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67 Terms
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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
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
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
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
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
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
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
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
intentionally touching someone without their consent
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
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
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
establishing and enforcing rules to govern behavior of people or groups. Intended to safeguard the public in some way
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
Advocate for and support the work and or employment conditions for nurses and advocate for public safety