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Watch this video.  Have you ever been in a similar situation?  How did you handle it?   Reflect on what you felt went well? What did you find tricky? What might you do differently and why?  Could this form the basis of a reflection for your PebblePad Portfolio

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Watch this video.  Have you ever been in a similar situation?  How did you handle it?   Reflect on what you felt went well? What did you find tricky? What might you do differently and why?  Could this form the basis of a reflection for your PebblePad Portfolio

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Scenario - John, a community-based nurse, uses Enabling professionalism to address and rectify some medicines management issues.

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Enabling professionalism - rectifying medicines management issues

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Consider is there any difference between our Duty of Care in Health and in Social Care?  Does it matter what type of care setting we are working in when it comes to our legal Duty of Care?  Could this form the basis of a reflection for your PebblePad Portfolio

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Consider is there any difference between our Duty of Care in Health and in Social Care?  Does it matter what type of care setting we are working in when it comes to our legal Duty of Care?  Could this form the basis of a reflection for your PebblePad Portfolio

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Hear about the type of dilemmas this social care unit faces  when trying to provide safe and effective care.  Can you think of similar issues in your own clinical setting? Could this form the basis of a reflection for your PebblePad Portfolio

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Hear about the type of dilemmas this social care unit faces  when trying to provide safe and effective care.  Can you think of similar issues in your own clinical setting? Could this form the basis of a reflection for your PebblePad Portfolio

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Remember to consider the relevant legislation that guides your practice.  Consider which of your local policies and procedures help you to meet your legal responsibilities in every aspect of your clinical role.  Make sure you know how to locate them so that they underpin your every day clinical practice. Could this be useful for your reflections for your PebblePad Portfolio

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Remember to consider the relevant legislation that guides your practice.  Consider which of your local policies and procedures help you to meet your legal responsibilities in every aspect of your clinical role.  Make sure you know how to locate them so that they underpin your every day clinical practice. Could this be useful for your reflections for your PebblePad Portfolio

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Do you challenge poor practice? Watch this video.  Have you ever been in a similar situation?  How did you handle it?   Reflect on what you felt went well? What did you find tricky?  What might you do differently and why?  This could form the basis of a reflection for your PebblePad PortfolioScenario - A staff nurse working at a nursing home uses Enabling professionalism to challenge poor practice at her local hospital, outside her normal practice setting. She doesn’t feel confident challenging the practice while it is happening, but after reading the framework, and in discussion with a colleague, knows how to address the practice that she saw. She uses Enabling professionalism to help her reflect on her practice as part of revalidation.

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Do you challenge poor practice? Watch this video.  Have you ever been in a similar situation?  How did you handle it?   Reflect on what you felt went well? What did you find tricky?  What might you do differently and why?  This could form the basis of a reflection for your PebblePad PortfolioScenario - A staff nurse working at a nursing home uses Enabling professionalism to challenge poor practice at her local hospital, outside her normal practice setting. She doesn’t feel confident challenging the practice while it is happening, but after reading the framework, and in discussion with a colleague, knows how to address the practice that she saw. She uses Enabling professionalism to help her reflect on her practice as part of revalidation.

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Enabling professionalism - challenging poor practice

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Watch this video.  Have you ever been in a similar situation?  How did you handle it?   Reflect on what you felt went well? What did you find tricky?  What might you do differently and why?  This could form the basis of a reflection for your PebblePad Portfolio Senario - A midwife uses Enabling professionalism to have a difficult conversation with a colleague, in which she challenges her colleague’s behaviour outside the health setting they work in. 

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Watch this video.  Have you ever been in a similar situation?  How did you handle it?   Reflect on what you felt went well? What did you find tricky?  What might you do differently and why?  This could form the basis of a reflection for your PebblePad Portfolio Senario - A midwife uses Enabling professionalism to have a difficult conversation with a colleague, in which she challenges her colleague’s behaviour outside the health setting they work in. 

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Enabling professionalism - professionalism outside work

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I would challenge poor practice as the patient or service user is the most important person there and they deserve the best care possible. There are no excuses for anyone not to be wearing the correct PPE or not carrying out the correct confidential care. A few years ago I seen someone not putting the correct PPE on while going into someone’s house and carrying out personal care they just wore an apron and no gloves. As soon as I seen this I was shocked and I went and spoke to the senior carer who invited me in to raise my concerns. I found it hard to raise this as the person was my friend but I knew that the service user came first and I needed to raise the concern so it didn’t happen again. I don’t think I would have done anything differently as i handeled it in a proper manner and I never caused a scene I just went and quietly spoke to someone and everything was soon resolved and the person made sure they worse gloves all the time. I feel it is very important as a nurse to maintain a professional relationship with everyone and always make sure to remember that the patients come first and it’s always person centred care and anything you don’t like seeing you report so that it doesn’t happen again.

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When watching this video I thought of a few things that could have been suggested along the way. As a student nurse I would have suggested on the first incident 'shall we pop some gloves on' or would have gone to the individual that did not wear gloves and just mentioned about it because sometimes it can be a simple mistake, however if they toke it badly and shouted at me for it I would have toke it to the ward sister. In addition to this in the second incident where they were speaking about the indvidual in the hallway and allowed people to hear - I would have suggested to take the conversation in a different room and I would have said this politely. I am aware of the professionalism and the way to report things as there was an incident in my placement and that was reported right away and it the incident was challenged at the time. In addition to this i think Asha done well for going away and speaking to another professional to see what could have been done differently next time and speaking to the hospital after she had feedback. Therefore the hospital can improve on their standards of care.

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I would always challenger bad oractice as patient safety  is priority. I have been in a situation like this where handover was being given in front of patients in the lounge and dining area as another member of staff was taking a personal phone call in the nurses office forcing the staff recieving handover to go into the lounge,  I spoke the the staff member who was taking the phonecall that this should be done in the staff room not the nurses office as that has interupted handover and forced them to do it infront of patients and there families, which also then breach confidentialy and privacy. I also suggested to the staff giving the handover that they could of chose a more appropriate and private place to do this. All staff members thankfully took this well and on board, but if they didnt i would of reported it to the nurse in charge of the shift or the manager.

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From watching the video I thought that John handled the situation well and took the appropriate action by using enabling professionalism to address and rectify some of their medicine management issues. Due to the fact that he knew the team quite well and was friends with them, this situation could have been tricky to handle for John but his duty of care comes first. I haven't had to deal with a situation like this as of yet but if I ever find myself in a similar situation I would put my duty of care first and if I was the manager of the team I would ensure that every member of the team was competent with their medicine management to prevent a similar situation to John's.

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From watching the video, I agree with how John responded to the challenging situation which arose within his team. He used appropriate resources to use evidence based standards to present to his colleagues about how they should act and work together to provide effective and standardized care for their service users in the community to prevent medication errors and other serious complications occurring again. John took the appropriate action and used enabling professionalism as an advanced tool in coming up with the solution to the problem.

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Watching this video, I feel it highlighted issues behind the ward which can be forgotten about. Liz realised that graces actions were unprofessional and as a friend/college she did the right thing in looking into what needs challenged and spoke to grace instead of just reporting her, I feel this was a great thing to do as it made grace realise that she wasn't acting professionally and could improve on this. I feel that this situation was handled extremely well and Liz did the right thing, avoiding conflict and helping Grace.

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I haven't been in a similar situation to Liz and Grace. However reflecting on their situation I feel that Liz handled it in a professional manner. By reseaching and having documents avaliable on 'enabling professionalism' this made Liz feel more comfortbale in approaching Grace on her actions outside of work. Liz handled the situation well to avoid conflict with Grace, she wasn't confrontational to Grace however Liz gave her areas that she should improve on in order to maintain professionalism outside of work.

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Personally, I would challenge poor practice due to the fact I would like to ensure each individual is being treated equally and receiving the care they deserve. I have been in a situation where I briefly heard/saw two healthcare professionals acting unprofessional whilst carrying out personal care on a patient. After observing this I discussed my concerns with a higher member of staff to ensure they were informed of the poor care this specific patient was receiving. I feel like that was the correct thing to do instead of taking it upon myself to act directly to the individuals as that would be unprofessional on my behalf. However, I did find it tricky knowing that this patient was being treated in an unprofessional manner. If I came across this again I would do what I already did and inform a higher member of staff to ensure they are able to give the other healthcare professionals more training or advice on treating a patient with dignity and respect.

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I believe although there is a difference between the roles in health and in social care the duty of care remains the same. I believe that in a social care environment you should act in the best interests of the individuals you work with and protect their safety as well as their well-being just as you would in a health care environment. I also believe that it does not matter what environment you work in your duty of care should remain the same.

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When working in health and social care I don't think there should be any change in the way care is given. When working in a health and social care setting the same standards should be followed. Care should be given in the service users best interest. However, the way care is delivered in different settings (social and health settings) will be different. 

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When working in health and social care I don't think there should be any change in the way care is given. When working in a health and social care setting the same standards should be followed. Care should be given in the service users best interest. However, the way care is delivered in different settings (social and health settings) will be different. 

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I believe that whether you work in health or in social care there isn't a difference when it comes to a legal duty of care. Whatever role or position you have taken within your work you have an obligation to look out and care for everyone around you. Although there are many different jobs within these areas, everyones duty of care is based around the same thing and that is to care about each individual and their wellbeing and welfare, and if you think something isn't being done correctly and anyone else is involved then it is your responsibility to bring that up.

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John handled this situation is a very professional manner. He did exactly what the NMC would have wanted him to do and his duty of care came first. He encouraged his colleagues to work together and act to provide the appropriate care needed for their patients and used this to ensure that medication management errors wouldn't occur again in the future. This way it expanded everybody's knowledge and the whole team were able to work together and learn from one another in helping prevent it reaccuring in the future.

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I don't think that there is a difference in duty of care whether you work in health care or social care, you still have an obligation to care for people. The same standards should be followed and individuals best intrests should still be at the centre of care.

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Within different health and social care environments, there will be a variation when looking at what care is required for patients. However, the environment does not change the fact that professionals have a duty of care to deliver the most effective, safest care for patients and prevent foreseeable harm. Every professional must work within their competence, no matter their role or environment. Reflecting on my particular field, it is important that family centred care is delivered and that you ensure you care for both the patient and their parent/carers who may be experiencing distress at their childs condition.
Charlotte F

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Challenging poor practice is essential for the continuous improvement of healthcare and safety of patients. As much as the principle is clear I do find the process difficult. I would find it hard to challenge other professionals, especially of higher rank and/or with more work experience. I hope this is because I am just at the beginning of my nursing journey. I hope with time the confidence will grow and the prospect of challenging another professional’s conduct will not seem as daunting. The story presented above shows Asha challenging behaviour of a doctor and a phlebotomist in a hospital. Asha does not work with these two people or even in the hospital which makes the process (in my opinion) easier. What if I observe poor practice in the work of my supervisor or a colleague I work with day in and day out? What if it’s someone I work with every day during a placement? It feels like the opposite of team building to challenge your colleagues’ work. Unfortunately, from my experience, it’s rare that constructive criticism is welcomed and appreciated. I would also personally prefer for anyone who believes any of my behaviour is ‘poor practice’ to speak to me directly. However, I know this is not everybody’s preference. Whichever way, feelings will be hurt, and one risks putting themselves in a career limiting position. But none of this matters when patient’s safety and wellbeing is at stake. I don’t consider myself particularly cowardly or shy but I’m hoping to grow bolder throughout my three-year training to become a professional who always puts the patient first, no matter the consequences.

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While on placement, I observed a client who declined their anti-psychotic medication. The nurse had a respectful discussion with the client and they spoke about the risks and benefits of taking and not taking the medication. The client had the capacity to make the decision and the nurse ensured that the client had all the information necessary to make an informed choice about their own care.

I felt that the nurse handled this situation well, balancing the duty of care with the client’s right to autonomy.

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While there are bound to be some differences/variations in the care provided in different health and social care environments, the duty of care that professionals must provide does not change. Every profession has the duty to deliver safe and effective care that has the patient's best interest in mind.
Louise W

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I haven't been in a situation like this as in my previous career I wasn't in a public role like nursing and therefore couldn't easily be identified or considered to be representing my employer outside work. It could have been difficult to discuss issues that arose in an informal setting between only two colleagues outside work, but helpful that the NMC provides guidelines and a framework to address issues such as the one with Liz and Grace in this example. This way Liz could make sure Grace understood not to wear her uniform in public outside work which would confuse boundaries with patients families. This way it could be addressed without the need to escalate or cause problems in the future.

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As a health or social worker you have a duty of care to your patients, colleagues, employer, yourself and the public. In your role you are obliged to provide a level of care in order to keep everyone safe at all times. No matter what the setting our duty of care remains the same,  to avoid acts or omissions which could be reasonably foreseen to injure or harm others. It is our duty of care to anticipate risks for patients, colleagues and ourselves in order to [prevent them or us coming to any harm. 

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As a health or social worker you have a duty of care to your patients, colleagues, employer, yourself and the public. In your role you are obliged to provide a level of care in order to keep everyone safe at all times. No matter what the setting our duty of care remains the same,  to avoid acts or omissions which could be reasonably foreseen to injure or harm others. It is our duty of care to anticipate risks for patients, colleagues and ourselves in order to [prevent them or us coming to any harm. 

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Upon watching the video I believe Legislation as a nurse that we would need to follow include the NMC code of conduct for our registration, along with the trust's policies and procedure that can be found via the intranet on a trust computer and the laws that surround nursing. Laws can be found on the government websites.

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Upon watching the video I believe Legislation as a nurse that we would need to follow include the NMC code of conduct for our registration, along with the trust's policies and procedure that can be found via the intranet on a trust computer and the laws that surround nursing. Laws can be found on the government websites.