Professional code of conduct in nursing refers to the occupation’s well-founded ethical standards. Professional conduct in nursing facets outlines the most indispensable principles and obligations of nurses that are relevant in ensuring that ethical issues are adhered to in a healthcare setting. On the other hand, incivility also forms a significant component in the healthcare sector that does not only impact on the healthcare practitioners throughencountering negative behaviors but also the quality of care that is provided under a shadow of an unfavorable working environment (Kodjebacheva, 2014). According to Hutton and Gates (2008), incivility refers to the low intensity, aberrant conduct that is abstruseand aimed at damaging the target person. Therefore, incivility infringes themodels for mutual respect in a working environment besides undermining the professional code of conduct of the given profession
In a healthcare setting, incivility entailsrude, disorderly, frightening, as well as detrimental actions from one person to another at different levels, for instance, from one nurse to another. In the nursing profession, incivility is a breach of professional code of conducts. The actions entailed in incivility, such as intimidating and disruptive behaviors also result in other negative implications like medical errors anddecreased patient satisfaction. The nursing main aim of idealism and professionalism in healthcare settings can be damagedby consistent incivility actions through individuals who create a hostile work environment for others (Lachman, 2014).
Moreover, cases of incivility perceptions in today’s healthcare environment result in emotional or physiological misery for individuals involved. If the cases of incivility are not controlled in the nursing profession, they may also develop into more dangerous situations or conducts. In most cases, victims of incivility in the nursing profession exhibit serious indications, for instance, trauma, disquiet, fatigue, insomnia, despair and embarrassment, which hamper them from effectively carrying out their tasks and responsibilities.
Furthermore, incivility causes havoc on the relationship between nurses, which directly influences the workplace self-esteem and patients’care and safety. This implies that contrary to the common thoughts, incivility outcomes arewidespreadin the healthcare settings since most nurses affected by cases of incivility output is decreased, hence affecting their service provision.
Challenges in Entering into a Professional Nursing Practice
Individuals face several personal and professional challenges when entering into a professional nursing practice. Personal challenges that impact one’s professionalism and accountability include lack of effective mentors and performance anxiety. Other challengesthat affect professionalism and accountability of nurses are too much work as a result of shortage of nurses, extensive working diversity and incivility. Most of the challenges often occur simultaneously,making the process of entering into the nursing practice complicated.
During transition from class to nursing practice, a good number of nurses undergo a stressful and fatigued moment(Hofler & Thomas, 2016).For instance, the new practitioners in the profession need to manage patients, interactions with service providers and families, and control the interprofessional team connection. In the event that the nurses do not get adequate support from mentors or senior practitioners, they become overwhelmedandfatigued. Under this condition, nurses can suffer from significant angst, which leads toabrasion.
Currently, several medical facilities are admitting more patients every day withcompoundlingering conditions. These include increased rates of heart ailments, cancer, diabetes, obesity and mental health disorders among others. This implies that there is no adequate access to primary care ornarrow access to preventive care.Moreover, the healthcare sector is undergoing a phase where nurses are leaving as a result of excess work, retirements and diminishing working resources. Therefore, it is apparent that the most healthcare facilities are not in a position tocontrolthe experiencedworkforce to act asguidesor mentors to the new practitioners entering the nursing practice. This will likely make the new members in the nursing filed situation complicated in adapting to the healthcare facilities environments and nursing practice.
Workplace incivility and bullying is another challenge that affects the new nurses in the nursing practice, particularly in their social life. In many instances, veteran nurses tend to bully the new nurses beginning their nursing practice in order touphold their dominance in the healthcare facility. These challenges immensely affect individuals joining the nursing profession.
Areas of Personal and Professional Improvement
There are different areas of personal and professional improvement that I will need to put in place in order to position myself better before entering into the practice of nursing. Firstly, I will undertake a nurse mentoring program that will help me in the attainment of higher levels of proficiency, self-assurance and independence through the aid of healthcare organizations (Hofler & Thomas, 2016). This will also help me in different phases, for instance, establishing communication skills that are vital in creating interpersonal relationships within the working environment. Furthermore, I will also enroll for a nursing transition program that will provide me with the basic principles during the transition process into the practice of nursing. This will help in establishing my self-assurance and competencyin the healthcare facility practice.
I will establish different strategies to help me attain my personal and professional objectives. Firstly, I will uphold the concept of responsibility and accountability. Normally, the main objective of any nurse is to offer safe, competent and quality care to patients. Additionally, the scope of nursing practice, as pointed out in the education system, is mandated by law. Therefore, through accountability, I will sharpen my preparedness skills to provide answers to all my actions. Responsible conducts will also help me to carry out my duties as expected without any issues. Since nurses work as one team, my responsibility behavior will be significant in ensuring effective accountability in the whole group,which will ensure a swift adaptation and support in the system.
Secondly, another strategy that I will develop is intrapersonal and relationship skills.Being a member in the practice of nursing, I face feelings of doubt, particularly in my level of preparedness in the field. Moreover, as result of not being proficiency, some moments may challenge my practical application of what I have been learning. To overcome these situations, I will focus on interpersonal relationship skills that will assist me in understanding more about nursing practice through cooperation, mutual support, and effective communicationfrom team work.
Lastly,the final strategy that I will employ in beginning the nursing practice is conflict resolution. Since nursing is fast working environment, it is apparent that new nurses from school are likely to encounter different challenges, particularly applying the theoretical aspects learned in class in the field. Adapting or working in an anew environment is also another challenge besides communicating with individuals from different cultures. Therefore,it is apparent that I will encounter several conflicting situations, which I will be required to solve amicably to attain effective outcomes in the healthcare setting. I will realize that this facet is attainable through developing a positive self-concept and addressing relationship conflicts in order to create a supportive environment. This will enable me to grow and adapt as well asget an opportunity to be assisted by other experienced nurses.
Event of Incivility
Northeast Associate Degree Nurse Program Policies prepare students to weigh, plan and implement nursing learning requirements. This program involves distinct nursing courses and key requisites in different areas of professionalism. Among them is the concept of incivility. For example, enthusedby incivility, I offended my nursing lecturer. I was informed by my nursing instructor that I was disrespectful to her class because I acted as if I did want to be in the classroom and seemed I had other important things to do. The nursing instructor also informed me that I had offended her since I displayed my frustration of by not understanding my assignment through approaching another by saying dint know what to do with the paper. I understand that this was unprofessionally and breach of the Northeast Associate Degree Nurse Program Policies. This act greatly affected my instructor’s personal relationship with me. Additionally, turning to another instructor for help in an assignment given by a different instructor is an element, which causes a stressful reaction on the lecturer due to my disrespect. All these facets provide a breakdown in my learning process as a result of the tense relationship I have caused thus affecting the healthcare learning provision in nursing in my professional learning. Therefore, I do pledge to change my discourtesy behavior by apologizing to the instructor and carefully study and understand all the institution classroom policies as by the institution program. Secondly, I shall always focus and be attentive to my classwork at all times and in case I have a problem with a lecturer or an assignment, I will humbly approach the same instructor for help with due respect. These measures will help me reduce future acts of incivility in my nursing learning environment.
In conclusion, it is therefore important to ensure that nurses work in friendly and conducive working environment in order to ensure effective nursing care delivery. Nurses encounter numerous challenges in their normal day to day practice, for instance, the issue of work load and handling of different patients that are in difficult conditions. Exerting other burdens on the nurses from issues like incivility need to be averted at costs.
Hofler, L., & Thomas, K. (2016). Transition of New Graduate Nurses to the Workforce Challenges and Solutions in the Changing Health Care Environment. North Carolina medical journal, 77(2), 133-136.
Kodjebacheva, D. G. (2014). Workplace incivility affecting CRNAs: A study of prevalence, severity, and consequences with proposed interventions.AANA journal, 82(6), 437.
Lachman, V. D. (2014). Ethical issues in the disruptive behaviors of incivility, bullying, and horizontal/lateral violence. Medsurg nursing, 23(1), 56.
Scott Hutton, R. N. (2008). Workplace incivility and productivity losses among direct care staff. Workplace Health & Safety, 56(4), 168.