BNUR 1001: Dynamics in Nursing Profession

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is one of the primary functions of a rotating ethics monitor in a group setting?

To enforce strict rules and regulations.

To evaluate the respectful conduct of the meeting. (correct)

To manage time effectively during discussions.

To critique individual performance in meetings.

Which of the following roles is categorized as a group building or maintenance role?

Recognition seeker

Aggressor

Coordinator (correct)

Blocker

Which interactive style is characterized as assertive but uncooperative?

Compromising

Competing (correct)

Avoiding

Collaborating

In a group, what is the purpose of a facilitator role?

To ensure that all members can contribute and have their voices heard. Signup and view all the answers

What does the accommodating interactive style typically indicate about an individual's priorities?

The individual values the relationship more than the conflict. Signup and view all the answers

What must a nurse ensure about the delegator before accepting a delegated controlled act?

The delegator is permitted to delegate that controlled act. Signup and view all the answers

Which of the following details is NOT required in the delegation record?

The reason for the delegation. Signup and view all the answers

Which domain focuses on the relationships and communication among team members in interprofessional collaboration?

Interprofessional communication Signup and view all the answers

What is the primary goal of client-centered care in interprofessional collaboration?

To optimize health and wellness of clients Signup and view all the answers

What defines a group according to the provided content?

Three or more individuals with a common purpose who influence each other. Signup and view all the answers

Which of the following is considered a barrier to effective interprofessional collaboration?

Interdisciplinary rivalry Signup and view all the answers

Which of the following attributes influences group functioning according to the content?

Physical and emotional climate. Signup and view all the answers

According to Tuckman's model of group development, what is crucial for effective group functioning?

Defining member roles and standards. Signup and view all the answers

How does the total expertise of team members affect patient outcomes in interprofessional collaboration?

It enhances overall decision-making Signup and view all the answers

What happens to productivity in a group when conflict becomes the central focus?

It declines. Signup and view all the answers

Which value proposition emphasizes the need for the right health care provider at the appropriate time and place?

Evidence informed decision making Signup and view all the answers

What is one common complaint about group work expressed by students?

Uneven distribution of effort. Signup and view all the answers

What is considered an enabler of interprofessional collaboration?

Professional ethics Signup and view all the answers

Which statement about collaborative teams is true?

Collaborative teams produce better outcomes than individual health-care providers Signup and view all the answers

What aspect is NOT typically considered an advantage of working in groups?

Increased workload for all members. Signup and view all the answers

Which factor is essential for managing risk in interprofessional collaborative practice?

Acknowledge and address power differentials Signup and view all the answers

What must a nurse establish regarding the patient before delegating a controlled act?

The nurse-client relationship is in place. Signup and view all the answers

What is a key consideration when evaluating the delegation of a controlled act?

Whether the delegation is beneficial for the client. Signup and view all the answers

What should a nurse assess about the delegatee when delegating a controlled act?

The delegatee's ability to perform the act safely and ethically. Signup and view all the answers

Which of the following would not be considered an appropriate delegatee to accept a controlled act?

A friend of the client. Signup and view all the answers

What action must a nurse take if they believe a delegatee can no longer perform a controlled act safely?

Cease to delegate the controlled act immediately. Signup and view all the answers

What is a requirement of the nurse regarding safeguards when delegating a controlled act?

Sufficient safeguards must be available for safe performance. Signup and view all the answers

When can a nurse impose conditions on the delegation of a controlled act?

When it is necessary for the act to be performed safely and ethically. Signup and view all the answers

Which of the following is NOT a requirement for a nurse to delegate a controlled act?

The nurse must assess the delegatee's work background. Signup and view all the answers

What must be included in the written record of delegation before a controlled act is performed?

The date of the delegation Signup and view all the answers

What is a requirement for a nurse who assigns duties to a UCP?

To verify that the UCP’s competence has been determined Signup and view all the answers

Which of the following actions is NOT required before a controlled act is delegated?

Determining the client's medical insurance Signup and view all the answers

What must a nurse ensure regarding the UCP's understanding of responsibilities?

That the UCP understands when to report outcomes of the procedure Signup and view all the answers

What action should a nurse take regarding a UCP's competence when first teaching them a procedure?

Obtain first-hand knowledge of the UCP’s competence Signup and view all the answers

What is a key responsibility of the delegating nurse concerning client health care needs?

Conducting an ongoing assessment of the client's health care needs Signup and view all the answers

What is one of the expectations for nurses who supervise UCPs?

To judge the ongoing effectiveness of UCP’s interventions Signup and view all the answers

What should a nurse evaluate to ensure the safe performance of a controlled act?

Available safeguards and resources Signup and view all the answers

What should the nurse have done when the PSW suggested reinserting the catheter without proper delegation?

Declared that she would do it upon her arrival instead. Signup and view all the answers

Which statement accurately reflects a key restriction on delegation for nurses?

Nurses cannot delegate controlled acts that have been delegated to them. Signup and view all the answers

What was the immediate consequence when the catheter was reinInserted by the PSW?

The patient felt intense pain in the urethra. Signup and view all the answers

What is the nurse's responsibility when she delegates a controlled act?

To ensure that the delegatee can perform the task competently. Signup and view all the answers

When are nurses in the Temporary Class allowed to accept delegation?

They cannot accept delegation of any controlled acts. Signup and view all the answers

What led the patient to convince the PSW to reinsert the catheter?

The patient wanted to avoid troubling the nurse. Signup and view all the answers

What specific act cannot be delegated by Registered Nurses or RPNs?

Dispensing a drug. Signup and view all the answers

What is one reason the nurse felt she could not delegate reinserting the catheter?

She was unsure of the PSW's competence. Signup and view all the answers

Study Notes

Dynamics within the Profession

BNUR 1001, October 22, 2024, taught by Peter Kennedy RN, BScN, MBA
The course covers dynamics within the nursing profession, focusing on intra-professional and interprofessional collaborative practice.
Key learning objectives include explaining the RNAO Conceptual Model of Healthy Work Environments, describing roles, values, and behaviours that support collaboration in nursing and interprofessional care.

Learning Objectives

Explain the RNAO Conceptual Model of Healthy Work Environments.
Describe roles, values, and behaviours supporting intra-professional collaborative practice in nursing.
Describe parameters, settings, and professionals involved in interprofessional care.
Describe the nurse's role on an interprofessional care team.
Identify enablers and barriers to intra-professional and interprofessional care.
Explain delegation processes and requirements for accepting delegation from other healthcare providers.
Identify conflict management strategies for intra-professional and interprofessional care teams.
Describe the impact of communication style on group dynamics among professionals.

Practice Standard: Code of Conduct (CNO, 2023)

Principle 4: Nurses work respectfully with the healthcare team to best meet client needs.
Nurses are accountable for building respectful relationships with healthcare team members and modelling these behaviours.
Nurses should self-reflect on how their privileges, biases, values, belief structures, behaviours, and positions of power may impact their relationships with team members. They should avoid acting on stereotypes or assumptions about team members.
Nurses should use preferred names, titles, and pronouns when addressing team members.
Nurses should recognize that various identity factors can impact a team member's lived experience and perspective on nursing.
Nurses should demonstrate professionalism, treat all health care team members with respect, and maintain this behaviour in all situations, including on social media.
Nurses must engage in clear, effective, professional, and timely communication with the healthcare team to provide safe patient care.
Harassment or abuse of healthcare team members, physically, verbally, emotionally, financially, or sexually, is unacceptable.
Nurses should support, mentor, and teach healthcare team members.
Nurses assess the learning needs of team members and determine competency for safe nursing care.
delegation of nursing care must maintain the Nursing Act of 1991 standards.
Nurses who delegate must ensure the delegatee is adequately educated and competent to perform the delegated task.
Nurses should provide and accept feedback from the healthcare team to support positive patient outcomes and effective team performance.
Nurses contribute to a safe organizational culture.

Healthy Work Environments (RNAO)

Healthy work environments maximize the health and well-being of nurses, quality patient outcomes, and organizational and system performance.
Evidence shows that healthy work environments yield financial benefits for organizations.

Conceptual Model of Healthy Work Environments (RNAO)

The model emphasizes interdependence among the individual (micro), organizational (meso), and external (macro) levels of systems.
The model focuses on the beneficiaries of healthy work environments (nurses, patients/clients, organizations, and systems, and society as a whole).
The model's lines are dotted to show the synergistic interactions among the different levels and components.

Collaborative Practice

Collaborative practice is a joint venture where participants are willing to participate in shared planning and decision-making, based on knowledge and expertise, not on role or title.
World Health Organization defines collaborative practice as when multiple health workers from different backgrounds work together to deliver comprehensive care across a variety of settings.

Intra-professional Collaboration

Intra-professional collaboration involves learning about effective teamwork, collaborative practices, open and honest communication, supportive learning environments, and policies to support teamwork.
Key areas include staffing, absenteeism, infection rates, and eliminating obstacles.

Interprofessional Collaboration

Interprofessional collaboration is crucial for improving access to client-centered care in Canada.
There are numerous benefits of interprofessional collaboration including improved communication , enhanced patient outcomes, improved efficiency, a holistic approach to patient care, a culture of non-hierarchy among interprofessional teams and a healthy work environment.
Key areas for interprofessional collaboration include a framework, roles, communication, patient/client/family/community-centered care, conflict resolution, and leadership.

Delegation

Nurses are authorized to perform controlled acts and can delegate these acts to other individuals, including regulated health professionals or other care providers, such as family members.
Nurses who delegate remain responsible for the delegated task and must ensure the delegatee is competent in performing the controlled act safely and ethically.
Nurses who perform controlled acts that are delegated to them are responsible for performing the tasks safely and ethically.
Specific restrictions exist for nurses working in certain temporary, emergency, or special assignment classes.

Requirements for Delegating/Accepting Controlled Acts

Specific requirements are outlined for delegating or accepting controlled acts, covering considerations like the nurse's authority, competence, client relationship, best interests, sufficient safeguards, and conditions (if any) for delegation.
Nurses must record particulars of controlled acts to ensure proper documentation.

Conflict and Group Process

Teams are interdependent individuals who work across organizational boundaries.
Commonalities, and conflict are factors that positively and/or negatively influence team functioning within teams.
Groups are three or more people with common purposes who interact, influence each other, and are interdependent.
Group dynamics, such as physical/emotional climate, involvement, interaction, cohesion, productivity, and other factors, also influence team functioning.

Group Work:

Discussions centred on the advantages and disadvantages, common complaints (students/faculty), how to improve or approach them, and where collaboration and interprofessional education fit into the overall picture.

Group Roles

Each member plays a specific role which can include; helper, information gatherer, opinion seeker, recorder, facilitator, coordinator, harmonizer, compromiser, and others who might be considered blockers, aggressors, recognition seekers or dominators to enhance team success.

Interactive Styles

Descriptions of different interactive styles in a group setting (avoiding, accommodating, competing, collaborating, compromising).

Conflict Management

Using effective management tools and strategies to control conflict.
Listening to other's perspective, identifying underlying concerns and separating matters which will contribute to an improved or acceptable outcome.
Emphasizing the importance of positive interpersonal interactions.

Group Conflict Resolution Process

Recognize the disagreement in the group, consider different points of view and their value.
Presenting supporting and opposing viewpoints about a specific situation.
Arriving at a cooperative solution and resolving disagreements.

Collaborative Leadership

Collaborative leadership involves the acknowledgment of all members of a team's capacity to lead.
It includes the demonstration of mindfulness and the value of working together to achieve positive, measurable, and achievable health outcomes.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Explore the dynamics within the nursing profession through BNUR 1001. This quiz covers the RNAO Conceptual Model of Healthy Work Environments and focuses on intra-professional and interprofessional collaboration. Test your understanding of roles, values, and the collaborative processes in nursing care.