Lecture 3 Flashcards

1
Q

Regulation

A

Forms and processes whereby order, consistency, and control are brought to an occupation and its practices” (ICN).

to separate trained from untrained

■Professional autonomy balanced with public interest.
–Key piece is the balance of supporting the nurses and focusing on the public interest, and the protection of the public

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2
Q

Principles of Regulation

A

Public interest – Protect the public; promote provision of services; balance of rights and responsibilities with nurses and the public.

Flexibility – Processes must evolve with innovation, context etc.

Fairness and equity – maintaining public trust and privilege of self-regulation.

Administrative efficiency – All interests are best served.

Mobility – processes that support nurses ability to move across provinces.

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3
Q

Organizations(worldwide to RN)

A

ICN
CNA
SRNA Saskatchewan registered nurse association
RN

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4
Q

Authority of provincial organizations SRNA

A
■	Standards of education
■	Qualifications of members
■	Standards of practice and professional ethics
■	Use of title
■	Scope of Practice
■	Professional Discipline 
■	Approval of educational programs 
■	Continuing Competence
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5
Q

SRNA

A

Protect the public from unsafe nursing care

Regulation = licensure = restriction on who can practice

Goal = RN = Competent, caring, evidence informed nursing

knows the difference of the mandates of regulatory bodies, professional associations and Unions

Mentors

dual role of regulation and association

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6
Q

Professional Self-Regulation

A

is the regulation of a profession by its members in partnership with engaged citizens

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7
Q

SRNA acts in the interest of the public to:

A

Review and develop legislation

Engage with members to provide better regulation, practice and collaboration

Advocate for evidence informed policies to promote patient centred care

support and work with members to meet practice standards

promote pt safety

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8
Q

SRNA is not responsible to:

A

Act in the interest of the member with regard to socio-economic issues. Unions protect and advance the health, social, and economic well-being of its members
Negotiate collective agreements including hours, benefits, and compensation
Manage conditions of employment or employment legislative provisions
Act on incidents of employer non-compliance with the collective agreement
Represent RN interests as they relate to employment human resources issues

Workplace is union

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9
Q

SRNA Documents

A

o Continuing Competence
o Act, Bylaws, Standards, and Practice documents
o RN/NP Scope of Practice
o SRNA Newsbulletin

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10
Q

Continuing Competence (SRNA)

A
■	Personal Assessment
■	Privilege not a right
■	What am I going to improve on
■	Create and Follow Learning Plan
■	Obtain Feedback
■	Evaluate
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11
Q

Acts, bylaws, standards and practice documents (SRNA)

A

Acts: mandates/ highest rules

Bylaws: Laws from acts, (SRNA council to annual meeting to minister of health to law)

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12
Q

Standards (SRNA) 13

A
  • Protection of public
  • Practice reference
  • Nursing edu. circ
  • Licensure regist. & req.
  • Admin guidelines
  • Legal Ref: ACT
  • Public info: accur. Expec.
  • continuing competence
  • Pro. Respons. and accountability
  • Knowledge based practice (seek new info)
  • ethical practice
  • service to public
  • self regulation
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13
Q

practice documents (SRNA) 6

A
RN Scope of Practice 
RN Role Clarity 
Nursing Practice Consultation
Nursing Practice Resources
Learning opportunities
Nursing Practice Updates
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14
Q

RN/NP scope of practice (SRNA)

A

Based on act = interpretation

Key parts:

  • education
  • dynamic
  • criteria
  • leadership and professionalism
  • overlapping skills: role clarity
  • collab
  • coord. of care
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15
Q

SRNA News bulletin

A
  • Informs

- Forum for sharing

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16
Q

SRNA regulatory function

A

Investigation

Discipline

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17
Q

Investigation (SRNA)

A
  • written complaint
  • investigated by committee
  • decision not made by rn investigator
  • Committee: 3 SRNA members, 2 public rep
  • outcome: light to heavy
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18
Q

Discipline (SRNA)

A

-decide professional incompetence/ misconduct by committee

19
Q

Canadian Nurses Association PURPOSE 5

A

– unifying the voices of registered nurses; (important)
– strengthening nursing leadership;
– promoting nursing excellence and a vibrant profession;
– advocating for healthy public policy and a quality health system; and (important)
– serving the public interest.

ALL ABOUT THE NATIONAL HEALTH INTEREST of CAN

20
Q

CNA four pillars

A

Public policy
Nursing “”
Regulatory “”
International “” and develop.

21
Q

Public Policy CNA 6

A

■ Applying health principles across the health care continuum and all populations.
■ Public trust.
■ Policymakers are knowledgeable about relevant issues. (smart rulemakers)
■ Nurses are leaders in public policy development. (nurses = Public policy leaders
■ Nurses are frontline to health care system (front line nurses)
■ A national nursing strategy must exist to discourage the use of publicly funded private, for profit delivery.(no private profit)

BROAD AND GOOD FOR NATIONAL

22
Q

Regulatory Policy CNA 4

A

■ Valid and reliable registered nurse examination that ensures competency of entry to practice nurses. (competent nurses enter)
■ Coordination with provincial organizations to maintain quality and consistent practices. (National wide quality with provs.)
■ Coordinated approach to nursing resource planning. (resource management)
■ Ethical standards

23
Q

Int. Policy and Develop CNA 3

A

■ CNA has a leadership role in the ICN.
■ Leadership role in fostering national and international networks for Canadian nurses and international health groups.
■ Maintains an overseas development program to strengthen capacity to support nursing excellence globally.

24
Q

Factors that affect CNA effectiveness 5

A

■ Size
■ Information for members
■ Expertise
■ Available resources (human, financial, etc.)
■ Personal attributes of group’s spokesperson

25
Q

CNA documents

A
  • National expert commission
  • Environmental scans
  • code of ethics
  • nurse fatigue and pt safety
26
Q

National expert commission CNA

A

Determinants of health and those at risk; demographics; diseases affecting Canadians;

27
Q

Environmental Scans CNA

A
  • Core function of CNA

- Key trends

28
Q

Code of ethics CNA

A

aspirational (ethical values and responsibilities)

regulatory(self regulatory protect public:

29
Q

Nurse Fatigue and Pt Safety

A
  • System level recommendations (more nurses / NA and unions collab)
  • issue and trends of RN fatigue
  • Evidence supports impact on pt Safety
  • Org. Recommendations
  • individual orecommendations
30
Q

Power of 4 representation (CNA?)

A

Changes In healthcare

Research agenda

nursing workplace

human resources

31
Q

ICN

A

PURPOSE: ensure quality nursing care for all
policies GLOBALLY
Advancement of nursing knowledge (As a profession)

National members = ICN members

32
Q

ICN goals and values

A
  • brings nursing together world wide
  • advance nursing world wide
  • influence health policy
33
Q

ICN three pillars

A
Pro Nursing practice 
•	International classification of nursing practice-ICNP
•	Advanced nursing practice 
•	HIV/AIDS
•	Women’s health
•	Primary health Care

Nursing Regulation
• Continuing education
• Ethics and human rights
• Credentialing

Socio-economic Welfare for Nurses
• Occupational health and safety
• Renumeration
• Human resources planning
• Career development
• projects include Leadership for Change,
• Negotiation in Leadership in Latin America, the Caribbean, south Pacific and Africa

34
Q

Important ICN documents

A
  • Girl Child Education Fund
  • Fact sheets: Nurses and gaining workforce
  • Position statements
  • International Nursing Review (journal)
35
Q

Union

A

CFNU
SUN
RN (You)

36
Q

Saskatchewan union of nurses Purpose and goal

A

Purpose: Healthy members, healthy union, healthy communities

Goal:to achieve safe and healthy practice environments for all SUN members

37
Q

Obligations of SUN

A
  • Bargain terms of employment for members
  • Represent members in grievance or rights violation

(SRNA could not rep Nurses)

38
Q

SUN documents

A
  • Sunspots
  • Nursing Advisory manual
  • Collective agreement
39
Q

Sunspots SUN

A

Newsletter

40
Q

Nursing Advisory Manual SUN

A
  • RNs express themselves

- practices and procedures (Code of ethics/standards)

41
Q

Collective agreement

A

Contract between employer and union

42
Q

Canadian Federation of Nursing Unions CFNU Purpose:

A

Purpose: National voice of nurses

-Pressure gov to recognize skills and bring jobs

43
Q

Canadian Nurses Protective Society

A

Canadian Nursing professions own legal system

InfoLAW docs:

  • Negligence
  • Vicarious liability
  • -Legalities
  • social Media