Professional Nursing Modules – Professionalism and Leadership

Professionalism

actions, behaviors and attitudes of an individual that are reflective of core values, ethical principles and regulatory guidelines of the profession

Each state has board that reports back to the national council of state boards of nursing (NCSBN) which

oversees standards of educational programs, licensure requirements, scope of practice, grounds for disciplinary action, remediation or violations

Each board of nursing determines the laws of practice of nursing practice art (NPA)

defines nursing activities and ensures nurses practice within the defined laws, rules, and regulations.

Organization that employs nurses

establish policies and procedures to regulate and guide nursing practice within their establishments, employee standard of care and responsibilities

Each nurse is in control of their individual competence decisions and actions while providing client care

Self regulation. Knowing their knowledge and expertise

Presentation of nurses

body language, choice of words, process of explanation

Important professional behaviors for nursing

joining nursing organizations and becoming certified in their area of specialty (demonstrating mastery of knowledge, education, skills, and motivated passion for delivery quality client care)

Unprofessionalism

conduct that does not adhere to standards of practice or the code of ethics. Dishonor, disgrace, or harm the standing or reputation of the profession in eyes of the public. Single incident or patterns of incidents

Two types of misconduct

incompetence and impairment

Professional incompetence

lack reasonable skills, knowledge, or concern for client welfare. This places client in jeopardy or harms wat

Impairment

unfit or unable to practice because of physical illness, behavioral health issues, or under influence of chemical substance such as drugs or alcohol that causes mental or physical impairment

Unethical

misconduct, lying on application or cheating on test, breaking the law

Novice

no experience, processes, steps, general rules for client care must be taught along with rationale and consequences

Advanced beginner

demonstrates stills but continues to need promoting and support while gaining aspect recognition

Competent

sets plans makes decisions and performs responsibilities efficiently and safely

Proficient

holistic understanding of situations, sees care from beginning to end and adapts unpredictable clinical situations

Expert

demonstrates mastery with deep understanding multitasks effortlessly and performs fluently w/out conscious efforts

Professional commitment

belief and acceptance of the standards and values of the profession of choice. Requires effort to represent standards

Professional identity

nurses sense of self influenced by values beliefs and attributes associated with the nursing discipline

Codes of conducts

code for employees to protect the business and explains expected behavior or conducts. Defines values, promises, and responsibilities a company has to its employees and customers

ANA code of ethics

directing how nurses conduct themselves. 4 key areas: values and ethics, knowledge, leadership, and professional behavior. Has provisions

Provision 1

healthcare is a human right and should be provided without bias. Clients have the right to determine what will and will not be done to their persons so they must be provided with understandable, accurate, and complete info.

Provision 2

client refers to individual, group, family, community, or population. Care plans should integrate participation from these sectors.

Provision 3

nurses will advocate for and safeguard the right to an environment with appropriate amount of physical privacy. Confidentiality. Client has right to refuse/concent to participation of research

Provision 4

nurses have authority, accountability and responsibility for practice including but not limited to direct nursing care, care coordination, etc.

Provision 5

nurses have the duty to respect moral dignity and worth of others and are entitled to the same. They should not tolerate abuse

Provision 6

construct and promote morally good environments which nurture excellent nursing practice and enable virtuous attributes

Provision 7

human or animal research will be soundly constructed and align with national and international ethics standards ensuring legitimacy

Provision 8

highest achievable standard of health is fundamental human right which considers and incorporates cultural, economic, social, and political aspects

Provision 9

responsibility of collective nursing profession to express reaffirm and strengthen central nursing values

Provision 10

nurses as a collective must advocate for health as a universal right for all people in the planet

4 phases of advocacy

assessment, identification, implementation, evaluation

Assessment

phase 1, establish relationship with clients and determine clients level of understanding, interests, personal values, mental function, and awareness of rights

Identification

phase 2, goals of client. Based on distinctive needs and personal beliefs are identified. Nurse informs and explains so the client can make an informed decision to consent or refuse

Implementation

phase 3, communicate the clients preferences to the rest of the interprofessional team is implemented. Includes goals that were identified in phase 2 and the steps involved in accomplishing them

Evaluation

phase 4, outcomes or findings are reviewed to see if what was expected or something else resulted. Nurse takes into consideration the satisfaction of everyone involved

Accountability

legal obligation with a moral and ethical commitment to do the right things every time and in every situation. Taking ownership of your decision and actions, answer for actions and consequences for those actions

Responsibility

being reliable, dependable, and following through on commitments.

Leadership styles

autocratic/ authoritarian, democratic, laissez faire

autocratic/ authoritarian

leaders making choices for others without listening to input from the team. Effective in time of crisis when someone needs to take control, medical emergency

Democratic

shared or participatory leadership, group members encouraged to contribute to decision making process, high productivity, increased group morale

laissez faire

hands off oversee and encourage their team to work independently, providing little direct control over decision making. Effective with experienced, educated, self motivated individuals

The hearts 3 c’s: compassion, care, and communication

Bureaucratic leaders

complex organizations that have heirarchies and different roles and divisions of labor for each person. These leaders abide by specific policy and procedures or rules established within a top down decision making organization. By the book. Relies on consistency and adherence the rules. Says attention to detail. (Surgical department)

Situational leaders

flexible transition or move from style to style depending on the circumstances at hand. Assess clients individually and manages care depending on upon clients specific needs.

Transactional

encourages by motivating people ti follow the rules, provide clear structure that requires repetition of tasks, makes short term goals, rewards and punishments are defined.

Transformational

sells vision for improvement and growth, promotes enthusiasm through self motivation, focuses on doing the right thing in the right way, creates a sense of community in the workplace

Nursing roles and responsibilities

caregiver, critical thinker, advocate, change agent, educator, counselor, leader, mentor, researcher, care coordinator