NURS20160 Delegation Justification And Ethical/Legal Dilemmas - Assignment Solution

Delegation Justification and Ethical/Legal Dilemmas for a Student Re-entry/International Registered Nurse in Australia

Recently, the importance and recognition given to the re-entry or international registered nurses in Australia is the outcome of the shortages of nurses and midwifes in the country, as well as around the globe (Long and West, 2007). For this reason it is important to study and analyse various aspects of the role and duties of a student re-entry/international registered nurse so that a healthy working environment is maintained. The purpose of this essay is to analyse the situation given at hand in the assigned video and apply complete knowledge and understanding to the delegation justifications and apply ethical and legal frameworks and professional codes and guidelines to nursing practice. 

By discussing the delegation and supervision requirements of a student re-entry or international nurse on clinical placement and the legal and ethical dilemmas faced by a student nurse, I will be able to demonstrate Ethical and Professional responsibility, Self-management, Knowledge and Cognitive and Technical skills. 

There will be two sections to this essay which will be devised after watching the assigned video. Section 1 will focus on the beginning of the clinical placement, i.e., the first week, of a student re-entry/international nurse. This would include the scope of practice as a student re-entry/ international nurse, the nursing cares that are appropriate to perform in the first week and the how these nursing cares would be delegated to the Registered Nurse Buddy, using the decision making framework of the Nursing  midwifery Board of Australia. After focusing on the beginning of the clinical placement, the end of the clinical placements for the student re-entry or international nurse (week 4 and week 6 respectively) will be discussed, including the scope of practice, appropriate nursing cares and how they would be delegated to the Registered Nurse Buddy. 

Section 2 will cover the assignment requirements to shed light on the ethical dilemma regarding a situation encountered during my clinical placement of another student taking “selfies” with patients. In this section, I will explain how I will approach this situation using the laws, standards and codes that are applicable to ensure practice according to the laws in the workplace.  

Section 1

In this section I will discuss the scope of practice, appropriate nursing cares and delegation of duties for a student re-entry/International nurse on clinical placement for the first week. 

Scope of Practice for a Student Re-entry/International Nurse

For student re-entry or international nurse, it is important to know the procedures and actions that he/she is permitted to undertake while keeping in mind the standards of the Nursing and Midwifery Board of Australia, which ensures that any nurse or midwife who is registered is safe and competent to practice. Returning to clinical practice means that the nurse/midwife needs to ensure professional development in accordance with the Registered Nurse Standards for Practice (NMBA, 2016), which are as follows: 

• To think critically and analyse the nursing practice
• To engage in therapeutic and professional relationships
• To maintain the capability of practice
• To conduct assessments comprehensively
• To develop plans for nursing practice
• To provide safe, appropriate and responsive quality nursing practice
• To evaluate outcomes to inform nursing practice.

The above standards are applicable to all registered nurses, however, each standard is interpreted according to the context of each Registered Nurse’s, for example, in this case a student re-entry nurse or an international nurse.