Throughout Scotland, England, Wales and the Republic of Ireland too, the Nursing and Midwifery Council (NMC) have constructed a code which both nurses and midwives live by. The code is broken up into four different area’s/sections; Prioritise People, Practice Effectively, Preserve Safety and Promoting Professionalism and Trust (NMC Code, 2015). These can also be recognised as the four pillars that nurses and midwives must adhere too. Prioritising People is based on putting the service user first at all times throughout practice, Preserving Safety ensures that both the patient and health care professional are kept out of harm’s way this could include ensuring that any abuse received from the patient is recorded to prevent further incidents occurring. When it comes to Practicing Effectively, this ensures that the patient has a clear understanding and agrees to the treatment being delivered whereas Promoting Professionalism and Trust ensures that the nurse or midwife always upholds their reputation as a health care worker. It is crucial that every nurse and midwife uses these pillars as a guidance to ensure that they are not only providing a fast and efficient service, but that they are also providing an appropriate service for the public at such an extraordinary standard. Despite the fact that the NHS is underfunded, as a nurse or midwife you must always put the patients needs first in everything that you do. Every nurse and midwife that practices in the United Kingdom or even the European union for that matter, must revalidate their status every three years in order to remain legally on the register. This is important as it means that all nurses and midwives are legally allowed to practice and are not a risk to society. If a nurse or midwife was to lack competence, it will have a negative impact of the care that is being delivered to the service user. Team work is very important in terms of nursing as for majority of the shift the health care professional will be partaking in a team. If the four pillars are not followed in an appropriate manner, the nurse or midwife can risk suspension or even getting fired.By Prioritising People in the workplace, it enables health care workers to practice the six c’s, which are care, compassion, competence, communication, courage and commitment. In spite of the fact that all of the six c’s are linked together like a jigsaw puzzle, communication plays a significant aspect in the role of a nurse or midwife when ensuring that individuals receive the best care available. Without communication, efficient health care would not exist. Communication is also important when working within a team as all nurses and midwives due. This helps to minimise the mistakes that may be caused due to lack of communication or lack of knowledge for example if a service user has had their obvs taken recently or if they have taken their medication. The NMC Code states ‘You make their care and safety your main concern and make sure that their dignity is preserved, and their needs are recognised, assessed and responded to.’ It is a nurse and midwife’s obligation to guarantee that the care that is being delivered is in the best interest for the service user without any judgement or discrimination being put across. In addition to this, patients must have an overall understanding and agree to the procedure taking place. For example, if a service user has an impairment, it is part of the nurse of midwife’s responsibility to take time out and ensure that the procedure taking place is explained to their level of understanding. This can be difficult if there is a language barrier or a cognitive impairment. In this case, the nurse or midwife should think about using visual aids, which may help patients process the information. In regard to the affect that high profile care will have on the public, majority of patients and their families will experience a range of mixed emotions, they may start out feeling overwhelmed, indignant and hostile and will hopefully end up feeling respected, valued and at ease during pre-treatment as well as post treatment. Throughout treatment particularly when dealing with clients it is vital that their personal details including their health are kept confidential (The Data Protection Act 2018) to avoid the bond of trust being damaged. Furthermore, if confidential information was exposed about the service user it could alter their views on the treatment they are receiving. This could be due to another person’s input or it could also possibly put the service user in a dangerous or awkward position for example, if they have not told their family members and that information is leaked. The Data Protection Act 2018 allows service users as well as health care professionals to be protected against the misuse of personal data being stored or exposed unlawfully. As a health care worker, confidential information must only be used when necessary and plays a role in determining which treatment is right for the service user. As seen in the ‘Modernising Roles and Public Perception’ video, society is changing and as a nurse or midwife it is vital to ensure that they continue to develop their skills on the way care is given to fit in with the changes in society whether that be an advancement in technology or an increase in mental health awareness for example. Due to the arising of awareness in mental health issues the health care professional must make sure that their patient is healthy in both physical and mental aspects in life. Statistics show that throughout the United Kingdom, seventy-five percent of suicides that were committed in 2017 were by males this may be due to the stigma that ‘boys don’t cry’ (https://www.mentalhealth.org.uk/statistics/mental-health-statistics-suicide). Health care professionals should always ask their patients how they are mentally, especially males as overall, they find it harder to express their feelings due to society and what is ‘accepted’.EGAN’S SOLER MODELIn 1986, Gerard Egan who is a world known psychologist created a non-verbal communication model known as the ‘Soler Model’. The acronym Soler stands for Sitting Squarely, Open posture, Lean, Eye Contact and Relax (Soler to Surety, nursing education in practice). By sitting squarely, the nurse or midwife is showing their patient that they are interested and involved in what is being said. If a nurse or midwife was to sit closed it gives off the impression that a feeling of judgement is being put across, resulting in the client keeping to themselves but on the other hand, if the nurse or midwife was to sit too closely to the patient they may begin to feel like their personal space and dignity is being invaded. Having open posture allows the health care professional to feel engaged and gives off a positive atmosphere therefore creating a calm and peaceful environment for both the client and nurse or midwife. Leaning shows that the service user is being listened to without the atmosphere being too intense causing the patient to feel at ease. The use of eye contact shows that the nurse or midwife is taking in what the service user is saying and is focused on what is taking place during that moment in time. It is important to stay relaxed during the appointment as this will show that both health care professional as well as the service user are not uptight and un edge. Dr Albert Mehrabian discovered that seven percent of communication was down to the use of words, thirty-eight percent was a result of the use of someone’s voice and the last fifty-five percent is expressed through the use of facial expressions (https://www.psychologytoday.com/gb/blog/beyond-words/201109/is-nonverbal-communication-numbers-game ). This proves that although a nurse or midwife may be saying the ‘right things’ their body language can give off the opposite impression and instead of a welcoming environment being created, a brusque environment is portrayed. First impressions are important as studies show that it only takes roughly seven minutes after meeting someone before a judgement is created.
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