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Professional Values & Governance in Nursing & Healthcare Assignment Sample

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Health care experts plays a very pivotal function in getting better the overall health of a particular patient. Health care workers offers important amenities which supports wellbeing, safeguard from illness as well as offer health related amenities to person to person, families as well as societies relied on main nursing approaches. With this responsibility there also comes different kinds of threats which influence the worth of care in a person’s journey all through the health care. One of the main purposes of this essay is to significantly assess the aspects of the threats that influence the class of care of a person within the healthcare system. The study will provide its focal point on three main elements which are:

  • Important roles and association of medical care suppliers and explicit medical care experts inside them 

  • Major moral, strategy and legitimate structures affecting the person's excursion through medical care. 

  • Moral, arrangement and legitimate systems, the significant commitments of the nursing job to a person's experience of care

Main Discussion

Critical awareness of the structure, function, and governance of the NHS, and critical insight into the development and influence of healthcare policy on nursing practice on healthcare delivery

Before going into dee discussion related to the topic firstly it is important to know why there is requirements of having a good nursing or health care services for an individual. The status of an individual’s health as well as the requirement for the nursing amenities to get better or uphold the health are some of the primary factors of medical care deployment. As a research done by World Health Organization it shows that the wellbeing is measured by an individual’s attributes in addition to attitudes as well as socioeconomic ambience.  In this type of cases nursing plays a very pivotal role in dealing with the patient’s disease (Burhans, 2010). Also, Nursing services are accountable for advancing and keeping up with wellbeing, forestalling and treating sickness, and mitigating languishing. Attendants' aptitude is based on proof-based nursing. Crafted by an attendant is a wellbeing advancement action that improves individuals' capacity to really focus on themselves (Mr. Punjot, 2019).

Structure of the NHS- NHS is an autonomous unit which eludes that the segment ft health might not show kind of interference straightforwardly within its settlements, NHS is accountable for facilitating that there is an effectual framework of CCGs.

Function of NHS- The main function of NHS is it to develop care quality consistently further, assisting with making the most secure, greatest wellbeing and care administration. Individuals merit reliably excellent medical care that is close to home, compelling and protected, that regards their respect and that is conveyed with sympathy.

Governance of NHS- Clinical administration is "a framework by means of which NHS associations are responsible for persistently working on the nature of their administrations and defending elevated expectations of care by establishing a climate in which greatness in clinical consideration will prosper

Factors Influencing the Quality of Care in An Individual’s Journey Through Healthcare

Though there are different factors which influence the worth of care in a person’s journey by means of nursing, but the main five factors are described in detail below.

  1. The first important factor which influence the quality of care is proper planning and certification. This mainly includes the alertness of the short-term vision presence of documentation design, wort as well as precautionary handbook.  

  2. The second important factor is workers involvement in quality administration work. This manly provides its focal point on follow the proper wok plan as well as to follow the patient’s history (Anon., 2019). 

  3. The third important factor consist of nurse’s ability to deal with the patient. This mainly include how much knowledge and aptitudes the health care person is having to handle a critical patient. 

  4. The fourth factor consist of nurse’s inspiration along with job satisfaction. Health care professionals ' work fulfilment is vital in conveying excellent clinical benefits to patients. 

  5. Last but not the least nursing work satisfaction is essential in passing on brilliant clinical advantages to patients. Inadequate foundations, assets, and gear restrain conveyance of value clinical benefits (K, 2014).

Risks Affecting the Value of Care in An Individual’s Journey Through Healthcare

In the medical services information-based framework, a lot of study has given expanding consideration over the long haul to working on clinical information, including by utilizing the patient's insider viewpoint. Specifically, patient experience of medical care and the conveyance of care is arising as a significant subject matter, yet one that is here and there disregarded. According to a research done by Elena Beleffi, shows that the board execution of individual wellbeing development endeavours continues to confront various kinds of risks. Few of the risks includes participation of the employees, shortfall of individual as well as corporal know-how when healthcare issues happen and limited investing in patients’ wellbeing (Gualandi, 2019). Over the most recent couple of years, accentuation on the emotional determinants of commitment has driven many creators to upgrade the client experience beginning from an investigation of the client venture. Considering the work of a health care professional, the patient excursion is a key cross-useful business measure where patient and suppliers share activity and data streams among individuals and frameworks across different touchpoints. The journey of a patient in that case is considered to be as a difficult move (Beleffi, 2020). Some of the major risks which affects the value of a care in an individual’s journey through healthcare are:

  1. Lack of work motivation- Lack of work motivation is one of the major risks which affects the value of care in an individual’s journey through healthcare. In many cases it has been sees in major hospitals of UK that the nursing staff are not get motivated to work properly and as a result a lot of individual has to suffer due to this issue.

  2. Limited nursing professionals- Due to high demand of the services in many cases it has been seen that there is very limited access to health care professional due to which hospitals and individuals has to face different kinds of issues.

  3. Lack of proper skills to manage the patients properly- Nursing profession is considered to be a very serious profession. In this profession people needs to be very serious about their work which mainly focus on managing the individual in care home properly. The main risk lies in this case is that a lot of people don’t take their job seriously and also don’t have the ability to manage the patients properly which is very dangerous threat for them. 

  4. Lack of proper knowledge about the healthcare field- Last but not the least lack of proper knowledge regarding the profession is also now days a great threat to the value of care in an individual’s journey through healthcare. These days it has been seen that a lot of hospitals are hiring very know knowledge-based nurses who don’t have proper idea about the disease of the patients and in this type of case it become threat for the patient to survive (Lloyd, 2018). 

Key functions and organization of healthcare providers and specific healthcare professionals 

Healthcare providers play an essential role to prevent and manage common health conditions. Moreover, health care providers often act in a supportive role until patients are ready to advocate for their own wishes. They can guide patients to make the right decision and treatment depending on their conditions (Munthe et al,2021). Health care providers are involved in various health-related functions like health promotion, preventive healthcare, counselling, health education, diagnosis, treatment, and care of acute and chronic illness (David and Valas 2017).

There are different types of healthcare providers such as primary care physicians, paediatricians, dentist, clinical psychologist, optometrist, nurse practitioner, nurse-midwife, or a clinical social worker who is authorized to practice by the State. The key functions of specific healthcare providers are discussed below:

primary care physician: family practice and internal medicine physicians are considered primary care physicians. They can treat different types of illness and conditions, conduct health screenings and physical exams. They also provide primary wellness and preventive healthcare.

Paediatricians: Paediatricians are physicians who are trained for caring for new-borns, infants, children, and adolescents. They provide preventive care for healthy children and treat the injured or ill children. They are specialized in childhood diseases, growth, and emotional health.

Dentists: They take care of patients’ teeth and suggest good practices to keep them healthy.

Nurse practitioners: They can serve as primary care providers in family medicine, paediatrics, adult care, or geriatrics. They are often trained to address women's health care and family planning. They can prescribe medicines.

Licensed practical nurses: They are state-licensed caregivers whose main function is to care for the sick.

Nurse-midwife:  They serve women's health care requirements such as prenatal care, labour and delivery, and the care of a woman who has given birth.

Clinical social workers: They are special kinds of social workers who focus on the assessment, diagnosis, treatment, and prevention of mental illness, emotional, and other behavioural disturbances.

Appreciation of the fundamental ethical policy and legal frameworks influencing the individual’s journey through health care 

Ethical values are important for all healthcare providers. Ethics are moral values that determine how a person or group will conduct themselves. Every individual has their own set of personal ethics. Ethics are important within healthcare as healthcare providers must identify healthcare dilemmas, make good judgments and decisions based on their morals while keeping within the laws that govern them (Bruce et al, 2019). Thus, all healthcare providers should have proper ethical regulations and guidelines within their profession. There are four principles of healthcare ethics. They are autonomy, beneficence, nonmaleficence, fidelity, veracity, and justice.

Autonomy: It is also known as self-government that means the ability to make a decision for oneself. It provides the right to individuals to make decisions about their own healthcare. The patient must be told the truth about their health condition and be informed about the risks and benefits of the possible treatment. According to the law, patients can deny to take the treatment even if the treatment is proved as beneficial.

Beneficence: A beneficent practitioner provides care that is in the best interest of the patient. It is the act of being kind. The actions of the healthcare provider are designed to bring about a positive outcome (Glover et al, 2020)

Nonmaleficence: It means doing no harm. Every health provider must ask themselves if their actions can harm the patient. Harm can be done by omission or commission. Harm by omission refers to the harm that has been caused for avoiding some actions that should be done to eliminate the chance of the harm. On the other hand, harm by commission is some action that actually results in harm.

Fidelity: It is keeping the promises.

Veracity: Veracity means being truthful to the patients.

Justice: Justice means equity in treatment. Justices are of two types: distributive justice and comparative justice. Distributive justice means the degree to which health services are distributed equitably throughout society. For example, National health service (NHS) of England provides health care facilities for all UK citizens based on their required for medical care rather than their ability to pay for it. On the other hand, Comparative justice considers how healthcare is delivered at the individual level. It looks at disparate treatment of patients on the basis of age, disability, gender, race, ethnicity, and religion.

Evaluation of ethical, policy and legal frameworks, the major contributions of the nursing role to an individual’s experience of care 

The above-mentioned ethics and policies act as a guideline to the nurses in making ethically correct decisions. Ethical values are important for all healthcare providers. Ethical practice is a basic responsibility for nurses as deal with ethical issues daily. Ethical dilemmas arise as nurses care for patients. These dilemmas can create conflict with the nurse’s ethical values. Nurses have responsibility to determine the ethical issues that can affect patients and staff. A nurse should have a high level of respect for all and show dignity when dealing in care and communication. Nurses should understand the professional guidelines in communications and work with their colleagues, patient, and patient families. For a nurse, a patient should be the primary concern (Henni et al, 2021). A nurse should understand the requirement for the patient to include their thoughts to individual care practices. If any conflict rises the nurse should try that the conflict does not impact the patient’s care. It is important for a nurse to obey all privacy guidelines with regard to patient care. It is important for a nurse to have a high regard for care as an overall ability once she enters the profession.

A nurse should try to maintain and improve the ethical environment of the workplace through personal and collective effort. An ideal nurse should identify safety measures and environmental considerations that are best for patient care. The nurse cooperates with other healthcare providers and the public to protect human rights, promote health diplomacy, and reduce disparities (Peter, 2018). Every nurse should know of ethics within their profession and be aware and recognize their own integrity and moral values. Nurses should have a basic and clear understanding of key ethical principles. This great profession must remain true to patient care while advocating for patient rights to self-identify requirements and cultural norms. Ethical considerations in nursing, are sometimes challenging, but they represent a true integration of the art of patient care. Nurses have a responsibility to themselves, their profession, and patients to maintain the best ethical practices. Nurses at all levels of practice should be involved in improving ethics in their targeted specialty area.


So, it can be concluded from the above done study that proper healthcare policies over the healthcare practice on healthcare supply provides a huge impact. With these different kinds of risks also comes which need to be handle maintaining ethical, legal, and other responsibilities. From the study it can also be concluded that Clinical administration is an umbrella term. It includes exercises that assist in sustaining and work on exclusive requirements of patient consideration. Health care employees might as of now be identifiable with a portion of these exercises, quality, and security improvement, for instance. What is diverse is the work to tie these exercises together and make them more viable. 


Anon., 2019. Factors influencing the quality of healthcare services in Indian hospitals: A systematic review. Journal of Management Research and Analysis, 6(3), pp. 71-80 DOI:10.18231/j.jmra.2019.013.

Beleffi, E., 2020. The Patient Journey, s.l.: springer.

Burhans, L. M., 2010. Quality nursing care in the words of nurses. Journal of Advanced Nursing , 66(8), pp. 89-97 DOI:10.1111/j.1365-2648.2010.05344.x.

Bruce, C.R., Feudtner, C., Davis, D., Benner, M.B. and Felicia Cohn for the Healthcare Ethics Consultant Certification Commission, 2019. Developing, administering, and scoring the healthcare ethics consultant certification examination. Hastings Center Report49(5), pp.15-22.

David, S.N. and Valas, S., 2017. National Accreditation Board for Hospitals and Healthcare Providers (NABH) Standards: A review. Current Medical Issues15(3), p.231.

Glover, A.C., Cunningham, T.V., Sterling, E.W. and Lesandrini, J., 2020. How much volume should healthcare ethics consult services have. Journal of Clinical Ethics31(2), pp.2-16.

Gualandi, R., 2019. Exploring the hospital patient journey: What does the patient experience?, s.l.: ncbi.

K, C., 2014. Quality, Factors Affecting Medical Service. Iran J Public Health., 43(2), p. 210–220.

Henni, S.H., Kirkevold, M., Antypas, K. and Foss, C., 2021. Perceptions of the scope of practice of nurse practitioners caring for older adults: level of agreement among different healthcare providers. Scandinavian journal of caring sciences35(2), pp.492-501.

Lloyd, B., 2018. Barriers and enablers of patient and family centred care in an Australian acute care hospital: Perspectives of health managers. Patient Experience Journal, 5(3), pp. 55-64.

Mr. Punjot, P., 2019. Nurse's Role: Beyond the Bedside. International Journal of Nursing Education and Research Nurse's Role: Beyond the Bedside, 7(3), pp. 432-434 DOI:10.5958/2454-2660.2019.00099.1.

Munthe, C., Fumagalli, D. and Malmqvist, E., 2021. Sustainability principle for the ethics of healthcare resource allocation. Journal of Medical Ethics47(2), pp.90-97.

Peter, E., 2018. Overview and summary: Ethics in healthcare: Nurses respond. OJIN: The Online Journal of Issues in Nursing23(1).

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