Nursing Profession in Australia Essay

Nursing Profession in Australia Essay

Workplace bullying is increasingly being recognised as a serious problem in society. Reports from the general media and professional press suggest that there is increasing evidence that the scale of bullying, harassment and violence amongst health care staff is widespread (UNISON, 2003). Chaboyer, Najman, and Dunn (2001) explain that although nursing in Australia is now considered a profession, the use of horizontal violence, bullying and aggression in nursing interactions has been identified as a serious problem. Levett-Jones (as cited in Clare, White, Edwards, & van Loon, 2002) explains that the recipients or victims of bullying within the nursing profession are often graduate nurses, with 25% of graduates reporting negative Nursing Profession in Australia Essay
Workplace bullying often involves the abuse or misuse of power and authority within an organisation. Olender-Russo (2009) explains that due to power imbalances and the hierarchal structure of nursing, the bullying victim is often the graduate nurse. Research suggests that graduate nurses may be predominantly targeted as they are viewed as representing a traditional subordinate role within the medical model of healthcare (Simone, 2008). This view is supported by the commonly used expression “nurses eat their young”. Victims of workplace bullying often experience negative physical and psychological reactions to bullying, including sleeplessness, anxiety, stress, self- hatred, powerlessness, decrease in confidence and anger (Randle, 2006). Johnson (2009) explains that workplace bullying can also impact the organisation through decreased productivity, increased sick leave and employee attrition. Bullying within the nursing profession is a complex phenomenon and needs to be understood through an examination of the historical, social, political and economic factors that contribute to its proliferation. Nursing has existed in various forms in every culture, although the definition of the term and the practice of nursing has changed greatly over time. Donohue (1996) further explains this concept, describing Nursing Profession in Australia Essay

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Electronic portfolios (ePortfolios) are utilised in nursing to enhance efficiency when recording
professional development. As aspiring nurses, students are required to understand the importance
of ePortfolio engagement. Appropriate content and structure are used to appeal to prospective
employers and medical authorities. Incorporating a formal design in my ePortfolio was achieved
through analysis of articles and online resources. Material used in the portfolio provided an insight
into personal career objectives as a student nurse. Further design ideas were attained through
meeting professional requirements set by the Nursing and Midwifery Board of Australia (NMBA).
The use of evidence and reflection in profiles are fundamental to communicating career
progression. Nursing ePortfolios enable knowledge and skills to be conveyed to professional bodies,
while individuals develop from novice to expert.
A professional design for the ePortfolio was achieved through analysis of peer reviewed journal
articles. According to Katerattanakul & Keng (2008), the inclusion of core, contextual, visual, and
accessible data is fundamental to an ePortfolio. As a result, options for curriculum vitae and
assessment material were included to meet intrinsic requirements. Furthermore, the presence of
accessible qualities is outlined by distinct links on the top of the page. The contrasting colour
scheme combined with minimal scrolling is employed in the online profile, meeting visual and
contextual requirements (Katerattankul & Keng 2008). Professional profiling in this manner allows
communication with a wide variety of readers. Mills (2009) proposes that an assessment portfolio
conveying learning accomplishments is appropriate for novice nurses. The use of an educational
portfolio for students is further emphasised by Hawks (2012). My profile is identified as an
educational portfolio through reflecting on clinical performance, preceptor evaluation, and
assessment material. The integration of reflection is used to support learning objectives and
professional development (Casey & Clark 2009). As I progress in my career, artefacts will be used as
evidence to support my reflections. Technical, practical, and emancipatory reflections will be
included in the online profile to outline competencies (Mills 2009). Incorporating the literature into
my ePortfolio will promote engagement with the medical community.
Understanding the use of effective communication strategies were emphasised through the
critique of online nursing profiles. Appearance and content of electronic resources were evaluated Nursing Profession in Australia Essay
to gain insight into professional design. Hawks (2012) suggests that ePortfolios are required to be
concise in order to engage with a broad audience. Succinct examples were utilised as a model for
my personal profile (Gurung 2015; Leonard n.d.). In contrast, Jimenez (n.d.) utilised information
that was personal and irrelevant to the nursing profession. Further engagement is achieved
through an established introduction with emphasis on the individual. Latoures (n.d.) provides a
welcoming introduction through advertisement of her name in the title. My ePortfolio has adopted
this technique in order to engage with potential employers. Organisation of profiled information is
just as important as content in portfolios (Katerattanakul & Keng 2008). Failure to structure data
The following are general comments about the structure and content of an
academic essay written for university – they are not prescriptive and
intended as an educational guide only.
Comment [RT1]: The opening sentence
in the Introduction is a strong statement
and is addressing the assignment task. The
tone and use of language is appropriate for
this type of essay.
Refer to: http://www.uts.edu.au/currentstudents/support/helps/self-helpresources/academic-writing
Comment [RT2]: These statements
clearly outline the background and
research to this essay.
Refer to: http://www.uts.edu.au/currentstudents/support/helps/self-helpresources/academic-writing/essay-writing
Comment [RT3]: Evidence and
reflection form the background and
support direction for the body of work to
follow. The introduction has a clear outline
of how, what and where this reflective
essay will meet the assessment criteria.
Comment [RT4]: A new topic sentence
outlines the analysis of journal research
and forms the core discussion for this
paragraph. The reflective questions: ‘What
theory proves to be useful and why? What
have I learnt from this?’ form part of the
answers for justifying this approach. Refer
to: http://www.uts.edu.au/currentstudents/support/helps/self-helpresources/academic-writing/reflectivewriting
Comment [RT5]: These expressions are
good examples of transitional words linking
statements to the topic sentence.
Comment [RT6]: Refer to Comment
RT5.
Comment [RT7]: Refer to Comment
RT6.
Comment [RT8]: This comment ties the
theory and reflection together and is an
illustration of how the topic sentence has
expanded the writer’s ideas through the
paragraph.
Comment [RT9]: Another sentence on
reflection which ties in with the assignment
question.
Comment [RT10]: The last sentence of
the previous paragraph is a summary for
the paragraph. At the same time it forms a
link to the topic sentence of the next. This
is clearly shown here.
Comment [RT11]: Another reflective
sentence that links to theoretical concepts.
Comment [RT12]: This in-text
reference signifies that the date is not
known.
Nursing: Professionalism in Context Assessment 1
appropriately is depicted in Henderson (n.d.), where a combination of links all over the profile
distracts the reader. A clear layout was used in my ePortfolio in an attempt to avoid confusion. As I
progress in my nursing career I hope to employ links affiliated with clinical experience and
competencies into the portfolio. The profile of Gurung (2015) & Leonard (n.d.) emphasise a simple, Nursing Profession in Australia Essay
yet structured means of representing future competencies. Analysis of professional profiles have
been utilised to enhance the design of my ePortfolio.
The ePortfolio needs to adapt with career progression to reflect professional development. Growth
from novice to experienced nurse must be reflected in the profile through use of evidence (Hawks
2012; Mills 2009). As an assessment portfolio, the design of the profile is aimed at acquiring and
reflecting on learning objectives. However, a greater focus on self-evaluation may change the
classification of the ePortfolio from educational to learning. Although alterations are required to
represent professional growth, an ePortfolio must maintain specific features. Katerattanakul &
Keng (2008) established that career eagerness, leadership, and intellectual understanding are key
components of a portfolio. In addition, competent clinical judgement is required in nursing profiles.
Integration of fundamental elements into my current ePortfolio will aid in future development.
Through editing the current layout and content I have established a solid foundation for my
professional profile. Removal of the unnecessary Professional Identity material and the addition of
a clinical evaluation link, reflect my current stage of development. Additional information in the
‘professional development’ tab can be introduced upon registration to aid in reregistration.
Evolution of the ePortfolio is designed to mirror my progression as a nurse. Therefore the profile
requires consistent review to appropriately reflect lifelong learning (Hawks 2012). A profile aimed
at being dynamic allows efficient reflection of skills throughout a profession.
The ePortfolio design aims to incorporate continuing professional development through analysis of
skills and reflection. Registered nurses are required to complete 20 hours of continuing
professional development (CPD) annually in accordance with the Nursing and Midwifery Board of
Australia (NMBA) (AHPRA 2013; AHPRA 2010). Hours are used to mark a commitment to evidence
based nursing and provision of holistic care (Ceely 2010). In addition, nurses are required to declare
competent practice to maintain registration (Mills 2009). The importance of professional
development is illustrated by graduate nurses reducing mortality rates (Casey & Clark 2009).
Communication of CPD with regulatory bodies can be marked in ePortfolios for appraisal.
Documentation can be used to support professional registration as evidence in online profiles.
Professional profiles can outline competencies and reflection to further support CPD. Future
additions to the ‘professional development’ folder on my ePortfolio can aid in registration.
However, as a student nurse my professional development is reflected through clinical and
academic assessment. Inclusion of a ‘clinical performance and assessments’ link has provided a
means to reflect and submit supporting documentation. Furthermore, a review of my curriculum
vitae by the UTS Careers Office increased the professional structure of the ePortfolio. The current
structure of my ePortfolio is inclusive of a ‘professional development’ folder which can be updated
to include CPD.
ePortfolios are utilised in the nursing profession to depict professional development, clinical
judgement, and lifelong learning. Analysing current literature and peer portfolios aids in creating an
efficient profile design. As a student nurse, implementing a dynamic strategy is important in
marking progress from novice to experienced nurse. Growth in the nursing profession is reflected
through CPD which can be illustrated in ePortfolios. Adapting the portfolio is important in meeting
professional demands and communicating with regulatory bodies or potential employers.
Continued profile maintenance will aid in developing my ePortfolio in my caree Nursing Profession in Australia Essay

Nursing has suffered a lack of understanding by the general public, who often can see no further than stereotypes of heroine, harlot, harridan or handmaiden. These have colored nursing’s development as a profession, in Australia as in the rest of the world. Australia, as the ‘lucky country’ has one of the best health systems in the world, and Australian nurses are amongst those at the forefront of the profession. However, it appears that Australian nurses, as with many sections of Australian society, do not recognize that they hold high professional standards. With the influence of the international nursing shortage and the ever-growing technological advances within health care, alternatives to nurses, and to the registered nurse, are emerging. It is vitally important that nursing controls and regulates these developments. Only by protecting the legitimate role of the nurse, ensuring that education standards are maintained at the highest appropriate level, and generating and using new nursing knowledge will outcomes for all those who come to us for care be of the highest order. This essay proposes that Australian nurses need to overcome the ‘cultural cringe’ and recognize that they are in charge of a profession which meets the highest international standards. Nursing Profession in Australia Essay

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