Week 10 - 13 Flashcards
Leadership Definition
- Processing of involving people & gaining trust
- Energizing participation & achievement of mutual goals
- Process of influence, change & action
- Strong professional identity & accountability focused on self-knowledge
Roles of a Leader
- Create vision
- Create non-toxic environment
- Make conflict an asset
- Create change
- Create leaders (mentoring)
CNO in Nursing Leadership
- Critical thinking, action & advocacy in all domains
- Shows leadership via best care to public
Indicators of Leadership
- Model profession values, beliefs & attributes
- Provide direction
- Collaborate & share knowledge
Intraprofessional Collaboration
- Members of same team working together to deliver quality care
- Understand scope & breadth of practice
- Communicate effectively
- Work collaboratively
Benefits of Intraprofessional Practice
- Improved clinical outcome
- Decrease length of hospitalization
- Increased client safety
- Improved communication
- Increased respect for other health professionals
Barriers of Intraprofessional Practice
- Lack of understanding roles
- Lack of communication
- Lack of preparation of interprofessional teamwork
Teamwork Definition
- Work done by group of people who possess individual expertise
- Individual decisions holding common purpose
- Meet together to communicate & share knowledge
- Future decisions & actions are determined
Attributes of Teamwork
- Mutal respect
- Shared planning
- Opne communication
- Cooperation
- Shared expertise
- Common goals
- Coordination
- Shared decision making
Communication Components
- Active listening
- Timeliness
- Openness
- Sharing
- Respect
- Trust
Global Health
- Transends national boundaries
- Combination of population- based prevention with individual level clinical care
- Equity of health worldwide
- Emphasizes transnational health issues, determinants & multidiscipline solutions
- Area of research, study, practice priority of improving health
Impacts on Global Health
- Economy
- Politics
- Government
- Social status
- SDoH
Globalization Definition
- Combination of forces increasing flow of information, goods, capital & people
- Across political & geographic boundaries
- Easier transmission of diseases
Ethics of Globalization
- Guide global health
- Humanity
- Introspection
- Solidarity
- Social justice
- Technical excellence & political commitment with ethically sound purpose
Politics of Globalization
- Government
- Finances & economy
- Wars
- Policy
- Infrastructure
- Communication
- Education system
Social Aspects of Globalization
- Culture
- Religion
- Language
- Beliefs, values, norms
- Resources
- SDoH
Effects of Migration
- Results in nursing staff shortages
- Move from rural to urban areas
- Creates barriers of access in rural areas
- Recession & cuts to healthcare allow less nursing migration
Equity Strategies
- Accessibility
- Health promotion
- Integration of cost-effective research findings into practices
- Respect for diversity
- Inter-sectoral collaboration
Citizenship
- Global social responsibility
- Sense of interconnectedness
- Ethical obligations to each other
- Informed on issues effecting wellbeing
Strategies of Global Health
- Reflexivity
- Moral cosmopolitanism
- Narrative imagination
- Understanding culture & beliefs of self & others
- Partnerships
- Connection between social condition & health
Regulated Health Professional Act 1991
- Hold certificate from regulatory college of chosen profession
- Required by law to deliver competent, ethical & professional services to public
- Provisions regarding permitted actions & process
Nursing Act
- Requirements for registration of RN, RPN & NP
Nursing Scope of Practice Statement 1991
- Promotion of health
- Assessment
- Provision
- Care
- Treatment
- Preventive, supportive, therapeutic, palliative & rehabilitative means
College of Nurses Ontario (CNO)
- Governing body for RN, RPN & NPs
- Self-regulated profession since 1963
- Establishes requirements for entry to practice
- Articulates & promotes standard of practice
- Administering quality assurance program
- Enforces standards of practice & conduct
Self-Regulation of Nursing
- Understand scope of practice
- Determine standards & education required
- Required competences to become & remain registered
- Practice according to CNA code of ethics
- Developing standards, code of ethics & examinations
- Entry to practice competencies
- Following nursing act (controlled acts)
Medical Directives
- Written protocol with specific criteria
- Allows nurses with appropriate knowledge, skill & judgement to preform unauthorized actions
- NPs work under
Controlled Acts
- Actions potentially harmful to patient
- Level of risk or invasive
- Cannot perform unless authorized by delegation or regulated health professions act
Nursing Controlled Acts
- Preforming ordered procedure below dermis/mucous membrane
- Administering substance through injection/inhalation
- Dispensing medications
- Treating through psychotherapy
- Managing labour/conducting delivery
- Allergy challenge testing
Nurse Practitioner Controlled Acts
- Communicating diagnosis
- Identifying cause of client symptoms, disease, disorder
- Setting/casting fracture/dislocation
- Prescribing, dispensing medications in accordance with regulations
- Applying/ordering prescribed form of energy
Scope of Practice
- Different for RN, RPN
- Differences in complexity, predictability, risk of negative outcome
- Based on personal knowledge, assessment & communication skills
Client Factors Contributing to Scope of Practice
- Less complex/low risk & more predicted outcomes =RPN
- Highly complex, high risk & unpredictable = RN
- Risk & complexity increased need for RN consultation & collaboration
Nurse Factors of Scope of Practice
- Ability to provide safe & ethical care
- Leadership, decision making, application of knowledge & critical thinking
Environmental Factors of Scope of Practice
- Practice/consultation supports & resources
- Stability & predictability
Professionalism
- Actions, values, & attributes present in nursing care
- Collaborate with patients, colleagues, students & members of care team
- Knowledge, accountability, advocacy, ethics, scope & standards of practice
Theory
- Suggests direction to view facts & events
- Based on concepts & propositions that explain relationship of concepts
- Offers descriptions, explanations, predictions about phenomena
Tirad
- Interconnected concepts that influence decisions, interventions & evaluations
- Basis for nursing knowledge & translation into practice
- Involves theory, research & practice
Theory in Action
- Focuses on issues important to providing care
- Creates knowledge to raise profession status
- Tanners’ clinical judgement model (modern theorizing)
Theory Purpose
- Provide direction & guidance
- Practice, education & research
- Structuring profession
- Differentiating focus of nursing from other professions
Theory Types
- Grand
- Middle range
- Practice level
Grand Theories
- Conceptual models/frameworks
- Focus on metaparadigm of nursing
- Abstract & difficult to test
Middle Range Theories
- Address specific phenomenon
- Reflects practice
- Less abstract/more concrete
Practice Level Theories
- Narrow scope
- Developed for nursing specific situations
Eras of Knowledge
- Ciirculum1930
- Research 1950
- Graduate education 1959
- Theory 1970
Metaparadigm
- Theories to address & specify relationships among major abstract concepts
Metaparadigm Components
- Person
- Health
- Environment
- Nursing
Theoretical Models
- System theories
- Interactive theories
- Simultaneity theories
Roy Adaption Theory
- Views person as holistic, biopsychosocial being
- Person in constant interaction with changing environment
- Adaptive mechanisms used to cope
- Goal to promote positive adaptive responses
Peplau-Interpersonal Relations Theory
- Focus on therapeutic nurse-client relationship
- Meeting needs of patient
J Watson Human Caring Theory
- Care for physical body not separated from context of unity
- Help client find meaning
- Intentionality consciously with client in caring moment
- Connectedness between & amongst persons/environment
C’s of Caring
- Compassion
- Competence
- Confidence
- Conscience
- Commitment
- Comportment
- Creativity
Compassion
- Awareness of relationship to all living creatures
Competence
- Knowledge, skills & expertise
- Respond to professional responsibility
Conscience
- Moral awareness
- Compass directing one’s behavior
Confidence
- Coverage between desires & obligations
- Choice to act in accordance
Compartment
- Professional presentation to behaviors
- Attitude & appearance to present accordingly