Being in the nursing profession

Being in the nursing profession

Setting the Scene

Being in the nursing profession is a huge opportunity for me. I am a male student and nursing trainee. The being in nursing profession is turning out to be a game changer for me and my compatriots. This assignment is an assessment for short course lasting for half a year. Everything in the program is fundamentally structured in the level 4 healthcare program. The training program gives me an opportunity to work 3- 4 days a week in a rest home. Personalized care services form the basics of my responsibilities and the rest home facility houses a whooping 57 beds. Being an Indian, exposes me to certain cultural disparities and challenges in the course of service delivery. The next section of the assignment is a resolute description of culturally safe principles of operations and key values. I also give an insight of the various frameworks, approaches and models in the working environment in the professional setup of healthcare provision.

Sector Operating Principles

Sustainable and well protected environment in every healthcare facility including rest house services I provide is equally important as any other competent healthcare aspect. Sector operating systems and principles form the foundation towards achieving such an environment. Every healthcare provider should embrace the following operating principles for quality and holistic services and excellence. Healthcare administration is never a complete encounter without the input of the key operating and culturally secure principles.

Healthcare is a very sensitive sector when it comes to ethical attributes and principles. In any medical setting, the quality, satisfaction and decency of the services are determined by the mechanisms of principle coexistence. The first principle is beneficence. The benefit entails the fact that health workers and expertise must work with the intentions of benefiting the patient always. Patients are the main stakeholders in our healthcare systems. During my stay at the home care facilities, it was mandatory for me to ensure all beds are reached within the stipulated time. In this regard, I ensured that every patient regardless of condition, financial support and age gets the full benefit of my presence in the facility. The procedures and commitment were done sufficiently for the uttermost good of the patient (Sturmberg, 2018).

The next principle I applied was Justice. The element of fairness in all medical situations was clear during my stay at the personalized -care facility. I ensured that the resources were equally and justifiably distributed among the needy patients on the flow. The fact that some of the patients were mentally challenged did not translate to violation of their right to justice. Everybody and patient were treated with the justice he or she deserved.

The last principle is Non-Maleficence which means avoidance of all sorts of harm. My actions were guided by this principle for the wellbeing of the patient, fellow medical practitioners, casual staff and the general society. Engaging the family friends was always made to have the best for their respective patients. No malicious intentions were recorded whatsoever and my fellow colleagues never poured a cold ice on the team spirit we established (Margaret Cargo, Sharon Clarke, Potaka-Osborne and Cvitanovic, 2019).

Maori Operating Principles

The first principle is partnership. The principle is all a strict attribute of togetherness in delivering medical and healthcare services. It brings the patients, their family members an iwi for a collective support on the wellbeing of the patient. Partnership is an approach of value demonstration, support networks, empathy and shared resources and collective decision making. Rest home health services are never complete without this principle. Especially when handling the wellbeing of patients with mental complications. Tāngata whaiora, as they are famously regarded, are a group of patients whose services are efficiently delivered through partnered efforts. During my stay at the Rest Home facility, I have used the principle in administering prescriptions to mentally sick people who sometimes turn violent and on the run. Through partnership, I am able to share information at empower other care givers.

Protection is the next culturally resilient principle relevant in my working and nursing practicing environment. The principle entails the elimination of inequalities in the whole system of healthcare (Blanchet-Cohen, Natasha, Pascale Geoffroy, and Luz Luz Marina Hoyos, 2018). Under the principle, patients have unrivaled service access which meets their need requirements. Mentally challenged victims need protection in equal measure as the upright population does. The fact that the mentally sick are out of their reasoning senses does not mean exploitation of their right to quality life. I applied the principle to ensure that tāngata whaiora well entitled to proper diet, medication and every aspect of basic needs. The principle ensures that their wellbeing and recovery process are not violated at all costs. Handling cases of ignorance from my fellow nurses was enabled by this principle.

The final principle of operation is participation. A participative approach entails allowance of space and time to family members and iwi to be part and parcel of engagement and decision processes as far as the health needs of their loved ones is concerned. The principle calls for utter faith, idea sharing and support, genuine discussions and open consultation. The article of Te Tiriti o Waitangi article is a close and inseparable relative of the principle of participation. Being a treaty, the article is a settlement of how public policies should express the aspect of participation (Morrison, 2019). It also shows how the physical and spiritual relationships should be maintained all through the recuperating period. During my stay at the rest home set up, I vehemently implied the principle. Of the beds I attended, the ones with mental complications were in dare need of their family members. Since they have blood connection, they could easily exchange ideas. and through the same, as a professional get the limelight to take the necessary medical action. I was not able to ignore in totality, the perceptions they shared since, handling them requires support of their psychological progress (Morrison, 2019).

The Pasifika Principles

Family values is the first principle. The principle is a notion that every individual is part of a family and every family is a part of a person. The sense of identity and belonging crops in. Handling patients in every facility requires the family values principle. Regardless of the kind of disorder, every patient is entitled to a well-structured family value framework. During my service delivery at the health center, I used my professional attributes to make the mental patients get and enjoy the feeling of being in a family. Spending quality time with them was inevitable for me.

The next principle is communitarianism and it all entailed the sense and touch of a community within the hospital premises. Every stakeholder is key to the success of this principle. With engaging all players, a culture of resolute team work and spirit is created and established. Family members were key for my operations especially with the victims of tāngata whaiora. Consulting them would help understand the behavior, actions and notions of the victims (Boulton A, Gifford H, Allport T and White H, 2018). My seniors were also key in shaping this principle and every task allocated to me was an opportunity to enhance my consultation skills in the quest to have a common focus within the hospital community (Boulton A, Gifford H, Allport T and White H, 2018). Respect is the last but not the least of the principles. It prepared a conducive environment for all of us. Every person is entitled to respect and the mutual response should replicate the same. Mentally ill people also need to feel the touch of respect and it was key in manipulating their ill- coordinating senses.

Selected Framework

The best framework to ensure full satisfaction and excellence in service delivery for tāngata whaiora is Rangatiratanga. The framework entails structures of bravery, generosity, respect, commitment and service to the community. The moment the psychologically ill people are brough for personalized care, it means the society has faith in the concerned care givers. Being one of them, the system I employ will ensure that every aspect is done in brave and commitment manner to avoid lapses of quality health. Engaging relatives and family members will ensure that the critical decisions are made effectively through deep and fruitful consultations (Sturmberg, 2018).

Pacifica Model of Wellbeing

The model chosen is the Fonofale which is based on several key elements including: a house, foundation, posts and the roof. All of the elements are carriers of a symbolic meaning. The model is a holistic phenomenon which demonstrates the phase and journey to wellness for any patient. A cocoon or a circle with the various dimensions is used to show how they influence each other. The family is the foundation and the posts are the various physical, mental, spiritual, socio-economic, age, sexuality and status. The roof is the cultural definition sheltering the family. The healing process should always have a clear outlook of all the mentioned components of the model. My encounter with the mental patients has shown me how the Fonofale model is critical (Margaret Cargo, Sharon Clarke, Potaka-Osborne and Cvitanovic, 2019). The patient cannot recover fully if one of the components is left out. Working with tāngata whaiora is a challenge easily beatable when all the components of the model are effectively adhered and utilized where necessary.

References

Blanchet-Cohen, Natasha, Pascale Geoffroy, and Luz Luz Marina Hoyos. (2018). Seeking Culturally Safe Developmental Evaluation: Supporting the Shift in Services for Indigenous Children. Journal of MultiDisciplinary Evaluation 14.31, 19-31.

Boulton A, Gifford H, Allport T and White H. (2018). Delivering on diversity: the challenges of commissioning for Whānau Ora. J Indigenous Wellbeing, 45-56.

Margaret Cargo, Sharon Clarke, Potaka-Osborne and Cvitanovic. (2019). Strategies to support culturally safe health and wellbeing evaluations in Indigenous settings in Australia and New Zealand: a concept mapping study. International Journal for Equity in Health.

Morrison, S. (2019, February 07). The University of Waikato. Retrieved from The significance of Te Tiriti o Waitangi: https://www.waikato.ac.nz/news-opinion/media/2019/the-significance-of-te-tiriti-o-waitangi

Sturmberg, J. (2018). A Complex Adaptive Health System Redesign Based on “First Principles. In Health System Redesign, , 75-96.