Week 1 - Nursing as a Profession, Legislation & Regulation Flashcards
Definition of Nursing (CNO)
“ The goal of nursing is to restore, maintain and advance the health of individuals, groups or communities. It is a science and an art. The science is the application of nursing knowledge and the technical aspects of practice. The art is the establishment of a caring relationship through which nurses apply knowledge, skill, and judgment in a compassionate manner.”
- Restore, maintain & advance the health of individuals
- It’s a science & art
- Nurses apply knowledge, skill & judgement in a compassionate manner
Definition of Nursing (CNA)
“Registered nurses are self-regulated health-care professionals who work autonomously and in collaboration with others to enable individuals, families, groups, communities and populations to achieve their optimal level of health. At all stages of life, in situations of health, illness, injury and disability, RNs deliver direct health-care services, coordinate care, support clients in managing their own health. RNs contribute to the health care system through their leadership across a wide range of settings in practice, education, administration, research and policy.”
- Self-regulated health-care professionals
- Enable individuals, families, groups, communities and populations to achieve their optimal level of health
- Deliver direct health-care services, coordinate care, support clients in managing their own health
- Contribute to the health care system in practice, education, administration, research and policy
What are the 5 settings RNs contribute to the health care system?
Practice
Education
Administration
Research
Policy
- eg. in the government, set out rules
Who sets out the rules for nurses?
- Self-regulated
- Rules & standards, etc set out by a group of nurses
What are the 3 nursing designations?
RNs
NPs
RPNs
Who are the members of the College of Nurses of Ontario (CNO)?
RNs, NPs, RPNs
Differences between RN, RPN, NP
RN - 4 year baccalaureate degree
RPN - 2 year college diploma
NP - RN, plus graduate studies (need approx. 2 year full time work before studying for NP)
Who are UAPs?
Unlicensed assistive personnel
- Health care aide
- Personal support worker
Highest to lowest:
RN, RPN, NP
NP (highest)
RN
RPN (lowest)
Give some examples of nursing roles in acute & community care
ACUTE
- ER, ICU
- Medical/Surgical-cardiovascular, GI, respiratory
- Geriatrics
- Pediatrics
- Maternity
- Psychiatry
- Oncology
COMMUNITY
- Health clinics
- Schools
- Employee health/wellness
- Physician’s offices
- Home care
- Rehabilitation centres
- Long term care
- Hospice
- Public health
What are needed to be considered a profession?
- A mastery of a complex body of knowledge and skills
- Knowledge and art used in the service of others
- Governed by code of ethics
- Profess a commitment to competence, integrity, morality, altruism and the promotion of the public good within their domain
- Commitments form a social contract between the profession and society
- The right to considerable autonomy in practice and the privilege of self regulation (with public good as the goal)
Is nursing a profession?
Yes
Can jobs be professional but not a profession?
Yes, they can be professional but not be part of a profession
What are needed to be considered professional?
- “To Profess” refers to the public commitment to values and activities that is a right and privilege, not inherent but granted by society in return for certain behaviours and skills
- Professionals and their members are accountable to those served and to society.
- These commitments have been an implied in the past but is now an obligation
- Self regulation
Nursing as a profession
Profession:
- An occupation whose core element is work based upon the mastery of a complex body of knowledge and skills
- *Body of nursing knowledge and skills
- It is a vocation in which knowledge of some department of science or learning or the practice of an art founded upon it is used in the service of others
- *Clients
- Its members are governed by codes of ethics and profess a commitment to competence, integrity and morality, altruism, and the promotion of the public good within their domain
- *College of Nurses of Ontario & Canadian Nurses Association
- These commitments form the basis of a social contract between a profession and society, which in return grants the profession a monopoly over the use of its knowledge base, the right to considerable autonomy in practice and the privilege of self-regulation
- *Nursing Act, CNO practice standards, Quality Assurance Program
- Professions and their members are accountable to those served and to society.
Professionalism in Nursing (RNAO)
Knowledge (in what you do)
Spirit of Inquiry
Accountability
Autonomy
Advocacy
Innovation & Visionary
Collegiality & Collaboration
Ethics & Values
Nursing Organizations
International Council of Nurses (ICN)
- Global
Canadian Nurses Association (CNA)
- National
College of Nurses of Ontario (CNO)
Registered Nurses Association of Ontario (RNAO)
- Provincial
Canadian Nursing Students’ Association (CNSA)
McMaster University Nursing Students Society (MUNSS)
- Municipal
What are the 6 P’s of social media use?
Professional — Act professionally at all times
Positive — Keep posts positive
Patient/Person-free — Keep posts patient or person free
Protect yourself — Protect your professionalism, your reputation and yourself
Privacy — Keep your personal and professional life separate; respect privacy of others
Pause before you post — Consider implications; avoid posting in haste or anger
What does the Regulated Health Professions Act, 1991 and the Nursing Act, 1991 determine?
Determine how the nursing profession is regulated in Ontario
- RHPA applies to all Ontario self-regulated health professions
- Nursing Act defines the scope of practice for the nursing profession
The two Acts then dictate regulations in terms of registration, entry to practice requirements, controlled acts, quality assurance and professional misconduct
What’s the purpose of the RHPA?
Protect and serve public; mechanism to improve quality of care; make health professions open and accountable
Describe scope of practice, controlled acts, and regulatory colleges for each health profession
There are 14 controlled acts which regulated health professionals can perform – depending on scope, can perform a portion or all
The regulatory colleges are then responsible for ensuring the health professionals provide services in a safe, professional, and ethical manner; also investigate complaints about members and discipline if necessary
What are controlled acts?
Things only ppl with proper training and knowledge can do (eg. nurses)
What are considered regulated health professions?
Health professions governed under the RHPA (1991)
- Have established health regulatory colleges, which regulate the profession in the public interest
Ex. Nurses, Physicians, Dieticians, Midwives, OT, PT, SLP, RT, Pharmacists, Dentists, Hygienists, Chiropractors etc.
What are considered unregulated health professions?
Health professions NOT governed under the RHPA, but who provide health or other services to clients
- The profession is not accountable to an external professional body
Ex. PSWs, Physician Assistants, Physiotherapy Assistants
How many controlled acts can RNs and RPNs perform?
5
- Of the 14 controlled acts outlined by the RHPA, the Nursing Act 1991 allows RNs and RPNs to perform 5 controlled acts when ordered or permitted
- An RN or RPN must ensure that they have the knowledge, skill and judgment to perform any of these controlled acts
