Scope and Standards of Medical Surgical

Question: Discuss about the Scope and Standards of Medical Surgical. Answer: Introduction: Nursing in health care is important part, to provide primary care for patients in order to protect them from illness. It is vast sector that comprises of different level of nurses with variety of responsibility in dealing with patients. The most used area in medical surgical nursing is detailing with knowledge provided to students, so that they can focus on variety of patients with different health illness background. Medical surgical nursing need skilled and specialised nurses, they should even have capacity to deal in intense environment or in critical situation. Novice nurses should have idea of constructive learning; this learning is helpful in developing good skill and related them with real experiences. Registered nurses are professionally skilled section of nurses; they use their knowledge of nursing to provide care to people. The important advice and support are provided to patients so that they can manage their health. The practices of nurses are done in two ways- independently or with other healthcare professionals. They usually practice in different variety of clinical depending on their knowledge of education and practice experiences. They focus on medical help and care to patients with legislative requirements in reference to that standards. Nurse practitioners and registered nurses both of them provide care to their patients but there lies specific differences which is notices in their education and degree. NPs must have at least master degree in nursing and RNs have bachelor degree. Nurse practitioners can diagnose patients or even refer to physician, whereas registered nurses can only handle acute cases of illness, these clearly mean NPs are more prominent in dealing critical cases. As mentioned above the minimum qualification for registered nursing is bachelor and masters for nurses practitioners. Nursing and midwifery board of Australia (NMBA) provide registration standard and education to nurses, even check if nurses are able to maintain code of conduct and ethics which are essential in nursing. Applied nurses are checked whether they are fit to practice nursing and midwives under registration standards. The minimum education and training required for applicant is described in qualification criteria. The applied nurses should follow all registration standard and qualification in order to become good quality of nurses. According to NMBA NPs are expert in their field and they pass their journey of learning from RNs to NPs. The professional attributed in medical sector is defined to have leadership, communication skill, self direction and accountability. NPs are considered to be part of RNs, which are developed, skilled and has completed specialized training in medical/surgical. To become NPs in Australia need to follow nursing and midwives board of Australia. It is required to resisted and complete 3 years of training as minimum requirement. The banner theory is nursing theory which is most useful framework that is required to develop professional growth at different stages. Dr Benner classified nursing into five level of capabilities and experiences. Novice is always at primary level than expert, experts are more experienced than novice in their field. Students at primary level in their education are considered to be novice and proper qualification can help them to move from novice to be expert. Experts are responsible in handling patients, any mistake or error committed by nurse can cause excessive loss to life. These both sections have complete difference in learning pattern (Susan, Burns Gray, 2014). The real life model and experience need to be provided so that novice is able to develop skill and remove mistake while performing any case. Special training and practices are required to develop quality in medical field. There is huge requirement of having skilled nurses those who can deliver effective quality of work in following standard procedure. To follow guideline and procedure is important criteria in medical field (Lwasiw, 2014). According to NMBA (2016) Training and education required to move from novice to be experts in nursing are more with rule oriented behaviour in their practices. Novice has less practices and experience with real situation in comparison with experts; they generally rely on learning than on practices performed. Novice to become experts should perform more practice with real examples and models to get clear idea. Experts has clear idea how to deal in problem situations, they are clear how to perform in critical situations. Medical is uncertain field, simple error can lead to big problems if it is not done with proper care. There are many guidelines formed by nursing and midwifery board of Australia in terms of practicing nursing, the guideline provides different parameter in different section because there can be different cases with each other. Clear idea can be drawn with example; twenty nurses are selected from similar nursing centre, in this twenty there are ten novice and ten experts divided into two batches. Each of the batches is provided with same cases, and clear instruction is given to them to reflect their idea and techniques in drawing out the result. The result will clearly focus on difference in learning processes of novices and experts. Novices learning process show that they are affected by fear, mistake and on the other hand experts deal their cases with confidents. Novice learning strategies depend upon experts especially physicians, to develop experts from novice there need to be good constructive learning. Experts include both personal and professional examples together in dealing with cases with background information that help them to draw clear idea (NMC, 2010). In nursing practice there should be healthy work environment with effective communication in dealing with patients (Benner, Tanner Chesla, 2009). Patients need excessive care and support that are provided by nurses in regard of giving primary medication. They should have proper knowledge of different use of drugs and their adverse effect. Giving an injection, providing accurate dose of medicine and knowing use about the different section in medication. To know the accurate knowledge novice need to be part of real experience (Baker, 2000) There is standard of practice in nursing right from assessment to delivering service. Every sector has standard format of practicing so that there should not be any error or mistakes conducted by novice nurses. Nursing and midwifery board of Australia has key role in protecting public health in midwives that is regulated by regulation national law. NMBA is standard guidelines which provide registration to all categories in nursing. RN needs to follow standard codes guideline that is provided by NMBA. There are certain framing of laws and regulation which actually check the standard maintain by registered nurses (NMC, 2013) This complete assignment has focus on learning behaviour of nurses, with good practices to develop from novice to experts. The learning of these two is entirely different with each other. Novices are beginner in field of nursing therefore there is lack of experiences in comparison to experts. Nursing and midwifery board of Australia is a guideline provided to nurses in dealing with different types of cases. Medical surgical nursing is most advanced area in nursing sectors, under this study nurses develops their skill so that they can be expert in dealing with maximum number of cases at same time. This also indicates that they need to be expert and have knowledge of all medical problems. Nurses in medical surgical require knowledge of instrument and upgrade themselves with new techniques penetration into medical fields. References Academy of medical- surgical nurses (2012). Scope and standards of medical-surgical nursing practice. 5 ed. Baker, M. C., (2000). Problem-based learning for nursing: integrating lessons from other disciplines with nursing experiences. Journal of professional nursing. Vol. 16 (5). Benner, E. P, Tanner, A.C., Chesla, A. C. (2009). Expertise in Nursing Practice. Caring, clinical judgment and ethics. 2 ed. Benner, P. (2000). Novice to expert: excellence and power in clinical nursing practices. Peasorson. Ferguson, L., Cioffi, J. (2011). Team nursing: experiences of nurse managers in acute care settings. Australian Journal of Advanced Nursing, 28 (4). Halcomb, E. J, Patterson, E Davidson, P. M (2006). Evolution of practice nursing in Australia. 55. (3) NMC (2010). Standards for Pre-Registration Nursing Education. Nursing and Midwifery Council, London. NMC (2013). The Quality Assurance Framework for Nursing and Midwifery Education and Local Supervising Authorities for Midwifery. Nursing and Midwifery Council, London. Hinkle J.L., Cheever K. (2014). The 13th edition of Brunner Suddarths Textbook of Medical-Surgical Nursing. Lippincott, Williams Wilkins, Philadelphia, Pa. Susan, K Burns, N Gray, J (2014). Understanding nursing research: Building an evidence-based practice. Elsevier health sciences. Lwasiw, L. C (2014). Curriculum development in nursing education. Medical. Jones Bartlett publishers. Pp 6-11.