwifery
regulator for England, Wales, Scotland and Northern Ireland. It provides the
standards for beliefs and values. The Code (Nursing and Midwifery Council, 2015)
is non-negotiable, however as everybody practices individually, even though
everybody has the same standards, personal attitudes provide how the code is delivered.
The Royal College of Nursing (RCN, 2014) define nursing as the use of clinical
judgement in the provision of care to enable people to improve, maintain, or
recover health, to cope with health problems, and to achieve the best possible
quality of life, whatever their disease or disability, until death. (RCN, 2014).

In the Nursing and Midwifery Council (NMC, 2015)
values is defined as something that describes
what matters to us and how nurse’s go about their work. Values underpin all
that nurse’s do and provide a constant reference point in how strategies are
implemented. There are also the 6Cs that are defined by NHS Health
Careers (2014) as an established set of morals that reinforce compassion in practice, a vision and approach for nursing,
midwifery and all healthcare staff. The 6Cs include, care, compassion,
competence, communication, courage and commitment. Personal beliefs from this and
values both contribute to a professional identity and to the role of the nurse.
The Nursing and Midwifery Council (NMC, 2015) presents the professional
standards that nurse’s must uphold in order to be registered to practice in the
UK. This Code (Nursing and Midwifery Council, 2015) reflects the world in which
we live and work today and the changing roles and expectations of nurse’s. The
Code (Nursing and Midwifery Council, 2015) can be used by nurses as a way of strengthening
their professionalism. In this the role of the registered nurse is defined as
to provide health care to individuals, families, and communities. To provide
services designed to promote health, prevent illness and achieve optimal
recovery from or adaptation to health problems, as well as putting the patients
interest at the heart of all they do. This then relates and links back to prioritising
people which is one of the 4P’s in nursing. Listening to patients and
responding to their concerns is a key skill to adhere to in nursing which
associates back to this certain P. However, the knowledge of this also links
with communication and listening to people for preserving safety and promoting
professionalism and trust which are also the 4P’s in nursing. It is clear from
this example that everything nurses aspire to achieve relates back to the
regulatory body of standards of beliefs and values, however with their own adaptation
making their professional identity unique.

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Ethics is concerned with fundamental
principles of right and wrong and what people should do and inform judgements
and values and help individuals decide on how to act. Guidance on acting ethically is informed by accepted
ethical theories, principles and frameworks. In everyday practice professionals are expected to make decisions
about what is best for each individual. Ethical theories and principles provide the evidence base
to support decision making for the professional in advocating for others.
The Nursing and Midwifery Council Code of Standards, Performance and
Ethics for Nurses and Midwives (NMC, 2015) is underpinned by ethical
principles. It states to practice in an
ethically whole professional style it is vital to balance ethical
considerations with professional values and applicable legislation. The principal
of ethical practice at all stages includes an individual or team recognising
what the legal, ethical and professional standards required are and how these
can be caring and compassionately applied to the tests of medical practice. Nurses
are held highly responsible to patients, the public and to the entire
profession. It is known that nurses need a compact understanding of a number of
ethical, legal and professional issues that they will face during their
professions in order to accept different individual’s choices. Discussing the
legal and ethical issues that relate to the professional role of the nurse
carries a huge amount of complexity and detail. As a nurse you must listen and
also respond to patient’s preferences, in order to follow the Nursing and Midwifery
Council (NMC, 2015). Legal issues that arise from listening to people and responding
to their preferences is the application of the Mental Capacity Act (MCA, 2005)
and the ethical issues of informed consent and the right to self-determination,
for example the right for a patient to refuse treatment even if as a nurse you
believe it is in their best interest.

As a student nurse, I have felt that I have
come to the nursing course with truthful values and beliefs to be a nurse in
terms of supporting patients, listening to them when required, reassuring and
comforting them to voice their own preferences, putting their best interests at
heart and appreciating that those are the values I embrace to promote their
dignity. As I have been on this course, I have then read and debated and in
seminars and lectures, learnt about the Mental Capacity Act (MCA, 2005) and the
Nursing and Midwifery Council (NMC, 2015) so I know as a nurse I need to adhere
to that and to accept each individual’s beliefs and values accordingly. Seminars
and lectures have helped inform my own journey and since being on placement it
is clear to see that each individual nurse is to some extent different in how
they practice and they bring their own knowledge and skills forward to create
their own professional identity. In subsection 1 of the
Mental Capacity Act 2005 Best Interests (MCA, 2005) it states that for the
purposes of this Act what is in a person’s best interests, the individual
making the determination must not make it simply on the root of the person’s
age or appearance, or a condition of theirs, or a trait of their behaviour,
which may lead others to create unwarranted assumptions about what might be in
their best interests.  This supports my
approach of accepting each individual values and beliefs accordingly and
supporting patient’s rights. As a student nurse, as well as a
professional, it is important that we are aware of and understand patient’s
rights to make choices, although we may not agree ourselves. Since starting the
course, I am now aware of the legalisation to support patient’s rights and the
professional and ethical ideas that inform personal practice. Most importantly
we have to understand our personal growth and how that has informed our
professional identity.

From all of this, drawing on a range of
evidence it is clear to see that nurses are guided by standards set by the
Nursing and Midwifery Council (NMC, 2015) as a regulatory body, legalisation
and ethical principles among other factors. Individual development has been
influenced by knowledge, learning and being on placement, to see a true
reflection of the profession and the day to day life of the role of the nurse
and advocating for others. In
keeping with recommendations of the Secretary’s Commission on Nursing Report
(1998), hospitals are looking at distinguished nursing roles according to
competence, experience and education. To improve patient outcomes presently and
in the future, it is important that an evidence-based approach to nursing care will
be incorporated into clinical practice settings. There is always the requirement in clinical practice
to repeatedly develop and advance competence through an individual’s own knowledge,
skills and attitudes to endorse their professional identity in the best means possible
and adhere to the standards set by authorities to enable them to have the role
they are in today and for the future, enabling advocating for others in the
right way for that certain individual.