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Professional Nursing > Standards Of Practice > Flashcards

Standards Of Practice Flashcards

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1
Q

Standards

A
  • 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
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2
Q

Responsibility

A
  • reliable and dependable - preparation and promptness
  • distinguish between right and wrong
  • performing adequately and thoughtfully
  • essential for gaining client’s trust
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3
Q

Accountability

A
  • 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
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4
Q

CRNM Practice Expectations

A
  • professional practice
  • professional communication
  • ethical practice
  • client-centred Practice
  • collaborative care

PROTECT THE PUBLIC

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5
Q

Client-centred Practices

A

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!

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6
Q

Patient- centred

A

“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…”

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7
Q

Values and Beliefs of CCC

A

(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

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8
Q

CCC cont.

A
  • 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
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9
Q

Autonomy

A
  • the ability to make an informed decision without being pressured.
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10
Q

Challenges to CCC

A
  • 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
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11
Q

Paternalistic care

A

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.

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12
Q

Professional practice

A

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.
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13
Q

What is Evidence?

A
  • provided the rationale behind why nurses choose to practice in a certain way
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14
Q

Ways Of Knowing

A

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

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15
Q

Empirics

A

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!
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16
Q

Esthetics

A

Art knowledge

  • looking at and understanding the behaviour of others
  • reading people
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17
Q

Personal Knowledge

A
  • 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.
18
Q

Ethical Knowledge

A
  • 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
19
Q

Evidence

A

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.
20
Q

Evidence Informed Practice

A

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

21
Q

Competence

A

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.

22
Q

Maintain Competence

A
  • 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
23
Q

Lifelong Learning

A
  • continuing competence program

- keeping Knowledge up to date

24
Q

Acknowledging Limitations

A
  • 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
25
Q

Duty to Report

A
  • RNs have an ethical and legal duty to report unsafe, incompetent, or unethical practice
  • Assists in maintaining trust with public
  • concerns about an individual or work environment
  • report abuse, under the influence staff, false documentation, lack of resources, workplace bullying (report to individual, nurse supervisor, program team manager)
26
Q

Therapeutic Relationship

A
  • part of the relationship is trying out new plans and courses of action for the patient
  • purposeful, goal oriented, time limited, relationship is always about patient
27
Q

Therapeutic relationship Characteristics

A

Empathy - facilitates positive change and growth
Power - nurse
Respect - created by nurse, client-centred
Trust - goal oriented, confidential, nonjudgmental

28
Q

Professional relationships

A

Therapeutic (nurse-patient) relationship

Interprofrssional relationships

29
Q

Communication

A
  • establishing and maintaining therapeutic relationships

- professional communication vs personal communication

30
Q

Communication breakdown

A

Verbal - 7%
Vocabulary, pacing, tone, timing
Nonverbal - 93%
Unconsciously motivated, appearance, posture, gait, facial expressions, sounds

Age affects communication!!!

31
Q

Professional Communication

A
  • Authenticity and self-awareness (self-reflection of who you are and what works for you)
  • Courtesy (manners)
  • use of names
  • active listening (bring present physically and emotionally)
  • look at nonverbal language
  • use self disclosure and confidentiality (when you are sharing pieces about yourself, it is to the patients benefit)
32
Q

Relationships

A

Intraprofessional Team: among other nurses and HCPs

Interprofessional Team: among other professions

33
Q

Collaboration

A
  • a process of working together towards a common goal (to benefit your patient)
34
Q

Ethical Practice

A

Distinguishing right and wrong

  • practice personal health information (confidentiality)
  • confidentiality
  • professional use of social media
35
Q

Harm Reduction

A
  • an approach to providing healthcare
  • it reduces the adverse health, social, and economic consequences of at-risk activities
  • it emphasizes human rights and the importance of treating all people with dignity, respect, and compassion

Harm reduction clinics

36
Q

Confidentiality

A
  • ties into code of ethics
  • patient owns info on chart, facility owns the chart

HCP can provide information

1) others involved in clients care
2) emergency contact
3) family with patients permission
4) to prevent harm to patients or others around them

37
Q

PHIA

A

Ensures clients have access to their personal health info and that it is kept private
- if confidentiality is broken, may result in Notice of censure

38
Q

Reflection and Reflexivity

A

Reflection- the process of wondering about a phenomenon and seeking a deeper understanding of it

Reflexivity- the process of critically considering and questioning the assumptions and values that motivate and underlie our nursing practice.

39
Q

Decoding and Encoding

A

Decoding - the process by which the receiver interprets the meaning of the verbal and nonverbal messages sent by the sender

Encoding - process by which the sender translated his or her thoughts, ideas, or emotions into a code where it can be understood by the receiver

40
Q

Interpersonal communication

A

The simultaneous exchange of information between two individuals, whereby they mutually influence one another with the goal of creating shared meaning and understanding

41
Q

Proxemics

A

Intimate Zone - comfort area between 2 individuals that are well acquainted (less than 18 in)
Public Zone - individuals address others while speaking at conference or lecturing in about 12 ft.
Personal Zone - in which most conversations occur (between 18 in - 4ft)
Social Zone - 4 to 12 ft in which most social and professional relationships occur

Professional Nursing (5 decks)

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