Objectives Flashcards
Discuss the importance and relevance of the code of conduct, and list the 8 principles and the 4 values they are based on
- set of standards defined by the Council describing the conduct that nurses are expected to uphold; is the overarching document that describes professional conduct
- Outlines the standards of ethical conduct set by the NCNZ under the HPCA Act (2003) and complements the legal obligations that nurses have
- Principles:
1. Respect the dignity and individuality of health consumers
2. Respect the cultural needs and values of health consumers
3. Work in partnership with health consumers to promote and protect their wellbeing
4. Maintain health consumer trust by providing safe and competent care
5. Respect health consumers’ privacy and confidentiality
6. Work respectfully with colleagues to best meet health consumers’ needs
7. Act with integrity to justify health consumers’ trust
8. Maintain public trust and confidence in the nursing profession - Which are based on the following values:
1. Respect
2. Trust
3. Partnership
4. Integrity
Discuss the importance and relevance of the Guidelines for Cultural Safety
- Culturally safe nursing care involves balancing power relationships in nursing so that every health consumer receives effective treatment and care to meet their needs that is culturally competent and culturally responsive. This is important for patients’ personal and social cultural identity, and for trust to be built in the patient-nurse relationship.
- Cultural safety is an outcome of nursing education that enables a safe, appropriate and acceptable service that has been defined by those who receive it. It provides consumers of nursing services with the power to comment on practices and contribute to the achievement
of positive health outcomes and experiences. - Four principles:
1. Cultural safety aims to improve the health status of New Zealanders and applies to all relationships
2. Cultural safety aims to enhance the delivery of health and disability services through a culturally safe nursing workforce
3. Cultural safety is broad in its application
4. Cultural safety has a close focus on: understanding the impact of the nurse as a bearer of his/her own culture, history, attitudes and life experiences; challenging nurses to examine their practice carefully, recognising the power
relationship; balancing the power relationships; and preparing nurses to resolve any tension between the cultures of nursing and the people using the services
Discuss the importance and relevance of the professional boundaries guidelines
- Developed by NCNZ to provide advice to nurses on maintaining appropriate professional relationships with health consumers. Contains standards of behaviour from the Code of Conduct for nurses.
- Nurses must be aware of their professional responsibility to maintain appropriate personal, sexual and financial boundaries in relationships with current and former health consumers and their families.
- Important as it addresses how the power imbalance should be managed in the therapeutic relationship considering the vulnerability of the HC.
Discuss the importance and relevance of the social media guidelines
- Developed by NCNZ to provide advice to nurses on using social media and other forms of electronic communication.
- Professional, positive, person/patient free, privacy, protect yourself, pause before you post
- Applies the principles and standards of the Code of Conduct:
Principle 5: Respect health consumers’ privacy and confidentiality
Principle 6: Work respectfully with colleagues to best meet health consumers’ needs
Principle 7: Act with integrity to justify health consumers’ trust.
Principle 8: Maintain public trust and confidence in the nursing profession.
Discuss the importance and relevance of the competencies for Registered Nurses
- This document ensures there is an ongoing commitment from an RN to apply the knowledge, skills, judgement, attitudes, values and beliefs required to practice ethically and safely in any given situation. Having competency leads to an improved quality of patient care and an increased patient satisfaction with the nurses and helps promote nursing as a profession and improve nursing education and clinical nursing
Domain 1: Professional responsibility
Domain 2: Management of nursing care
Domain 3: Interpersonal relationships
Domain 4: Interprofessional healthcare and quality improvement
Purpose of the Health Practitioners Competence Assurance Act (2003)
Responsible for ensuring that nurses are:
- educated
- registered (incl. requirements for registration)
- maintain their annual practising certificate
- fit to practice (incl. competence)
Nurses can be disciplined under this Act through the Health Practitioner’s Disciplinary Tribunal
Purpose of the Code of Health and Disability Services Consumers Rights (1996) Act
promote and protect the rights of health consumers and disability services consumers, and to facilitate the fair resolution of complaints relating to infringements of those rights
3 legal elements of informed consent
- Must be freely given (not coerced)
- must be given by the consumer (or any person who is entitled to consent on that consumer’s behalf)
- must be obtained in accordance w such requirements as prescribed in the code
Purpose of Privacy Act (1993) and the Health Info Privacy Code (1994)
- Privacy act controls how agencies collect, use, disclose, store, and give access to personal info
- the privacy codes do the same, but they apply to specific areas such as health
Purpose of the Human Rights Act (1993)
- Protects people in NZ from discrimination
- Aims to create equal opportunities and prevent unfair treatment
Purpose of Medicines Act (1981)
- Regulates the use and manufacture of medicines
Describe principle 1 of the code of conduct
Principle 1: respect the dignity and individuality of health consumers.
This means that all health consumers should be treated with respect, be listened to, and treated in a way that is culturally safe. It also means that I shouldn’t impose my own believes on my patient
Describe principle 2 of the code of conduct
Is about respecting the cultural needs and values of health consumers. This means health consumers have access to appropriate support/representation, any additional health needs are met, and their identity, values and beliefs are respected. It also means using Māori models of health and reflecting on how my values affect my practice
Describe principle 3 of the code of conduct
Is about working in partnership with health consumers to promote and protect their well-being. This means explaining information honestly and accurately, involve them in decision making, gaining informed consent appropriately, and advocating for vulnerable health consumers.
Describe principle 4 of the code of conduct
Is about maintaining health consumer trust by providing safe and competent care. This means keeping your professional knowledge and skills up to date, working w/in your scope of practice, delivering care base on EBP, and practicing according to the relevant legislation