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In admiration to adult nursing, this academic project has been designed to provide a theoretical support of the A5 Leaflet. This assignment is connected to individual experiencing Health and Social Care. This document will be presented as an explanation and supporting evidence from up to date literature that give explanation for the contents of the leaflet and the guideline and reasons for their enclosure in it. Given the subject matter, this summary propose to debate a number of local and national policies in relation to social and healthcare that are relevant to adult nursing in the perspective of infection control in the hospital. Parenthetically, the nursing line of work as structured by Nursing and Midwifery Council (NMC) codes of conduct will be referred to with respect to the factors underpinning adult nursing care delivery. The aim of this project would thus be acknowledgment of the parameters of healthcare environment and the issues linked with it, which may have some bearing on safe healthcare delivery by the nurses to the proposed clients.
It is the responsibility of the National Health Service (NHS) to provide unbiased and identical healthcare of indistinguishable standards all over the UK. It was designed to be widespread such that it would envelop all healthcare requirements of the residents. The core notion was to make it free of charge at the stage of delivery, so that it is available based on needs to the general public equally, not on the capability of wealth. The system functions in a conjoint form between the Local Health Authority and Local Health Board including Community Health Council and other private or charity organisations (Goldie and Sheffield, 2001).
The National Institute of Clinical Excellence (NICE) is a channel of production and dissemination of evidence-based practice guidelines in order to control the practice of the healthcare professionals. NICE supplies technical and operational standard of treatment practices and guidelines for promotion of good health and prevention of ill health. It provides appraisal of healthcare technology, guidelines for interventions and other procedures, and guidance for public health promotion for NHS, local health authorities, and population in general including private and voluntary healthcare organisations (Walker et al., 2007).
Given that NHS activities are summation of local and national policies, examining the policies that may influence the health and social care in adult nursing is important (Department of Health, 2003). These incorporates public health disease control (Act 1984) Misuse of drugs (Act 1971); infection control, food hygiene, health and safety work (Act 1974); moving, handling, and protection of vulnerable adult; disability discrimination act (Act 1995); data protection act (Act 1998); and above all, the policies in relation to standards of care (Hewitt-Taylor, 2003).
The DOH affirms that, all local boards should ascertain sufficient infection control arrangements within hospitals. This shows the necessity for detailed infection control standards of quality in organisational structures with unambiguous responsibility of the healthcare specialist together with the nurses. These ought to be considered in an approach that support inspection, observation, prevention and control of infection in a habitual manner in everyday care delivery (Pellowe et al., 2004). It is crucial to have a monitoring system to review the infection control operation, above all, this must includes maintenance of team awareness as regards infection control via professional development programmes and display of first-class practice through effective and ongoing audit programmes (Department of Health, 2000).
Data from "The Management and Control of Hospital Acquired Infection in Acute NHS Trusts in England" suggest 9% of patients have hospital-acquired infection leading to disability or death. Infection control in the hospital setting may save 1 billion pounds a year. About 30% of these infections can be prevented through clinical hygiene and infection control guidelines across the NHS (NAO, 2000).
An article by Pratt et al. (2007) talked about the national evidence-based guidelines for prevention of healthcare related infections in NHS Hospitals. These are model ethics for preventing HCAI including hospital environmental hygiene, use of personal protective equipment, thorough hand hygiene, safe use of sharps and their appropriate disposals, prevention of catheter associated infections, and measures to prevent infections from central venous catheters. These are broad principles of best practices that need to be incorporated into local practice guidelines in every hospital across NHS. Clinically effective measures for control of infections are essential to enhance safety (Pratt et al., 2007).
The codes of professional conduct itemised by the NMC delineate confidentiality, professional limitations and accountability, ethics and dignity, respect, culture, and safe health care environments (Asbridge, 2008). It is essential that all nurses are aware of these codes so they can give care within guidelines in harmony to the established professional standards to the clients in any care settings. From that viewpoint, NMC safeguard the people via professional guidelines that make sure nurses and midwives deliver highest standard of care (Nursing and Midwifery Council, 2008).
Broadly, NHS care is dispensed through diverse care settings. These include hospitals for instance, community hospitals, GP surgeries, NHS and private; nursing homes and residential care facilities, like patient homes. It is the hope of every patient receiving healthcare that the environment of care delivery should be clean and safe and that is the reason behind yearly assessment performed by Patient Environment Action Team (PEAT) on every NHS hospital and inpatient care facilities to rate them. PEAT consists of representatives of all class of healthcare specialists and domestic service managers and public (Green et al., 2006).
Contemporary nursing task is evidence based (Haynes, 2004). This is a tactic to care provision through analytical appraisal of study findings. It is typical that nurses employ a methodical and analytical approach to the medical care problems and solve them through reflection, exploration, and recognition of evidence from research literature.
This supportive commentary pinpoints the national and local policies affecting health and social care in adult nursing in relation to infection control which have been highlighted in the A5 leaflet, designed to give an insight to the community about improvement of adult nursing professional standards while discerning the values of healthcare. The model of professionalism as stipulated by the MNC professional code of conduct in respect to infection control in the hospital environment to provide safe healthcare delivery has been discussed alongside the roles played by NICE and PEAT in offering clinical guidelines and care environment audit.