206 Final

collaboration

development of partnerships to achieve best outcomes

intraprofessional collaboration

people within the same profession working together

interprofessional collaboration

two different professions working together

interorganizational collaboration

people within different organizations working together

person centered care

puts the patent and their family at the centre of care

Kim's theory

based on interest in human rights and the need for informed consent, recognized that many decisions required patients to be active participants

steps to interprofessional collaboration

Role clarification, Interprofessional conflict resolution, Collaborative leadership, Team functioning

interprofessional competency framework

derived from social theories of learning and complexity theory, recognizes the experiential and social nature of IP collaboration and the complex practice environment in which it occurs

6 competences of interprofessional collaboration

Role clarification, Individual/client/family/community centered care, team functioning, collaborative leadership, interprofessional communication, interprofessional conflict resolution

NSHA Collaborative care model

patient and family at center, people, process, information, technology-> surrounding

ethics

the study or examination of morality through a variety of different approaches

Values and Choices

the notions of what we consider to be right or wrong are based on the values and beliefs we hold

values and beliefs are

instilled in us as children, evolve as we grow, are reflected in the decisions we make

Ethical Dilemma

a situation involving values and beliefs where the clear course of action is not obvious

Societal Ethics

society provides a normative basis for ethical behavior with laws and regulations. Law is the minimum standard of behavior to which all members of society are held

legal standards of nursing

clinical standards of care, liability, negligence, malpractice

organizational ethics

invovles a set of formal and informal principles and values that guide behavior, decisions, and actions taken by member of an organization

professional ethics

the ethical standards and expectation of a particular profession, members are held at high standards

bioethics

concerned broadly with ethical questions surrounding the biological sciences, energing technologies and health policy

clinical ethics

concerened with decisions at the bedside and other patient issues

research ethics

a specialized feild within bioethics that looks at ethical conduct of research using human subjects and animals

personal ethics

describes individuals own ethical foundations and practice. There can be conflict when our personal ethics intersects with other categories of ethics

sources of ethics

family is the most powerful influence. Culture, peers, religion, professional education, colleagues and organization

ethical problem

any problem with an ethical dimension

ethical dilemma

any problem that requires something must be done wrong to do something that is right

ethical theories

systematic approaches to help us examine why some things might seem more wrong or more right when we attempt to resolve ethical dilemmas/ issues

utilitarian

a consequentialist theory: assess the moral rightness of a possible action by how much good, satisfaction or happiness it might produce. The outcomes of each possible alternative must be established, the balance of good to bad must be calculated

deontological

the ethical soundness or moral rightness of an action lies in adherence to our duties, our moral obligation involves knowing what our moral duties are and acting in accordance with those duties

principalism

used in order to attempt to solve real-world ethical dilemmas

4 guiding principles of principalism

1) respect for autonomy 2) beneficence 3) nonmaleficence 4) justice

fidelity

acting in ways that are loyal and keeping to ones promises

Canadian legal system

laws govern regulation of the nursing profession and the employee-employer relationship

The Canadian Health Act and Provincial Law

govern healthcare in Canada

Federal Ministry

Health Canada responsible for Health; transfers federal funds to the provinces and territories

Pillars of the CHA

1)public administration 2) comprehensiveness 3) universality 4) portability 5) accessibility

Provincial and territorial health care

organization of HC in Canada, each has a ministry headed by an MLA to determine how health is structured and what is funded. Each province / territory is responsible for regulation of health professionals

Strategic Policy Branch of Health Canada

develops effective policy responses to priority issues that affect the health of Canadians

Strategic Policy Branch of Health Canada

Plays a vital role in global health by collaborating with international health agencies and governments; coordinates Canada's role with world health organization

Reorganization of Health Care systems

to be more accountable to the public, each province and territory has undergone regionalization of health systems

Intent of regionalization

decentralize decision making streamline services and enable access to care in various settings

jurisprudence

the science, study and theory of law

specific nursing legislation in Nova Scotia

Registered Nurses Act, and Registered Nurses Regulations

Private law

focus is on individual-concerned with relationships with people or things ex: business disputes and divorces. Governed by 2 legal traditions: common law and civil law

Common law

judges develop law by referring to the law as decided in previous cases called precedents

Public law

relationship between government or society and individuals

Tort Law

an area of law that allows an individual to get compensation from someone who has done something wrong to this person

intentional torts

battery, defamation, and false imprisonment

unintentional torts

negligent actions

battery

intentionally touching someone without their consent

defamation

communication, oral, or written that would tend to lower plaintiff's reputation or lead to the plaintiff being shunned or avoided

false imprisonment

a patient may bring a lawsuit against the hospital for not letting the person leave

negligence

an action will be negligent in law when the defendant owes the plaintiff a duty of care, the defendant breached the standard, the plaintiff suffered an injury or loss, and the defendant's conduct was the actual and legal cause of the plaintiff's injury or loss

defenses

error of judgement, approved practice, vicarious liability

a care directive

an order written by an authorized prescriber for an intervention or series of interventions to be implemented by another care provider

Canadian nurses protective Society

whenever a nurse is involved in legal action, they should reach out to CNPS to determine whether assistance is available to them and to discuss next steps

Regulation

establishing and enforcing rules to govern behavior of people or groups. Intended to safeguard the public in some way

self-regulation

strictest form of regulation, a profession is granted the right to regulate its own members

NSCN Self- Regulation Principles

promoting good nursing practice, preventing poor nursing practice, intervening when practice is inacceptable

characteristics of self-regulation

1)Practitioner Accountability 2) Specialized Body of knowledge 3) Competent application of knowledge 4) Code of Ethics 5) A tradition of service to the public 6) Engaging in self-regulation

Registered Nurses Act

Act that governs the practice of RNs

Regulated Health Professionals Act

The purpose of this act is to improve the system of health-profession regulation in the province in accordance with guiding principles

What makes Nursing a Profession?

Practitioner accountability, specialized body of knowledge, competent application of knowledge, code of ethics, tradition of service to the public, self-regulation

Standards of Practice

An authoritative statement that describes the required behavior of every nurse and is used to evaluate individual performance

Regulating Nursing education programs

the review processes vary by province/ territory. Include the requirement to undergo a review process on a regular basis (at least once every 4-7y)

Four categories which may influence your duty to provide care by the CRNBC

Unreasonable burden, personal danger, individual competence, conscientious objection

Unions

Advocate for and support the work and or employment conditions for nurses and advocate for public safety