Standards Of Practice Flashcards
Standards
- they articulate expectations
- are the minimum expected levels of practice
- serve as a legal reference
- RNs are responsible for accepting these standards and are accountable for meeting those standards
Responsibility
- reliable and dependable - preparation and promptness
- distinguish between right and wrong
- performing adequately and thoughtfully
- essential for gaining client’s trust
Accountability
- being answerable for what you have done (professionally, ethically, legally)
- maintaining your fitness to practice
- promptness, planning, preparation
- reporting unsafe practice to others
- nurses are accountable to the public, patients, coworkers, the facility you are in, the profession of nursing
CRNM Practice Expectations
- professional practice
- professional communication
- ethical practice
- client-centred Practice
- collaborative care
PROTECT THE PUBLIC
Client-centred Practices
Client- centred practices is an approach to care in which the patient retains control over their own care. It views the patient as a whole person, with life experiences, feelings, family and work responsibilities.
All about context!
Patient- centred
“A widespread philosophy that supports the active involvement of the patient and his or her family regarding the decision-making options for care and treatment…”
Values and Beliefs of CCC
(CCC- client centred care)
Respect- autonomy, voice, self-determination
Human dignity- treat patient as an individual, not as a disease or problem.
- clients are the experts for their own lives even if they are not the experts on their disease
- clients should be the leaders in the health care team
- nurses need to advocate for these values and beliefs
CCC cont.
- client-centred is an all about me perspective
- must listen to patient, but we don’t have to do everything they say
- this is important for nurse- patient collaboration
Autonomy
- the ability to make an informed decision without being pressured.
Challenges to CCC
- limited resources
- staff attitudes - attitudes towards other patients, frustration with time constraints and limited resources, using labels for patients, prioritizing tasks rather than the patient.
- use of routine/standardization of care - lack individuality/ not tailored to patients
- set standards: visiting hours, certain mess at certain times
Paternalistic care
When professionals see themselves as all knowing
- elderly tend to like this, but research shows this can be demanding to patients when patient’s beliefs are not considered.
Professional practice
1) practice is informed by evidence- gathered from types
2) maintain competence and fitness to practice (mental, physical, emotional)
3) duty to report unsafe practice
- all in order to provide the safest care.
What is Evidence?
- provided the rationale behind why nurses choose to practice in a certain way
Ways Of Knowing
Evidence: comes from many types of knowledge :
1) Empirics: the science of nursing
2) Esthetics: the art of nursing
3) personal knowledge
4) Ethics: the moral component
5) Emancipatory: social, economic, and political component
Empirics
The science of nursing
- knowledge developed through systematic research to describe and explain phenomena
- research should follow strict guidelines to ensure quality.
- studies and experiments that measure things
- sometimes can be hard to integrate into practice, because “anecdotal” information can seem stronger!
Esthetics
Art knowledge
- looking at and understanding the behaviour of others
- reading people
Personal Knowledge
- we need to know ourselves before we can know others
- knowing yourself through self- reflection
- knowing your biases, beliefs, values
- looking at your value system and being aware of these biases and reflecting on them
- be aware that these biases, beliefs and values may influence the decisions you make as a nurse
- important to educate your patients so they can make an informed decision.
Ethical Knowledge
- knowledge that focuses on knowing right from wrong- and acting on it
- closely linked with personal knowledge - personal standards drive ethical knowledge
- understanding obligations
- Can include following a code of conduct or a religion
- in nursing, ethical principle are not always absolute and the patient and context needs to be considered.
- this knowledge can be developed through experience, case studies, using decision making Framework
Evidence
What we must be based on evidence
- evidence and research help provide the best practice guidelines to help nurses and patients (the application in clinical setting)
- the evidence must be client-centred, as one plan or approach may not work for everyone.
Evidence Informed Practice
Evidence Informed Practice is used to design health promoting programs/activities using info about what works to identify potential, benefits, harms and costs of intervention
Competence
Lifelong learning and acknowledging limitations
Competence - someone who is able to integrate skills, knowledge, and clinical judgement and applying them into practice to apply safe and ethical care.
Maintain Competence
- an RN who is able to integrate knowledge, skills, and clinical judgement and apply it in practice
- required to ensure the patient receives safe and ethical care
Lifelong Learning
- continuing competence program
- keeping Knowledge up to date
Acknowledging Limitations
- knowing your limits
- know when to ask for help and support
- taking risks, but not with patient safety
- limitations can be different depending on the specific practice one specializes in
