The role of the nurse in the clinical setting is a subject that cannot be overlooked in the day to day practice. Primarily, nurses are the pillars behind the effective care and recovery of patients all over the globe. As a nurse, we are faced with the daily task to attend to patients that have varying needs. For instance, when a nurse reports to work, he does not decide the kind of patient to attend to. A nurse attends to patient of different ages, ethnic group, sex, and nationality among others factors. Consequently, the choices that one makes as a nurse is significant in determining the extent of success of nursing.  Fitzpatrick (2015) notes that the essence of nursing is what people have continually termed as high touch nursing. This is a facet where a nurse has adequate face to face opportunity and even personal connection with patients and families. In her view, presence and vigilance are critical elements that define the essence of nursing. These are the core competencies that set the nurses apart from the rest of practitioners.

Consequently, my nursing practice and ethical decision making skills have been fundamental in furthering the quality and safety of patient care. One primary aspects that I have embraced in the surety of my presence as a nurse. In essence, I consider the fact that I have the responsibility as a professional to be with the patient and his family all the time. It is the key to ensuring that I provide effective, safe and compassionate care. For example, when I report on my shift, I am charged with the responsibility of ensuring hourly monitoring of the patient. I do the initial assessment and compare with the handover report done by the previous nurse. I check on subsequent nursing care that should be done. This includes the timing of the care, the drugs to be administered, the patient progress, the family updates including patient and family concern. I must admit that my presence in the wards has been a major source of hope for patients. I have also noted that I act as a link between patient and the physicians. I direct some of the complaints to the attending physicians. Fitzpatrick (2015) remarks that it is the nurses that are able to note the subtle changes in vital signs and patients that would otherwise signal life threatening condition. Consequently, the decisions they make regarding patients is monitored

Further, my ethical decision making skills have been evident in my quest to keep vigilance on patient. Primarily, I have struck to the premise that patients’ needs privacy and confidentiality in their management.  It therefore, means that I must uphold this right of patient in my efforts to care for them. For example, patients come to clinic presenting diverse conditions. In many instances, the patients are never ready to inform their families of the prevailing circumstances. It is therefore, unwise for a nurse to go about informing everyone what the patient is going through. This is very common especially when handling patients with chronic or life threatening conditions. I must consult with patients on who among their family members should be informed. Moreover, I must teach them on the need to decide on who of the next of kin has the right to make a critical decision on their behalf should they become incapacitated. Respecting the rights of privacy and confidentiality of the patients has been fundamental in winning patient confidence and hence ensuring quality care. In fact, patients with terminal conditions develop trust towards such a nurse than any other person.

The essence of nursing must therefore be put on the spotlight. Needless to say, the success of the clinical setting is hinged on nursing.  Evidently, Fitzpatrick view on putting nursing back on the spotlight is vital in ensuring the future of the nursing practice.